Materiały źródłowe

• #1 Caring for patients with chronic lymphocytic leukemia – PubMed

  https://pubmed.ncbi.nlm.nih.gov/18515240/

  Chronic lymphocytic leukemia (CLL) is the most commonly diagnosed form of leukemia in the Western world, accounting for approximately 20%-30% of all cases of leukemia. […] Despite recent medical and scientific advances, the literature on the subjective experience and nursing care of patients diagnosed with CLL remains scarce and sporadic. […] This article provides a brief overview on the pathophysiology, clinical characteristics, and treatment options of CLL with focus placed on implications for nursing care. […] Fatigue, the most common symptom reported by patients, and infection, the leading cause of disease-related deaths, also will be addressed. […] Emerging data examining quality of life and the incidence of anxiety and depression in this patient population will be reviewed, and strategies aimed at addressing the educational needs of patients and family members will be discussed.

• #2 Chronic lymphocytic leukaemia (CLL) – Leukaemia Foundation

  https://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/leukaemia/chronic-lymphocytic-leukaemia/

  Chronic lymphocytic leukaemia (CLL) is a type of slow-growing leukaemia that affects developing B-lymphocytes. B lymphocytes (also known as B-cells) are specialised white blood cells. Under normal conditions they produce immunoglobulins (also called antibodies) that help protect our bodies against infection and disease. In people with CLL, lymphocytes undergo a malignant (cancerous) change and become leukaemic cells. […] It is important to emphasise that for many people CLL remains stable for many months and years and has little, if any, impact on their lifestyle or general health. Around 30-50% of people diagnosed with CLL never require any treatment for their disease and can survive for many years despite their diagnosis. For others, the leukaemic cells multiply in an uncontrolled way, live longer than they are supposed to and accumulate in the bone marrow, bloodstream, lymph nodes (glands), spleen, liver and other parts of the body.

• #3 Chronic lymphocytic leukaemia (CLL) – Leukaemia Foundation

  https://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/leukaemia/chronic-lymphocytic-leukaemia/

  Chronic lymphocytic leukaemia (CLL) is a type of slow-growing leukaemia that affects developing B-lymphocytes. B lymphocytes (also known as B-cells) are specialised white blood cells. Under normal conditions they produce immunoglobulins (also called antibodies) that help protect our bodies against infection and disease. In people with CLL, lymphocytes undergo a malignant (cancerous) change and become leukaemic cells. […] It is important to emphasise that for many people CLL remains stable for many months and years and has little, if any, impact on their lifestyle or general health. Around 30-50% of people diagnosed with CLL never require any treatment for their disease and can survive for many years despite their diagnosis. For others, the leukaemic cells multiply in an uncontrolled way, live longer than they are supposed to and accumulate in the bone marrow, bloodstream, lymph nodes (glands), spleen, liver and other parts of the body.

• #4 Chronic Lymphocytic Leukemia, Blood Cancer, Information, Resources

  https://www.cancercare.org/diagnosis/chronic_lymphocytic_leukemia

  Chronic Lymphocytic Leukemia: The Patient Journey. […] CLL or, chronic lymphocytic leukemia is the most common adult leukemia. The average age of diagnosis is 65 to 67 years of age, although it is diagnosed in younger adults as well. It is one of four main types of leukemias. Because it is a chronic disease people can go years without treatment, so it is important to monitor the disease for any changes. […] An open and honest relationship with your health care team (often referred to as a partnership) is important. For many patients this additional knowledge helps them make an informed decision.

• #5 Leukemia Treatment

  https://www.froedtert.com/leukemia

  Chronic lymphocytic leukemia (CLL) is a slow-growing leukemia that mainly affects older people. It is twice as common in men as in women. Patients may experience enlarged lymph nodes in the early stages, but you may not have any early symptoms. Other possible symptoms include weight loss, fevers, drenching night sweats and fatigue. The disease stage is based on white blood cell counts, lymph node involvement and other factors. […] Early-stage CLL does not need treatment. We will monitor you closely through regular blood tests and physician visits. Treatment starts when the disease begins to progress. Indications to treat include a rapid increase in abnormal cells (doubling in less than six months) and the development of symptoms such as anemia, low platelets, fever, night sweats and weight loss. […] CLL treatment made great strides in the last five years. We have several treatment options for patients with CLL, including ibrutinib, venetoclax, immune therapy and chemotherapy.

• #6 Chronic lymphocytic leukaemia (CLL) – Leukaemia Foundation

  https://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/leukaemia/chronic-lymphocytic-leukaemia/

  CLL usually develops slowly and progresses slowly, over months and years. Most people have no symptoms of their disease when first diagnosed. In these cases, people often require no treatment for a long time, apart from regular check-ups with their doctor to carefully monitor their health. Others may need to be treated soon after they are diagnosed. […] Because CLL develops slowly many people don’t have any symptoms, particularly in the early stages, and the disease is picked up during a routine blood test. […] Other people may visit their GP because they have some troubling symptoms. Symptoms arise from the increasing number of abnormal blood cells in the bone marrow and blood, and the decreasing number of normal blood cells. Possible symptoms may include: anaemia, due to a lack of red cells causing persistent tiredness, dizziness, paleness, or shortness of breath when physically active; increased or unexplained bleeding or bruising, and/or the appearance of red or purple flat pinhead sized purple spots on the skin, especially on the legs initially.

• #7 Chronic Lymphocytic Leukemia Treatment – NCI

  https://www.cancer.gov/types/leukemia/patient/cll-treatment-pdq

  Chronic lymphocytic leukemia (CLL) is a type of cancer in which the bone marrow makes too many lymphocytes (a type of white blood cell). […] Signs and symptoms of CLL include swollen lymph nodes and feeling tired. […] Tests that examine the blood are used to diagnose CLL. […] Certain factors affect prognosis (chance of recovery) and treatment options. […] Treatment options depend on: The red blood cell, white blood cell, and platelet blood counts. […] Follow-up care may be needed. […] The treatment of asymptomatic chronic lymphocytic leukemia (CLL) may include watchful waiting. […] The treatment of symptomatic or progressive chronic lymphocytic leukemia (CLL) may include the following: Watchful waiting. […] All of these treatments may be used for patients being treated for the first time and those who have been treated before.

• #8 Leukemia: An Overview for Primary Care | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0501/p731.html

  Chronic lymphocytic leukemia should be suspected in older adults with a markedly elevated white blood cell count and an enlarged liver or spleen. […] Patients with early-stage chronic lymphocytic leukemia (i.e., no anemia or thrombocytopenia and with less than three areas of nodal involvement) may be monitored without treatment if they are asymptomatic. […] The diagnosis of chronic lymphocytic leukemia is based on a clonal expansion of at least 5,000 B lymphocytes per L (5.0 109 per L) in the peripheral blood, confirmed by immunophenotyping. A bone marrow specimen is not required for diagnosis of chronic lymphocytic leukemia, but can be obtained to determine the extent of marrow involvement for prognosis. […] Early-stage chronic lymphocytic leukemia (i.e., no anemia or thrombocytopenia and less than three areas of nodal involvement) can be monitored without treatment.

• #9 Leukemia: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/leukemia-nursing-diagnosis-care-plan/

  Leukemia is classified according to the rate at which the condition progresses and whether the leukemia cells come from lymphoid or myeloid cells. […] Chronic Lymphocytic Leukemia (CLL) is the most common chronic type occurring in older adults and is characterized by the production and accumulation of functionally inactive mature-appearing lymphocytes. Typically, no symptoms are noted during the early onset of the disease, but the patient may experience fatigue, weakness, sternal tenderness, fever, weight loss, and bone and joint pain. […] Nurses support patients with leukemia by providing supportive care, especially for those who are undergoing chemotherapy, radiation, and other biologic therapies. It is essential to manage and prevent complications, provide comfort measures, patient and family education, and continuous emotional support.

• #10 8 Leukemia Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/leukemia-nursing-care-plans/

  The nursing management and care plan for patients with leukemia involve several important aspects. Nurses play a crucial role in assessing and monitoring patients, managing symptoms, and providing support throughout the treatment journey. […] The following are the nursing priorities for patients with leukemia: Minimizing infection through infection control, Managing side effects of chemotherapy, Managing pain, Providing emotional support, Providing health teachings. […] Goals and expected outcomes may include: The client will identify actions to prevent/reduce risk of infection. The client will demonstrate techniques, and lifestyle changes to promote a safe environment, and achieve timely healing. […] Clients with leukemia are at risk for infection due to the diseases impact on the bone marrow and immune system. Leukemia disrupts the production of normal blood cells, including white blood cells that play a crucial role in fighting infections, leaving the body vulnerable to bacterial, fungal, and viral infections.

• #11 8 Leukemia Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/leukemia-nursing-care-plans/

  The nursing management and care plan for patients with leukemia involve several important aspects. Nurses play a crucial role in assessing and monitoring patients, managing symptoms, and providing support throughout the treatment journey. […] The following are the nursing priorities for patients with leukemia: Minimizing infection through infection control, Managing side effects of chemotherapy, Managing pain, Providing emotional support, Providing health teachings. […] Goals and expected outcomes may include: The client will identify actions to prevent/reduce risk of infection. The client will demonstrate techniques, and lifestyle changes to promote a safe environment, and achieve timely healing. […] Clients with leukemia are at risk for infection due to the diseases impact on the bone marrow and immune system. Leukemia disrupts the production of normal blood cells, including white blood cells that play a crucial role in fighting infections, leaving the body vulnerable to bacterial, fungal, and viral infections.

• #12 Supportive or Palliative Care for CLL | American Cancer Society

  https://www.cancer.org/cancer/types/chronic-lymphocytic-leukemia/treating/supportive-care.html

  Some people with CLL dont make enough antibodies (immunoglobulins) to fight infections. This can lead to repeated lung and/or sinus infections. […] Vaccines to help prevent certain infections are often an important part of the care for people with CLL. But there might be times when vaccines arent recommended, such as when you’re being treated with medicines that weaken your immune system (which could make vaccines less effective). […] Having a low red blood cell count (anemia) can make you feel tired, lightheaded, or short of breath. Anemia can have different causes. If anemia is causing symptoms, it can be treated with red blood cell transfusions. […] Having a low platelet count can lead to serious bleeding. Platelet transfusions can help prevent this. […] When antibodies cause low numbers of platelets, its called immune thrombocytopenia (ITP).

• #13

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8168

  Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] When you are able to eat, try clear soups, mild foods, and liquids until all symptoms are gone for 12 to 48 hours. Other good choices include dry toast, crackers, cooked cereal, and gelatin dessert, such as Jell-O. […] Avoid infections such as COVID-19, colds, and influenza (flu). Wash your hands often. Get a pneumococcal vaccine. If you have had one before, ask your doctor whether you need another dose. Get a flu vaccine every year. Stay up to date on your COVID-19 vaccines. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have a fever or chills. Or you may be sweating. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You are much more tired than usual. You have swollen glands in your armpits, groin, or neck. You do not get better as expected.

• #14 Leukemia: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/leukemia/?srsltid=AfmBOoqMdVRl44BgBoHrjPlYnnV0_cF2gF3WVTUuS-vnYcaAiXVqvxSf

  Leukemia patients often experience fatigue, infection risk, bleeding, and emotional distress. Nurses must focus on managing these symptoms and providing education and support throughout the treatment process. […] Monitor CBC and differential: Watch for signs of increased risk for infection (neutropenia), anemia, and thrombocytopenia. […] Evaluate for signs of infection: Fever, chills, and any new symptoms should be reported immediately, as leukemia patients are immunocompromised. […] Assess bleeding: Look for petechiae, bruising, and bleeding gums, particularly in thrombocytopenic patients. […] Psychosocial assessment: Determine the patients coping mechanisms, support system, and need for psychological support. […] Risk for infection related to leukopenia and immunosuppressive treatments

• #15 Acute Lymphocytic Leukemia Nursing Care Management: Study Guide

  https://nurseslabs.com/acute-lymphocytic-leukemia/

  The major goals for the patient may include: Absence of pain. Attainment and maintenance of adequate nutrition. Activity tolerance. Ability to provide self-care and to cope with the diagnosis and prognosis. Positive body image. […] The interventions included in the care plan of the patient follows. Before treatment: Education. The nurse should explain the disease course, treatment, and adverse effects. Infection. The nurse should teach the patient and his family how to recognize symptoms of infection such as fever, chills, cough, and sore throat. Bleeding. The nurse should educate the patient and the family how to recognize abnormal bleeding through bruising and petechiae and how to stop it with direct pressure and ice application. Promote good nutrition. The nurse should explain that chemotherapy causes weight loss and anorexia, so the patient must be encouraged to eat and drink high-calorie and high-protein foods and beverages. Rehabilitation. The nurse should help establish an appropriate rehabilitation program for the patient during remission.

• #16 Supportive or Palliative Care for CLL | American Cancer Society

  https://www.cancer.org/cancer/types/chronic-lymphocytic-leukemia/treating/supportive-care.html

  If you have chronic lymphocytic leukemia (CLL), supportive treatments could help prevent or relieve some of your symptoms. You might also hear this called palliative care. […] Supportive care for CLL is aimed at helping with symptoms or other problems related to the leukemia and its treatment. It isnt meant to treat the CLL itself. For example, some people with CLL have infections or low blood cell counts that can be treated with supportive care. […] But supportive care treatments are often an important part of a persons overall treatment plan. These two types of treatments are often used at the same time. […] People with CLL often have weakened immune systems. This can be from the CLL itself, as well as from some of the medicines used to treat it. Because of this, people with CLL are at higher risk for infections, which can sometimes be serious.

• #17 Supportive or Palliative Care for CLL | American Cancer Society

  https://www.cancer.org/cancer/types/chronic-lymphocytic-leukemia/treating/supportive-care.html

  Some people with CLL dont make enough antibodies (immunoglobulins) to fight infections. This can lead to repeated lung and/or sinus infections. […] Vaccines to help prevent certain infections are often an important part of the care for people with CLL. But there might be times when vaccines arent recommended, such as when you’re being treated with medicines that weaken your immune system (which could make vaccines less effective). […] Having a low red blood cell count (anemia) can make you feel tired, lightheaded, or short of breath. Anemia can have different causes. If anemia is causing symptoms, it can be treated with red blood cell transfusions. […] Having a low platelet count can lead to serious bleeding. Platelet transfusions can help prevent this. […] When antibodies cause low numbers of platelets, its called immune thrombocytopenia (ITP).

• #18 Leukemia: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/leukemia/?srsltid=AfmBOoqMdVRl44BgBoHrjPlYnnV0_cF2gF3WVTUuS-vnYcaAiXVqvxSf

  Risk for bleeding related to thrombocytopenia and bone marrow suppression […] Fatigue related to anemia and the effects of chemotherapy […] Disturbed body image related to hair loss, weight loss, and pallor from leukemia treatment. […] Infection prevention: Implement neutropenic precautions, such as hand hygiene, limiting visitors, and avoiding exposure to infectious agents. […] Bleeding precautions: Educate the patient on avoiding activities that may lead to injury, using soft toothbrushes, and avoiding over-the-counter medications like aspirin. […] Supportive care: Provide energy-conserving strategies for managing fatigue, such as frequent rest periods and small, nutrient-dense meals. […] Emotional support: Offer counseling services and encourage participation in leukemia support groups. Assist patients with coping strategies and body image issues, including hair loss management.

• #19 Caring for patients with chronic lymphocytic leukemia – PubMed

  https://pubmed.ncbi.nlm.nih.gov/18515240/

  Chronic lymphocytic leukemia (CLL) is the most commonly diagnosed form of leukemia in the Western world, accounting for approximately 20%-30% of all cases of leukemia. […] Despite recent medical and scientific advances, the literature on the subjective experience and nursing care of patients diagnosed with CLL remains scarce and sporadic. […] This article provides a brief overview on the pathophysiology, clinical characteristics, and treatment options of CLL with focus placed on implications for nursing care. […] Fatigue, the most common symptom reported by patients, and infection, the leading cause of disease-related deaths, also will be addressed. […] Emerging data examining quality of life and the incidence of anxiety and depression in this patient population will be reviewed, and strategies aimed at addressing the educational needs of patients and family members will be discussed.

• #20 Leukemia: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/leukemia/?srsltid=AfmBOoqMdVRl44BgBoHrjPlYnnV0_cF2gF3WVTUuS-vnYcaAiXVqvxSf

  Risk for bleeding related to thrombocytopenia and bone marrow suppression […] Fatigue related to anemia and the effects of chemotherapy […] Disturbed body image related to hair loss, weight loss, and pallor from leukemia treatment. […] Infection prevention: Implement neutropenic precautions, such as hand hygiene, limiting visitors, and avoiding exposure to infectious agents. […] Bleeding precautions: Educate the patient on avoiding activities that may lead to injury, using soft toothbrushes, and avoiding over-the-counter medications like aspirin. […] Supportive care: Provide energy-conserving strategies for managing fatigue, such as frequent rest periods and small, nutrient-dense meals. […] Emotional support: Offer counseling services and encourage participation in leukemia support groups. Assist patients with coping strategies and body image issues, including hair loss management.

• #21 8 Ways To Live Better With CLL | MyLeukemiaTeam

  https://www.myleukemiateam.com/resources/8-ways-to-live-better-with-cll

  Living with chronic lymphocytic leukemia can be challenging, but you can take steps to feel better and enjoy a high quality of life. […] These tips can help you care for yourself while living with CLL. […] Research has shown that exercise and physical activity can improve fatigue, quality of life, and immune system function. Staying active is considered by many health care professionals to be an important component of cancer care. […] Eating a well-balanced diet can support your overall health. A nutritious diet and healthy weight can also improve your strength during cancer treatment and help you better tolerate side effects. […] Good sleep hygiene can help you sleep better. […] A positive outlook can help you minimize stress and build resilience. […] Its essential to maintain your treatment plan.

• #22 Nursing Experience in Patients with Chronic Lymphocytic Leukemia Receiving First-Line Ibrutinib: Five Years of Follow-Up from the Phase 3 RESONATE-2 Study – Journal of Oncology Navigation & Survivorship

  https://www.jons-online.com/issues/2020/november-2020-vol-11-no-11/3228:nursing-experience-in-patients-with-chronic-lymphocytic-leukemia-receiving-first-line-ibrutinib-five-years-of-follow-up-from-the-phase-3-resonate-2-study

  Ibrutinib is the only once-daily Bruton tyrosine kinase inhibitor that has shown significant progression-free survival (PFS) and overall survival (OS) benefits in patients with chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) across multiple randomized phase 3 studies. […] Given that single-agent ibrutinib is administered as continuous therapy, nurses are key to providing patient education and support for continuous treatment to ensure maximal benefit with ibrutinib. […] Nurses have an important role in educating patients on the benefits of continuous ibrutinib therapy and the expected side effects. […] Nurses may be the first to identify AEs and may either manage those AEs or escalate them to the treating physicians for recommendations and further management. […] Nurses play a key role in educating patients to reinforce their understanding of the benefits of continuous ibrutinib therapy and expectations regarding potential side effects, and by guiding AE management by communicating AE details to the care team.

• #23 Acute Lymphocytic Leukemia Nursing Care Management: Study Guide

  https://nurseslabs.com/acute-lymphocytic-leukemia/

  The major goals for the patient may include: Absence of pain. Attainment and maintenance of adequate nutrition. Activity tolerance. Ability to provide self-care and to cope with the diagnosis and prognosis. Positive body image. […] The interventions included in the care plan of the patient follows. Before treatment: Education. The nurse should explain the disease course, treatment, and adverse effects. Infection. The nurse should teach the patient and his family how to recognize symptoms of infection such as fever, chills, cough, and sore throat. Bleeding. The nurse should educate the patient and the family how to recognize abnormal bleeding through bruising and petechiae and how to stop it with direct pressure and ice application. Promote good nutrition. The nurse should explain that chemotherapy causes weight loss and anorexia, so the patient must be encouraged to eat and drink high-calorie and high-protein foods and beverages. Rehabilitation. The nurse should help establish an appropriate rehabilitation program for the patient during remission.

• #24 Leukemia: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/leukemia/?srsltid=AfmBOoqMdVRl44BgBoHrjPlYnnV0_cF2gF3WVTUuS-vnYcaAiXVqvxSf

  Patient will remain free of infection and bleeding complications […] Fatigue will be managed effectively with appropriate interventions […] Patient will demonstrate understanding of leukemia and its treatment, including potential side effects […] Patient will develop coping strategies to manage the emotional and physical challenges of leukemia. […] Educate the patient and family about the importance of infection prevention and how to recognize signs of infection, such as fever. […] Discuss potential side effects of chemotherapy and targeted therapies, including nausea, hair loss, and increased risk of bleeding. […] Provide information about stem cell transplantation, if applicable, including the process and potential complications. […] Encourage caregivers to provide emotional support and help manage the patients day-to-day needs, including transportation to treatments and ensuring medication adherence.

• #25 Navigating Chronic Lymphocytic Leukemia: The Critical Importance of the First 90 Days – Academy of Oncology Nurse & Patient Navigators (AONN+)

  https://aonnonline.org/navigation-tools/navigating-chronic-lymphocytic-leukemia-the-critical-importance-of-the-first-90-days

  Chronic lymphocytic leukemia (CLL) is the most common adult leukemia, with an estimated 21,250 new cases and 4320 attributed deaths in 2021. […] Most patients with CLL follow a watch-and-wait approach whereby the progression rate of disease is determined, and then the patient is assessed for symptom development periodically. […] From a navigator perspective, it is critical to ensure that these patients are well educated about this period, so they understand the importance of follow-up and follow-through. Navigators can help ensure that patients do not fall through the cracks, complete timely follow-up, and understand the nuances of this watch-and-wait period. […] Individualized education is key, as CLL treatment varies for each individual (timing, course, when to start, etc). Health literacy is an important factor that must be considered when providing this education.

• #26 Patient education: Chronic lymphocytic leukemia (CLL) in adults (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/chronic-lymphocytic-leukemia-cll-in-adults-beyond-the-basics

  The major complications of CLL are caused by the low blood counts and immune system problems that arise either from the disease itself or the treatment. […] Infection is one of the most serious risks associated with CLL treatment. […] Anemia, or low red blood cell counts, is common in CLL. […] People with CLL must live with the uncertainty associated with having a chronic serious illness.

• #27 Leukemia: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/leukemia/?srsltid=AfmBOoqMdVRl44BgBoHrjPlYnnV0_cF2gF3WVTUuS-vnYcaAiXVqvxSf

  Risk for bleeding related to thrombocytopenia and bone marrow suppression […] Fatigue related to anemia and the effects of chemotherapy […] Disturbed body image related to hair loss, weight loss, and pallor from leukemia treatment. […] Infection prevention: Implement neutropenic precautions, such as hand hygiene, limiting visitors, and avoiding exposure to infectious agents. […] Bleeding precautions: Educate the patient on avoiding activities that may lead to injury, using soft toothbrushes, and avoiding over-the-counter medications like aspirin. […] Supportive care: Provide energy-conserving strategies for managing fatigue, such as frequent rest periods and small, nutrient-dense meals. […] Emotional support: Offer counseling services and encourage participation in leukemia support groups. Assist patients with coping strategies and body image issues, including hair loss management.

• #28 Self-Care With Chronic Lymphocytic Leukemia

  https://www.webmd.com/cancer/lymphoma/taking-care-of-yourself-cll

  Its extra important to eat well while youre getting treatment for chronic lymphocytic leukemia. […] You can ask your doctor, a nutritionist, or a dietitian to come up with an eating plan thats right for you. […] Routine workouts can bring you lots of benefits. Among the perks, exercise may: Give you more energy, Lift your mood, Ease stress, anxiety, and depression. […] If youre not active already, ask your doctor to help you get started. […] You might need to juggle all of your usual responsibilities — like work, school, or parenting — while youre managing your leukemia. Its important to give yourself some me time. […] This is a good way to meet other people with leukemia who can understand what youre going through. […] Its normal to feel down or overwhelmed at times when youre living with cancer. But if youre sad, depressed, or anxious every day for 2 weeks or more, reach out to your doctor for help. […] Chronic lymphocytic leukemia and its treatments can make you feel tired and more tense at times. Enough shut-eye every night can help you recover your energy and ease stress. Talk to your doctor if youre having a hard time falling or staying asleep.

• #29 Self-Care With Chronic Lymphocytic Leukemia

  https://www.webmd.com/cancer/lymphoma/taking-care-of-yourself-cll

  Its extra important to eat well while youre getting treatment for chronic lymphocytic leukemia. […] You can ask your doctor, a nutritionist, or a dietitian to come up with an eating plan thats right for you. […] Routine workouts can bring you lots of benefits. Among the perks, exercise may: Give you more energy, Lift your mood, Ease stress, anxiety, and depression. […] If youre not active already, ask your doctor to help you get started. […] You might need to juggle all of your usual responsibilities — like work, school, or parenting — while youre managing your leukemia. Its important to give yourself some me time. […] This is a good way to meet other people with leukemia who can understand what youre going through. […] Its normal to feel down or overwhelmed at times when youre living with cancer. But if youre sad, depressed, or anxious every day for 2 weeks or more, reach out to your doctor for help. […] Chronic lymphocytic leukemia and its treatments can make you feel tired and more tense at times. Enough shut-eye every night can help you recover your energy and ease stress. Talk to your doctor if youre having a hard time falling or staying asleep.

• #30 Typical Treatment of CLL | American Cancer Society

  https://www.cancer.org/cancer/types/chronic-lymphocytic-leukemia/treating/treatment-by-risk-group.html

  Doctors often advise waiting to treat chronic lymphocytic leukemia (CLL) until the leukemia progresses or causes bothersome symptoms. […] In the meantime, the CLL is monitored carefully without active treatment. This might be called the watch-and-wait approach, watchful waiting, active surveillance, or observation. This is a standard approach for most people with early-stage CLL who dont have symptoms. […] Because of this, and because treatment can cause side effects, watch and wait is a standard approach. […] During this time, your blood counts will be watched closely, and you will get physical exams on a regular basis. If the CLL shows signs of progressing, active treatment could be started at that time. […] Managing your overall health during this time Although many people live with CLL comfortably without active treatment, it can be helpful to use this time to improve your overall health.

• #31 Typical Treatment of CLL | American Cancer Society

  https://www.cancer.org/cancer/types/chronic-lymphocytic-leukemia/treating/treatment-by-risk-group.html

  If you need treatment for your CLL, several factors are important. […] Your cancer care team will consider your age and overall health. They will also consider certain changes in your leukemia cells and how those changes could help predict your outlook (prognosis). […] There are many options for first-line treatment of CLL, including targeted drugs, chemotherapy, immunotherapy, and different combinations of these. […] If the first treatment for CLL is no longer working, or if the leukemia comes back, another type of treatment often helps. […] The options for second-line (or later) treatment are generally the same as the options for first-line treatment (targeted drugs, immunotherapy, and possibly chemotherapy). […] Treating the CLL itself might help with some of these complications, but you might need other types of treatments as well.

• #32 Typical Treatment of CLL | American Cancer Society

  https://www.cancer.org/cancer/types/chronic-lymphocytic-leukemia/treating/treatment-by-risk-group.html

  Doctors often advise waiting to treat chronic lymphocytic leukemia (CLL) until the leukemia progresses or causes bothersome symptoms. […] In the meantime, the CLL is monitored carefully without active treatment. This might be called the watch-and-wait approach, watchful waiting, active surveillance, or observation. This is a standard approach for most people with early-stage CLL who dont have symptoms. […] Because of this, and because treatment can cause side effects, watch and wait is a standard approach. […] During this time, your blood counts will be watched closely, and you will get physical exams on a regular basis. If the CLL shows signs of progressing, active treatment could be started at that time. […] Managing your overall health during this time Although many people live with CLL comfortably without active treatment, it can be helpful to use this time to improve your overall health.

• #33 Leukemia: An Overview for Primary Care | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0501/p731.html

  For patients being monitored without treatment: Routine history for symptoms that would prompt treatment (e.g., fatigue, weight loss, night sweats, fever) […] Routine physical examination, specifically evaluating for hepatosplenomegaly […] Periodic CBCs: If progressive anemia or thrombocytopenia, refer to hematologist […] Age- and sex-specific cancer screening.

• #34 Navigating Chronic Lymphocytic Leukemia: The Critical Importance of the First 90 Days – Academy of Oncology Nurse & Patient Navigators (AONN+)

  https://aonnonline.org/navigation-tools/navigating-chronic-lymphocytic-leukemia-the-critical-importance-of-the-first-90-days

  Chronic lymphocytic leukemia (CLL) is the most common adult leukemia, with an estimated 21,250 new cases and 4320 attributed deaths in 2021. […] Most patients with CLL follow a watch-and-wait approach whereby the progression rate of disease is determined, and then the patient is assessed for symptom development periodically. […] From a navigator perspective, it is critical to ensure that these patients are well educated about this period, so they understand the importance of follow-up and follow-through. Navigators can help ensure that patients do not fall through the cracks, complete timely follow-up, and understand the nuances of this watch-and-wait period. […] Individualized education is key, as CLL treatment varies for each individual (timing, course, when to start, etc). Health literacy is an important factor that must be considered when providing this education.

• #35 Leukemia: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/leukemia-nursing-diagnosis-care-plan/

  Nursing interventions and care are essential for the patients recovery. […] The following treatments may be combined for effective results: Chemotherapy, Targeted therapy, Radiation therapy, Immunotherapy, Hematopoietic cell transplant (stem cell or bone marrow transplant). […] Administer growth factors as ordered. Administer growth factors as ordered before harvesting stem cells for a stem cell transplant. Growth factors stimulate the development of new blood cells in the bone marrow. […] Provide a nutritious diet and refer to a dietitian as necessary. Providing adequate nutrition can help enhance the patients immune system, reducing the risk of infection.

• #36

  https://www.nhs.uk/conditions/chronic-lymphocytic-leukaemia/treatment/

  It’s not possible to cure chronic lymphocytic leukaemia, but treatment can control it. […] You’ll usually be seen by a doctor or nurse regularly. How often you’re seen depends on the stage of your cancer, if you’re having active treatment and how you’re feeling. […] The main treatments for chronic lymphocytic leukaemia are targeted medicines and chemotherapy. You may just have a targeted medicine on its own or combined with chemotherapy. […] The specialist team looking after you will: explain the treatments, benefits and side effects, work with you to make a treatment plan that’s best for you, help you manage any side effects, help and support you during your recovery. […] You’ll have regular check-ups during and after any treatments. You may also have tests and scans. […] You may also need to have treatment to prevent or control symptoms caused by chronic lymphocytic leukaemia. […] When your symptoms come back, this is called a relapse. This may happen slowly and you may not need to have treatment straight away. […] You may need more treatment to control the cancer. You’ll have more tests so doctors can work out which treatments will work best for you.

• #37 8 Leukemia Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/leukemia-nursing-care-plans/

  Infection prevention strategies are essential in reducing the risk of complications and ensuring optimal treatment outcomes. […] Monitor IO. Calculate insensible losses and fluid balance. Note decreased urine output in presence of adequate intake. […] Administer medications as indicated. […] Administering medications and providing pharmacologic support are essential components of the comprehensive care provided to patients with leukemia. Nurses play a crucial role in administering medications, monitoring their effectiveness and side effects, and providing education and support to patients and their families. […] Regular monitoring of laboratory parameters and diagnostic procedures provides valuable information for treatment planning and management.

• #38 Understanding Chronic Lymphocytic Leukemia: Treatment, AEs, and More

  https://www.oncnursingnews.com/view/understanding-chronic-lymphocytic-leukemia-treatment-aes-and-more

  With any treatment, there are a variety of adverse events (AEs) for nurses to keep in mind. […] AEs associated with ibrutinib include diarrhea, hypertension, atrial fibrillation, bleeding, and rash. […] Nurses should be take precautions for tumor lysis with venetoclax. […] Zitella recommended to nurses to reference the National Comprehensive Cancer Network guidelines to better understand various leukemias, their treatments and their AEs.

• #39 Nursing Experience in Patients with Chronic Lymphocytic Leukemia Receiving First-Line Ibrutinib: Five Years of Follow-Up from the Phase 3 RESONATE-2 Study – Journal of Oncology Navigation & Survivorship

  https://www.jons-online.com/issues/2020/november-2020-vol-11-no-11/3228:nursing-experience-in-patients-with-chronic-lymphocytic-leukemia-receiving-first-line-ibrutinib-five-years-of-follow-up-from-the-phase-3-resonate-2-study

  Ibrutinib is the only once-daily Bruton tyrosine kinase inhibitor that has shown significant progression-free survival (PFS) and overall survival (OS) benefits in patients with chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) across multiple randomized phase 3 studies. […] Given that single-agent ibrutinib is administered as continuous therapy, nurses are key to providing patient education and support for continuous treatment to ensure maximal benefit with ibrutinib. […] Nurses have an important role in educating patients on the benefits of continuous ibrutinib therapy and the expected side effects. […] Nurses may be the first to identify AEs and may either manage those AEs or escalate them to the treating physicians for recommendations and further management. […] Nurses play a key role in educating patients to reinforce their understanding of the benefits of continuous ibrutinib therapy and expectations regarding potential side effects, and by guiding AE management by communicating AE details to the care team.

• #40 Supportive or Palliative Care for CLL | American Cancer Society

  https://www.cancer.org/cancer/types/chronic-lymphocytic-leukemia/treating/supportive-care.html

  If you have chronic lymphocytic leukemia (CLL), supportive treatments could help prevent or relieve some of your symptoms. You might also hear this called palliative care. […] Supportive care for CLL is aimed at helping with symptoms or other problems related to the leukemia and its treatment. It isnt meant to treat the CLL itself. For example, some people with CLL have infections or low blood cell counts that can be treated with supportive care. […] But supportive care treatments are often an important part of a persons overall treatment plan. These two types of treatments are often used at the same time. […] People with CLL often have weakened immune systems. This can be from the CLL itself, as well as from some of the medicines used to treat it. Because of this, people with CLL are at higher risk for infections, which can sometimes be serious.

• #41 Palliative Care for Chronic Lymphocytic Leukemia

  https://www.webmd.com/cancer/lymphoma/cll-palliative-care

  Palliative care for chronic lymphocytic leukemia (CLL) helps you deal with the physical, emotional, and spiritual issues related to your cancer and its treatments. […] This type of care doesn’t slow or stop your cancer. Instead, palliative care works along with your cancer treatments to manage side effects and improve your quality of life. […] Palliative care aims to prevent or relieve suffering and help you feel better while you’re on treatment. You can get palliative care at any stage of your illness. […] Palliative care combines symptom management with emotional and spiritual support. […] Some of the same treatments that slow the growth of CLL, such as chemotherapy and radiation, are also part of palliative care. […] Research shows that palliative care helps people with cancer and their caregivers.

• #42 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Chronic-Lymphocytic-Leukemia-Support.aspx

  In rehabilitation centers, physical therapists outline programs such as strength training exercises and aerobics to make the patients recover from weakness occurring due to the treatment. After the program, an evaluation is done and patients are advised a rehabilitation program. This program helps patients to be independent or confident in their community and society. […] A particular kind of medical care that provides gradual relief from pain and other signs of illness is called palliative care. Specialists in palliative care work closely with patients, their family members, and their doctor to provide additional support to the ongoing care. Patients suffering from CLL feel better and live long when palliative care is provided with other relevant treatments.

• #43 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Chronic-Lymphocytic-Leukemia-Support.aspx

  In rehabilitation centers, physical therapists outline programs such as strength training exercises and aerobics to make the patients recover from weakness occurring due to the treatment. After the program, an evaluation is done and patients are advised a rehabilitation program. This program helps patients to be independent or confident in their community and society. […] A particular kind of medical care that provides gradual relief from pain and other signs of illness is called palliative care. Specialists in palliative care work closely with patients, their family members, and their doctor to provide additional support to the ongoing care. Patients suffering from CLL feel better and live long when palliative care is provided with other relevant treatments.

• #44 Chronic Lymphocytic Leukemia Care and Beyond: Navigating the Needs of Long-Term Survivors

  https://www.mdpi.com/2072-6694/17/1/119

  Long-term survivors of CLL may experience a range of secondary health complications such as infections, cardiovascular comorbidities, and psychosocial challenges which are sometimes distinct from predictable treatment-related toxicities. […] As a result, healthcare providers must now prioritize the development of comprehensive survivorship care plans to address the evolving needs of this patient group. […] The management of these long-term effects may require a multidisciplinary approach. In addition to the expertise of hematologists and oncologists, the involvement of other healthcare professionals—including infectious disease specialists, cardiologists, and mental health providers—is often necessary. […] Patient counseling is crucial to help individuals navigate the complexities of living with CLL and its treatments. Support groups and resources for both patients and caregivers can also offer emotional support and practical guidance. […] In some cases, psychiatric care may be warranted to address anxiety, depression, or other mental health challenges that can arise during the long-term management of CLL.

• #45 Helping Patients Navigate Their Journey with Chronic Lymphocytic Leukemia

  https://jhoponline.com/special-issues/best-practices-in-chronic-lymphocytic-leukemia-management/19284:helping-patients-navigate-their-journey-with-chronic-lymphocytic-leukemia

  Shared decision-making (SDM) is a process by which patients are informed of potential treatment options as well as the risks and benefits associated with these options and are able to incorporate their personal preferences and values into the decision-making process as they partner with their healthcare providers.19 For patients with CLL, education should include information on the disease, such as the natural course of CLL, symptom progression, available treatments, and treatment side effects as well as an emphasis on empowerment and SDM.1,19 […] Oncology nurse navigators play a key role in multidisciplinary teams that serve patients diagnosed with CLL. Nurse navigators coordinate the care of patients with CLL by helping them cope with their diagnosis, providing patient education and promoting medical adherence, assisting in the management of AEs, and serving as a central point of contact for patients and their families and a conduit of information between other healthcare professionals and the patient.

• #46 Navigating Chronic Lymphocytic Leukemia: The Critical Importance of the First 90 Days – Academy of Oncology Nurse & Patient Navigators (AONN+)

  https://aonnonline.org/navigation-tools/navigating-chronic-lymphocytic-leukemia-the-critical-importance-of-the-first-90-days

  As a navigator, it is important to educate patients/caregivers about the specifics of their CLL, ensuring patient/caregiver comprehension. […] The navigator can help with this education process and advocate for the patients based on their individualized wishes, needs, and goals for treatment. […] All social determinants of health must be considered as factors in the final decision. […] This is a key area that navigators can assess and follow the patient through. Networking with social work and community partners may be essential to assist patients with securing funding, resources, and even insurance to make their treatment as affordable as possible. […] Navigators have an opportunity to provide patient education on therapy and cytogenetics to ensure the patient and family understand the disease process and treatment options.

• #47 Navigating Chronic Lymphocytic Leukemia: The Critical Importance of the First 90 Days – Academy of Oncology Nurse & Patient Navigators (AONN+)

  https://aonnonline.org/navigation-tools/navigating-chronic-lymphocytic-leukemia-the-critical-importance-of-the-first-90-days

  Navigators have an important role in providing care coordination, adverse event management, and barrier assessment to promote treatment adherence and patient care. […] Therefore, cooperative management with the primary care physician and/or other specialists is important for selecting appropriate treatment regimens. […] Providing psychosocial support to the patient diagnosed with CLL in the form of distress screening, identification of available community and national resources, and referrals for supportive care services, such as social work, behavioral medicine, pastoral care, nutrition, oncology rehabilitation, and financial navigators and advocates, is valuable in creating a comprehensive care plan. […] Caregivers of CLL patients face significant responsibilities. CLL is a chronic illness. Caregivers may change during the course of the CLL journey. […] Healthcare providers generally do a poor job of assessing caregivers needs. […] All of these must at least be acknowledged by the navigator, and if possible, supported with solutions.

• #48 Chronic Lymphocytic Leukemia Care and Beyond: Navigating the Needs of Long-Term Survivors

  https://www.mdpi.com/2072-6694/17/1/119

  Long-term survivors of CLL may experience a range of secondary health complications such as infections, cardiovascular comorbidities, and psychosocial challenges which are sometimes distinct from predictable treatment-related toxicities. […] As a result, healthcare providers must now prioritize the development of comprehensive survivorship care plans to address the evolving needs of this patient group. […] The management of these long-term effects may require a multidisciplinary approach. In addition to the expertise of hematologists and oncologists, the involvement of other healthcare professionals—including infectious disease specialists, cardiologists, and mental health providers—is often necessary. […] Patient counseling is crucial to help individuals navigate the complexities of living with CLL and its treatments. Support groups and resources for both patients and caregivers can also offer emotional support and practical guidance. […] In some cases, psychiatric care may be warranted to address anxiety, depression, or other mental health challenges that can arise during the long-term management of CLL.

• #49 Chronic Lymphocytic Leukemia Care and Beyond: Navigating the Needs of Long-Term Survivors

  https://www.mdpi.com/2072-6694/17/1/119

  Long-term survivors of CLL may experience a range of secondary health complications such as infections, cardiovascular comorbidities, and psychosocial challenges which are sometimes distinct from predictable treatment-related toxicities. […] As a result, healthcare providers must now prioritize the development of comprehensive survivorship care plans to address the evolving needs of this patient group. […] The management of these long-term effects may require a multidisciplinary approach. In addition to the expertise of hematologists and oncologists, the involvement of other healthcare professionals—including infectious disease specialists, cardiologists, and mental health providers—is often necessary. […] Patient counseling is crucial to help individuals navigate the complexities of living with CLL and its treatments. Support groups and resources for both patients and caregivers can also offer emotional support and practical guidance. […] In some cases, psychiatric care may be warranted to address anxiety, depression, or other mental health challenges that can arise during the long-term management of CLL.

• #50 Navigating Chronic Lymphocytic Leukemia: The Critical Importance of the First 90 Days – Academy of Oncology Nurse & Patient Navigators (AONN+)

  https://aonnonline.org/navigation-tools/navigating-chronic-lymphocytic-leukemia-the-critical-importance-of-the-first-90-days

  Navigators have an important role in providing care coordination, adverse event management, and barrier assessment to promote treatment adherence and patient care. […] Therefore, cooperative management with the primary care physician and/or other specialists is important for selecting appropriate treatment regimens. […] Providing psychosocial support to the patient diagnosed with CLL in the form of distress screening, identification of available community and national resources, and referrals for supportive care services, such as social work, behavioral medicine, pastoral care, nutrition, oncology rehabilitation, and financial navigators and advocates, is valuable in creating a comprehensive care plan. […] Caregivers of CLL patients face significant responsibilities. CLL is a chronic illness. Caregivers may change during the course of the CLL journey. […] Healthcare providers generally do a poor job of assessing caregivers needs. […] All of these must at least be acknowledged by the navigator, and if possible, supported with solutions.

• #51 Navigating Chronic Lymphocytic Leukemia: The Critical Importance of the First 90 Days – Academy of Oncology Nurse & Patient Navigators (AONN+)

  https://aonnonline.org/navigation-tools/navigating-chronic-lymphocytic-leukemia-the-critical-importance-of-the-first-90-days

  Navigators have an important role in providing care coordination, adverse event management, and barrier assessment to promote treatment adherence and patient care. […] Therefore, cooperative management with the primary care physician and/or other specialists is important for selecting appropriate treatment regimens. […] Providing psychosocial support to the patient diagnosed with CLL in the form of distress screening, identification of available community and national resources, and referrals for supportive care services, such as social work, behavioral medicine, pastoral care, nutrition, oncology rehabilitation, and financial navigators and advocates, is valuable in creating a comprehensive care plan. […] Caregivers of CLL patients face significant responsibilities. CLL is a chronic illness. Caregivers may change during the course of the CLL journey. […] Healthcare providers generally do a poor job of assessing caregivers needs. […] All of these must at least be acknowledged by the navigator, and if possible, supported with solutions.

• #52 Leukemia: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/leukemia/?srsltid=AfmBOoqMdVRl44BgBoHrjPlYnnV0_cF2gF3WVTUuS-vnYcaAiXVqvxSf

  Patient will remain free of infection and bleeding complications […] Fatigue will be managed effectively with appropriate interventions […] Patient will demonstrate understanding of leukemia and its treatment, including potential side effects […] Patient will develop coping strategies to manage the emotional and physical challenges of leukemia. […] Educate the patient and family about the importance of infection prevention and how to recognize signs of infection, such as fever. […] Discuss potential side effects of chemotherapy and targeted therapies, including nausea, hair loss, and increased risk of bleeding. […] Provide information about stem cell transplantation, if applicable, including the process and potential complications. […] Encourage caregivers to provide emotional support and help manage the patients day-to-day needs, including transportation to treatments and ensuring medication adherence.

• #53 Leukemia: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/leukemia/?srsltid=AfmBOoqMdVRl44BgBoHrjPlYnnV0_cF2gF3WVTUuS-vnYcaAiXVqvxSf

  Patient will remain free of infection and bleeding complications […] Fatigue will be managed effectively with appropriate interventions […] Patient will demonstrate understanding of leukemia and its treatment, including potential side effects […] Patient will develop coping strategies to manage the emotional and physical challenges of leukemia. […] Educate the patient and family about the importance of infection prevention and how to recognize signs of infection, such as fever. […] Discuss potential side effects of chemotherapy and targeted therapies, including nausea, hair loss, and increased risk of bleeding. […] Provide information about stem cell transplantation, if applicable, including the process and potential complications. […] Encourage caregivers to provide emotional support and help manage the patients day-to-day needs, including transportation to treatments and ensuring medication adherence.

• #54 Acute Lymphocytic Leukemia Nursing Care Management: Study Guide

  https://nurseslabs.com/acute-lymphocytic-leukemia/

  Expected patient outcomes may include: Shows no evidence of infection. Experiences no bleeding. Attains optimal level of nutrition. Reports satisfaction with pain and comfort levels. Has less fatigue and increased activity. Copes with anxiety and grief. Absence of complications. […] Most patients cope better when they have an understanding of what is happening to them. Education. Based on the patient’s education, literacy level, and interest, teaching of the patient and family should focus on the disease, its treatment, and certainly the resulting significant risk of infection and bleeding. Vascular access device. Management of a vascular access device can be taught to most patients or family members, and the nurses may need to provide follow-up care for the patient. Home care services. Coordination of home care services and instruction can help alleviate anxiety about managing the patient’s care at home.

• #55 Chronic Lymphocytic Leukemia, Blood Cancer, Information, Resources

  https://www.cancercare.org/diagnosis/chronic_lymphocytic_leukemia

  Chronic Lymphocytic Leukemia: The Patient Journey. […] CLL or, chronic lymphocytic leukemia is the most common adult leukemia. The average age of diagnosis is 65 to 67 years of age, although it is diagnosed in younger adults as well. It is one of four main types of leukemias. Because it is a chronic disease people can go years without treatment, so it is important to monitor the disease for any changes. […] An open and honest relationship with your health care team (often referred to as a partnership) is important. For many patients this additional knowledge helps them make an informed decision.

• #56

  https://www.nhs.uk/conditions/chronic-lymphocytic-leukaemia/treatment/

  It’s not possible to cure chronic lymphocytic leukaemia, but treatment can control it. […] You’ll usually be seen by a doctor or nurse regularly. How often you’re seen depends on the stage of your cancer, if you’re having active treatment and how you’re feeling. […] The main treatments for chronic lymphocytic leukaemia are targeted medicines and chemotherapy. You may just have a targeted medicine on its own or combined with chemotherapy. […] The specialist team looking after you will: explain the treatments, benefits and side effects, work with you to make a treatment plan that’s best for you, help you manage any side effects, help and support you during your recovery. […] You’ll have regular check-ups during and after any treatments. You may also have tests and scans. […] You may also need to have treatment to prevent or control symptoms caused by chronic lymphocytic leukaemia. […] When your symptoms come back, this is called a relapse. This may happen slowly and you may not need to have treatment straight away. […] You may need more treatment to control the cancer. You’ll have more tests so doctors can work out which treatments will work best for you.

• #57 Chronic Lymphocytic Leukemia: Long-term Survivorship | Lymphoma Research Foundation

  https://lymphoma.org/understanding-lymphoma/aboutlymphoma/cll/cllsurvivorship/

  Once treatment is completed and CLL/SLL is in remission, physicians will continue to monitor the health and status of each patient during follow-up care. […] Patients and their caregivers are encouraged to keep copies of all medical records and test results as well as information on the types, amounts, and duration of all treatments received. This documentation will be important for keeping track of any effects resulting from treatment or potential disease recurrences.

• #58 Chronic Lymphocytic Leukemia: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.chronic-lymphocytic-leukemia-care-instructions.uf8168

  Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. […] Avoid infections such as COVID-19, colds, and the flu. Wash your hands often. Get a pneumococcal vaccine. If you have had one before, ask your doctor whether you need another dose. Get a flu shot every year. Stay up to date on your COVID-19 vaccines. […] Call your doctor now or seek immediate medical care if: You have a fever or chills. Or you may be sweating. You have abnormal bleeding. You think you have an infection. You have new or worse pain. You have new symptoms, such as a cough, belly pain, vomiting, diarrhea, or a rash. […] Watch closely for changes in your health, and be sure to contact your doctor if: You are much more tired than usual. You have swollen glands in your armpits, groin, or neck. You do not get better as expected.

• #59

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8168

  Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] When you are able to eat, try clear soups, mild foods, and liquids until all symptoms are gone for 12 to 48 hours. Other good choices include dry toast, crackers, cooked cereal, and gelatin dessert, such as Jell-O. […] Avoid infections such as COVID-19, colds, and influenza (flu). Wash your hands often. Get a pneumococcal vaccine. If you have had one before, ask your doctor whether you need another dose. Get a flu vaccine every year. Stay up to date on your COVID-19 vaccines. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have a fever or chills. Or you may be sweating. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You are much more tired than usual. You have swollen glands in your armpits, groin, or neck. You do not get better as expected.

• #60 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Chronic-Lymphocytic-Leukemia-Support.aspx

  Patients who have undergone treatment for CLL must visit their physician every three months. At every visit, the patient is examined physically and blood tests are done to monitor the condition. After treatment, the number of cancer cells should reduce and the signs of the disease diminish. […] For patients with CLL, the doctor has to monitor the condition very closely from the beginning to the end stage of the treatment. It is necessary for the patient to attend the follow-up appointment with the doctor. These appointments will comprise a question-answer session regarding the person’s health, lab tests, scans, X-rays, and physical examination. […] Patients have the responsibility to inform the doctor if they experience any new symptom; this helps the doctor to find the root cause relatively easily.

• #61 Chronic Lymphocytic Leukemia Care and Beyond: Navigating the Needs of Long-Term Survivors

  https://www.mdpi.com/2072-6694/17/1/119

  Long-term survivors of CLL may experience a range of secondary health complications such as infections, cardiovascular comorbidities, and psychosocial challenges which are sometimes distinct from predictable treatment-related toxicities. […] As a result, healthcare providers must now prioritize the development of comprehensive survivorship care plans to address the evolving needs of this patient group. […] The management of these long-term effects may require a multidisciplinary approach. In addition to the expertise of hematologists and oncologists, the involvement of other healthcare professionals—including infectious disease specialists, cardiologists, and mental health providers—is often necessary. […] Patient counseling is crucial to help individuals navigate the complexities of living with CLL and its treatments. Support groups and resources for both patients and caregivers can also offer emotional support and practical guidance. […] In some cases, psychiatric care may be warranted to address anxiety, depression, or other mental health challenges that can arise during the long-term management of CLL.

• #62 Self-Care With Chronic Lymphocytic Leukemia

  https://www.webmd.com/cancer/lymphoma/taking-care-of-yourself-cll

  When you live with chronic lymphocytic leukemia, you can feel your best by embracing a healthy lifestyle, getting emotional support, and planning ahead with your cancer doctor or oncologist. These steps can help you take charge of problems that can come up, like pain, stress, and treatment side effects. […] Your doctor can help you stay on top of your ongoing medical care. Ask them to make you a long-term roadmap called a survivorship care plan. The plan could include info like: A schedule for when youll get follow-up exams, Other medical tests you might need in the future, like exams that check for long-term effects from your cancer or treatments, A list of lingering side effects your treatment might cause, Recommendations for diet and exercise, Reminders to go to all your appointments with your primary doctor, who will continue to check on your general health.

• #63 Chronic lymphocytic leukemia treatment algorithm 2022 | Blood Cancer Journal

  https://www.nature.com/articles/s41408-022-00756-9

  The treatment landscape for patients with chronic lymphocytic leukemia (CLL) has changed considerably with the introduction of very effective oral targeted therapies (such as Bruton tyrosine kinase inhibitors and venetoclax) and next-generation anti-CD20 monoclonal antibodies (such as obinutuzumab). […] Selecting the right treatment for the right patient requires consideration of disease characteristics and prior treatment sequence, as well as patient preferences and comorbidities. […] Management is guided by risk-stratification, while including supportive care is necessary for all patients with a CLL diagnosis. […] Regardless of the CLL-IPI score, all patients should be counseled for (a) increased risk of infections, with special attention to appropriate vaccinations according to the Centers for Disease Control and Prevention (CDC) guidelines; (b) increased risk of non-hematologic malignancy, and recommendations to follow age-appropriate cancer screening; and (c) increased risk of skin cancers, with yearly full body skin exam by dermatology.

• #64 Leukemia: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/leukemia-nursing-diagnosis-care-plan/

  Leukemia is classified according to the rate at which the condition progresses and whether the leukemia cells come from lymphoid or myeloid cells. […] Chronic Lymphocytic Leukemia (CLL) is the most common chronic type occurring in older adults and is characterized by the production and accumulation of functionally inactive mature-appearing lymphocytes. Typically, no symptoms are noted during the early onset of the disease, but the patient may experience fatigue, weakness, sternal tenderness, fever, weight loss, and bone and joint pain. […] Nurses support patients with leukemia by providing supportive care, especially for those who are undergoing chemotherapy, radiation, and other biologic therapies. It is essential to manage and prevent complications, provide comfort measures, patient and family education, and continuous emotional support.

• #65 8 Leukemia Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/leukemia-nursing-care-plans/

  The nursing management and care plan for patients with leukemia involve several important aspects. Nurses play a crucial role in assessing and monitoring patients, managing symptoms, and providing support throughout the treatment journey. […] The following are the nursing priorities for patients with leukemia: Minimizing infection through infection control, Managing side effects of chemotherapy, Managing pain, Providing emotional support, Providing health teachings. […] Goals and expected outcomes may include: The client will identify actions to prevent/reduce risk of infection. The client will demonstrate techniques, and lifestyle changes to promote a safe environment, and achieve timely healing. […] Clients with leukemia are at risk for infection due to the diseases impact on the bone marrow and immune system. Leukemia disrupts the production of normal blood cells, including white blood cells that play a crucial role in fighting infections, leaving the body vulnerable to bacterial, fungal, and viral infections.

• #66 Leukemia: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/leukemia/?srsltid=AfmBOoqMdVRl44BgBoHrjPlYnnV0_cF2gF3WVTUuS-vnYcaAiXVqvxSf

  Leukemia patients often experience fatigue, infection risk, bleeding, and emotional distress. Nurses must focus on managing these symptoms and providing education and support throughout the treatment process. […] Monitor CBC and differential: Watch for signs of increased risk for infection (neutropenia), anemia, and thrombocytopenia. […] Evaluate for signs of infection: Fever, chills, and any new symptoms should be reported immediately, as leukemia patients are immunocompromised. […] Assess bleeding: Look for petechiae, bruising, and bleeding gums, particularly in thrombocytopenic patients. […] Psychosocial assessment: Determine the patients coping mechanisms, support system, and need for psychological support. […] Risk for infection related to leukopenia and immunosuppressive treatments

• #67 Leukemia: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/leukemia-nursing-diagnosis-care-plan/

  Leukemia is classified according to the rate at which the condition progresses and whether the leukemia cells come from lymphoid or myeloid cells. […] Chronic Lymphocytic Leukemia (CLL) is the most common chronic type occurring in older adults and is characterized by the production and accumulation of functionally inactive mature-appearing lymphocytes. Typically, no symptoms are noted during the early onset of the disease, but the patient may experience fatigue, weakness, sternal tenderness, fever, weight loss, and bone and joint pain. […] Nurses support patients with leukemia by providing supportive care, especially for those who are undergoing chemotherapy, radiation, and other biologic therapies. It is essential to manage and prevent complications, provide comfort measures, patient and family education, and continuous emotional support.

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