4 Osteogenic Sarcoma (Osteosarcoma) Nursing Care Plans

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Osteogenic sarcoma (Osteosarcoma) is a primary bone malignancy that usually affects the metaphysics of the long bones (femur, humerus, and tibia). The most common symptoms of osteosarcoma are dull aching pain and swelling in the bone or joint around the tumor. The disease most commonly occurs in children, teenagers, and young adults between the ages of 10 and 20 and it is prevalent in males than females.

Management consists of a combination of treatment that includes amputation of the limb with chemotherapy before and/or following surgery, or a bone and joint prosthesis in selected children to restore the limb with chemotherapy prior the surgery.

Nursing Care Plans

Care plan for a child with osteosarcoma includes prevention of injury, improved condition of oral mucous membranes, relief from anxiety and absence of complications.

Here are four (4) nursing care plans (NCP) and nursing diagnosis (NDx) for osteogenic sarcoma (Osteosarcoma):

  1. Ineffective Protection
  2. Impaired Oral Mucous Membrane
  3. Anxiety
  4. Risk for Injury
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Impaired Oral Mucous Membrane

Impaired Oral Mucous Membrane: Disruption of the lips and soft tissue of the oral cavity.

May be related to

  • Chemotherapy

Possibly evidenced by

  • Inflamed and sore mouth
  • Oral discomfort
  • Oral plaque
  • Hyperemia

Desired Outcomes

  • Child will be free of oral mucous membrane irritation.
  • Child will demonstrate proper oral hygiene upon discharge
Nursing InterventionsRationale
Assess oral cavity for painful burning sensation, erythema, ulcerations, and difficulty eating and drinking.Provides information about the effect of chemotherapy.
Allow the child to choose foods they prefer from the list given.Promotes independence and allows control over the situation to decrease helplessness and enhanced nutritional status.
Teach the child in performing oral hygiene using a soft bristle toothbrush or sponge-tipped swab.Avoids damage and irritation to the oral mucosa.
Encourage the child to eat foods high in protein and vitamins.Promotes wound healing process and enhance recovery.
Encourage the child to suck sugarless candy or gum every 2 hours.Stimulates salivation and avoid dry mouth.
Provide an antiseptic mouth rinse 30 minutes before meals.Promotes comfort of oral mucosa and maintains integrity.
Apply topical analgesic as ordered before meals and encourage cool, bland, and, smooth foods that are not spicy.Prevents trauma and discomfort.
Educate parents on mouth rinsing and topical application of medications.Promotes sufficient oral care to relieve discomfort and prevent mucosa irritation and increased inflammation.
Educate parents regarding chemotherapy effect on the oral mucosa and
its treatment.
Allows better knowledge of the unwanted effects that may occur during chemotherapy.
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See Also

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