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):
Anxiety
Nursing Diagnosis
- Anxiety
May be related to
- Change in health status
- Threat of death
- Threat to self-concept.
Possibly evidenced by
- Increased apprehension and fear of diagnosis
- Expressed concern and worry about preoperative procedures and preparation, postoperative effects of therapy on physical and emotional status, possible metastasis of disease, loss of limb and use of a prosthesis.
Desired Outcomes
- Parent and child will express sentiments about the illness.
Nursing Interventions | Rationale |
---|---|
Assess parent’s and child’s level of anxiety and how it is manifested; the necessity for information that will relieve anxiety. | Provides information about source and level of anxiety and need for interventions to relieve it; sources for the child may be procedures, fear of mutilation or death, unfamiliar hospital environment and may be manifested by restlessness, inability to play, sleep, or eat. |
Assess possible need for special counseling services for the child. | Supports the child’s ability to deal with illness and promotes adjustment to lifestyle changes. |
Encourage parents to stay with child; Leave a telephone number in case of a need for more information. | Enhances care and promotes emotional comfort to the child. |
Communicate with the child based on developmental age level and answer questions calmly and honestly; use pictures, models, and drawings for explanations. | Allows better understanding and promotes trust. |
Allow open expression of concerns about illness, procedures, management, and possible consequences of surgery. | Provides an opportunity to vent feelings and fears to reduce anxiety. |
Provide child with structure and input in decisions about care and routines as possible. | Empower the child and promotes independence. |
Provide consistent care nurse assignment with the same personnel. | Promotes trust and comfort and familiarity with staff giving care. |
Orient child to surgical and ICU unit, equipment, noises, and staff. | Lessens the anxiety incident brought about by the fear of unknown. |
Teach parents and child about the disease process, surgical procedure, what to expect preoperatively and postoperatively including chemotherapy and its benefits and side effects (nausea, vomiting, diarrhea, stomatitis, alopecia, and others are possibilities but are temporary; phantom pain). | Provides information to promote understanding that will relieve fear and anxiety; understanding of preoperative and postoperative treatments and effect on body image. |
Explain all procedures and care in simple, direct, honest terms and repeat as often as necessary; reinforce physician information if needed and provide specific information as requested. | Supplies information about all diagnostic procedures and tests such as CBC, platelets with chemotherapy and scans, and X-rays for diagnosis. |
Inform parents and child of the extent of surgery planned with the removal of a limb (that a temporary prosthesis will be fitted immediately following surgery, and a permanent one will be fitted in 6 to 8 weeks; that recreational and physical therapy will be undertaken following amputation). | Reduces anxiety when knowledge and support is given, and child and parents will not feel betrayed by inadequate preparation of procedures and treatments. |
Introduce the child to another who has same disease and amputation. | Provides information and support from a peer with the same condition and who would have empathy. |
Recommended Resources
Recommended nursing diagnosis and nursing care plan books and resources.
Disclosure: Included below are affiliate links from Amazon at no additional cost from you. We may earn a small commission from your purchase. For more information, check out our privacy policy.
- Nursing Care Plans: Nursing Diagnosis and Intervention (10th Edition)
An awesome book to help you create and customize effective nursing care plans. We highly recommend this book for its completeness and ease of use. - Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions and Rationales
A quick-reference tool to easily select the appropriate nursing diagnosis to plan your patient’s care effectively. - NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023Â (12th Edition)
The official and definitive guide to nursing diagnoses as reviewed and approved by the NANDA-I. This book focuses on the nursing diagnostic labels, their defining characteristics, and risk factors – this does not include nursing interventions and rationales. - Nursing Diagnosis Handbook, 12th Edition Revised Reprint with 2021-2023 NANDA-I® Updates
Another great nursing care plan resource that is updated to include the recent NANDA-I updates. - Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5(TM))
Useful for creating nursing care plans related to mental health and psychiatric nursing. - Ulrich & Canale’s Nursing Care Planning Guides, 8th Edition
Claims to have the most in-depth care plans of any nursing care planning book. Includes 31 detailed nursing diagnosis care plans and 63 disease/disorder care plans. - Maternal Newborn Nursing Care Plans (3rd Edition)
If you’re looking for specific care plans related to maternal and newborn nursing care, this book is for you. - Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care (7th Edition)
An easy-to-use nursing care plan book that is updated with the latest diagnosis from NANDA-I 2021-2023. - All-in-One Nursing Care Planning Resource: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health (5th Edition)
Definitely an all-in-one resources for nursing care planning. It has over 100 care plans for different nursing topics.
See also
Other recommended site resources for this nursing care plan:
- Nursing Care Plans (NCP): Ultimate Guide and Database
Over 150+ nursing care plans for different diseases and conditions. Includes our easy-to-follow guide on how to create nursing care plans from scratch. - Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing
Our comprehensive guide on how to create and write diagnostic labels. Includes detailed nursing care plan guides for common nursing diagnostic labels.
Other nursing care plans for pediatric conditions and diseases:
- Acute Glomerulonephritis | 4 Care Plans
- Acute Rheumatic Fever | 4 Care Plans
- Apnea | 4 Care Plans
- Brain Tumor | 3 Care Plans
- Bronchiolitis | 5 Care Plans
- Cardiac Catheterization | 4 Care Plans
- Cerebral Palsy | 7 Care Plans
- Child Abuse | 4 Care Plans
- Cleft Lip and Cleft Palate | 6 Care Plans
- Congenital Heart Disease | 5 Care Plans
- Congenital Hip Dysplasia | 4 Care Plans
- Croup Syndrome | 5 Care Plans
- Cryptorchidism (Undescended Testes) | 3 Care Plans
- Cystic Fibrosis | 5 Care Plans
- Diabetes Mellitus Type 1 (Juvenile Diabetes) | 4 Care Plans
- Dying Child | 4 Care Plans
- Epiglottitis | 5 Care Plans
- Febrile Seizure | 4 Care Plans
- Guillain-Barre Syndrome | 6 Care Plans
- Hospitalized Child | 5 Care Plans
- Hydrocephalus | 5 Care Plans
- Hypospadias and Epispadias | 4 Care Plans
- Intussusception | 3 Care Plans
- Juvenile Rheumatoid Arthritis | 4 Care Plans
- Kawasaki Disease | 6 Care Plans
- Meningitis | 7 Care Plans
- Nephrotic Syndrome | 5 Care Plans
- Osteogenic Sarcoma (Osteosarcoma) | 4 Care Plans
- Otitis Media | 4 Care Plans
- Scoliosis | 4 Care Plans
- Spina Bifida | 7 Care Plans
- Tonsillitis and Adenoiditis | 4 Care Plans
- Umbilical and Inguinal Hernia | 4 Care Plans
- Vesicoureteral Reflux (VUR) | 5 Care Plans
- Wilms Tumor (Nephroblastoma) | 4 Care Plans