When
caring for a child with a pediatric cancer, such a Wilm’s Tumor, there are many
possible nursing diagnoses to analyze. Five of the major potential and/or
actual problems that will need to be analyzed and dealt with are:
Actual/Potential
|
Related to
|
Plan/
Outcome
|
Interventions
|
Risk for infection (Potential)
|
Related to immunosuppression secondary to
chemotherapeutic drugs
|
Plan: Maintain proper infection control techniques and
educate the patient and family to do the same.
Outcome: The child will not contract any infections while
undergoing cancer treatment.
|
Observe for signs of infection (vital signs, blood
draws, ect.)
Educate parents/patients on infection control
(meaning of daily labs (esp. fluctuations in blood cell counts), why to avoid
large crowds, when to wear a mask if ill, and proper hand hygiene)
Always preform proper hand hygiene in hospital
setting
Clean and maintain the child’s central line
regularly
Nursing personnel should never care for an
immunosuppressed child if ill themselves
|
- Risk for acute pain related to surgical site and/or disease process. Children with Wilm’s Tumor are at risk for acute pain for a couple of different reasons. Pain can originate pot-operatively after the surgical removal of the kidney. Additionally, pain can be a side effect of the disease process, either as a result of the invading tumor pressing on other organs and tissues, or after the removal as a side effect of other treatment (break down of mucus membranes, etc).
- Altered growth and development related to inadequate nutrition secondary to side effects of therapy. Children who are treated for Wilm’s Tumor often experience alterations in their physical growth and development. Cancer treatment has the potential to negatively affect the appetite and nutritional status of a child.
- Risk for fatigue related to drug therapy and disease state. Children being treated for Wilm’s Tumor have the potential to experience fatigue (tiredness) as a result of side effects of the therapy, as well as the disease itself.
- Risk for anxiety related to diagnosis and treatment outcomes. The diagnosis and treatment of cancer can be a stressful and uncertain time for both the patient and family. New and unfamiliar diagnoses and treatments can pose a potential for the development of anxiety.
Helpful websites in
understanding the nursing diagnoses related to Wilm’s Tumor are:
- http://wps.prenhall.com/wps/media/objects/354/362846/Child%20-%20Home%20Cancer.pdf
- http://nurseslabs.com/13-cancer-nursing-care-plans/
Sources:
13 Cancer Nursing Care Plans - Nurseslabs. (2013, July 14).
Retrieved February 28, 2015, from http://nurseslabs.com/13-cancer-nursing-care-plans/
Nursing Care Pan: Home Care
of the Child With Cancer. (n.d.). Retrieved February 28, 2015, from
http://wps.prenhall.com/wps/media/objects/354/362846/Child - Home Cancer.pdf
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This testimony serve as an expression of my gratitude. he also have
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I'm 55-year-old from Korean, I was diagnosed with second-stage liver cancer following a scheduled examination to monitor liver cirrhosis. I had lost a lot of weight. A CT scan revealed three tumors; one in the center of my liver in damaged tissue and two in healthy portions of my liver. No chemotherapy or radiotherapy treatment was prescribed due to my age, the number of liver tumors. One month following my diagnosis I began taking 12 (350 point) Salvestrol supplements per day, commensurate with my body weight. This comprised six Salvestrol Shield (350 point) capsules and six Salvestrol Gold (350 point) capsules, spread through the day by taking two of each capsule after each main meal. This level of Salvestrol supplementation (4,000 points per day) was maintained for four months. In addition, I began a program of breathing exercises, chi exercises, meditation, stretching and stress avoidance. Due to the variety of conditions that I suffered from, I received ongoing medical examinations. Eleven months after commencing Salvestrol supplementation But all invalid so I keep searching for a herbal cure online that how I came across a testimony appreciating Dr Itua on how he cured her HIV/Herpes, I contacted him through email he listed above, Dr Itua sent me his herbal medicine for cancer to drink for two weeks to cure I paid him for the delivering then I received my herbal medicine and drank it for two weeks and I was cured until now I'm all clear of cancer, I will advise you to contact Dr Itua Herbal Center On Email...drituaherbalcenter@gmail.com. WhatsApps Number...+2348149277967. If you are suffering from Diseases listed below, Cancer, HIV/Aids, Herpes Virus,Bladder cancer,Brain cancer,Colon-Rectal Cancer,Breast Cancer,Prostate Cancer,
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WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of breast cancer and her name is Sandra David I and my family have taking her to all kind of hospital in USA still yet no good result. I decided to go to the internet and search for cancer cure so that was how I find a lady called peter Lizzy she was testifies to the world about the goodness of a herbal man who has the roots and herbs to cure all kind of disease and the herbal man email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister help to cure her breast cancer. I contacted him and told him my problem he told me that I should not worry that my sister cancer will be cure, he told me that there is a medicine that he is going to give me that I will cook it and give it to my sister to drink for one week, so I ask how can I receive the cure that I am in USA, he told me That I will pay for the delivery service. The courier service can transport it to me so he told me the amount I will pay, so my dad paid for the delivery fee. two days later I receive the cure from the courier service so I used it as the herbal man instructed me to, before the week complete my sister cancer was healed and it was like a dream to me not knowing that it was physical I and my family were very happy about the miracle of Doctor so my dad wanted to pay him 5 million us dollars the herbal man did not accept the offer from my dad, but I don't know why he didn't accept the offer, he only say that I should tell the world about him and his miracle he perform so am now here to tell the world about him if you or your relative is having any kind of disease that you can't get from the hospital please contact dr.sakuraspellalter@gmail.com or whats app him +2348110114739 you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the problem. And if you need more information about the doctor you can mail me davidclara223@gmail.com
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ReplyDeleteAs a sign of gratitude for how my son was saved from autism, I decided to reach out to those still suffering from this.
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