Discussion Post 1 Response

Thank you for such an informative post! Indeed, acute myelogenous leukemia (AML), a
cancer of the blood and bone marrow, is one the leading forms of cancer with the highest
mortality rates nationally and globally (Dohner et al., 2015). The post has discussed the various
ways through which patients and families can be engaged in treatment. Whereas you correctly
mentioned that the treatment patient XM is receiving is chemotherapy, other potential treatment
options not mentioned include drug therapy and stem-cell transplants. I agree that the patient
care system plays a vital role in patient care.
In the post, you mentioned that patient XM had anxiety. I concur anxiety can result in
poor health outcomes since the patient may lead to physical and mental impairment and poor
quality of health. However, it can be reduced through encouragement through encouraging
involvement. Alternative interventions not mentioned include self-efficacy, self-management,
and self-monitoring (Higgings et al., 2017). When a patient is encouraged to participate in their
treatment process, it reduces their anxiety since they are educated on the expectations and
outcomes. Since patient XM has a background in Medicine, self-management will engage the
patient in his treatment and reduce anxiety.
Finally, I agree that getting support from family is very important for patients with
critical illnesses. The family can support the patient on Daily hygiene routine, mobility,
medications accompanying the patient to medical appointments, and encouraging exercise and
social and recreational activities (Higgings et al., 2017). For the family support to be practical,
the discussion mentions that bed rounds should be done to provide both family and the patient
with updated information and encourage conversation, which is correct. The family needs to
understand the situation and current requirements to provide adequate care to the patient.

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References

Döhner, H., Weisdorf, D. J., & Bloomfield, C. D. (2015). Acute myeloid leukemia. New
England Journal of Medicine, 373(12), 1136-1152.
Higgins, T., Larson, E., & Schnall, R. (2017). Unraveling the meaning of patient engagement: a
concept analysis. Patient Education and Counseling, 100(1), 30-36.

Discussion Post 2 Response

I feel you have done an incredible job by pointing out the nursing care activities related to
patient XM, his family members, and the healthcare team. You have emphasized the importance
of engaging the family and in treating a patient since they are the biggest support system. In this
case, the patient is the family’s primary provider as a medical practitioner (Karam et al., 2021).
However, due to his illness, he cannot provide for his family effectively, which may be one of
the factors leading to anxiety. I agree with your assertion that his family needs to be involved in
his care because they will provide him with all the support and comfort he needs to recover well.
You noted that having family or community support puts less financial strain on the patient since
patient care service is made more accessible. This is because they get access to all the help from
the comfort of their home or local medical centers.
Another noteworthy consideration is the different roles that medical professionals have in
treating acute myeloid leukemia. This falls under the nursing care coordination activities in
health and social care professionals, which clarifies professionals’ role in providing care to
patients with terminal illnesses (Swan et al., 2019). Every role is crucial because it leads to a
cohesive, positive outcome. For instance, the post mentions several specialists who perform

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different roles in treating acute myeloid leukemia, including a hematologist, oncologist, primary
care physician, pathologist, and intensivist. Each of these specialists performs their role and
provides the patient and family and other specialists with results and updates on the treatment.
However, as mentioned, the oncology nurse is the most critical person in treating patient XM.
The nurse ensures the patient receives the care and monitors his progression. In addition, the
oncology nurses answer questions and educate the patient and the nurse on different treatment
options.

References

Karam, M., Chouinard, M. C., Poitras, M. E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon,
C. (2021). Nursing care coordination for patients with complex needs in primary
healthcare: A scoping review. International journal of integrated care, 21(1).
Swan, B. A., Haas, S., & Jessie, A. T. (2019). Care coordination: Roles of registered nurses
across the care continuum. Nursing Economics, 37(6), 317-323.