Child Health Nursing Partnering with Children Families儿童健康护理与儿童及家庭的合作伙伴关系.ppt

下载文档 降价啦

1
0
约 46页
2016-12-30 发布于上海
举报
版权申诉
保障服务

Child Health Nursing Partnering with Children Families儿童健康护理与儿童及家庭的合作伙伴关系.ppt

1、本文档共46页，可阅读全部内容。
2、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。
3、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。

Kristine Ruggiero CPNP, MSN, RN Chapter 29 Alterations in Cellular Growth Differences between Pediatric and Adult presentation of Cancer Incidence of Cancer in Childhood: Approximately 9,000 children diagnosed in United States in 2003 Cancer is the leading cause of death for children under age 15 In 2003, about 1,500 children died of cancer, 1/3rd from leukemia Types of tumors vary by age and affect survival rate FIGURE 29–1 Percentage of primary tumors by site of origin for different age groups. Notice that in the early years of life, in addition to leukemia, cancers that derive from embryonic cells such as sympathetic nervous system (neuroblastoma) and eye (retinoblastoma) are common. As the child grows, lymphoma becomes more common in school years, and germ cell cancers of ovary and testes emerge as more common causes in teens. Anatomy and Physiology of Pediatric Differences Immune system more immature in children This affects how well body can defend itself Nonspecific and specific cellular responses are immature in infants and premies Children are still growing and developing As a result, some cancers grow and progress more rapidly Apoptosis (programmed-cell death) not well-developed in young children Children more commonly present with metastases at time of dx than adults d/t the difficulty in recognizing s/sx of cancer (usually mistaken for childhood illness) Differences between adults and children with cancer Childhood cancers respond better to chemotherapy Children tolerate chemotherapy better than adults Childhood survivors of cancer need to be monitored for late-effects and long-term side effects of cancer treatment “Late-effects” clinics Etiology and Pathophysiology Alterations in cellular growth occur in response to external and internal stimuli Neoplasms are caused by one or a combination of three factors; External stimuli that cause genetic mutations Innate immune system and gene abnormalities Chromosomal abnormalities FIGURE 29–2 A pro