combination drugs is GI mucosal cell damage, which results in open, painful sores anywhere along the alimentary tract. Oral sores in the mouth or pharynx, along the esophagus can also happen in the rectal area. These lesions greatly compound anorexia because eating is very uncomfortable. Some medicines used to treat childhood cancer can have the neurotoxic effects of the extreme inability to have a bowel movement and jaw pain. Administration of opioid pain-relieving drugs can increase the inability to have a bowel movement. Nerve-related problems such as foot drop and weakness, numbness of the arms, legs, and hands may cause difficulty in walking or fine hand movements. The nurse should look for these complications and educate parents of the
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Not all children will lose their hair during therapy, however it is better to warn children and the parents then to allow them to think it is only a remote possibility. The family should know that the hair falls out in clumps causing patchy baldness. Wigs or headscarves can be worn to protect the head and mask the baldness. Generally, the hair regrows in 3 to 6 months often returning darker, thicker and curlier than before. Short term steroid therapy has no acute problems and often results in two helpful reactions, an increased desire to eat and a sense of well-being. Visible changes in the body such as cushingoid appearance can be very upsetting to older children. While parents may appreciate the full round look of the child because it simulates the look of a well, healthy child. It may be helpful to reassure the child that after the steroid treatment is stopped the facial outlines will return to their …show more content…
They must gain extensive knowledge of nonopioid drugs and opioid medications used in child-related pain management. Combined pain management teams are used in many pediatric cancer care centers. They serve as consultants and provide the ability to do things very well in the evaluation and management of pain. The nurse often serves as the coordinator of care. It may take more than a trial of one type of medicine to find the appropriate agent to manage the patient's pain. The route pain medicines are given should be thoroughly thought through. IV or oral administration should be chosen if available before painful IM
Not all children will lose their hair during therapy, however it is better to warn children and the parents then to allow them to think it is only a remote possibility. The family should know that the hair falls out in clumps causing patchy baldness. Wigs or headscarves can be worn to protect the head and mask the baldness. Generally, the hair regrows in 3 to 6 months often returning darker, thicker and curlier than before. Short term steroid therapy has no acute problems and often results in two helpful reactions, an increased desire to eat and a sense of well-being. Visible changes in the body such as cushingoid appearance can be very upsetting to older children. While parents may appreciate the full round look of the child because it simulates the look of a well, healthy child. It may be helpful to reassure the child that after the steroid treatment is stopped the facial outlines will return to their …show more content…
They must gain extensive knowledge of nonopioid drugs and opioid medications used in child-related pain management. Combined pain management teams are used in many pediatric cancer care centers. They serve as consultants and provide the ability to do things very well in the evaluation and management of pain. The nurse often serves as the coordinator of care. It may take more than a trial of one type of medicine to find the appropriate agent to manage the patient's pain. The route pain medicines are given should be thoroughly thought through. IV or oral administration should be chosen if available before painful IM