Chronic GVHD
Treatment for moderate to severe chronic GVHD
What is systemic steroids?
Treat by withdrawing immunosuppression
What is disease relapse?
Improves patient outcomes. Assists in development of consistent and rational treatment guidelines
What is EBP?
Individual from time of cancer diagnosis through the balance of his/her life
What is cancer survivorship?
Respect for the decision making capabilities of the competent patient.
What is respect for autonomy?
Strongest risk factor for developing chronic GVHD
What is prior acute GVHD?
Loss of donor cells after initial engraftment
What is graft failure?
Secondary traumatic distress resulting from caring for patients in physical and or emotional pain or stress.
What is compassion fatigue?
Quality of life domain that includes survivor guilt, depression, anxiety, poor self image and self esteem
What with the psychological domain?
Patient must be aware of all treatments and alternatives and benefits and risk involved.
What is the first step of informed consent?
Skin, mouth, eyes, GI tract, liver, lungs, joints, female genitalia
What are organs commonly involved in chronic GVHD?
To prevent and relieve suffering and to support the best quality of life for patient and their families regardless of the stage of disease or need for other therapies
What is palliative care?
Process that recognizes an institution that maintains standards set by that agency (tJC, FACT)
What is accreditation?
Factors associated with diminished quality of life
What are poor physical health, younger age, depression, lack of social support, lower education level, cGVHD, immunosuppression, ongoing physical symptoms?
The nurse provides special treatment for the patient and believe they are the only one who can meet the patients needs
What is a professional boundary violation?
Manifestation of chronic GVHD of the lung
What is bronchiolitis obliterans?
Aggressive proliferation of donor lymphoid cells strongly associated with EBV
What is post transplant lymphoproliferative disease?
This occurs when knowing what to do in an ethical situation but not being allowed to do it.
What is moral distress?
What type of immunization may begin at 24 months (if no GVHD and immunosuppression)
What are live vaccines? (MMR)
Healthcare providers should be honest, truthful and accurate
What is veracity?
Patients with chronic GVHD have less risk of developing this late complication
What is disease relapse?
DLI or boost of donor cells without additional chemotherapy
What is cellular therapy to overcome graft failure?
Deviation from the normal standard of care through omission (failure to act) or commission (inappropriate action)
What is malpractice?
Risk factors for infertility and premature ovarian failure
What are alkylating agents and radiation
Granted by the state confirming the person meets the minimum requirements to practice
What is Licensure?