TIME BEGINNING PART TEACHING LEARNING ACTIVITY

1 min INTRODUCTION
Leukemia is a malignancy characterized by abnormal proliferation of hematopoietic cells Discussion
leading to disruption of bone marrow function. It is most common childhood cancer under 15
years of age accounting for 33% of pediatric malignancies.

ANNOUNCEMENT OF THE TOPIC

Today I am going to discuss about acute lymphocytic leukemia.

TIME SPECIFIC CONTENT TEACHING LEARNING A.V AIDS EVALUATION

OBJECTIVE ACTIVITY ACTIVITY
2 min At the end of DEFINITION:
the class group  About 3 out of 4 cases of childhood leukemia are Lecture Listening PPT Can anyone
will be able to ALL. This leukemia starts from the lymphoid cells define
define ALL in the bone marrow. ALL?

At the end of the Etiology:- Can anyone

3 min class group will be describe the
 unknown
able to describe the etiology of
etiology of ALL  genetic conditions ALL?
 environmental factors
Pathophysiology:-
5 min At the end of the Lecture and Listening PPT Can anyone
class group will be Acute lymphocytic leukemia occurs from growth of discussion describe the
able to describe abnormal nongranular fragile leukocytes in the blood pathophysio
the forming tissues, particularly in the bone marrow, spleen logy of
pathophysiology and lymph nodes. ALL?
of ALL?

5min At the end of the Classification of ALL

class group will be ALL is divided into subtypes based on morphologic, Lecture and Listening Can anyone
able to classify immunologic and genetic features of leukemic cells. discussion PPT classify
ALL. ALL?
 TIME SPECIFIC CONTENT TEACHING LEARNING A.V EVALUATION
OBJECTIVE ACTIVITY ACTIVITY AIDS
5 min At the end of the Clinical presentation:- Lecture & Listening Can anyone
class group will be The duration of symptoms in a child with ALL may vary discussion And PPT describe the
able to describe the from days to weeks and in some cases few months. discussion the clinical
clinical presentation However, most patients present with 3-4 weeks’ history. presentation
of ALL. The clinical features of ALL are those of bone marrow of ALL?
infiltration with leukemic cells (bone marrow failure) and
the extent of extramedullary disease spread.

At the end of the Diagnosis:- Can anyone

5 min class group will be Lecture and Listening enumerate the
able to enumerate the The diagnosis of leukemia is established by a bone discussion And PPT diagnostic tests for
diagnostic tests for marrow aspiration. The presence of 25% blasts confirms discussion ALL?
ALL. the diagnosis of ALL (20% in case of AML). Presence of
only one blast in CSF confirms the diagnosis

Treatment:-
At the end of the Can anyone
10min class group will be The treatment of ALL is divided in four distinct phases: Lecture and Listening And PPT describe the
able to describe the (a) Induction therapy to attain remission, discussion discussion management of
management of ALL. (b) CNS prophylaxis, ALL?
(c) Intensification or consolidation therapy and
(d) Maintenance therapy.

At the end of the Nursing Management:-

class group will be  nursing diagnosis Lecture and Listening And PPT Can anyone
10min
able to describe the discussion discussion describe the
 goal
nursing management the nursing
of ALL.  nursing interventions management
 expected outcome of ALL?
 TIME CONTENT
SUMMERIZATION:
3 min  Definition
 Etiology
 Pathophysiology
 Classification
 Clinical picture
 Diagnosis
 Medical management
 Nursing management

CONCLUSION:
1 min There has been a significant improvement in the outcome of ALL in India. Multicentric trials suggest a 5-year patient survival ranging from
50-60% in our country. Economic reasons result in poor compliance and large number of dropouts, contributing to the decreased survival. The
high incidence of infections, lack of good supportive care and poor tolerance to chemotherapy in malnourished patients also contributes to the
mortality.