Assessment of the autologous bone marrow transplant patient according to Orem's self care model.
Autologous bone marrow transplantation (ABMT) is an increasingly effective treatment option for both hematologic malignancies and solid tumors. The dose-limiting toxicity of bone marrow suppression after intensive chemotherapy and/or radiation therapy can be minimized by reinfusing the patient's stored marrow. However, the ABMT procedure involves a period of profound neutropenia before the reinfused marrow engrafts and it also carries a significant risk of major organ toxicities. Common adverse effects of the procedure include mucositis, pneumonitis, renal failure, and veno-occlusive disease of the liver. In this article, Orem's Self-Care Model is used as a framework for assessing ABMT patients with the goal of recognizing developing complications early.
Mack
C H
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St. Vincent Medical Center, Los Angeles, California.
D016026:Bone Marrow Transplantation / Q000009:adverse effects / Q000451:nursing*; D006801:Humans; D016294:Models, Nursing; D009730:Nursing Assessment / Q000592:standards*; D009737:Nursing Records; D012648:Self Care; D014182:Transplantation, Autologous / Q000009:adverse effects / Q000451:nursing