Tumors of the central nervous system are the most common solid tumor in children in the count for 25% of all childhood cancers. Approximately 60% of the tumors are infratentoeial which means they occur in the posterior part of the brain primarily in the cerebellum or brainstem. The anatomic position accounts for the frequent symptoms resulting from increased intercranial pressure. Supratentorial tumors lie within the midbrain. Neoplasms can arise from any cell within the cranium. Brain tumors may be malignant or benign. Signs and symptoms are directly related to the location and size and to some extent the child’s age. The most common symptoms of in for tentorial brain tumors are headache, especially on a wake mean, and vomiting …show more content…
Tumors of the midbrain may cause endocrinopathies such as diabetes insipidus, delayed puberty, and growth failure. Diagnosis of a brain tumor is based on presenting clinical signs and diagnostic imaging. Gold standard diagnostic procedure is MRI. Tissue specimens obtained during surgery provide a definitive diagnosis. Others are unable to be biopsied and diagnosis is made by imaging findings alone treatments may include surgery radio therapy and chemotherapy. The treatment of choice is the total removal of the tumor without neurologic damage. Nursing care of the child with a brain tumor is similar regardless of the type of intracranial lesion. A thorough assessment for signs and symptoms begins with establish lien a baseline of data for comparing preoperative and postoperative changes. The nurse was also able to assess the degree of physical and capacity in the family is emotional reaction to the diagnosis. In preparing the family for diagnostic in operative procedures the nurse must provide emotional support. Once surgery is scheduled, but Jail needs an exclamation of what to expect. It is best to provide information in small amounts to allow the child to pursue additional answers. Explain to the child that the head will be shaved. Also tell the child about the size …show more content…
It will usually cover the entire scalp. Children also need a brief explanation of how they will feel after surgery and where they will be. Similar exclamations need to be provided to the parents before surgery they should also be educated on what to expect their child’s behavior to be after surgery. To prevent postoperative complications the nurse will follow the specific orders prescribed by the surgeon for taking vital signs, positioning, regulating fluid’s, in ministry medications. Vital signs will be taken as often as every 15 to 30 minutes until the patient is stable. Monitoring the child for drainage can be done by circling the soil area with a pen and monitoring for signs of continuous bleeding. The presence of current colorless drainage most likely indicates cerebral spinal fluid leaking from the incisional area and just to be reported immediately. Positioning of the child is imperative to prevent pressure against the operative site, reduce ICP, and avoid the danger of aspiration. Providing emotional support of the family is important. The ultimate goal is a cured child who has