Caring for a child with cancer

Question 1

what are some psychological effects of pediatric cancer

Answer 1

shock, denial, confusion, fear, blame, loss of control,

Question 2

what are some external and internal causes of cancer

Answer 2

External – virus the alterats the immune system, chromosomal or gene abnormality
Internal = environmental

Question 3

what is stage 0 of cancer

Answer 3

early cancer- only present in the cells where is began

Question 4

what is stage 1,2,3 of cancer

Answer 4

it has grown and invading lymph nodes and adjacent organs and tissue

Question 5

what is stage 4 of cancer

Answer 5

metastases to other organs and tissues

Question 6

what does CAUTION stand for - for early detection and prevention of cancer

Answer 6

Change in bowel and bladder habits
A sore throat that does not heal
Unusual bleeding or discharge
Thickening or lump in the breast, testicles or other area
Indigestion or difficulty swallowing
Obvious change in size, color, shape, or thickness of a wart, mole, or mouth sore
Nagging cough or hoarseness

Question 7

what is the most common childhood cancer

Answer 7

acute lymphocytic leukemia - acquired leukemic cells

Question 8

what are some environmental factors for acute lymphocytic leukemia

Answer 8

radiation, exposure, drugs, benzine exposure, advanced maternal age

Question 9

what are some ss of acute lymphocytic leukemia

Answer 9

fever, fatigue, lethargy, enlarged lymph nodes, abdominal distention, pallor, anorexia, bone/joint pain

Question 10

how do you diagnose acute lymphocytic leukemia

Answer 10

CBC, liver/kidney function, bone marrow aspiration, lumbar puncture

Question 11

what are the phases of chemo

Answer 11

Remission-induction – 2 weeks long to kill abnormal cells
Consolidation – after last phase lasts 6 months, decrease cells/production of them
Maintenance – after then 3 years prevents regrowth

Question 12

what is autologous bone marrow transplant

Answer 12

patients own blood and bone marrow

Question 13

what is allogenic bone marrow transplant

Answer 13

from sibling, parent, unrelated donor

Question 14

what is an infants perception of death

Answer 14

– only understand in the degree of personal discomfort and reaction of other, provide basic needs, non nutritive sucking, swaddling

Question 15

what is a toddlers perception of death

Answer 15

can understand something is wrong but unable to deceive fact from fantasy, see death as reversible may have fear and sadness, encourage parent to stay with child

Question 16

what is a preschoolers perception of death

Answer 16

can understand it, and verbalize, can see and understand what’s happening to their body, be honest about what’s happening with their body

Question 17

what is a school age childs perception of death

Answer 17

have realistic understanding of death, we should include them about their care, evaluate their fears

Question 18

what is a teens perception of death

Answer 18

they understand death at a adult level, think death can be defied, have sense of invincibility, allow the teen to write messages say goodbye, let them talk about their plans they didn’t get to do

Question 19

what are physcial signs of death

Answer 19

loss of sensation/thermoregulation/bowel and bladder function/awareness, cofusion, drop in BP, weakness, alteration in respiratory status, seizures

Question 20

what are kubler ross stages of grief

Answer 20

denial, anger, bargaining, depression, acceptance