Childhood cancer : understanding and coping

Author(s)

    • Ekert, Henry

Bibliographic Information

Childhood cancer : understanding and coping

Henry Ekert

Gordon and Breach, 1989

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Note

Includes index

Description and Table of Contents

Description

Provides an outline of the causes, incidence and types of childhood cancer. The process by which diagnosis is established, and the extent of the tumour determined is described, both generally and specifically. Also considered are treatment methods and the long and short term results.

Table of Contents

  • Part 1 Causes of childhood cancer: childhood cancer - the concept of chance - specialization of function - "differentiation", genetic changes leading to cancer, evidence for genetic and chance causes of cancer
  • environmental factors - radiation, chemicals, drugs and hormones
  • familial tendency to cancer
  • summary. Part 2 Incidence of childhood cancers: regional variation
  • racial variation
  • clusters of leukemia
  • summary. Part 3 Treatment and cure of cancer: general principles of cancer treatment
  • cancer cell spread
  • staging of cancer - surgical staging, circumstances where staging is not required
  • approaches to treatment - surgery, limitations of surgery, chemotherapy, limitations of chemotherapy, chemotherapy - the breakthrough in cancer treatment, radiation therapy, limitation of radiation therapy, role of radiation therapy
  • summary of strategies of treatment
  • cure rates of the major childhood cancers. Part 4 Tests and procedures in childhood cancer: pre-medication
  • other means of alleviating pain of procedures
  • anti-emetics - anticipatory vomiting
  • bone marrow aspirate - bone marrow trephine
  • spinal tap (lumbar puncture)
  • Ommaya and Rickham reservoirs
  • intravenous needles, lines and catheters
  • radiologic procedures
  • radiation therapy. Part 5 Responses and emotions at the time of diagnosis: disbelief and shock
  • adjustment
  • problems of adjusting
  • sibling reactions
  • paternal escapism
  • maternal escapism
  • depression
  • search for "magic cures"
  • explaining the illness to the child
  • explaining cancer to young children - information at relapse. Part 6 Relapse: causes of relapse - drug resistance
  • diagnosis of relapse
  • treatment of relapse
  • imparting the news of relapse
  • emotional responses. Part 7 Bone marrow transplantation: choice of donor
  • testing of donors - reason for matched donors
  • graft versus host disease - anti-leukemic effect of GVHD
  • types of GVHD
  • indications for marrow transplantation
  • procedure of transplantation
  • procedure of transplantation - informed consent, bone marrow harvest, conditioning or preparative treatment, bone marrow infusion
  • nursing of transplant patient
  • aftercare
  • summary. Part 8 Unproven and untested methods of treatment: results of treatment
  • role of "alternative treatment"
  • types of "alternative treatments". Part 9 The dying child: death after a protracted illness
  • preparing for death
  • approach to the dying child
  • control of symptoms
  • emotional needs
  • the moment of death
  • confirmation of death
  • funeral arrangements
  • autopsy
  • funeral
  • delayed reactions to death
  • death at the onset of the illness
  • unexpected death during treatment. (Part contents).

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