First documented progress in treatment of childhood cancer with year ✔️Ans
- 1940s - folic acid antagonists temporary remission for acute leukemia
When were combinations of chemo found to be more successful than single
chemo agents ✔️Ans - Late 1960s
Cure rate for Wilms tumor 40 years ago vs today ✔️Ans - 20% vs 90%
How many children surpass the 3-year survival mark ✔️Ans - 80%
CCG ✔️Ans - Children's Cancer Group established in 1955 with support of
National Cancer Institute
POG ✔️Ans - Pediatric Oncology Group established in 1955 with support of
National Cancer Institute
Should you use radiation for Ewing's sarcoma, osteogenic sarcoma, or both?
✔️Ans - Ewing's not osteogenic
COG? ✔️Ans - Children's Oncology Group established in 2000 and combo of
CCG, POG, National Wilms Tumor Study Group, and the Intergroup
Rhabdomyosarcoma Study Group
,Is hemophilia hereditary? ✔️Ans - Yes - discovered in 1800s with royal
families in England and Russia
Early 20th century how was hemophilia treated ✔️Ans - Ice and whole
blood transfusions
1960s treatment for hemophilia ✔️Ans - Cryoprecipitate infusions
1970s treatment for hemophilia ✔️Ans - Factors 8 and 9 - standard care for
bleed treated in home setting
What happened in 1980s in regard to treatment of hemophilia ✔️Ans - HIV
transmission killed many hemophiliacs
Standard of care now for hemophilia ✔️Ans - Prophylactic therapy
1972 Sickle Cell Anemia Control Act ✔️Ans - Provided funds for screening
and counseling, research on epidemiology and history of disease, patient
education
Early diagnosis and care of infants with sickle cell ✔️Ans - Penicillin
prophylaxis and newborn screening
Prevent stroke in sickle cell ✔️Ans - Chronic transfusions
,Oral chemo hydroxyurea reduces ✔️Ans - pain crisis, acute chest, need for
tranfusion - 40% reduction in mortality for adults
Can sickle cell be cured? ✔️Ans - Only curative with allo stem cell transplant
APON ✔️Ans - Association of pediatric oncology nurses from in 1974 by
nurses who met at the Association for the Care of Children's Health
Conference in 1973
Big difference between adult and children cancers ✔️Ans - Childhood
cancers are systemic vs organ based
When could you get a specialty certification in pediatric oncology nursing?
✔️Ans - 1993
When was hematology added for APON ✔️Ans - 2006
When was hematology included in the CPHON test? ✔️Ans - 2010
Standards of nursing care are ✔️Ans - rules/definitions of what a nurse does
to provide competent care
Standards of nursing care three components ✔️Ans - 1) Standards of
professional practice
2) Standards of professional performance
, 3) Specialty practice guidelines
Example of specialty practice guidelines ✔️Ans - Pediatric Oncology
Nursing: Scope and Standards of Practice
Standards of Professional Practice for the Pediatric Oncology Nurse ✔️Ans -
1) Assessment
2) Diagnosis
3) Outcomes Identification
4) Planning
5) Implementation
a) Coordinate Care
b) Health teaching and promotion
6) Evaluation
Standards of Professional Performance for the Pediatric Oncology Nurse
✔️Ans - 7) Quality of Practice
8) Education
9) Professional Practice evaluation
10) Collegiality
11) Collaboration
12) Ethics
13) Research
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