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학습 자료 둘러보기 →| Concept | Key Points |
|---|---|
| Osteosarcoma | Most common primary bone cancer in children/adolescents. Often occurs in metaphysis of long bones (femur, tibia). Treatment is neoadjuvant chemo, surgery (limb-salvage or amputation), adjuvant chemo. |
| Limb-Salvage Surgery | Resection of tumor with wide margins and reconstruction (metal prosthesis, bone graft). Goal is to preserve limb function while achieving oncologic control. |
| Preoperative Nursing | Assessment, education, psychological support, physical preparation (skin, NPO), consent verification. For adolescents, focus on autonomy, body image, and involving them in care decisions. |
| Adolescent Development | Focus on identity, body image, peer relationships, independence. Major illness/surgery disrupts these, requiring sensitive, honest communication. |
| Preoperative Focus | Adolescent Client | Adult Client |
|---|---|---|
| Education Style | Direct, honest, involve in decision-making. Use appropriate media (videos, diagrams). | Detailed, rationale-based. Address work/family responsibilities. |
| Psychological Concerns | Body image, isolation from peers, fear of being different, impact on future plans (sports, college). | Financial burden, role in family, mortality. |
| Consent | Informed assent from adolescent + consent from parent/guardian. | Informed consent from competent adult. |
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.