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Results: 1 to 4 of 4

Publication Record


Pediatric palliative care in childhood cancer nursing: from diagnosis to cure or end of life.
Foster TL, Lafond DA, Reggio C, Hinds PS
(2010) Semin Oncol Nurs 26: 205-21
MeSH Terms: Bereavement, Child, Communication, Culture, Ethics, Nursing, Humans, Neoplasms, Oncology Nursing, Palliative Care, Pediatric Nursing, Professional-Family Relations, Spirituality
Show Abstract · Added March 11, 2014
OBJECTIVES - To describe selected components of pediatric palliative care from diagnosis to cure or end of life that combine to help nurses and other clinicians achieve goals of care for children with cancer and their families.
DATA SOURCES - Published articles.
CONCLUSION - Pediatric palliative care is characterized by diversity of care delivery models; effect of cancer on the family as the central focus of care; and consideration of culture, spirituality, communication, and ethical standards. End-of-life issues that can be anticipated by nurses and other clinicians include symptoms of cancer or its treatment, the importance of hopefulness, the relevance of trying to be a good parent in decision making, the meaning of legacy making of ill children, and family bereavement.
IMPLICATIONS FOR NURSING PRACTICE - Direct nursing care strategies to achieve pediatric palliative care goals are vital to reduce child and family suffering from cancer.
Copyright © 2010 Elsevier Inc. All rights reserved.
0 Communities
1 Members
0 Resources
12 MeSH Terms
Chronic blood transfusion therapy practices to treat strokes in children with sickle cell disease.
Lindsey T, Watts-Tate N, Southwood E, Routhieaux J, Beatty J, Diane C, Phillips M, Lea G, Brown E, DeBaun MR
(2005) J Am Acad Nurse Pract 17: 277-82
MeSH Terms: Anemia, Sickle Cell, Attitude of Health Personnel, Blood Transfusion, Child, Chronic Disease, Cytapheresis, Evidence-Based Medicine, Exchange Transfusion, Whole Blood, Health Services Needs and Demand, Humans, Long-Term Care, Nurse Practitioners, Nursing Evaluation Research, Nursing Methodology Research, Nursing Staff, Hospital, Pediatric Nursing, Practice Guidelines as Topic, Stroke, Surveys and Questionnaires, Time Factors, Total Quality Management, Transfusion Reaction, Washington
Show Abstract · Added November 27, 2013
PURPOSE - To identify variations in practices used by nurses for pediatric patients with sickle cell disease (SCD) receiving chronic blood transfusion therapy for strokes.
DATA SOURCES - Descriptive study of a convenience sample of 11 nurses who care for children with SCD from nine institutions completed a closed-ended questionnaire consisting of 37 items. Responses reflected practice experience with a total of 189 transfused patients with SCD.
CONCLUSIONS - A wide range of nursing practices exists for blood transfusion therapy for children with SCD and strokes. Manual partial exchange transfusion (66%) was the most commonly used method for blood transfusion in children with strokes reported among the nurses surveyed. Simple transfusions and erythrocytapheresis account for 21% and 13% of the practices reported. Opportunities exist to establish evidence-based nursing care guidelines to improve the care of children with strokes receiving blood transfusion therapy.
IMPLICATIONS FOR PRACTICE - A wide range of local standard care guidelines for blood transfusion therapy exists. The results of this survey indicate that partial manual exchange transfusion is the most commonly used method of chronic blood transfusion therapy in children with SCD and stroke despite the fact that the magnitude of benefit in comparison with simple transfusion has not been established. Factors such as peripheral venous access, compliance with current chelation regimen, and the presence of antibodies are important considerations in the choice of method.
1 Communities
1 Members
0 Resources
23 MeSH Terms
Pediatric palliative care: a family-centered model for critical care.
Gilmer MJ
(2002) Crit Care Nurs Clin North Am 14: 207-14
MeSH Terms: Child, Critical Care, Family, Female, Humans, Models, Organizational, Palliative Care, Patient Education as Topic, Patient-Centered Care, Pediatric Nursing, Professional-Patient Relations
Show Abstract · Added March 27, 2014
Melanie's case and the associated concerns are not unique. Children with life-threatening conditions and their families and communities may benefit from a family-centered model of pediatric palliative care. Benefits from its implementation are not just at the end of life, but throughout the course of therapy. Compassion coupled with a holistic approach incorporating humane and family-centered care is essential in meeting physical, mental, and spiritual needs. An interdisciplinary and collaborative model of pediatric palliative care involves the work of many, including nurses, physicians, social workers, chaplains, child life specialists, pharmacists, ethicists, bereavement counselors, ancillary staff, volunteers, and families themselves. They must incorporate key elements of the model, including clinical services, education and training, support services, and research that address physical, mental, and spiritual needs of families, children, and communities faced with life-threatening conditions.
0 Communities
1 Members
0 Resources
11 MeSH Terms
Ovarian masses in the pediatric patient.
Lovvorn HN, Tucci LA, Stafford PW
(1998) AORN J 67: 568-76; quiz 577, 580-84
MeSH Terms: Child, Female, Germinoma, Humans, Ovarian Neoplasms, Pediatric Nursing, Perioperative Nursing
Show Abstract · Added December 26, 2013
Ovarian masses in the pediatric patient are uncommon. Children with ovarian tumors, however, pose diagnostic and therapeutic challenges because their presentation can mimic other more common intraabdominal disorders and their tumor histology varies widely. The refinement of surgical techniques and the advent of more effective chemotherapy in the past 25 years has increased overall survival rates from approximately 20% to 70%, thus improving the outcome for girls with malignant tumors. This article summarizes the current evaluation and management of ovarian masses in childhood and reviews pertinent pathology.
0 Communities
1 Members
0 Resources
7 MeSH Terms