Case study

Case Study, Chapter 6, Abigail Hanson: Leukemia Note: 
The case study presented here is a supplemental case to this chapter and features different individual(s).
Tiffany Brown is a 4-year-old patient who was admitted to the pediatric oncology unit this morning. Tiffany was diagnosed with acute lymphoblastic leukemia after receiving an outpatient bone marrow biopsy yesterday. She usually lives at home with her mother, Lori, and her 2-year-old little brother, Timothy. Lori is a single mother who usually works two jobs to support the family. The nurse begins Tiffany’s admission assessment while Lori sits in the corner and silently cries. Tiffany appears anxious and states, Will this hurt? I’ve never been in a hospital before. (Learning Objectives: 4, 5)
1.  Describe the nursing interventions that the nurse can implement to ensure hospitalization does not hinder Tiffany’s normal growth and development. What other interventions will help Tiffany to be less anxious?
2.  Describe the response that hospitalization will have on Tiffany’s family. What might the nurse do to assist Lori in coping with the hospitalization?
3.  Who are some of the multidisciplinary team members the nurse can consult to help with this situation? 

Pre-Lecture Quiz, Chapter 6, Abigail Hanson: LeukemiaTrue/False
1.  At 4 years old, a child is too young to memorize their address and phone number.
2.  Fever and a localized rash are common side effects of the measles, mumps, and rubella (MMR) and varicella vaccines.
3.  Nausea, vomiting, fatigue, and easy bruising are common side effects of chemotherapy.
4.  When a child with neutropenia develops fever, it increases the risk of sepsis and septic shock.
5.  Allowing a child to have a comfort item while in the hospital increases trust in the healthcare team and aids in cooperation from the child.
Fill-in-the-Blank1.  ___________ are pinpoint, flat red spots that indicate bleeding under the skin.
2.  An immature white blood cell that does not work correctly and lowers the ability to fight infection is a ___________.
 3.  The Wong-Baker FACES Pain Rating Scale is used in preschool children because they are in the ___________ stage of cognitive development.
4.  A common side effect of chemotherapy is ___________, painful mouth sores that can affect eating.
5.  Preschool children are active in ___________ play and are also concrete thinkers, which can make hospitalization scary for the child. 

 1.  Read the article on sepsis in pediatric patients from American Nurse Today at:    
Create a brochure for healthcare workers describing the warning signs, symptoms, and treatments for sepsis.

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