The current concepts and treatment of benign and malignant bone tumors in children: Presentation, diagnosis, and treatment

The current concepts and treatment of benign and malignant bone tumors in children: Presentation, diagnosis, and treatment

Selected Abstracts from the International Collaboration of Orthopaedic Nursing These findings help illustrate the manner in which PTs may contribute a...

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Selected Abstracts from the International Collaboration of Orthopaedic Nursing These findings help illustrate the manner in which PTs may contribute as part of the ED team. Education, interaction, and dialogue among all ED providers may facilitate greater understanding of the potential value of these services.

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Exploring the lived experiences of individuals who have developed skin blistering after total knee replacement: A phenomenological approach Lisa-anne Tanner Dudley Group of Hospitals Foundation Trust, UK

doi:10.1016/j.ijotn.2010.08.011

The current concepts and treatment of benign and malignant bone tumors in children: Presentation, diagnosis, and treatment Raymond W. Kleposki Division of Orthopaedic Surgery, Children’s Hospital of Philadelphia, Pennsylvania, USA

The purpose of this presentation is to make the international orthopaedic community aware of the most common bone tumors in children, both benign and malignant as well as expanding their knowledge base to include basic treatment, diagnosis, and implications for nursing. The two objectives of this presentation are to: (1) review common benign pediatric bone tumors, including evaluation and treatment and (2) review the most common malignant bone tumors of childhood, including their evaluation and treatment. The content includes review of the most common benign tumors such as aneursymal bone cysts, unicameral bone cysts, non-ossifying fibromas, osteoid osteomas, as well as others. It will also touch on where these tumors are located, when (age) do they appear and the treatment options. The presentation will also focus on the malignant tumors of childhood such as Ewing’s sarcoma, osteosarcoma, rhabdomyosarcoma, as well as others. The presentation will focus on treatment options such as limbsparing surgeries and endoprosthetic reconstruction options. This presentation has multiple implications for the international orthopaedic nursing community. It gives the orthopaedic nurse a basic review of pediatric bone lesions and how they affect the child, what are the current trends of treatment, and how these children are treated at the Children’s Hospital of Philadelphia. It can be applied across the board to all participants because many of these children do become adults and are then treated by adult orthopaedic doctors, nurses, and other healthcare professionals. doi:10.1016/j.ijotn.2010.08.012

This study adopted a phenomenological approach to explore the lived experiences of a group of individuals who developed skin blistering close to, or around their wound, following total knee replacement surgery. Eight patients were recruited to the study using purposive sampling, and each took part in a face-to-face semi structured interview designed to explore their experiences. There were six female and two male participants all over the age of 50 years (median age = 71 years). Interviews were digitally recorded and transcribed verbatim by the researcher. Colazzi’s (1978) procedural steps were used to analyse the data, enabling the researcher to follow a clear decision trail and identify emergent themes and associated sub-themes from the raw data. Four main themes were identified from the interviews relating to the individuals experience of skin blistering:    

The physical impact of skin blistering. The psychological impact of skin blistering. Perceived causative factors to skin blistering. Information.

The strongest theme to emerge from the data was the deficit in the available information on blistering, and the apparent lack of nurse’s knowledge about this phenomenon. These findings clearly suggest the importance of implementing an evidencebased education tool for health care professionals within the orthopaedic speciality and incorporating the appropriate literature on skin blistering into established patient information leaflets and education clinics.

References Colazzi, P.F., 1978. Procedural steps: psychological research as the phenomenologist views it. In: Existential Phenomenological Alternatives for Psychology. Oxford University Press, New York (Chapter 3).

doi:10.1016/j.ijotn.2010.08.013