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September 7, 2012

Dear Colleague,

When you care for a patient with CLL, do you understand that diagnosis? Do you know which type of leukemia is most common in children? Do you understand the differences between acute and chronic leukemia?

While reviewing articles to include in this enewsletter, I found a great table in The Mystery Of Leukemia In Older Adults (Nursing Made Incredibly Easy, January/February 2012) that summarizes the types of leukemia. I hope you find it helpful! (Click ‘pdf' for the best view – there are also lists of signs and symptoms for each type.)

Type of leukemia
Description
Demographics
Chronic lymphocytic leukemia (CLL)
  • Progresses slowly
  • Affects the lymphoid cells, including leukocytes and monocytes
  • Most often seen in adults over age 55
  • 15,000 new cases annually
Chronic myeloid leukemia (CML)
  • Grows slowly at first
  • Affects the myeloid cells, including neutrophils
  • Most often seen in adults
  • 5,000 new cases annually
Acute lymphocytic (lymphoblastic) leukemia (ALL)
  • Grows quickly
  • Affects the lymphoid cells
  • Most common leukemia in children (median age 10) but also affects adults
  • More than 5,000 new cases annually
Acute myeloid leukemia (AML)
  • Progresses quickly
  • Affects the myeloid cells
  • Affects children and adults, but more common in adults (median age 65)
  • 13,000 new cases annually

September is Blood Cancer Awareness Month. Explore the articles in More Resources  to increase your understanding of blood cancers and their management.

The mystery of leukemia in older adults

Best of ASCO 2012 Hematological Malignancies

Aggressive Disease, Aggressive Treatment: The Adult Hematopoietic Stem Cell Transplant Patient in the Intensive Care Unit

New NCCN Guidelines for Adolescents and Young Adults and for ALL

Review of Symptom Experiences in Children and Adolescents With Cancer

The Coping Process in Adults With Acute Leukemia Undergoing Hematopoietic Stem Cell Transplantation


Sincerely,




Lisa Bonsall, MSN, RN, CRNP
Clinical Edito
r

 

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Managing patients with dementia and Alzheimer disease can be a challenge. This article summarizes the latest evidence-based practice related to pharmacologic and nonpharmacologic management for Solving the puzzle of Alzheimer disease.
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The nurse-patient relationship should be based on trust, compassion, and mutual respect. The article,  Don't cross the line: Respecting professional boundaries, focuses on professional boundaries in nurse-patient relationships, describes behaviors that may be considered inappropriate, and examines possible legal ramifications of these behaviors.
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