Alterations in
Health (Diagnosis)
Pathophysiology Related
to Client Problem
Health Promotion and
Disease Prevention
Risk Factors Expected Findings
Laboratory Tests Diagnostic Procedures
Complications
Therapeutic
...
Alterations in
Health (Diagnosis)
Pathophysiology Related
to Client Problem
Health Promotion and
Disease Prevention
Risk Factors Expected Findings
Laboratory Tests Diagnostic Procedures
Complications
Therapeutic Procedures Interprofessional Care
Nursing Care Medications Client Education
1
Benign Chondroma AMS ch 92
Tori crowder
very rare, benign tumors made of
cartilage. they usually grow slowly &
develop in the sinuses and the bones of
the skull, also in the small bones of the
hands, feet, upper arms, thighs and ribs
A mass or bump
Headache
Swelling
Vision changes
Pain/discomfort
Enchondromas: found in the
marrow cavity of the bone
Periosteal Chondromas: forms at
the surface of the bone
Soft Tissue Chondromas: in soft
3
Types
XRAY
CT Scan
MRI
Bone Scan of some of tumor
biopsy
Observation and monitoring - children
Curettage-scraping out the tumor
Followed by a bone graft to replace
missing bone may be required after
this process
also known as enchondromas, periosteal chondromas, juxtacortical chondromas
Patients with the inherited syndrome
tuberous sclerosis
genes -linked to changes on chromosome 7
Most of these are asymptomatic and
typically stop growing when the
bones have reached skeletal
maturity
malignant chondrosarcoma
tissue
They usually occur in
patients younger than
age 30 years
CBC
analgesic
opioids/narcotic
Antibiotics
Educate parents and child about
analgesics, to administer
in anticipation of a headache and
type to give (sustained release) and
that it will help to control a
headache
Assess VS including increased BP,
decreased pulse pressure, pulse, and
RR, take one full minute when
monitoring HR and RR,& changes in
vision
Educate parents and child
about diagnostic procedures done
to assess the presence of a tumor
Provider
Social Worker
Pharmacist
Nurse
Nurse Team
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