ncore 2018 main conf slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child was...

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Rehabilitation in Pediatric oncology Julius scott 1

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Page 1: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

R e h a b i l i t a t i o n i n

P e d i a t r i c o n c o l o g y

Julius scott

1

Page 2: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

ADULT vs CHILDHOOD

CANCER

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Page 3: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

• Common type of cancers

• Co morbid factors

• Type of treatment

• Side effects

• Outcome

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Page 4: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

CHILDHOOD

Page 5: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS
Page 6: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS
Page 7: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS
Page 8: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

FINANCIAL SUPPORT PSYCHOSOCIAL SUPPORT

MEDICAL SUPPORT FAMILY SUPPORT

Childhood cancer

Page 9: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

Special needs

Autism

Downs syndrome

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Page 10: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

During treatment

Education

Physical therapy

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Page 11: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

Your Name- Your Topic 11

Page 12: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS
Page 13: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

Tumours

neuroblastoma CNS tumour Acute leukemia Bone tumour

Page 14: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

Treatments

Intrathecalchemotherapy

Craniospinalirradiation

Iv chemotherapy

surgery

Page 15: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

After Years of Missing

….

games school parties

Page 16: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

Losing………

Hair& self confidence Self identity Appetite

Page 17: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

Going through …

chemotherapy Painful pricks loneliness

Page 18: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

For the family….

Financial deficit No family support Marital conflicts

Page 19: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

Future …….???????

Page 20: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

16 year old boy

Aspiring to get selected into

national Cricket team

Was diagnosed to have

osteosarcoma , few weeks before

the selection process

Page 21: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

Children with peripheral bone

tumours

After undergoing chemotherapy,

surgery ….

What is the future goal ??

Page 22: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS
Page 23: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

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Page 24: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

7 year old child

Was diagnosed to have Acute leukemia

Received chemotherapy and cranial irradiation due to CNS involvement

at presentation

He was a topper In the class prior to his disease condition;

Now 3 years after therapy

Page 25: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS
Page 26: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

4 year old boy was diagnosed

to have brain tumour

Underwent surgical excision

and chemotherapy

Current status of child …

Page 27: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

Posterior fossa syndrome

Page 28: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

13 year old girl

Diagnosed to have germ cell

tumour

Completed chemotherapy

Was complained to be less

attentive in class and not

completing the tasks assigned

Was found to have severe hearing

loss

Page 29: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

EVEN PALLIATIVE

SETTING

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Page 30: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

REHABILITATION

Special education

Occupational therapist

Physical therapist

Financial

Infection precaution

Priority

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DON’T HESITATE

Page 31: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

Your Name- Your Topic 31

Page 32: NCORE 2018 Main Conf Slidencore2018.smrthihealth.in/docs/2018/9.pdf · 7 year old child Was diagnosed to have Acute leukemia Received chemotherapy and cranial irradiation due to CNS

Thank you9488286303

[email protected]

Your Name- Your Topic 32