The aim of this assignment is to enable me to critically examine my role as a haematology nurse in working collaboratively with cancer patients, their families and the multidisciplinary team (MDT) in order to provide evidence based care in all clinical settings. I will critically evaluate and discuss the care and intervention given to a patient diagnosed with Mantel Cell Lymphoma (MCL) who became neutropenic sepsis after having high dose chemotherapy with Marrow Transplantation (BMT). Oxygen therapy will be discussed as one of the urgent treatment for neutropenic sepsis. I will briefly look at a sepsis tool and communication tool that are used on patients that are sepsis. Government and international references which support the need for urgent treatment for neutropenic sepsis will be included. The role of the nurse will be discussed in collaboration with other healthcare professionals. Examples from clinical practice will be highlighted to help explain the relevance of the subject. The assignment will be based on a patient called Mr. B, a patient I looked after while on duty (see appendix A). Confidentially will be maintained throughout the assignment (Nursing and Midwifery council, 2008).
Almeida and Barry (2010) define cancer as a collection of diseases characterized abnormal growth of cells which tend to proliferate in an uncontrolled way and, in some cases, to metastasize (spread to other parts of the body). However, Souhami and Tobias (2003) states that cancer is an abnormal cell growth caused by gene mutation. This results in loss of the exact cell processes that control cell development and function. Mantel Cell Lymphoma(MCL) is a form of cancer that affects the B cells in the lymphocytes (REFERENCES). MCL is a rare type of non Hodgkin’s lymphoma (NHL). According to research only 5% of people diagnosed with NHL have MCL. When diagnosed MCL spreads to the lymph nodes, bone marrow and the spleen (REFERENCE).
Patient undergoing a BMT requires a...