Multidisciplinary care in pediatric oncology

Cantrell, Mary Ann; Ruble, Kathy

doi:10.2147/jmdh.s7108

Cited by 30 publications

(26 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…They are responsible for all children (0–15 years) diagnosed with cancer though, for individual patients, specific aspects of care may be delivered by a district general hospital closer to the child's home (known as Paediatric Oncology Shared Care Unit). As in other developed countries (Cantrell & Ruble, ), paediatric oncology services in the UK are delivered by a multidisciplinary team (NICE, ). We were interested in staff support systems and practices across the MDT with respect to the following staff group categories: nurses, doctors, other health professionals in the MDT (e.g.…”

Section: Methodsmentioning

confidence: 99%

Preventing work-related stress among staff working in children's cancer Principal Treatment Centres in the UK: a brief survey of staff support systems and practices

2016

View full text Add to dashboard Cite

Growing evidence of the association between health professionals' well‐being and patient and organisational outcomes points to the need for effective staff support. This paper reports a brief survey of the UK's children's cancer Principal Treatment Centres (PTCs) regarding staff support systems and practices. A short on‐line questionnaire, administered in 2012–2013, collected information about the availability of staff support interventions which seek to prevent work‐related stress among different members of the multi‐disciplinary team (MDT). It was completed by a member of staff with, where required, assistance from colleagues. All PTCs (n = 19) participated. Debriefs following a patient death was the most frequently reported staff support practice. Support groups were infrequently mentioned. There was wide variability between PTCs, and between professional groups, regarding the number and type of interventions available. Doctors appear to be least likely to have access to support. A few Centres routinely addressed work‐related stress in wider staff management strategies. Two Centres had developed a bespoke intervention. Very few Centres were reported to actively raise awareness of support available from their hospital's Occupational Health department. A minority of PTCs had expert input regarding staff support from clinical psychology/liaison psychiatry.

show abstract

Section: Methodsmentioning

confidence: 99%

Preventing work-related stress among staff working in children's cancer Principal Treatment Centres in the UK: a brief survey of staff support systems and practices

2016

View full text Add to dashboard Cite

show abstract

“…Research to date examines the safety, efficacy, and outcomes of individual complementary medicines; determines safe and effective dosing recommendations for various substances; elucidates mechanisms of action of specific substances; and highlights possible interactions with mainstream biomedical therapies. 9 Despite this growing body of research, limited data prevents clear understanding of the effects of various complementary medicine agents and thereby makes complementary medicine use an uncontrolled variable in clinical trials. Importantly, the pediatric oncology scientific community has not focused on communicating to the public the scientific rationale and/or evidence for and against various complementary medicines.…”

Section: The Growing Use Of Complementary Medicine In Pediatric Oncologymentioning

confidence: 99%

The Ethics of Using Complementary Medicine in Pediatric Oncology Trials: Reconciling Challenges

Porter

Kodish

2018

J. Law. Med. Ethics

View full text Add to dashboard Cite

ylie and her mother had just landed from Madrid. Exhausted from the long-haul flight, they drove their rental car straight from the airport to the hospital, arriving in the same leggings and layers that they had put on forty-eight hours earlier. * Their clothing revealed the geography of Kylie's clinical trajectory: Kylie's proud Seahawks sweatshirt reflected her many months spent at Seattle Children's Hospital just after diagnosis, and her mother's cowboy boots divulged Kylie's time at St. Jude Hospital. Souvenirs from Los Angeles and Spain were packed in the six purple roller suitcases they wheeled into the hospital room with them; they had been on the move, away from home, for more than a year. Kylie had been diagnosed with Stage IV osteosarcoma at age 6-about 19 months prior to our (A.S.P.) first encounter. At the time of diagnosis, she had a primary large mass in her left distal femur and three lung metastases. Beyond the unwanted though expected port infections and pancytopenia, roadblocks dotted her clinical course: severe mucositis, multiple episodes of sepsis, repeated transfusions, renal insufficiency, and relapse. Just prior to our initial meeting, while at a complementary medicine center in Spain, she developed severe headaches localized to her left temple and a watery, red right eye. Her family and clinicians feared what MRI and PET-CT confirmed: Kylie's sarcoma had relapsed for a second time with a recurrent periorbital mass. Kylie's mother made plans to rush back to the States for Kylie to restart chemotherapy immediately on a Phase I/II clinical trial. Energized on hour one of my night shift as a pediatrics intern at a midwestern tertiary care hospital, I entered Kylie's room expecting to move quickly through the usual processes of admission: history, physical exam, admission orders, medication reconciliation, and communication with the Pediatric Hematology Oncology team about chemotherapy plans. When I got to medication reconciliation, the process came to a halt. As Kylie's mother unzipped the largest roller suitcase, she began pulling out bottle after bottle of medications labeled with names I did not recognize. The institute they had visited in Spain recommended a non-formulary probiotic, several vitamin combinations, and a handful of other herbal supplements.

show abstract

“…[ 5 6 ] These processes may lead to emotional distress, functional limitations, participation restrictions, and confined adaptive skills and responses in these children. [ 7 8 ] Children hospitalized in pediatric oncology wards may experience negative sign and symptoms such as developmental delay, sleep disorders, eating disorders, aggression, anxiety, depression, dependency on caregivers, disruption of daily activities, diminished quality of life, and limited participation in social functions. [ 9 10 ]…”

Section: Introductionmentioning

confidence: 99%

Effect of play-based occupational therapy on symptoms of hospitalized children with cancer: A single-subject study

Mohammadi

Mehraban

Damavandi

2017

Asia-Pacific Journal of Oncology Nursing

View full text Add to dashboard Cite

Objective:Cancer is one of the four leading causes of death in children. Its courses of diagnosis and treatment can cause physiologic symptoms and psychological distress that secondarily affect children's quality of life and participation in daily activities. The aim of this study was to investigate the effect of play-based occupational therapy on pain, anxiety, and fatigue in hospitalized children with cancer who were receiving chemotherapy.Methods:Two hospitalized children with acute lymphoblastic leukemia at least 4 months after diagnoses who received two courses of chemotherapy participated in this pilot study. Takata Play History and Iranian Children Participation Assessment Scale were used to develop intervention protocol. Nine, 30–45 min play-based occupational therapy sessions took place for each child. Children filled out the Faces Pain Scale, Visual Fatigue Scale, and Faces Anxiety Scale before and after each intervention session.Results:Pain, anxiety, and fatigue levels decreased in both participants. Furthermore, the results showed a relationship between pain, anxiety, and fatigue variables in these children.Conclusions:Play-based occupational therapy can be effective in improving pain, anxiety, and fatigue levels in hospitalized children with cancer receiving chemotherapy.

show abstract

Multidisciplinary care in pediatric oncology

Cited by 30 publications

References 61 publications

Preventing work-related stress among staff working in children's cancer Principal Treatment Centres in the UK: a brief survey of staff support systems and practices

Preventing work-related stress among staff working in children's cancer Principal Treatment Centres in the UK: a brief survey of staff support systems and practices

The Ethics of Using Complementary Medicine in Pediatric Oncology Trials: Reconciling Challenges

Effect of play-based occupational therapy on symptoms of hospitalized children with cancer: A single-subject study

Contact Info

Product

Resources

About