The role of nurses in palliative care for pediatric cancer patients and families: A case study of Neuroblastoma in the recurrent period

Authors

  • Punyanud Songtantarax Khon Kaen Hospital, Khon Kaen, Thailand
  • Prakaikaew Siripoon Faculty of Nursing, Khon Kaen University
  • Phawantree Ponyiem Faculty of Nursing, Khon Kaen University
  • Kasem Chuson Khon Kaen Hospital, Khon Kaen, Thailand
  • Pawarana Jampakaem Nurse, Khon Kaen Hospital, Khon Kaen
  • Jiraporn Suwannalao Khon Kaen Hospital, Khon Kaen

Keywords:

palliative care in children and adolescences, the role of nurse in terminal care, neuroblastoma

Abstract

     Neuroblastoma in pediatrics is a tumor caused by abnormalities in neural stem cells. Clinical signs and symptoms vary by the location, and the size of the tumor; the location of the tumor progression; or stage of disease. Pediatric patients with neuroblastoma entering the terminal stage of the disease require palliative care, which nurses play an important role in providing care in the terminal stage. This article presents the knowledge regarding neuroblastoma, palliative care for pediatric patients, and the role of nurses in providing palliative care for pediatric patients with neuroblastoma in the recurrent period, through a case study of pediatric patient who was admitted to a pediatric ward in February 2022 and received palliative care in accordance with problems and needs of pediatric patients and their families.
     This article presents the role of nurses in providing palliative care for pediatric patients with neuroblastoma focusing on family-centered care based on religious and cultural family beliefs and links to the local health care units as well as ethical considerations in palliative care. It also suggests the role of nurses in supporting family caregivers in terminally illness.

References

World Health Organization. CureAll framework: WHO global initiative for childhood cancer. Increasingaccess,advancingquality,savinglives [Internet]. Geneva: WHO; 2021 [cited 2022May 5]. Available from Licence: CC BY-NCSA 3.0 IGO;https://creativecommons.org/licenses/by-nc-sa/3.0/igo/

Nakagawara A. Asian Pediatric Hematology and Oncology Group (APHOG) and SIOP Asia: Two wheels of a cart. Pediatric Hematology Oncology Journal 2020;5:140–4.

Sangrajrang S, Buasom R. Cancer incidence in Thailand. In: Rojanamatin J, Ukranun W, Supattagorn P, Chiawiriyabunya I, Wongsena M, Chaiwerawattana A, et al., editors. Cancer in Thailand: Xol.X, 2016-2018. Bangkok: Medical Record and Database Cancer Unit; 2021:p.4–68.

Ramathibodi comprehensive cancer center. Cancer report. Bangkok: Mahidol University; 2020:p.3-54.

Lamba N, Groves A, Torre M, Kiat Yeo K, Iorgulescu JB. The epidemiology of primary and metastatic brain tumors in infancy through childhood. J Neurooncol 2022;156(2): 419-29.

He B, Mao J, Huang L. Clinical characteristics and survival outcomes in euroblastoma with bone metastasis based on SEER database analysis. Front Oncol 2021;11:1-6.

Chung C, Boterberg T, Lucas J, Panoff J, Valteau- CouanetD,HeroB, et al. Neuroblastoma. Pediatric blood & cancer 2021;68(2):28473.

Nair M, Thankamony P, Rajeswari B, Chellappan G, Prasanth VR, George PSara, et al. Ten-year experience of treating pediatric metastatic neuroblastoma with chemotherapy-based multimodality approach. Pediatric Hematology Oncology journal 2020;5:39-40.

Wannaphak T. Nursing care for adolescents with cancer relapse receiving palliative care. JNSCU 2019;31(3):1–10. (in Thai)

American Cancer Society. Signs and Symptoms of Neuroblastoma [Internet]. Washington: American Cancer Society; 2021 [updated 2021 April 28; cited 2022 May 5th]. Available from: https://www.cancer.org/cancer/neuroblastoma/detection-diagnosisstaging/signs-and-symptoms.html

Phadungsri P, Ladla A. Development of care model for patients with end stage of cancer: from hospital to home Ubonrat hospital, Khon-Kaen Province. Journal of Nursing and Health Care 2019;37(2):199–207. (in Thai)

Klerlhee T, Wiroonpanich W, Punthmatharith B. Spiritual distress among adolescents with cancer: a qualitative research. SCNJ 2020; 6(2):27-40. (in Thai)

Wannaphak T, Treenai S. Continuing life of adolescents with cancer relapse receiving palliative care. JNSCU 2019;31(1):37-48. (in Thai)

World Health Organization. WHO definition of palliative care [Internet]. Geneva: WHO; 2013 [cited 2022 May 5th]. Available from: http://www.who.int/cancer/palliative/ definition/en.page

The Royal College Pediatricians of Thailand, Pediatric Society of Thailand, Thai Pediatric Oncology Group. Pediatric palliative care. Bangkok: Pentagon advertising limited partnership; 2015. (in Thai)

Sawasdeenarunat V, Taneerat A, Wisettharn T. The development of palliative care model for terminal cancer patients at Maharaj Nakhon Si Thammarat Hospital. NJPH 2015;25(1):144–56. (in Thai)

Prichayudh N, Chatgitisan A, Khunin N, Junda T. Role synthesis of pediatric palliative nurse in Ramathibodi hospital: Document research. JNSU2021;22(42):60-74. (in Thai)

Subwongcharoen N, Chintapanyakun T. Role of palliative care nurses in tertiary hospital. JRTAN 2020;21(1):26–34. (in Thai)

Pathomporn S. Horrattanaruang D, editors. Handbook of palliative and end of life care (Health care provider): Bangkok: The printing office agency to assist veterans in Royal Shupatham; 2020:p.173–84.

Jirakangwan M, Chantree S. The development of palliative care in end of life cancer patients: An integration of caring seamless network at Sisaket hospital. Journal of Nursing and Health Research 2018;19(2):70–83. (in Thai)

Thongjam R, Phrakhrubhavana. Ethics in nursingpractice.JGMCUKK2021;7(1):29-44. (in Thai)

Downloads

Published

2022-06-27

How to Cite

1.
Songtantarax P, Siripoon P, Ponyiem P, Chuson K, Jampakaem P, Suwannalao J. The role of nurses in palliative care for pediatric cancer patients and families: A case study of Neuroblastoma in the recurrent period. JNSH [Internet]. 2022 Jun. 27 [cited 2024 Apr. 24];45(2):20-3. Available from: https://he01.tci-thaijo.org/index.php/nah/article/view/255321

Issue

Section

Academic Article