About
Malignancy of the plasma cells resulting in impaired immunoglobulin function and decreased immune system response.
Assess
Bone pain ( back, ribs most commonly), hypercalcemia, idiopathic fractures, anemia, decreased platelets and leukocytes, neurological symptoms.
Complications
Renal failure, Infection, sepsis, DVT's, death.
Diagnosis
- Knowledge deficit related to disease process and management
- Pain related to disease process.
- Ineffective coping related to concerns and fears regarding diagnosis and treatment.
- Anticipatory grieving related to diagnosis and treatment.
- Risk for infection related to immune system dysfunction and compromise.
- Risk for injury.
Goals
- The client will remain free form infection.
- The client will state a pain level less than 4 after medication intervention.
- The client will remain free from injury.
- The client will identify signs and symptoms of infection.
- The client will identify treatment options for disease.
- The client will verbalize concerns and fears related to diagnosis and treatment options.
- The client will identify methods to decrease the risk of infection.
Interventions
- Assess pain levels, electrolytes, CBC, vitals, knowledge about disease and treatment options.
- Monitor pain levels, calcium levels, BUN, creatinine, Urine output, activity levels.
- Administer pain medications as ordered by physician.
- Apply compression stockings and encourage activity and ambulation to prevent blood clots.
- Encourage coughing and deep breathing exercises and incentive spirometry to prevent respiratory infections.
- Administer chemotherapy and prepare for radiation therapy or bone marrow transplant as indicated by physician.
- Provide opportunities for client to verbalize concerns, feelings, and fears related to diagnosis and treatment.
- Teach client methods to prevent fractures or injury ( proper body mechanics, no lifting greater than ten pounds, use of braces for support, maintaining mobility).
- Teach client signs and symptoms of infection or complications to report immediately to health care provider.
- Teach client methods to prevent infection including hand-washing, avoiding large crowds, monitoring temperature.
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