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Exploring Family Management of Childhood Brain Tumor SurvivorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this report, 2 hypothetical, contrasting case studies of family management are used to illustrate family management within the context of brain tumor survivors. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - October 16, 2009 Category: Nursing Authors: Deatrick, J. A., Mullaney, E. K., Mooney-Doyle, K. Tags: Articles Source Type: journals

Endocrine Late Effects in Survivors of Pediatric Brain TumorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Central nervous system tumors are the most common solid tumor diagnosed in children under the age of 14 years. Chronic health conditions related to endocrine and metabolic late effects are one of the most common medical late effects seen in childhood cancer survivors. Over the past 2 decades, outcomes have improved significantly for children diagnosed with a brain tumor. Curative therapy for childhood brain tumors survivors places them at significant risk for complex multi-organ medical late effects.These late effects can create a negative effect on cognition, growth, organ function, body image, sexual function and quality...
Source: Journal of Pediatric Oncology Nursing - October 16, 2009 Category: Nursing Authors: Shaw, S. Tags: Articles Source Type: journals

Transitioning Survivors of Central Nervous System Tumors: Challenges for Patients, Families, and Health Care ProvidersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Survivors of central nervous system tumors (SCNST) are a growing group of cancer survivors who require risk-based, long-term health care due to the chemotherapy, surgery, and radiation they have received.Although treatment strategies are being developed to reduce morbidity and mortality, ultimately this subgroup of pediatric cancer survivors often faces moderate to severe late effects of their treatment.As a result, they will need lifelong health care that includes risk-based health care due to cancer treatment exposures as well as primary adult health care, including primary and secondary preventative care. The best way t...
Source: Journal of Pediatric Oncology Nursing - October 16, 2009 Category: Nursing Authors: Eshelman-Kent, D., Gilger, E., Gallagher, M. Tags: Articles Source Type: journals

Brain Tumor Survivors Speak OutEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although progress has been made in the treatment of childhood brain tumors,work remains to understand the complexities of disease, treatment, and contextual factors that underlie individual differences in outcome. A combination of both an idiographic approach (incorporating observations made by adult survivors of childhood brain tumors) and a nomothetic approach (reviewing the literature for brain tumor survivors as well as childhood cancer survivors) is presented. Six areas of concern are reviewed from both an idiographic and nomothetic perspective, including social/emotional adjustment, insurance, neurocognitive late eff...
Source: Journal of Pediatric Oncology Nursing - October 16, 2009 Category: Nursing Authors: Carlson-Green, B. Tags: Articles Source Type: journals

The Legacy of Pediatric Oncology Nursing in Advancing Survivorship Research and Clinical CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article highlights these contributions to the body of survivorship knowledge and quality of care, as well as areas of ongoing challenge and future directions suggested by thought leaders in our specialty. Key contributions are examined decade by decade and against the six recommendations for health care policy and practice delineated in the two recent IOM survivorship reports: evidence-based guidelines for follow-up care, standards and models of care, increasing awareness of late effects and needed follow-up care, improving professional education and training, improving access to care for survivors, and increasing res...
Source: Journal of Pediatric Oncology Nursing - October 16, 2009 Category: Nursing Authors: Ruccione, K. Tags: Articles Source Type: journals

A Call to ActionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - October 16, 2009 Category: Nursing Authors: Hobbie, W. L., Ogle, S. Tags: Articles Source Type: journals

Coping With Cancer: A Web-Based Educational Program for Early and Middle AdolescentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Educating patients is a primary responsibility of all nurses; however, because of time constraints and staff shortages, pediatric oncology nurses are often unable to adequately prepare patients for cancer treatment. Instead, patients frequently rely on the Internet as a source of information about cancer, some of which can be outdated and inaccurate. Adolescents regard the Internet as a valuable source of health information as it is easily accessible, less threatening, and confidential. Considering the need for accurate, readily available information for adolescents with cancer, the purpose of this study was to develop and...
Source: Journal of Pediatric Oncology Nursing - September 1, 2009 Category: Nursing Authors: O'Conner-Von, S. Tags: Article Source Type: journals

A Brief Report of Caregiver Needs and Resource Utilization During Pediatric Hematopoietic Stem Cell TransplantationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hematopoietic stem cell transplantation (HSCT) is used to eradicate disease and restore normal hematopoietic, immunologic, and/or metabolic functioning. HSCT is a complex treatment that is physiologically and psychologically demanding on the recipient, caregiver, and family. The purpose of this study was to identify needs and resources of family caregivers of pediatric HSCT recipients during the first year after transplant. Parental caregivers (n = 161) completed an online survey. The most cited sources of information were the HSCT team (87.7%), books and other print materials (83.1%), and the Internet (81.5%). However, mo...
Source: Journal of Pediatric Oncology Nursing - September 1, 2009 Category: Nursing Authors: Mayer, D. K., Tighiouart, H., Terrin, N., Stewart, S., Peterson, E., Jeruss, S., Parsons, S. K. Tags: Article Source Type: journals

Moderate Intravenous Sedation With Fentanyl and Midazolam for Invasive Procedures in Children With Acute Lymphoblastic LeukemiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Data were collected prospectively on 100 consecutive invasive procedures, that is, lumbar and bone marrow punctures (alone or in combination), in 16 patients less than 21 years of age with acute lymphoblastic leukemia (ALL). Efficacy of sedation and the need for restraint were graded according to 2 multiple-point scales. All invasive procedures were successfully performed. Oxygen by face mask was needed in 5 cases, whereas no patient required sedation reversal; 92% of the time, the patient was calm, cooperative, and responding to verbal commands, whereas in 97 procedures, there was no or only minimal patient movement that ...
Source: Journal of Pediatric Oncology Nursing - September 1, 2009 Category: Nursing Authors: Mantadakis, E., Katzilakis, N., Foundoulaki, E., Kalmanti, M. Tags: Article Source Type: journals

The Role of 131I-MIBG in High-Risk Neuroblastoma TreatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article also reviews treatments for high-risk neuroblastoma patients and analyzes recent research studies that used 131I-MIBG to better define the role of this treatment in high-risk neuroblastoma patients. In addition, this article explores the role of the advanced practice nurse to serve at the forefront in the implementation of a multidisciplinary 131I-MIBG treatment program. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - September 1, 2009 Category: Nursing Authors: Lessig, M. K. Tags: Article Source Type: journals

Chemotherapy-Related Side Effects in Childhood Acute Lymphoblastic Leukemia in Indonesia: Parental PerceptionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Noncompliance with prescribed medication has been associated with increased chance of relapse and poor outcome. Side effects may be an important cause of noncompliance. Fifty-one parents of children with acute lymphoblastic leukemia in a tertiary care hospital in Indonesia were interviewed about their perception of side effects and their impact on treatment noncompliance and daily activities. A symptom checklist assessing 13 common symptoms was used to examine side effects. During chemotherapy, childhood acute lymphoblastic leukemia patients suffered from psychological as well as physical side effects. The most frequent si...
Source: Journal of Pediatric Oncology Nursing - September 1, 2009 Category: Nursing Authors: Sitaresmi, M. N., Mostert, S., Purwanto, I., Gundy, C. M., Sutaryo, , Veerman, A. J. P. Tags: Article Source Type: journals

Nutritional Assessment of Children With CancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Regardless of which parts of the world they live in, most children will develop and grow at a similar rate if proper nutrition is ensured. Children from developing countries are at risk for primary malnutrition. Children undergoing anticancer therapy are at higher risk for secondary malnutrition, including obesity and growth retardation. Periodic nutritional assessments are important for planning effective dietary interventions for such children. In this review, we describe malnutrition as it occurs in children with cancer and various ways of assessing the nutritional status of these children, depending on the availability...
Source: Journal of Pediatric Oncology Nursing - September 1, 2009 Category: Nursing Authors: Mosby, T. T., Barr, R. D., Pencharz, P. B. Tags: Article Source Type: journals

Management of Procedural Sedation in Varying Practice SettingsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - September 1, 2009 Category: Nursing Authors: Kline, N. E. Tags: Article Source Type: journals

Qualitative Analysis of the Role of Culture in Coping Themes of Latina and European American Mothers of Children With CancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study used qualitative analysis of 24 sessions from 3 Latina and 3 European American mothers of children recently diagnosed with cancer. The session transcripts were divided into a total of 2328 thought segments that were then analyzed for themes using a collaborative iterative process. Analysis identified 9 shared coping themes that included, with some variations: gathering information, professional help-seeking, activities, problem solving, positive thinking, present orientation, reframing, avoidance, and religion. Three themes were culture specific: only European American mothers discussed compromise, whereas norma...
Source: Journal of Pediatric Oncology Nursing - May 29, 2009 Category: Nursing Authors: Johns, A. L., Oland, A. A., Katz, E. R., Sahler, O. J. Z., Askins, M. A., Butler, R. W., Dolgin, M. J. Tags: Article Source Type: journals

Behavioral Inhibition and Its Relation to Anxiety and Depression Symptoms in Adolescents With Sickle Cell Disease: A Preliminary StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Several investigations have found support for the role of behavioral inhibition in the etiology of childhood anxiety and depression disorders. However, nothing is known about how this relation extends to children with a chronic, life-threatening illness. The purpose of the current study was to examine behavioral inhibition and its relation to anxiety and depression symptoms among 30 adolescents with sickle cell disease (SCD). Adolescents with SCD and their primary caregivers completed instruments assessing demographic information, behavioral inhibition, and anxiety and depression symptoms. A majority of adolescents with SC...
Source: Journal of Pediatric Oncology Nursing - May 29, 2009 Category: Nursing Authors: Carpentier, M. Y., Elkin, T. D., Starnes, S. E. Tags: Article Source Type: journals

Specialized Summer Camp for Children with Cancer: Social Support and AdjustmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study was to assess the types of social support received by children attending a week-long residential summer camp for children with cancer. Following the camp, families were sent a social support questionnaire (for the child to complete) and the Child Behavior Checklist (for parents to complete). Analyses evaluated children's adjustment rated by parents, support reported by children, and the relationship between adjustment and support. Girls reported receiving more support than boys, and both genders reported receiving more support at camp than children in the general population. Ratings of adjustment ...
Source: Journal of Pediatric Oncology Nursing - May 29, 2009 Category: Nursing Authors: Conrad, A. L., Altmaier, E. M. Tags: Article Source Type: journals

Proton Beam Radiation Therapy in the Treatment of Pediatric Central Nervous System Malignancies: A Review of the LiteratureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
One of 5 pediatric cancers occurs within the central nervous system. Although outcomes have improved, the greatest challenge with these patients remains the balance between cure and long-term morbidity. Patients who have undergone radiation therapy remain at high risk for developing a multitude of severe long-term sequelae. As radiation therapy remains a mainstay of treatment much attention has gone into improving its quality and precision. Multiple options exist for these patients, including conventional photon radiotherapy, conformal radiation, and now, proton beam radiotherapy. Proton beams are able to provide utmost pr...
Source: Journal of Pediatric Oncology Nursing - May 29, 2009 Category: Nursing Authors: Semenova, J. Tags: Article Source Type: journals

Diagnostic Dilemma: Solitary Fibrous Tumor or Hemangiopericytoma of the Submandibular Region in a Patient with Multiple Odontogenic KeratocystsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Solitary fibrous tumors (SFTs) are rare spindle cell neoplasms that originate from mesothelial-lined surfaces, mainly the pleura and peritoneum. SFT is a distinctive mesenchymal neoplasm of the pleura but can be found in extrapleural sites. The treatment of SFT is simple excision or wide local resection. This is the case study of a 14-year-old girl who presented with a large diffuse swelling in the left submandibular region, ultimately diagnosed with SFT and surgically excised. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - May 29, 2009 Category: Nursing Authors: Garg, D., Palaskar, S., Shetty, V. P., Bhushan, A., Bhatia, P., Sarin, J. Tags: Article Source Type: journals

Implementation of an Oral Care Protocol and Its Effects on Oral MucositisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Oral complications are commonly seen in pediatric oncology patients. Induced by chemotherapy or radiation, oral mucositis is a debilitating side effect that has much clinical significance. Oral mucositis may decrease the effectiveness of treatment as well as decrease the quality of life in the pediatric oncology patient. Therefore, it is our responsibility as health care professionals to reduce the incidence and/or severity of mucositis as much as possible. One intervention that has been proven to be successful is basic oral hygiene implemented through an oral care protocol. It is important that nurses are educated on the ...
Source: Journal of Pediatric Oncology Nursing - May 29, 2009 Category: Nursing Authors: Hogan, R. Tags: Article Source Type: journals

Ethical Considerations in Pediatric Oncology Phase I Clinical Trials According to The Belmont ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Whether to suggest enrollment of pediatric oncology patients with advanced or refractory disease into a Phase I clinical trial may present a significant ethical dilemma for health care professionals. Phase I trials are experimental and unpredictable by nature, yet health care professionals must ensure the trial's therapeutic intent as well as address the many vulnerabilities of the child with terminal cancer. After reviewing the role and phases of clinical research in pediatric oncology, this article discusses ethical considerations in Phase I clinical trials according to The Belmont Report: Ethical Principles and Guidelin...
Source: Journal of Pediatric Oncology Nursing - April 7, 2009 Category: Nursing Authors: Haylett, W. J. Tags: Article Source Type: journals

Use of Continuous Intravenous Ketamine for End-Stage Cancer Pain in ChildrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Children in the terminal stage of cancer may experience intractable pain despite the use of high doses of opioids. The resultant sedating effect of the opioids limits the child's ability to communicate and participate in activities, thereby negatively affecting quality of life. Ketamine, an intravenous (IV) anesthetic with analgesic properties, when used in low doses, may be useful in managing pediatric cancer pain at the end of life. Ketamine can prevent the development of opioid tolerance and provide additional analgesia without an increase in sedating effects. At the authors' institution, 2 children with end-stage cance...
Source: Journal of Pediatric Oncology Nursing - April 7, 2009 Category: Nursing Authors: Conway, M., White, N., Jean, C. St., Zempsky, W. T., Steven, K. Tags: Article Source Type: journals

School Reentry for Children With Cancer: Perceptions of Nurses, School Personnel, and ParentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions were that communication among nurses, school personnel, and parents was a major barrier to providing effective services to students and their parents. Nurses were unsure of how to help parents navigate the school bureaucracy, school personnel felt they needed more information, and parents felt that their children were not receiving all the school reentry services needed. Individuals in this study recommended that a liaison position be created to coordinate services. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - April 7, 2009 Category: Nursing Authors: Moore, J. B., Kaffenberger, C., Goldberg, P., Kyeung Mi Oh, , Hudspeth, R. Tags: Article Source Type: journals

Radiation Therapy Preparation by a Multidisciplinary Team for Childhood Cancer Patients Aged 31/2 to 6 YearsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Approximately 50% to 60% of children with cancer require radiation therapy. Radiation is one modality of treatment for pediatric malignancies and is used as complementary, palliative, emergency, or sole treatment. The goal of this program was to provide the child and family with coping strategies and minimize the necessity for anesthesia during radiation treatment. Since the beginning of the project, 55 children have participated in the preparation program. The developers of the program have found it worthwhile for the program to be flexible and matched to each child's and family's specific needs and capabilities. It has b...
Source: Journal of Pediatric Oncology Nursing - April 7, 2009 Category: Nursing Authors: Filin, A., Treisman, S., Peles Bortz, A. Tags: Article Source Type: journals

On Receiving the Diagnosis of Cancer: The Adolescent PerspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The adolescent life stage encompasses unique developmental challenges. Little is known about the experience of receiving a cancer diagnosis during this already demanding life stage. The aim of this study is to explore the lived experience of being diagnosed with cancer from the perspective of the adolescent. A phenomenological approach is used to perform semistructured interviews with 10 adolescents who have been diagnosed with cancer within the previous 4 to 6 months. Colaizzi's method of analysis is used to allow themes to emerge from these data. Six themes capture the essence of being diagnosed with cancer from the pers...
Source: Journal of Pediatric Oncology Nursing - April 7, 2009 Category: Nursing Authors: Stegenga, K., Ward-Smith, P. Tags: Article Source Type: journals

Parental Fears Following Their Child's Brain Tumor Diagnosis and TreatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study is to portray the ill- ness-related threats experienced by parents of children after the diagnosis of central nervous system (CNS) tumor. Parents were asked to rate the extent to which they experienced a set of specific fears related to their child's brain tumor and its treatment. Outcomes for parents of CNS tumor patients (n = 82) were compared with those of reference parents of patients treated for acute lymphoblastic leukemia (n = 208). The fears about an illness recurrence and the late effects of treat- ment were most prominent among parents of CNS tumor patients. For 7 out of 11 kinds of fe...
Source: Journal of Pediatric Oncology Nursing - April 7, 2009 Category: Nursing Authors: Anclair, M., Hoven, E., Lannering, B., Boman, K.K. Tags: Article Source Type: journals

Pain Control at the End of Life for Children With CancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - April 7, 2009 Category: Nursing Authors: Kline, N. E. Tags: Article Source Type: journals

Fertility Issues of Childhood Cancer Survivors: The Role of the Pediatric Nurse Practitioner in Fertility PreservationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this review is to discuss the role of the pediatric nurse practitioner (PNP) surrounding the survivorship issue of infertility. The author outlines the effects of treatment, examines available options, explores ethical and legal issues, discusses the role of the PNP, and addresses areas of further research. The issue of postcancer reproductive health is increasing in importance as both the number of cancer survivors and length of survival increases. Approximately 1 out of every 900 individuals in the United States between the ages of 15 and 45 years is a survivor of childhood cancer. In fact, the survival ra...
Source: Journal of Pediatric Oncology Nursing - December 17, 2008 Category: Nursing Authors: Zakak, N. N. Tags: Article Source Type: journals

Langerhans Cell Histiocytosis in ChildrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article provides nurses with insight about the pathophysiology and treatment modalities of LCH and prepares the nurse to provide confident comprehensive nursing care and to educate patients and families. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - December 17, 2008 Category: Nursing Authors: Grifo, A. H. Tags: Article Source Type: journals

Experiences of Pediatric Oncology Nurses: The First Year of HireEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As the number of specialty pediatric oncology units increases, many units are hiring increasing numbers of newly graduated registered nurses. Intense specialty training and an emotionally demanding work environment place new nurses at risk for job frustration and early job resignation. The purpose of this study is to investigate experiences of pediatric oncology nurses during their first year of hire using a phenomenological approach. Participants were 6 nurses employed on an inpatient pediatric oncology unit in a tertiary care center located in the Intermountain West. A purposive sampling approach was used. Data were coll...
Source: Journal of Pediatric Oncology Nursing - December 17, 2008 Category: Nursing Authors: Linder, L. Tags: Article Source Type: journals

Massage Therapy for Children With CancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This pilot study aimed to determine the feasibility of providing massage to children with cancer to reduce symptoms in children and anxiety in parents. Twenty-three children/parent dyads were enrolled; 17 completed all data points. Children with cancer, ages 1 to 18 years, received at least 2 identical cycles of chemotherapy, and one parent, participated in the 2-period crossover design in which 4 weekly massage sessions alternated with 4 weekly quiet-time control sessions. Changes in relaxation (heart and respiratory rates, blood pressure, and salivary cortisol level) and symptoms (pain, nausea, anxiety, and fatigue) were...
Source: Journal of Pediatric Oncology Nursing - December 17, 2008 Category: Nursing Authors: Post-White, J., Fitzgerald, M., Savik, K., Hooke, M. C., Hannahan, A. B., Sencer, S. F. Tags: Article Source Type: journals

Complementary and Alternative Medicine Use in Children With Cancer and General and Specialty PediatricsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study confirms that within the same geographic region, children with chronic and life-threatening illness use more CAM therapies than children seen in primary care clinics. Children with cancer use CAM for different reasons than children with non-life-threatening illnesses. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - December 17, 2008 Category: Nursing Authors: Post-White, J., Fitzgerald, M., Hageness, S., Sencer, S. F. Tags: Article Source Type: journals

The Pediatric Cancer Hospitalization Experience: Reality Co-constructedEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although pediatric cancer treatment has been reviewed by several authors, the lived experiences of children undergoing this process have seldom been discussed in the literature. The data for this article were obtained from a larger qualitative study that provided a collective view of the pediatric cancer experience at San Jorge Children's Hospital in Puerto Rico. In this article, findings that are directly related to the hospitalization process of these young patients are described, including the hospital as a safe haven, dealing with pain, taking control, and thriving in adversity. These findings provide a rationale for t...
Source: Journal of Pediatric Oncology Nursing - October 31, 2008 Category: Nursing Authors: Berrios-Rivera, R., Rivero-Vergne, A., Romero, I. Tags: Article Source Type: journals

School Experiences of Families of Children With Brain TumorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study explores the experiences of children, youth, and their families as they seek to reintegrate into mainstream educational systems. Despite the variable experiences, there are many common strategies that could positively influence the child's success in school. Strong communication between parents, school, and health professionals is paramount. Preparing parents to advocate for their children's academic and social needs and developing an awareness of the challenges among school staff has potential to improve outcomes for these children. Equipping the children with the social skills needed to manage social situation...
Source: Journal of Pediatric Oncology Nursing - October 31, 2008 Category: Nursing Authors: Bruce, B. S., Chapman, A., MacDonald, A., Newcombe, J. Tags: Article Source Type: journals

Decreasing Psychological Distress During the Diagnosis and Treatment of Pediatric LeukemiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A literature review was performed to explore the experiences of parents during their child's diagnosis of leukemia. The findings revealed that anxiety is a major reaction to the diagnosis. Because of the parents' reactions, communication barriers and parental role changes are established between the parent and child. The lack of communication between the parent and child during diagnosis and treatment and parental role changes produce negative outcomes. Negative outcomes place the parent and child at risk for experiencing anxiety years after the illness is treated. This literature review describes positive outcomes that ca...
Source: Journal of Pediatric Oncology Nursing - October 31, 2008 Category: Nursing Authors: Willingham Piersol, L., Johnson, A., Wetsel, A., Holtzer, K., Walker, C. Tags: Article Source Type: journals

Relationship Between Pediatric Oncology Nurses' Management of Patients' Symptoms and Job SatisfactionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this article is to describe the results of a study examining the relationship between nurses' management of pediatric oncology patients' symptoms and job satisfaction. Surveys were mailed to a national sample of pediatric oncology nurses to assess the presence of symptoms in their patients, the nurses' distress from the patients' symptoms, the interventions used to manage the symptoms, the perceived effectiveness of the interventions, and the nurses' job satisfaction. Based on the stress response sequence model, study hypotheses proposed that nurses' symptom management affects nurses' distress and, in turn, ...
Source: Journal of Pediatric Oncology Nursing - October 31, 2008 Category: Nursing Authors: Rheingans, J. I. Tags: Article Source Type: journals

Pediatric Oncology Nurses' Management of Patients' SymptomsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this article is to describe the results of a national descriptive survey of 509 pediatric oncology nurses' interventions for managing patients'symptoms. The Nurses' Distress and Interventions for Symptoms Survey (NDISS) is used to assess nurses' management of patients' 7 most distressing symptoms. The average number of symptoms reported as being present is 6.0 (SD 1.3; range, 0-7). Pain is the most commonly reported symptom; trouble sleeping is the least common. The mean score for nurses' distress is 2.9 (SD 0.8; range, 0-4); nurses' distress is greatest with trouble sleeping and lowest with hair loss. Nurse...
Source: Journal of Pediatric Oncology Nursing - October 31, 2008 Category: Nursing Authors: Rheingans, J. I. Tags: Article Source Type: journals

Pleuropulmonary BlastomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Pleuropulmonary blastoma (PPB) is a dysontogenetic neoplasm of childhood that involves lung and/or pleura. There is an increased incidence of neoplasias and dysplasias among young relatives of children with PPB. Pathophysiologically, PPB evolves from a cystic to solid state over time. It is subclassified as type I (purely cystic), type II (both cystic and solid elements), and type III (completely solid). Type II and type III may be associated with metastasis, with the brain being the most common metastatic site. The absence of epithelial malignancy in PPB is a feature that distinguishes it from the adult-type pulmonary bla...
Source: Journal of Pediatric Oncology Nursing - October 31, 2008 Category: Nursing Authors: Fosdal, M. B. Tags: Article Source Type: journals

Social Support and Symptom Distress in Adolescents/Young Adults With CancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this secondary analysis was to describe the relationships of friend, family, and health care provider social support to pain, fatigue, depressed mood, and insomnia in adolescents and young adults with cancer using the Adolescent Resilience Model. Specific aims of the study were to describe the relationships of 3 separate sources of perceived support—friends, family, and health care providers to the symptom-related distress of pain, fatigue, depressed mood, and insomnia. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - September 2, 2008 Category: Nursing Authors: Corey, A. L., Haase, J. E., Azzouz, F., Monahan, P. O. Tags: Article Source Type: journals

Health-Related Quality of Life Relates to School Attendance in Children on Treatment for CancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aims of this study are to follow health-related quality of life (HRQOL), school attendance, and social interaction with friends in children with cancer and to explore potential relationships between HRQOL and school attendance. The study also describes self-reported reasons for not attending school and not meeting friends. During a 2-year period, all schoolchildren in Sweden starting treatment for cancer were invited to participate in the study. Participants (N = 101) were assessed 3 times during the first 5 months of treatment using 2 questionnaires: DISABKIDS Chronic Generic Module (DCGM-37) and a study-specific ques...
Source: Journal of Pediatric Oncology Nursing - September 2, 2008 Category: Nursing Authors: af Sandeberg, M., Johansson, E., Bjork, O., Wettergren, L. Tags: Article Source Type: journals

Nutritional Issues in Adolescents After Bone Marrow Transplant: A Literature ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article synthesizes the bone marrow transplant (BMT) literature regarding adolescents' nutritional needs, etiologies of altered oral intake, GI symptoms, nutritional assessments, nutritional interventions, and quality of life associated with poor nutrition. In addition, gaps in knowledge in the literature are identified. To provide effective and thorough care to patients during their BMT recovery, the knowledge base of nutritional and eating issues after transplant needs to become more comprehensive. Nurses play an important role in gathering and reporting clinical information. By anticipating potential risk factors, ...
Source: Journal of Pediatric Oncology Nursing - September 2, 2008 Category: Nursing Authors: Rodgers, C., Walsh, T. Tags: Article Source Type: journals

Depression, Anxiety, Hopelessness, and Social Support Levels of the Parents of Children With CancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study was conducted to determine the depression, anxiety (state and trait), hopelessness, and perceived social support levels of 94 parents of children with cancer followed up at a university hospital. Data were collected using a questionnaire form and included descriptive characteristics, Beck Depression Inventory, Multidimensional Scale of Perceived Social Support, State—Trait Anxiety Inventory, and The Hopelessness Scale. A positive relationship was found between depression and hopelessness scores and between state and trait anxiety scores for both mothers and fathers. Also, a negative relationship was found ...
Source: Journal of Pediatric Oncology Nursing - September 2, 2008 Category: Nursing Authors: Bayat, M., Erdem, E., Gul Kuzucu, E. Tags: Article Source Type: journals

Aspergillosis Prophylaxis and Treatment for Pediatric HSCT Patients: Environmental and Pharmacologic OptionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hematopoietic stem cell transplant (HSCT) recipients are at increased risk of viral, bacterial, fungal, and parasitic infections both pretransplant and post-transplant. One of the most dangerous infections that can be acquired during this time is aspergillosis. Several drugs are available for prophylaxis, though no particular regimen has been proven to be superior; although the CDC has clear recommendations regarding prophylaxis for many other infections (such as cytomegalovirus, herpes simplex, toxoplasmosis, and Candida) for HSCT patients, there are none for aspergillosis. Researchers have varying opinions as to which dr...
Source: Journal of Pediatric Oncology Nursing - September 2, 2008 Category: Nursing Authors: Doyle, S. C. Tags: Article Source Type: journals

Editorial: APHON's 32nd Annual Conference: Something for EveryoneEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - September 2, 2008 Category: Nursing Authors: Kline, N. E. Tags: Article Source Type: journals

Neurocognitive Impairment in Children Treated for Cancer: How Do We Measure Cognitive Outcomes?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study, investigating treatment with central nervous system (CNS) stimulants for cognitive changes related to pediatric cancer treatment, confirmed a common concern. How should neurocognitive decline be measured and followed up after cancer therapy? Multiple pediatric standardized cognitive tests are available, but there is no consensus on an efficient way to measure the most common areas of decline, specifically impaired concentration, memory, and mental processing speed. The authors' report recognized 12 pediatric patients at risk for cognitive dysfunction, of whom 3 tested positive for early neurocognitive deficits ...
Source: Journal of Pediatric Oncology Nursing - June 20, 2008 Category: Nursing Authors: Gross-King, M., Booth-Jones, M., Couluris, M. Tags: Article Source Type: journals

Using Plain Language Skills to Create an Educational Brochure About Sperm Banking for Adolescent and Young Adult Males With CancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Writing in plain language makes it easier for patients to read, understand, and make informed decisions about sperm banking. Greater attention to the issue and properly designed educational brochures for use by nurses in oncology and reproductive health is of evident importance but of unknown impact. A multidisciplinary clinical team followed an evidence-based, patient-centered approach to develop "plain language" patient education materials about sperm banking for adolescent and young adult (AYA) males with cancer. A patient education booklet was produced and implemented as part of the planned patient education for AYA ma...
Source: Journal of Pediatric Oncology Nursing - June 20, 2008 Category: Nursing Authors: Nagel, K., Wizowski, L., Duckworth, J., Cassano, J., Hahn, S. A., Neal, M. Tags: Article Source Type: journals

The Role of the Long-Term Follow-up Clinic in Discovering New Emerging Late Effects in Adult Survivors of Childhood CancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article presents 2 young adult survivors who displayed subtle signs of impaired cerebral blood flow due to carotid artery stenosis many years after being treated with neck irradiation. When the first patient presented nearly a decade ago in the clinic with symptoms, premature carotid artery disease was not a radiation-related late effect that had been reported previously in survivors of childhood cancer. These cases are used to illustrate the key role of long-term follow-up clinics in identifying new and emerging treatment-related late effects and underscore the importance of lifetime surveillance and the need for col...
Source: Journal of Pediatric Oncology Nursing - June 20, 2008 Category: Nursing Authors: Meeske, K. A., Nelson, M. B. Tags: Article Source Type: journals

Antibiotics in 30 Minutes or Less for Febrile Neutropenic Patients: A Quality Control Measure in a New HospitalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Infections are the most common complication in patients receiving treatment for cancer with neutropenia being the primary risk factor for the development of an infection. In the neutropenic patient, bacteremia remains a significant cause of mortality. Although the literature reports that prompt empiric antibiotic therapy to prevent death caused by virulent organisms is the standard of care, the literature fails to identify what prompt antibiotic administration means. Door/fever-to-patient antibiotic delivery was evaluated as a quality control measure in a new children's hospital. Initially, door/fever-to-patient time was s...
Source: Journal of Pediatric Oncology Nursing - June 20, 2008 Category: Nursing Authors: Corey, A. L., Snyder, S. Tags: Article Source Type: journals

Examining the Push--Pull Method of Blood Sampling From Central Venous Access DevicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The placement of a central venous access device (CVAD) has revolutionized supportive care for pediatric cancer patients. The CVAD is used to administer chemotherapy/biotherapy, blood products, total parenteral nutrition, antibiotics, and many other supportive medications. CVADs also provide the ability to obtain blood samples without the trauma associated with venipuncture. Frequent blood sampling is often needed to monitor the side effects and response of the cancer treatment. Unfortunately, the most common method requires discarding blood (0.5-10 mL, depending on the institution's protocol) with each lab draws, for vario...
Source: Journal of Pediatric Oncology Nursing - June 20, 2008 Category: Nursing Authors: Adlard, K. Tags: Article Source Type: journals

Talking With Others Who "Just Know": Perceptions of Adolescents With Cancer Who Participate in a Teen GroupEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Adolescents with cancer have social support needs that are challenging to meet. A qualitative descriptive study was done using in-person interviews with 11 participants between the ages of 14 and 20. The purpose of the study was to explore and describe adolescent's perceptions of a teen support group. Two main themes emerged: Satisfying Elements and Challenges in the teen group. The subthemes under Satisfying Elements include participants being able to talk to others who "just know," sharing experiences while having fun as a normal teenager, and giving or receiving inspiration. Subthemes under Challenges as identified by p...
Source: Journal of Pediatric Oncology Nursing - June 20, 2008 Category: Nursing Authors: Cassano, J., Nagel, K., O'Mara, L. Tags: Article Source Type: journals

Phenomenology in Pediatric Cancer Nursing ResearchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
What does it mean to have cancer as a child or adolescent? To understand this, researchers must study the illness from the child's point of view and listen to these children's descriptions of their "lived world." Phenomenology is a qualitative research methodology that can be used to discover and interpret meaning. To use phenomenology congruently, the philosophical background must be understood as well as the adaptation of the philosophical basis to research in the caring sciences. Only when clinicians truly understand the meaning of this illness to the child can they design nursing interventions to ease suffering and inc...
Source: Journal of Pediatric Oncology Nursing - June 20, 2008 Category: Nursing Authors: Fochtman, D. Tags: Article Source Type: journals