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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
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


Lisa Bonsall, MSN, RN, CRNP
Clinical Edito


New on NursingCenter
Our "Focus On" series are specially priced topical collections of recent journal articles, CE, teaching tools and video that inform and educate on the clinical issues most frequently searched on NursingCenter. Don't miss the latest collection, Focus On: Diabetes.

"…as nurses, we have a responsibility to be politically engaged in order to best advocate for our patients." --- This is from our latest blog post, Healthcare Policy – An interview with Dr. Carole Eldridge.




Evidence-based practice network
Did you know Featured Articles on Lippincott's Evidence-Based Practice Network can be read free online? Be sure to check the home page frequently so you can read them all!

The Joanna Briggs Institute System for the Unified Management of the Assessment and Review of Information (JBI SUMARI) is the Institute's premier review software package, which has been designed to assist health professionals and researchers to conduct systematic reviews of evidence of feasibility, appropriateness, meaningfulness and effectiveness of health intervention.

Browse new CE
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.
The Nurse Practitioner: The American Journal of Primary Health Care Share:
(2.5 contact hours/2 advanced pharmacology hours)

Bariatric surgery is an effective and increasingly common treatment for obesity and obesity-related comorbidities. Learn about five of the most common procedures, the outcomes and complications of bariatric surgery, and the nursing implications for pre- and postoperative patient care by reading Outcomes and Complications After Bariatric Surgery.
AJN, American Journal of Nursing Share:
(2.5 contact hours)

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.
Nursing2012 Share:
(2.3 contact hours)

Review our Recommended CE list on the effectiveness of nurse preceptors, neonatal nursing care, health information technology and nursing...

Read new articles

This article looks at how horizontal violence impacts nursing care and what you can do to improve conditions where you work. Find answers to the question – Horizontal violence: Can anything be done?
Nursing2012 Share:

Review common biomarkers used in diagnosing and treating sepsis (such as procalcitonin [PCT] and C-reactive protein [CRP]), AMI (such as troponin), asthma (such as exhaled nitric oxide [eNO]), and oxidative stress (such as glutathione [GSH] and malondialdehyde [MDA]), as well as examples of predictive biomarkers, such as genes, molecules, and cells that act like biomarkers. Don't miss Biomarkers: An Important Clinical Assessment Tool.
AJN, American Journal of Nursing Share:

Brush up on your knowledge of the underlying pathophysiology, clinical manifestations, and management of the syndrome of inappropriate antidiuretic hormone secretion (SIADH). Take some time to read SIADH: Fluid out of balance.
Nursing2012 Share:

Browse our Recommended Readings on caffeinated energy drinks, what your patient needs to know about CAM, addressing nurse burnout, and more.

Featured journal

Read the articles in the latest Featured Journal online only on NursingCenter. The Featured Journal gives you the opportunity to get acquainted with the kind of coverage and clinical information it has to offer. Get to know our journals. The current Featured Journal is...

Drug news

The following drug approvals have been made by the FDA:

  • Xtandi (enzalutamide) to treat men with metastatic castration-resistant prostate cancer who have previously been treated with docetaxel.
  • Linzess (linaclotide) for the treatment of chronic idiopathic constipation (CIC) and irritable bowel syndrome with constipation (IBS-C) in adults.
  • tbo-filgrastim for the treatment of chemotherapy-induced neutropenia.

See more drug news.


Earn a MS in Nursing online from Georgetown University School of Nursing & Health Studies.

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