Psychosocial Care of the Pediatric Oncology Patient Undergoing Surgical Treatment
Insights
Pediatric cancer patients experience significant anxiety during surgical treatments. Nurses can help manage this distress through interventions like therapeutic play and educational preparation.
Area of Science:
- Pediatric Oncology
- Child Psychology
- Surgical Nursing
Background:
- Cancer diagnosis is a significant stressor for children.
- Surgical and procedural treatments can heighten anxiety and distress in pediatric patients.
- Understanding psychosocial impacts is crucial for effective care.
Purpose of the Study:
- To review the psychosocial aspects experienced by children with cancer undergoing surgical and procedural treatments.
- To identify key interventions for managing anxiety and distress in these children.
Main Methods:
- Literature search of CINAHL, PubMed, and PsycINFO databases.
- Review focused on psychosocial experiences and interventions for pediatric cancer patients.
Main Results:
- Pediatric cancer diagnosis leads to anxiety and distress.
- Surgical interventions exacerbate these psychological responses.
- Assessing developmental level and prior experiences is key to intervention selection.
Conclusions:
- Nurses play a vital role in assessing and managing patient anxiety.
- Evidence-based interventions include therapeutic play, structured education, and art programs like the Hope Bead program.
- Effective coping strategies are essential for pediatric cancer patients facing treatment.
Objective:
To review the psychosocial aspects experienced by children with cancer undergoing surgical and procedural treatments.
Data Sources:
CINAHL, PubMed, and PsycINFO resources.
Conclusion:
The diagnosis of cancer is a threatening experience for the pediatric patient with cancer leading to anxiety and distress, which is elevated with a surgical or procedural approach to treatment. Assessing the child's developmental level and previous experiences are fundamental in identifying the appropriate interventions to reduce anxiety and distress to support effective coping.
Implications For Nursing Practice:
Nurses are instrumental in assessing the child's level of anxiety related to surgical procedures. Suggested evidence-based interventions for anxiety and distress include therapeutic play, structured educational preparation, and art-based programs (ie, Hope Bead program).
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