Hematologic Childhood Cancers: An Issue for Kids and Adults

“A diagnosis of childhood cancer is a stressful event. It takes time for families to emotionally process the diagnosis before they can learn how to care for their child as therapy is initiated…”

Photo courtesy of the Children’s Hospital of Michigan.

Essential information for nurses.

In “Hematologic Childhood Cancers: An Evidence-Based Review” in this month’s AJN, author Jessica Lynne Spruit provides an overview of hematologic childhood cancers—among the most common types of cancer in kids—written for nurses who work with kids, teens, and adults. Spruit discusses symptoms, diagnosis, staging, treatment, and longer-term issues, as well as supportive care for both child and family.

The article focuses on acute lymphoblastic leukemia (ALL), acute myelogenous leukemia (AML), Hodgkin lymphoma, and non-Hodgkin lymphoma. A section on survivorship care, with an emphasis on the often-difficult transition from months of intensive treatment to less frequent primary care visits, reminds us to be sensitive to the life-changing nature of any cancer, but especially cancer in kids, for both child and family.

Problems among adult childhood cancer survivors.

We usually think of leukemias and lymphomas as pediatric territory. But today, more children are surviving childhood cancers, and problems related to the cancer itself, or to late treatment affects, can […]

2019-12-10T10:48:48-05:00December 10th, 2019|Nursing|0 Comments

Home for Christmas: Flight Nursing and the Symbols of Hope

The Helm of Awe /courtesy of the author

As nurses, we all have patients who stick with us. I’ve thought of Henry many times since we transferred him six months ago from Dublin to an American hospital to undergo groundbreaking treatment or acute lymphocytic leukemia.

His prognosis was poor—a fact he was well aware of. He’d told his father he wanted to “be done.” He’d had enough of hospitals and the medicine that didn’t cure him and only made him feel worse. He was ambulatory and stable from a medical standpoint, but had the drawn and haggard look of the chronically ill. Most disturbing was his reticence. There was none of the enthusiasm I’d expect from a 12-year-old riding across the Atlantic in a Learjet—he couldn’t even be coaxed to lean into the cockpit.

The only time he perked up was when we landed for fuel in Keflavik, Iceland. He sat up and gazed out the window on our approach, looking interested in his surroundings for the first time.  I found out from his dad that he’d missed a school trip to the island due to his cancer, and I started telling him all I knew of Iceland, which wasn’t much. At that time, I had never […]

Financial Strain and Childhood Cancer: What’s Your Definition of ‘Freedom’?

By Peggy McDaniel, BSN, RN  

I recently read a stirring blog post in the NY Times from a fellow nurse, about a cancer patient she’d treated who was an insurance salesman but whose last months were dominated by a desperate attempt to manage his mounting medical bills, bills which left his wife with a second massive burden on top of her grief at his death.

by frozenchipmunk, via flickr

Like Theresa Brown, I am an oncology nurse. In my work in pediatric oncology, I have also seen families ravaged by cancer treatment—physically, emotionally, and economically. Young families that fight to save their children often end up bankrupt, or with a ruined marriage from the emotional strain of dealing with a loss coupled with financial strain. Financial concerns are ever present. 

Theresa’s article really hit home. I hope you take the time to read it. As I was listening to President Obama’s health care reform speech last week, I heard him mention Senator Kennedy’s experience as a parent of two children diagnosed with cancer. When it comes to the pain and suffering that children experience during treatment, the Kennedy childrens’ experience and that of children without reliable insurance were probably quite similar.

I would guess, though, that the experience was very different for the parents. […]

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