Terminal Illness/End Of Life/Oncology

End of Life

100

What is palliative care? 

An interprofessional approach that focuses on improving quality of life rather than prolonging life when cures are not possible. Focus is on control of managing the client’s manifestations and offering supportive care.

200

What is often seen in the infant/Toddler stage of grief

Have little to no concept of death

Mirror parental emotions

React in response to the changes

Can regress to an earlier behavior

300

What is often seen in the School-Age child during grief? 

• Start to respond to logical or factual explanations.
• Begin to have an adult concept of death (inevitable, irreversible, universal)
• Experience fear of the disease process, death process, the unknown, and loss of control.
• Fear often displayed through uncooperative behavior.
• Can be curious about funeral services and what happens to the body after death.

400

What is seen in the school age child during grief? 

Egocentric thinking 

Magical thinking (can think death is their fault) 

Think that death is temporary

500

What are common factors affecting the grieving process? 

• Interpersonal relationships and social support networks
• Type and significance of loss
• Culture and ethnicity
• Spiritual and religious beliefs and practices
• Prior experience with loss
• Socioeconomic status

Oncology

100

What is Wilm's tumor? 

Usually unilateral

Tumor in the kidneys or abdomen 

Metastasis is rare

200

What is osteosarcoma? 

This type of cancer is usually found in the long bones 

Usually found in adolescence 

Usually c/o bone pain, weakness, swelling, anemia and fever

300

Side effects of chemotherapy 

(name 2)

Skin breakdown 

Oral ulcers 

Hair loss 

Pain 

Loss of appetite 

Bone marrow suppression