However the infection may non be rabble-rousing chemical reaction against the pulmonary infection , and it is the inflammatory response that causes the roentgen give off changes (Cassileth , 1649-1656 . The platelet count can become dangerously small-scale , leaving the patient at risk for significant eject The specific body system assessments argon delineated in the neutropenic precautions and bleeding precautions respectively . When serial assessments argon performed , current findings are compared with previous findings to evaluate improvement or worseningC . Planning and GoalsThe claim goals for the patient may include absence of complications and pain , make and maintenance of adequate nutrition , activity tolerance , office for self-care and to cope with the diagnosis and prognosis , positive body apprehend word , and an understanding of the disease process and its treatment (Skeel , 45-48D . InterventionsManagingMucositis . Although furiousness is lay on the oral mucous membrane , it is strategic to realize that the entire gastrointestinal mucous membrane can be altered , not only by the effects of chem another(prenominal)apy . assessment of the oral mucosa must be thorough thereof , dentures must be removed . Areas to assess include the roof of the mouth , buccal mucosa , expectoration , gums , lips , oropharynx and the area under the tongue .

In accessory to identifying and describing lesions , the color and moist ure of the mucosa should be notedOral hygien! e is precise important to diminish the bacteria inwardly the mouth , fight back moisture , and provide consolation . 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 just now 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 positivist , such...If you want to get a full essay, order it on our website:
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