Pub Date : 1989-01-01DOI: 10.1177/104345428900600207
S P Heiney, K Goon-Johnson, R S Ettinger, S Ettinger
The stress and psychological difficulties of siblings of children with cancer is well documented. Siblings must cope with a myriad of emotions, isolation from the family, and many changes in daily life. Therefore, a need exists to determine the effects of psychosocial interventions on siblings of cancer patients. The support group is one psychosocial intervention that has been suggested as a method to relieve stress and enhance coping. A quasi-experimental design was selected to determine the effects of participation in a support group on the social adjustment of siblings of children with cancer. Conclusions suggest that a support group provides siblings with the opportunity to decrease their sense of isolation, ventilate negative feelings, and learn from each other. Additionally, descriptive data suggest a need for ongoing follow-up with siblings to help them manage the stresses emerging from the impact of the diagnosis and treatment on the family. Implications of this study suggest that nurses should organize support groups for siblings and/or refer them to existing groups. Also, this study suggests the need to work with siblings and educate parents regarding sibling concerns.
{"title":"The effects of group therapy on siblings of pediatric oncology patients.","authors":"S P Heiney, K Goon-Johnson, R S Ettinger, S Ettinger","doi":"10.1177/104345428900600207","DOIUrl":"https://doi.org/10.1177/104345428900600207","url":null,"abstract":"The stress and psychological difficulties of siblings of children with cancer is well documented. Siblings must cope with a myriad of emotions, isolation from the family, and many changes in daily life. Therefore, a need exists to determine the effects of psychosocial interventions on siblings of cancer patients. The support group is one psychosocial intervention that has been suggested as a method to relieve stress and enhance coping. A quasi-experimental design was selected to determine the effects of participation in a support group on the social adjustment of siblings of children with cancer. Conclusions suggest that a support group provides siblings with the opportunity to decrease their sense of isolation, ventilate negative feelings, and learn from each other. Additionally, descriptive data suggest a need for ongoing follow-up with siblings to help them manage the stresses emerging from the impact of the diagnosis and treatment on the family. Implications of this study suggest that nurses should organize support groups for siblings and/or refer them to existing groups. Also, this study suggests the need to work with siblings and educate parents regarding sibling concerns.","PeriodicalId":77742,"journal":{"name":"Journal of the Association of Pediatric Oncology Nurses","volume":"6 2","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/104345428900600207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13877904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1989-01-01DOI: 10.1177/104345428900600106
W A Thurber
1955 and 1979 (31%) were still alive in 1984.’ At present, more than 50% of children with cancer are alive five years after initial diagnosis and treatment.’ Unfortunately, these lifesaving treatments have side effects. The late effects of treatment are diverse, and include anatomic and physiologic alterations, psychosocial disturbances, and carcinogenesis. In addition, genetic effects raise issues regarding fertility, and the prospect of having healthy children when fertility is retained.~ This presentation focuses on the offspring of cancer survivors, addressing reasons for concern, and presenting some of the recent data.
{"title":"Offspring of childhood cancer survivors.","authors":"W A Thurber","doi":"10.1177/104345428900600106","DOIUrl":"https://doi.org/10.1177/104345428900600106","url":null,"abstract":"1955 and 1979 (31%) were still alive in 1984.’ At present, more than 50% of children with cancer are alive five years after initial diagnosis and treatment.’ Unfortunately, these lifesaving treatments have side effects. The late effects of treatment are diverse, and include anatomic and physiologic alterations, psychosocial disturbances, and carcinogenesis. In addition, genetic effects raise issues regarding fertility, and the prospect of having healthy children when fertility is retained.~ This presentation focuses on the offspring of cancer survivors, addressing reasons for concern, and presenting some of the recent data.","PeriodicalId":77742,"journal":{"name":"Journal of the Association of Pediatric Oncology Nurses","volume":"6 1","pages":"17-9"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/104345428900600106","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14058130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1989-01-01DOI: 10.1177/104345428900600217
M D Ouellette-Kinneer
Parent-sibling communication was positively related to social competence prior to death, but at no time after death (rl=0.29, p<.05). Parent-sibling ~ communication was inversely related to behavior problems following death, but not prior to death in all the behavior problem scales. The strongest consistent relationship between parent-sibling communication and coping was found in the External Behavior Problems sub-scale (r2=-0.41, p<.01; r3=-0.33, p<.05; rq=-0.42, p<.05). Implications
{"title":"Nutrition in the child with cancer.","authors":"M D Ouellette-Kinneer","doi":"10.1177/104345428900600217","DOIUrl":"https://doi.org/10.1177/104345428900600217","url":null,"abstract":"Parent-sibling communication was positively related to social competence prior to death, but at no time after death (rl=0.29, p<.05). Parent-sibling ~ communication was inversely related to behavior problems following death, but not prior to death in all the behavior problem scales. The strongest consistent relationship between parent-sibling communication and coping was found in the External Behavior Problems sub-scale (r2=-0.41, p<.01; r3=-0.33, p<.05; rq=-0.42, p<.05). Implications","PeriodicalId":77742,"journal":{"name":"Journal of the Association of Pediatric Oncology Nurses","volume":"6 2","pages":"27-8"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/104345428900600217","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13645209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1989-01-01DOI: 10.1177/104345428900600109
N Burnham, D L Betcher
{"title":"BCNU (carmustine).","authors":"N Burnham, D L Betcher","doi":"10.1177/104345428900600109","DOIUrl":"https://doi.org/10.1177/104345428900600109","url":null,"abstract":"","PeriodicalId":77742,"journal":{"name":"Journal of the Association of Pediatric Oncology Nurses","volume":"6 1","pages":"23-5"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/104345428900600109","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14058132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Proceedings of the Twelfth Annual APON Conference. Caring: the foundation of pediatric oncology nursing. October 12-14, 1988, Denver, Colorado.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77742,"journal":{"name":"Journal of the Association of Pediatric Oncology Nurses","volume":"6 2","pages":"16-41"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13877900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1989-01-01DOI: 10.1177/104345428900600229
E W O'Neill
{"title":"Art therapy with children with cancer.","authors":"E W O'Neill","doi":"10.1177/104345428900600229","DOIUrl":"https://doi.org/10.1177/104345428900600229","url":null,"abstract":"","PeriodicalId":77742,"journal":{"name":"Journal of the Association of Pediatric Oncology Nurses","volume":"6 2","pages":"36-7"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/104345428900600229","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13878526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1989-01-01DOI: 10.1177/104345428900600225
T Shiminski-Maher
{"title":"Care for the child with central nervous system tumors.","authors":"T Shiminski-Maher","doi":"10.1177/104345428900600225","DOIUrl":"https://doi.org/10.1177/104345428900600225","url":null,"abstract":"","PeriodicalId":77742,"journal":{"name":"Journal of the Association of Pediatric Oncology Nurses","volume":"6 2","pages":"33"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/104345428900600225","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13904646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1989-01-01DOI: 10.1177/104345428900600103
A T Meadows
Anna T. Meadows, MD, is a Senior Physician in the Department of Medicine and Director of Epidemiology, Etiology, and Genetics at the Children’s Cancer Research Centerat Children’s Hospital of Philadelphia and Professor of Pediatrics in the University of Pennsylvania School of Medicine in Philadelphia, Pennsylvania. Of the various late complications of cancer therapy, none is more serious or devastating than the development of a second malignant neoplasm (SMN). Studies have demonstrated that, as with adults who have cancer, children are also at increased risk of developing SMN.’-’ In general, the risk is estimated to be at least ten times greater than the cancer incidence among age-matched individuals. In addition, since large numbers of cured children have not yet experienced life spans approaching that expected in the general population, the total life-time cancer incidence is not yet known. However, all childhood cancer survivors are not equally susceptible. Specific treatment modalities and defined host conditions have been associated
{"title":"Second malignant neoplasms in childhood cancer survivors.","authors":"A T Meadows","doi":"10.1177/104345428900600103","DOIUrl":"https://doi.org/10.1177/104345428900600103","url":null,"abstract":"Anna T. Meadows, MD, is a Senior Physician in the Department of Medicine and Director of Epidemiology, Etiology, and Genetics at the Children’s Cancer Research Centerat Children’s Hospital of Philadelphia and Professor of Pediatrics in the University of Pennsylvania School of Medicine in Philadelphia, Pennsylvania. Of the various late complications of cancer therapy, none is more serious or devastating than the development of a second malignant neoplasm (SMN). Studies have demonstrated that, as with adults who have cancer, children are also at increased risk of developing SMN.’-’ In general, the risk is estimated to be at least ten times greater than the cancer incidence among age-matched individuals. In addition, since large numbers of cured children have not yet experienced life spans approaching that expected in the general population, the total life-time cancer incidence is not yet known. However, all childhood cancer survivors are not equally susceptible. Specific treatment modalities and defined host conditions have been associated","PeriodicalId":77742,"journal":{"name":"Journal of the Association of Pediatric Oncology Nurses","volume":"6 1","pages":"7-11"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/104345428900600103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13788839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1989-01-01DOI: 10.1177/104345428900600222
R C Straw
Rodney C. Straw, BVSc, is a Diplomate in the American College of Veterinary Science and an Assistant Professor of Oncology in the School of Veterinary Medicine at Colorado State University in Fort Collins, Colorado. Spontaneously occurring neoplastic diseases in pet animals can provide valuable models for the study and evaluation of treatments for similar diseases in man. Appendicular canine osteosarcoma (OSA) is an excellent example. Canine and human OSA are similar in that the patient is generally large, slightly more males than females are affected, lesions are usually located in metaphyseal sites, stage IIB disease is most common, metastasis
{"title":"Limb preservation: from research to practice.","authors":"R C Straw","doi":"10.1177/104345428900600222","DOIUrl":"https://doi.org/10.1177/104345428900600222","url":null,"abstract":"Rodney C. Straw, BVSc, is a Diplomate in the American College of Veterinary Science and an Assistant Professor of Oncology in the School of Veterinary Medicine at Colorado State University in Fort Collins, Colorado. Spontaneously occurring neoplastic diseases in pet animals can provide valuable models for the study and evaluation of treatments for similar diseases in man. Appendicular canine osteosarcoma (OSA) is an excellent example. Canine and human OSA are similar in that the patient is generally large, slightly more males than females are affected, lesions are usually located in metaphyseal sites, stage IIB disease is most common, metastasis","PeriodicalId":77742,"journal":{"name":"Journal of the Association of Pediatric Oncology Nurses","volume":"6 2","pages":"31"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/104345428900600222","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13803809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1989-01-01DOI: 10.1177/104345428900600208
L Odom
Lorrie F. Odom, MD, is an Associate Professor of Pediatrics and Director of the Oncology/Hematology Division at the Children’s Hospital in Denver, Colorado. ~ The merging of evolving technologies and thera’ pies with the practice of pediatric oncology provides the foundation for exciting frontiers in this field. Major advances in basic science, diagnostic and prognostic techniques, therapeutic modalities, and supportive therapy all contribute to the future direction of pediatric oncology. Immunology and molecular biology are two areas of basic science in which rapid progress is especially relevant to this field. Increased understanding of hematopoiesis and cellular and humoral immunity makes possible the specific manipulation or augmentation of these mechanisms using, for example, biologic response modifiers, cytotoxic T cells, or passive administration of immunoglobulins. Burgeoning development in molecular biology, with improved understanding of cell proliferation, chromosome fragile sites and non-random breakpoints, proto-oncogenes, and mapping and function of specific genes, is contributing to the understand-
{"title":"New directions in childhood cancer therapy.","authors":"L Odom","doi":"10.1177/104345428900600208","DOIUrl":"https://doi.org/10.1177/104345428900600208","url":null,"abstract":"Lorrie F. Odom, MD, is an Associate Professor of Pediatrics and Director of the Oncology/Hematology Division at the Children’s Hospital in Denver, Colorado. ~ The merging of evolving technologies and thera’ pies with the practice of pediatric oncology provides the foundation for exciting frontiers in this field. Major advances in basic science, diagnostic and prognostic techniques, therapeutic modalities, and supportive therapy all contribute to the future direction of pediatric oncology. Immunology and molecular biology are two areas of basic science in which rapid progress is especially relevant to this field. Increased understanding of hematopoiesis and cellular and humoral immunity makes possible the specific manipulation or augmentation of these mechanisms using, for example, biologic response modifiers, cytotoxic T cells, or passive administration of immunoglobulins. Burgeoning development in molecular biology, with improved understanding of cell proliferation, chromosome fragile sites and non-random breakpoints, proto-oncogenes, and mapping and function of specific genes, is contributing to the understand-","PeriodicalId":77742,"journal":{"name":"Journal of the Association of Pediatric Oncology Nurses","volume":"6 2","pages":"18-9"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/104345428900600208","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13877901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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