Pediatric oncology nursing advanced clinical handbook

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  • 1. PEDIATRIC ONCOLOGY
  • 2. Deborah TomlinsonNancy E. Kline(Eds.)PediatricOncologyNursingAdvanced ClinicalHandbookWith 43 Figures and 203 Tables123
  • 3. Library of Congress Control Number 2004101947 ISBN 3-540-40851-7 Springer Berlin Heidelberg NewYork ISSN 1613-53Deborah Tomlinson MN, RSCN, RGN, This work is subject to copyright. All rights are reserved,Dip. Cancer Nursing whether the whole or part of the material is concerned, specif- ically the rights of translation, reprinting, reuse of illustrations,Macmillan Lecturer/Project Leader recitation, broadcasting, reproduction on microlm or in anySchool of Nursing Studies other way, and storage in data banks. Duplication of this pub-University of Edinburgh lication or parts thereof is permitted only under the provisions31 Buccleuch Place of the German Copyright Law of September 9, 1965, in its cur-Edinburgh, EH8 9JT rent version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecutionScotland, UK under the German Copyright Law.Nancy E. Kline PhD, RN, CPNP, FAAN, Springer is a part of Springer Science+Business MediaDirector springeronline.comCenter for Innovation and Clinical Scholarship Springer-Verlag Berlin Heidelberg 2005Childrens Hospital Boston Printed in GermanyWolbach 201 The use of general descriptive names, registered names, trade-300 Longwood Avenue marks, etc. in this publication does not imply, even in theBoston, MA 02115 absence of a specic statement, that such names are exemptUSA from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accu- racy of any information about dosage and application con- tained in this book. In every individual case the user must check such information by consulting the relevant literature. Medical Editor: Dr. Julia Heidelmann, Heidelberg, Germany Desk Editor: Meike Stoeck, Heidelberg, Germany Cover design: Erich Kirchner, Heidelberg, Germany Layout: Bernd Wieland, Heidelberg, Germany Production: Pro Edit GmbH, Heidelberg, Germany Reproduction and typesetting: AM-productions GmbH, Wiesloch, Germany 21/3150 5 4 3 2 1 0 Printed on acid-free paper
  • 4. V DedicationTo the nurses, and others,who use the information in this book,and to the children they serve,we dedicate this work.To my husband Chris and our children,Vivian, Sam and Suzanne to the moon and back.Deborah TomlinsonTo my parents, and Michael.I am forever grateful for your love and support.Nancy E. Kline
  • 5. VII PrefacePediatric Oncology Nursing: Advanced Clinical etiology, symptoms and clinical signs, diagnostic andHandbook is a joint effort between nurses in Cana- laboratory procedures, treatment, prognosis, and fol-da, the UK, and the USA. This is a rst-time collabo- low up care are included for each of the disorders.ration between pediatric hematology and oncology Part Three covers cancer treatment, includingnurses from two continents and represents a blend- chemotherapy, radiation therapy, peripheral steming of knowledge from these experts. The book is de- cell transplantation, surgery, gene therapy, and com-signed to be a comprehensive clinical handbook for plementary and alternative medicine. The principlesnurses in advanced practice working with pediatric and description of treatment, method of treatmenthematology / oncology patients. Specic issues relat- delivery, potential side effects, and special considera-ed to young children and adolescents with cancer and tions for each type of treatment are discussed.hematologic disorders are discussed. Part Four focuses on the side effects of cancer Twenty-two contributors and two editors partici- treatment in relation to metabolic processes and thepated in the writing of this text. Nurses in advanced gastrointestinal, hematologic, respiratory, urinary,practice and academic roles nurse practitioners, cardiovascular, neurologic, musculoskeletal, integu-clinical nurse specialists, clinical instructors, lectur- mentary, and endocrine systems. The incidence, eti-ers, and educators were involved. One of the most ology, treatment, prevention, and prognosis are in-appealing features of this text is the varied experience cluded for each side effect reviewed.represented by nurses from different countries and Part Five includes essential information regardingdifferent educational backgrounds. supportive and palliative care of pediatric cancer pa- The book is divided into ve sections: pediatric can- tients. Nutrition, hydration, pain, transfusion thera-cers, hematologic disorders, treatment of childhood py, growth factors, and care of the dying child arecancer, side effects of treatment and disease, and sup- covered. The principles of treatment for these condi-portive and palliative care. Many tables and illustra- tions, method of delivery, and special considerationstions are included for quick reference in the clinical for certain conditions are included.setting. Future perspectives and opportunities for As the editors of Pediatric Oncology Nursing: Ad-new treatment options and research are discussed. vanced Clinical Handbook we want to recognize and Part One focuses on pediatric cancers: the leuke- thank everyone who participated in the developmentmias and solid tumors. The most common pediatric of this text. We are profoundly aware of the personaltumors, as well as some rare tumors, are discussed time and commitment that was devoted to make thiswith regard to epidemiology, etiology, molecular ge- an outstanding resource, and we are grateful. It is ournetics, symptoms and clinical signs, diagnostic and hope that nurses in advanced clinical practice willlaboratory testing, staging and classication, treat- nd this publication useful and that it will enrichment, prognosis, and follow-up care. knowledge and improve care for young people with Part Two focuses on pediatric hematology. The cancer and hematologic disorders.anemias, bleeding disorders, neutropenia, and throm-bocytopenia are discussed in detail. Epidemiology, Deborah Tomlinson, Nancy E. Kline
  • 6. IX ContributorsSharon Beardsmore SRN, RSCN, Dip Palliative Care Nicki Fitzmaurice RGN, RSCN, Dip N, BScPaediatric Macmillan Nurse, Paediatric Macmillan Nurse, BirminghamsBirminghams Childrens Hospital NHS Trust, Childrens Hospital NHS Trust, Birmingham, UKBirmingham, UK Ali Hall RSCN, RGN, BA, M.Phil,Jane Belmore RSCN, RGN, Dip Palliative Care Ad Dip Child DevelopmentMacmillan Clinical Nurse Specialist, Schiehallion Paediatric Oncology Outreach Nurse Specialist,Day Care Unit, Royal Hospital for Sick Children, Schiehallion Day Care Unit, Yorkhill NHS Trust,Yorkhill NHS Trust, Glasgow, G3 8SJ, Scotland, UK Glasgow, G3 8SJ, Scotland, UKRosalind Bryant MN, RN, PNP Eleanor Hendershot RN, BScN, MNInstructor of Pediatrics, Clinical Nurse Specialist/Acute Care NursePediatric Nurse Practitioner, Practitioner, Hospital For Sick Children,Texas Childrens Cancer Center Division of Hematology Oncology and Hematology Service, 6621 Fannin MC1-3320, Solid Tumor Program, 55