Discharge And Home Healthcare Guidelines

PREVENTION. Explain that there is no means for eliminating the varicella virus from the nerve ganglia. (A varicella vaccine, however, is currently under development and may help with prevention of primary chickenpox and therefore might help with decreasing the incidences of herpes zoster.)

MEDICATIONS. Be sure the patient understands all medications, including the dosage, route, action, and adverse effects.

COMPLICATIONS. Instruct the patient to report redness, swelling, or drainage of the rash to the primary healthcare provider.

Hodgkin's Disease

DRG Category: 403

Mean LOS: Description:

DRG Category: Mean LOS: Description:

7.4 days

MEDICAL: Lymphoma and Non-Acute Leukemia with CC 401

9.2 days

SURGICAL: Lymphoma and Non-Acute Leukemia with Other O.R. Procedures with CC

I odgkin's disease, a neoplastic disorder, is characterized by painless, progressive enlargement of the lymph nodes, spleen, and other lymphoid tissue. The enlargement is caused by a proliferation of lymphocytes, histiocytes, eosinophils, and Reed-Sternberg giant cells, the cells that characterize Hodgkin's disease; their presence classifies a lymphoma as Hodgkin's, and their absence classifies a lymphoma as non-Hodgkin's. Hodgkin's is a progressive and fatal disease if not treated but is one of the most curable neoplastic diseases with treatment.

Hodgkin's disease has a worldwide incidence of 59,000 cases each year, which is 0.7% of all cancers. It accounts for 26,000 deaths, or 0.5% of all cancer deaths each year. The 1-year survival rate with treatment is 93%, and the 5-year survival rate is 82%. At 15 years, the overall survival rate is 63%.

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