Wilms Tumor Nursing Care Plan

Anxiety and interrupted family processes might be included. However, diagnosing is part of the problem-solving process. The first step of that process is an assessment. Assessment for nursing includes the following:

A Health History (Review of Systems) of the Patient

This is not possible if this is a case study of a hypothetical patient, but go down to the 4th item on this list.

Performing a Physical Exam

This is not possible if this is a case study of a hypothetical patient, but go down to the 4th item.

Assessing their ADLs

(at a minimum: bathing, dressing, mobility, eating, toileting, and grooming)

This is not possible if this is a case study of a hypothetical patient, but go down to the 4th item.

Reviewing the Pathophysiology, Signs and Symptoms and Complications of Their Medical Condition

You need to find as much information about this disease as possible. First, this is a pediatric problem. there may be no signs and symptoms or there may be a lump or some kind of swelling or pain in the abdomen. There may be hematuria. There may be a fever. There may be hypertension. The child may not be eating or having nausea and vomiting. What brought them to a doctor for evaluation, if known? see

• Wilms Tumor - Pediatrics - Merck Manuals Professional Edition
• Wilms Tumor and Other Childhood Kidney Tumors Treatment (Patient Version) - National Cancer Institute - general information about Wilms tumor and other childhood kidney tumors

Reviewing the Signs, Symptoms and Side Effects of the Medications/Treatments that Have Been Ordered and that the Patient Is Taking.

What tests and treatments are likely to be performed? What is the nurse's role in preparing the patient for these tests (lab work, ultrasound, ct scan, biopsy) and treatments (surgery, radiation therapy, chemotherapy)? These can all be carefully planned for and accompany nursing diagnoses just as any signs and symptoms point the way to actual nursing problems (nursing diagnoses) that you have overlooked.

Only after assessing the patient's situation can you begin to address nursing problems (nursing diagnoses are merely the names of nursing problems). I looked at your 3 diagnoses. How can a child be anxious? Where on the developmental scale and at what behavioral milestone of development is this child? Will this illness have any effect on their growth and development? that is something to consider in a pediatric patient. Also, look at the stage of Erickson's the child is in and where they fall. How does this affect the child's behavior and coping with their illness? How will it affect your nursing interventions?