OSTEOSARCOMA

Topics: Cancer, Bone, Bone marrow Pages: 14 (2636 words) Published: August 24, 2014
CANCER
Cancer is not a single disease with a single disease with a single cause; rather, it is a group of distinct diseases with different causes, manifestations, treatments, and prognoses. Cancer, nursing practice covers all age groups and nursing specialties and is carried out in a variety of heath care settings, including the home, community, acute care institutions, outpatient centers, rehabilitation and goals of cancer nursing, also called oncology nursing, are diverse and complex as those of any nursing specialty. Because many people associate cancer with pain and death, nurses need to identify their own reactions to cancer and set realistic goals to meet the challenges inherent in caring for patients with cancer. In addition, cancer nurses must be prepared to support patients and families through a wide range of physical, emotional, social, cultural, and spiritual crises. BONE CANCER

Bone cancer is a malignant (cancerous) tumor of the bone that destroys normal bone tissue. Not all bone tumors are malignant. In fact, benign (noncancerous) bone tumors are more common than malignant ones. Both malignant and benign bone tumors may grow and compress healthy bone tissue, but benign tumors do not spread, do not destroy bone tissue, and are rarely a threat to life. Malignant tumors that begin in bone tissue are called primary bone cancer. Cancer that metastasizes (spreads) to the bones from other parts of the body, such as the breast, lung, or prostate, is called metastatic cancer, and is named for the organ or tissue in which it began. Primary bone cancer is far less common than cancer that spreads to the bones. Cancer can begin in any type of bone tissue. Bones are made up of osteoid (hard or compact), cartilaginous (tough, flexible), and fibrous (threadlike) tissue, as well as elements ofbone marrow (soft, spongy tissue in the center of most bones). Common types of primary bone cancer include the following:

Osteosarcoma, which arises from osteoid tissue in the bone. This tumor occurs most often in the knee and upper arm. Chondrosarcoma, which begins in cartilaginous tissue. Cartilage pads the ends of bones and lines the joints. Chondrosarcoma occurs most often in the pelvis (located between the hip bones), upper leg, and shoulder. Sometimes a chondrosarcoma contains cancerous bone cells. In that case, doctors classify the tumor as an osteosarcoma. The Ewing Sarcoma Family of Tumors (ESFTs), which usually occur in bone but may also arise in soft tissue (muscle, fat, fibrous tissue, blood vessels, or other supporting tissue). Scientists think that ESFTs arise from elements of primitive nerve tissue in the bone or soft tissue. ESFTs occur most commonly along the backbone and pelvis and in the legs and arms. Osteosarcoma

General Objective:
The purpose of this study is to analyze and improve understanding of, to develop necessary nursing skills and to apply the appropriate nursing care while maintaining confidentiality of patient having Osteosarcoma.

Case Scenario:
A case of 19 years old, Ms.SMT from Tagbilaran City who was diagnosed with Osteosarcoma. She is a student in University of Bohol taking up Bachelor of Science in Hotel and Restaurant Management when she was diagnosed. On her second year in college she joined the cheer dance team in their department of the upcoming Intramurals. An accident happen while on their practice which cause her right foot to swell but no pain was felt first, not until after the Intramurals the swelling still persist and now intense pain was felt. Her family believe in “Hilot” so without any hesitation she was submitted to a “Manghihilot” and she was relieved but still there was a continuous swelling. Weeks passed the pain and swelling of the right foot intensifies, so her family decided to consult a physician and immediately the physician referred them to a specialized doctor in Cebu City where she was diagnosed with Stage II Osteosarcoma....
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