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By 3 years after diagnosis of chronic GVHD, about a third of children had died of either relapse or nonrelapse mortality, a third were off immune suppression, and a third still required some form of immune suppressive therapy. Of course, nursing knowledge can only be based on the best evidence at the time, with nurses regularly reviewing their practice DoH, It is often said that in the past nurses took a task-oriented approach to care provision and that care was ritualistic - based on tradition and myth Hicks,; Behi and Nolan, Many nurses reading this will remember task allocation, observation rounds, back rounds and the cleaning of the sluice rota.

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