Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-22T21:42:52.619Z Has data issue: false hasContentIssue false

Nursing Care of the Immunosuppressed Patient

Published online by Cambridge University Press:  02 January 2015

Sue Crow*
Affiliation:
Louisiana State University Medical Center, Shreveport, Louisian
*
LSU Medical Center, Shreveport, LA 71130

Abstract

The primary objectives of nurses caring for the immunosuppressed patient are to create a safe, peaceful environment and to promote the quality of the patient's life. Strengthening the patient's defense mechanisms is inherent in these nursing objectives, and the nurse must have certain competencies to reinforce these defense mechanisms. One competency is a thorough understanding of the immunosuppressed patient. The infection control practitioner (ICP) should assist the nurse in understanding what an immunosuppressed patient is, what his risk of infection is, what his reaction to infection might be, and what isolation practices are appropriate. Another necessary nursing skill is proficiency in patient assessment, not only when the patient is admitted, but on a continuous basis since the patient's status can change so rapidly.

Finally the nurse must have the ability to implement appropriate nursing measures. The nurse must use the principles of asepsis in all patient care activities, recognize risk factors of infection, and understand the importance of such details as proper nutrition, oral hygiene, and skin care. Psychological support is also an essential part of the nursing care plan.

Nursing care affects the well-being of the immunosuppressed patient and infection control practitioners have a role in ascertaining that nurses know how to treat such patients appropriately.

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1983

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Axnick, KJ: Infection control considerations in the care of the immunosuppressed patient, in Roderick, MA (ed): Infection Control in Critical Care. Rockville, Aspen Systems Corp, 1983, pp 133142.Google Scholar
2.Nauseef, WM, Maki, DG: A study of the value of simple protective isolation in patients with granulocytopenia. N Engl J Med 1981;304:448455.CrossRefGoogle ScholarPubMed
3.Roderick, MA: Isolation technique, in Roderick, MA (ed): Injection Control in Critical Care. Rockville, Aspen Systems Corp, 1983, pp 4560.Google Scholar
4.Britt, MR, Schleupner, CJ, Matsumiya, S: Severity of underlying disease as a predictor of nosocomial infections. Journal of the American Medical Association 1979;239:10471051.CrossRefGoogle Scholar
5.Klainer, AS, Disesel, WR: Opportunistic infections: A review. Am J Med Sci 1969;258:431456.CrossRefGoogle ScholarPubMed
6.Levine, AD, Graw, RG Jr, Young, RC: Management of infections in patients with leukemia and lymphoma. Current concepts and experimental approaches. Semin Oncol 1972;9:141179.Google ScholarPubMed
7.Sickles, EA, Greene, WH, Wiernik, PH: Clinical presentation of infection in granulocytopenic patients. Arch Intern Med 1975;135:715719.CrossRefGoogle ScholarPubMed
8.Crane, LR, Emmer, DR, Grguras, A: Prevention of infection on the oncology unit. Nurs Clin North Am 1980;15:843856.CrossRefGoogle ScholarPubMed
9.Sickles, EA, Young, VM, Greene, WH, et al: Pneumonia in acute leukemia. Ann Intern Med 1973;79:528534.CrossRefGoogle ScholarPubMed
10.Ketchel, SJ, Rodriguez, V: Acute infection in cancer patients. Semin Oncol 1978;5:167179.Google ScholarPubMed
11.Donovan, CT: Leukopenic care: Special nursing considerations I. Oral care: Hygiene measures. Infection Control and Urological Care 1982; 7(2):2730.Google ScholarPubMed
12.Heoller, ML: Surgical Technology: Basis for Clinical Practice, ed 3. Saint Louis, CV Mosby Co, 1974.Google Scholar
13.Ginsberg, MK: A study of oral hygiene nursing care. Am J Nurs 1961; 61(10):6769.Google ScholarPubMed
14.Vilter, RW: Sore tongue and sore month, in MacBryde, CM (ed): Signs and Symptoms, ed 3. Philadelphia, JB Lippincott Co, 1957, p 126.Google Scholar
15.Daeffler, R: Oral hygiene measures for patients with cancer, II. Cancer Nursing 1980;3:427432.Google ScholarPubMed
16.Gallucci, BB, Reheis, CE: Infection control. Infection, nutrition, and the compromised patient. Topics in Clinical Nursing 1979;1:2233.Google Scholar
17.Copeland, E, MacFadyen, BJ, Lazotti, VJ, et al: Intravenous hyperalimentation as an adjunct to cancer chemotherapy. Am J Surg 1975;129:167173.CrossRefGoogle ScholarPubMed
18.Baer, K: Schimpff tells prevention strategies. Hospital Infection Control 1978; 5(5):8587.Google Scholar