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Pediatric Cancer and Leukemia PowerPoint Presentation

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Description : Check out this medical presentation on Childhood Cancer, which is titled "Pediatric Cancer & Leukemia", to know about pediatric oncology and leukemia.

Tags : Childhood Cancer, Pediatric Cancer, Leukemia, pediatric oncology

Published on : May 13, 2021 | Views : 2684 | Downloads : 4

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Slide 1-

Pediatric Cancer & Leukemia
Slide 2-

Pediatric Oncology Acute leukemia Brain tumors Lymphoma Neuroblastoma Wilm’s tumor Rhabdomyosarcoma Retinoblastoma Osteosarcoma Ewing’s sarcoma
Slide 3-

What is Leukemia? Most common childhood malignancy Acute lymphoblastic leukemia (ALL) Acute nonlymphoblastic leukemia (ANLL) Acute myelogenous leukemia (AML)
Slide 4-

Brain Tumors 2nd most common type of cancer 1200 US cases diagnosed/year Described in terms of: Metastasis (M stage) Size of tumor (T stage)
Slide 5-

Brain Tumors Terminal to curable Neuropsychological impact varies based on: Location, size, tumor type Type of treatment Disease of complications Patient factors Social factors
Slide 6-

Medical Treatment Radiation Chemotherapy Surgery Most cancers considered CURED if no relapse in 5 years.
Slide 7-

Bone Marrow Transplantation Aggressive treatment for malignancies Give near-lethal doses of chemotherapy or radiation Replace dead cells with transplanted healthy cells Autologous vs. Allogenic
Slide 8-

Stages of BMT Donor search & initial evaluation Preparative treatment Bone marrow infusion
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Stages of BMT Severe neutropenia Engraftment Graft-versus-Host disease Follow-up
Slide 10-

Phases of Cancer Diagnosis Initiation of treatment Remission or illness stabilization Completion of medical therapy Long-term survival and cue vs. Relapse or deterioration Terminal illness & death Post-death adjustment of family
Slide 11-

Diagnosis Address emotional reaction Evaluate family understanding Determine financial resources Financial Social
Slide 12-

Diagnosis Communication with others What to tell the child? Go slowly Encourage questions Convey hope Establish trust Gauge details to developmental ability
Slide 13-

Treatment Disruption of life Complex treatment schedules Feeling poorly Reaction of others Maintain contact with school
Slide 14-

Treatment Coping with acute & chronic pain Bone marrow aspirations (BMA) & lumbar punctures (LP) Distraction, relaxation, hypnosis Anticipatory nausea & vomiting Classical conditioning Relaxation, imagery, distraction
Slide 15-

Treatment Parents need to feel some control during the treatment process Helplessness Hopelessness
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Don’t forget the siblings! Suggestions for parents Give them time too Choose caregivers carefully Set limits on gifts Allow them to “help out” Answer questions
Slide 17-

Coping Strategies Adaptive Positive reframing Acceptance Social support Maintaining objectivity Active involvement Maladaptive Denial Helplessness Cognitive escape Behavioral escape
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Remission or Stabilization Maintenance chemotherapy Return to school Social re-entry concerns Academic performance Role of doubts and fears
Slide 19-

Completion of Treatment Emotional reliance on treatment Weaning from frequent appointments
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Completion of Treatment Marital stress Difficulty with discipline
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Long-term Survival & Care Learning & memory problems Endocrine dysfunction Emotional outcomes
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Relapse & Recurrence Occurs in 40-50% of pediatric oncology patients May be harder emotionally than initial diagnosis Re-learn basic info Experimental treatments, etc.
Slide 23-

Terminal Illness & Death Communication issues What do children know about “death?” What do children fear about “death?” How can parents discuss the child’s own death with him/her?
Slide 24-

Children’s Understanding of Death
Slide 25-

Common Fears of Death Fear of pain Fear of being alone Fear of the unknown Fear of disappointing parents Fear of leaving others behind
Slide 26-

Parents Talking to their Children about Death Concerns Will it lead to difficulty coping after the child’s death? Will it interfere with the child’s sense of hope? Will it impact the child’s medical care?
Slide 27-

Parents Talking to their Children about Death What can they say? Answer questions honestly Give the child permission to cry, be angry, or be sad Tell children that adults do not understand death Reassure child that loss is never complete
Slide 28-

Preparing for Death Anticipatory grieving Preparation for death Hospice care
Slide 29-

After child’s death… Mourning Support groups