A atuação do enfermeiro nos cuidados de transplante de medula óssea relacionado à leucemia: um relato de caso

Abstract

Introduction: Leukemia is a malignant disease of white blood cells, usually of unknown origin. Its main characteristic is the accumulation of diseased cells in the bone marrow, which replace normal blood cells. Bone marrow transplantation is a process of replacing a diseased or injured bone marrow with a bone marrow with normal function. Objective: To report a case of a patient who underwent bone marrow transplantation for the treatment of leukemia, emphasizing the role of nurses in care related to transplantation. Materials and Methods: This is a descriptive study, of the case report type, with an interest in showing the role of nurses in nursing care in the face of bone marrow transplantation in a patient with hematological cancer in a private oncology unit of a reference hospital in the District Federal. Case Report: A young, black, previously healthy, male patient diagnosed with Chronic Myeloid Leukemia Ph1 chromosome positive in May 1997. He used unresponsive medication for 16 years. He underwent a HLA Bone Marrow Transplant that was fully compatible, had complications due to chronic GVHD, after 4 years of BMT he had a recurrence where he is under evaluation for current treatment. Final Considerations: Chronic Myeloid Leukemia has a three-phase course: chronic phase, with an average duration of 3 for 5 years, accelerated phase and blast crisis. According to INCA, the treatment of CML is not done with chemotherapy. BMT is still considered, by many authors, as the only treatment capable of promoting a cure for CML. The quality of care also depends on the search for continuous improvement of Nurses, in carrying out actions that are increasingly based on scientific principles and data.