A Comprehensive Nursing Care Approach for a Child with Osteosarcoma and Pulmonary Metastasis: A Case Study
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บทคัดย่อ
Background: Osteosarcoma is a serious pediatric malignancy that may result in substantial physical, psychological, developmental, and social consequences. Children with advanced disease may require multimodal treatment while experiencing pain, impaired mobility, treatment-related adverse effects, and disruption of education and social participation.
Case Presentation: This case study described an 8-year-old Thai girl with osteosarcoma of the left distal femur with pulmonary metastasis. She had previously undergone wide excision with proximal tibial reconstruction and was admitted for her 13th chemotherapy treatment. During hospitalization, imaging demonstrated progression of multiple calcified pulmonary nodules and metastatic involvement of the thoracic spine, followed by T6–T8 laminectomy.
Methods: A descriptive single-case study was conducted using a predefined episode of care from August 2021 to November 2022. Data were obtained through triangulation of the clinical record, nursing documentation, laboratory and imaging results, treatment records, direct nursing observation, and caregiver-reported information. Data were organized chronologically and interpreted descriptively across physical, functional, developmental, psychosocial, and family-care domains.
Nursing Management and Outcomes: Nursing care focused on chemotherapy safety, infection prevention, postoperative care, pain management, nutrition, mobility, developmental needs, psychosocial support, and family participation. The child completed chemotherapy, and pain improved with multimodal management. The caregiver actively participated in care, and the mother’s stress score decreased from 4 to 3.
Conclusion: Comprehensive, family-centered nursing care addressed the child’s physical, developmental, psychosocial, and family needs beyond chemotherapy treatment.
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อนุญาตภายใต้เงื่อนไข Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
เงื่อนไขและข้อตกลงการตีพิมพ์เผยแพร่
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กระบวนการประเมิน: บทความทุกเรื่องต้องผ่านการพิจารณาให้ความเห็นและประเมินคุณภาพทางวิชาการโดยผู้ทรงคุณวุฒิ (Peer Reviewers) ที่มีความเชี่ยวชาญ อย่างน้อย 3 ท่านต่อบทความ โดยรูปแบบการประเมินเป็นแบบปกปิดรายชื่อทั้งสองฝ่าย (Double-Blind Peer Review)
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การตีพิมพ์ซ้ำซ้อน: บทความที่ส่งมาต้องไม่เคยได้รับการตีพิมพ์ในวารสารอื่นใดมาก่อน และไม่อยู่ในระหว่างการพิจารณาของวารสารอื่น
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ข้อตกลงลิขสิทธิ์: บทความที่ได้รับการตีพิมพ์ถือเป็นลิขสิทธิ์ของวารสารวิทยาลัยบัณฑิตเอเซีย ห้ามนำส่วนใดส่วนหนึ่งไปทำซ้ำ ดัดแปลง หรือเผยแพร่เพื่อการค้าโดยไม่ได้รับอนุญาตเป็นลายลักษณ์อักษร
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ความรับผิดชอบด้านเนื้อหา: เนื้อหา ข้อคิดเห็น ทัศนะ และความถูกต้องของข้อมูลทั้งหมดในบทความ ถือเป็นความรับผิดชอบของผู้นิพนธ์แต่เพียงผู้เดียว โดยไม่เกี่ยวข้องหรือถือเป็นความเห็นของบรรณาธิการและวารสารวิทยาลัยบัณฑิตเอเซีย
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