Nutritional Intervention

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Once AML has been diagnosed, cancer care team will be on board and be the first source of treatment options the patients. Options that are provided are not always the same for all patients. As mentioned earlier, AML is not a single disease. It is a collection of many things that are wrong in the hematological levels during myeloblast hematopoiesis. Options often depend on the subtype and severity of the disease as well as individual health level. The main treatment for AML is chemotherapy, sometimes followed by a stem cell transplant if induction fails or relapsing keeps happening. In the process of chemotherapy, patient is required to be compliance with diet and treatment plan.
a. Pharmacological Interventions
According to Cancer Treatment
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Surgical Interventions
Surgery has a very limited role in the treatment of acute myeloid leukemia (AML). Because leukemia cells are spread widely throughout the bone marrow and blood, it’s not possible to cure this type of cancer with surgery. On rare occasions, an isolated tumor of leukemia cells (known as a granulocytic sarcoma or a chloroma) may be treated with surgery (Leukemia - Acute Myeloid (AML), 2016).
c. Nutritional Intervention
Maintaining healthy body weight helps patient to tolerate chemotherapy side effects better. Other than that, good nutrition also helps the body to replace blood cells that are broken down by the disease and by the cancer treatment. Protein, grains, nutrient-rich fruit, lean meat, and poultry are some of the good source of balanced diet for patients. In some cases, dietitian may also advice patient to follow neutropenic diet, which is eat only cooked fruits and vegetables, for a time.
Patient’s daily menu can be varies. Some recommendations according Suszynski including: steam the vegetables, aim for 10 fruits and vegetables a day, whole grain, make protein as priority, and soothe stomach with healthy bacteria (Suszynski, 2011).
One example daily menu provided by Cancer Treatment of America is as
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Prognosis
The prognosis of AML depends on so many factors including the subtypes of AML, severity, and interventions that has been done as well as the options that are available. Statistic shows 5-year relative survival of 26% for patients diagnosed with AML (Society, 2016). Certain factors that affect the prognosis and treatment options including:
• Age: About 90 percent of children with AML have no cancer cells in their blood after induction.
• Subtype of AML: affects the chemotherapy drugs options.
• Past history of chemotherapy: affects the treatment options, chemotherapy or stem cells transplant
• Recurrence of the AML.
• Other risk factors, such as other blood disorders and other cancer.

Cultural and Religious Aspects
When talking about healing, cultural and religious influences can significantly be the impact. One important cultural aspect in AML is pertaining to the differences in prognostic factors and outcomes. According to one study published by Blood Journal, African American men have worse prognosis factors and overall survival than Caucasian, and African American women should be considered a poor-risk group for AML (Sekeres, 2003). The rationale for the results in the study discuss diet, belief, and also desire to seek for early

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