Introduction

The last few years have seen an increase in research in the treatment of childhood cancer. Such research is essential for understanding common challenges that arise after the difficult cancer diagnosis experience and may lead to better strategies and interventions for anticipating and mitigating the adverse impact of cancer on the child and his or her family giving a more holistic approach to care.

From this case study, one can immediately notice that family Cauchi have passed through a lot of hardships over a short period of time. Over three weeks they have faced the diagnosis of cancer, prolonged hospitalisation, and a disrupted routine, together with surgical and invasive procedures, intensive treatment along with adverse side-effects, as well as changes in the child’s body image and in his habitual personality.

In its first section, this assignment will give an overview of the initial diagnosis and acute phase of the leukaemia treatment. In light of literature, the following section will discuss and evaluate interventions carried out to prevent, reduce and manage adverse side-effects, in order to maintain the overall physical health of the child. Subsequently, the impact of the illness experience on the child, sibling and the parents is addressed from a psychological, social and spiritual point of view. The nurse’s role in providing support, information and education throughout hospitalisation, as well as in preparation for discharge, is outlined.

Admitting the child to the oncology unit

As soon as the diagnosis was made, John had to be transferred from the normal medical ward to the specialised paediatric oncology unit. The parents tried to put up brave faces in front of their child. However they could not hide their sadness in their eyes and John realised that their stay in hospital meant something was wrong. In an unfamiliar