title: Assessment of the autologous bone marrow transplant patient according to Orem's self care model.
abstract: 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.
authors: St. Vincent Medical Center, Los Angeles, California.
authors: C H
authors: CH
authors: Mack
mesh_terms: 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