However the infection may non be rabble-rousing retort against the pulmonary infection , and it is the inflammatory response that causes the roentgen shine changes (Cassileth , 1649-1656 . The platelet count can become dangerously belittled , leaving the patient at risk for significant shed blood The specific body system assessments argon delineated in the neutropenic precautions and bleeding precautions respectively . When serial assessments ar performed , current findings ar compared with previous findings to evaluate improvement or worseningC . Planning and GoalsThe airfield goals for the patient may include absence of complications and pain , assign and maintenance of adequate nutrition , activity tolerance , mightiness for self-care and to cope with the diagnosis and prognosis , positive body exhaust word , and an understanding of the disease process and its treatment (Skeel , 45-48D . InterventionsManagingMucositis . Although tenseness is lay on the oral mucous membrane , it is heavy to realize that the entire gastrointestinal mucosa can be altered , not only by the effects of chem another(prenominal)apy . sagaciousness of the oral mucosa must be thorough indeed , dentures must be removed . Areas to assess include the palate , buccal mucosa , spit , gums , lips , oropharynx and the area under the tongue .
In accessory to identifying and describing lesions , the color and moisture of the mucosa should be notedOral hygiene is precise important to diminish th! e bacteria deep down the mouth , fight back moisture , and provide pouf . Soft-bristled toothbrushes should be used until the neutrophile and platelet counts become very low at that m , sponge-tipped applicators should be substituted . Lemon-glycerine swabs and commercial mouthwashes should never be used because the glycerin and alcohol within them are extremely drying to the tissues (Skeel , 45-48 . Simple rinses with saline solutions are inexpensive hardly effective in modify and moistening the oral mucosa . Because the risk of yeast or fungal infection in the mouth is great , other medications are often dictate , such...If you want to get a full essay, order it on our website: BestEssayCheap.com
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