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
Risk for Injury
- Risk for Injury
May be related to
- [not applicable]
Possibly evidenced by
- Amputation of a limb
- Changes in stump incision (redness, irritation, swelling, drainage)
- Improper fit of prosthesis and failure to adapt to it
- Improper positioning and alignment of the stump, psychosocial maladaption to prosthesis
- Child will not experience injury as evidenced by clean and dry stump without redness, odor, or drainage.
|Assess child for type of surgery and|
condition and healing of the stump,
type of bandaging or cast, presence
of drains, type of prosthetic device and fit.
|Provides information about amputation needed to provide specific care of stump and rehabilitation.|
|Observe dressing for bleeding, redness, pain, drainage at stump area every 2 to 4 hours; maintain dressing pressure or wrapping of the stump as adviced; change dressing only if ordered.||Indicates infection or risk of hemorrhage at amputation.|
|Allow expressions about sudden lifestyle changes and permanent disability adjustment difficulties.||Promotes verbalization of feelings and help to adjust with change in image.|
|Provide stump and socket care using mild|
soap and warm water, rinse and pat dry.
|Promotes adaptation to device and prevents infection caused by pathogens transmitted via the prosthetic device.|
|Assist child with range-of-motion exercises daily as recommended by the physical therapist.||Promotes mobility and healing of the stump and prevents contractures.|
|Maintain Trendelenburg and prone|
position as ordered; avoid elevation, external rotation, or abduction of stump.
|Prevents deformities and contractures caused by hip flexion.|
|Instruct child in stump positioning and exercising, ROM of muscles and joints.||Prevents muscle or joint complications and enhances mobility.|
|Teach parents and child in stump|
care, toughening exercises, application of stocking and prosthesis, care of device.
|Promotes adaptation to loss and proper stump and prosthesis care.|
|Stress the importance of performing daily activities and avoiding restrictions as advice.||Promotes mobility and return to former activities within limitation imposed by amputation and use of the prosthetic device.|
|Discuss alteration in clothing and|
instruct in crutch walking and how to move around the environment.
|Enhances body image and return to limited activities.|
|Reassure the child that feelings of anger, denial, and hostility are normal following such a loss.||Promotes acceptance of child while grieving for the loss.|
|Encourage parents and child to continue|
chemotherapy and rehabilitation therapy.
Recommended nursing diagnosis and nursing care plan books and resources.
- 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, 2021-2023 (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.
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