peads palliative Flashcards
whens palliative care for a child start
when illness is diagnosed
when does palliative care for child end
after they die, because of family
is palliative care for kids only cancer
no
possibility of death
terminal
no cure
earth death
whats PESST framework
physical emotional social spiritual trajectory
where do bone tumours go
lungs
difference pead and adult oncology
not from lifestyle
kids can be serious ill at time of diagnosis
Grade
degree of malignancy
stage
1-4 slowly to grows rapidly
3 phases of chemo
induction (high dose)
consolidation (high dose)
maintenance (lower)
effects of chemo
Cell death
myelosuppression
what is myelosuppesion
reduces production of platelets, RBC, and WBC
vincristine
administered intravenously
chemo induced peripheral neuropathy
decreased gut mobility
paralysis of vocal cords / swallowing
autonomic (raynauds, hypotension)
steroids what it do
decrease swelling
treat cancer
decrease immune response, nausea
increase appetite
side effects chemo
proximal myopathy mood changes cushingoid appearance (round face)
methotrexate side effects
mucositis (decreased intake, pain, infection)
neurotoxicity (headache, weakness)
foot hand syndrome (red swollen blisters)
kidney injury
doxorubicin and cyclophosphamide side effect
cardiotoxicity
cisplatin can cause
hearing loss
most common pead cancer
leukemia
genetic predisposition to leukemia
Down syndrome, other chromosomal abnormality , exposure to chemical
s/s leukemia
anemia (low Hb)
thombocytopenia (low platelets) (bruising)
neutropenia (low WBC)
bone pain (decreased WB)
leukemia treatment
chemo 2 years
signs symptoms of brain tumour
headache , nausea , LOC, vision, balance
tort
treatment brain tumor
surely, chemo
posterior fossa tutor includes what
hypotonia
mutism
feeding issues
irritability
what is sarcoma
malignant tumor from skeletal mm
osteogenic sarcoma s/s
variable bone pain injury w no improvement altered WB palpable mass refereed pain
Where does osteogenic sarcoma occur
long bones more
flat bones
treatment ostegeneic sarcoma
biopsy
chemo
surgery (limb sparing, amputation)
factors effecting PT
platements (<20 take it easy)
Hb
neutrophils (infection)
CIPN
sensory and motor involvement, may start w achilles reflex loss
gait altered
decreased ROM, strength
treatment CIPN
maintain ROM, strength
balance
education
safety
steroid induced proximal myopathy
weakness in proximal mm’s
gradual or sudden onset
may have difficulty getting up, climbing
avascular necrosis
associated w long term steroid use
pain restricts ROM
treatment AVN
protection w gait aids
pain free low impaction ROM
strength around the joint
