Intervención de enfermería en paciente pediátrico con osteosarcoma

Abstract

Conventional osteosarcoma is a primary malignant bone tumor modified by the synthesis of Osteoid produced by malignant osteoblasts, which retains the characteristics of differentiation and self-renewal, the son of those responsible for the genesis of Osteosarcoma. The presence of persistent pain in any bone should be grounds for initiating immediate investigation, if a palpable mass is present, it is characteristic that the tumor has progressed through the cortex and distended the periosteum, the location, depth and size of a mass in the increase can be determined by a physical examination, mostly lung tumors in children and adolescents are metastasis derived specifically from osteosarcomas, currently for its detection the most used test is computed tomography, which despite being better than radiography Conventionally, some limitations are frequently limited, including the impossibility of differentiating between benign and malignant nodules, especially calcified and small lesions. The objective of this clinical case analysis is to develop a nursing care plan for patients with osteosarcoma, using Callista Roy's model that could value and improve cond Life ions The problem described is Osteosarcoma evidenced in an 11-year-old female patient, who was treated at Teófilo Dávila General Hospital, Machala Canton, Province of Gold, in 2018. This research is analytical, descriptive, bibliographic through the review of the clinical history, scientific articles, in addition to the legal ethical aspects: informed consent of the patient, authorization of the academic department for the review of the file in the statistical area of the Teófilo Dávila General Hospital and the Institute of Cancer of the City of Cuenca where the medical diagnosis of Conventional Osteosarcoma plus pulmonary metastasis, treatment of neoadjuvant chemotherapy, supracondylar amputation of the lower left limb followed by adjuvant chemotherapy is obtained. According to the American Cancer Society, it estimates that in the year 2019 about 3,500 new cases are diagnosed and about 1,660 deaths are predicted due to these types of cancer. Nursing staff interventions are of significant importance in the process of assessment, intervention and education to improve the degree of adaptation by the patient and his family according to the Callista Roy Model that is based on the following aspects: coping and adaptation, compliance with the role, physiological function, self-concept and interdependence, in addition, nursing care plans are established with the NANDA, NOC, NIC instrument, standardized strategies for systemic intervention and respond to the real and potential alterations of the patient