Three of every four children and adolescents with cancer can now be cured. However, physicians are using increasingly intensive treatment regimens. These treatments can expose patients to toxic chemotherapeutic agents, invasive surgical procedures, and radiation oncology interventions that risk disfigurement, neuropsychiatric damage, and life-threatening organ toxicity. These potentially dire consequences have mandated that advances in cancer treatment go hand in hand with supportive care measures that sustain patients through their therapeutic ordeal and allow each patient to achieve maximum quality of life. In this book, now in its third edition, the discipline of supportive care in pediatric oncology is covered in depth. Supportive Care of Children with Cancer is a ready-reference handbook designed for use at the hospital bedside, in the oncology outpatient clinic, or in the physician's office. To create this book, leading experts in the field recommended approaches to supportive care which were then critically reviewed by members of the Children's Oncology Group, the world's largest cooperative study group for children's cancer. For students, house officers, fellows, pediatric oncologists, surgeons, nurses, nutritionists, social workers, and psychologists, this book provides essential information about the care of pediatric oncology patients. The third edition features a new chapter on recognition, prevention, and remediation of burnout in pediatric oncology staff members, while throughout the book, chapters have been revised and updated to reflect the impact of new antibiotic agents, new antiemetics, and new approaches to pain management.

A heroic battle to uphold the balance ofEberron(R) Gaven has fulfilled part of the prophecy and become the Storm Dragon. Now he seeks the Draconic Prophecy at its source in Argonessen, the dragon nation--but as he travels toward that ancient continent, Gaven may discover more than he suspected. Meanwhile, Aundairian loyalists--assisted by a sinister dragon cabal--are assembling the Dragon Forge: an eldritch machine designed to harness the power of a Siberys dragonmark and amplify it. In this case, to create a devastating storm of hail and acid rain to go before Aundair's armies as they march into the Eldeen Reaches. And they know just the dragonmarked to use...

The Handbook for Supportive Care in Pediatric Oncology provides a practical approach to the clinical management of problems unique to childhood cancer and its therapy. It is expertly written by thirty-two pediatricians and allied health care professionals, and features 19 concise chapters organized alphabetically by organ system. Topics unique to this handbook include state-of-art information on the management of chemotherapy induced nausea, practical approaches to abdominal pain, and common psychiatric issues in pediatric oncology. An essential resource for all pediatric residents, fellows, practicing phyisicians, and nurse practitioners, this handbook is a comprehensive yet concise reference to the specific acute complications of pediatric cancer, hematologic emergencies, symptom management, and cancer therapy.

This book provides a thorough and up-to-date discussion of key issues in the supportive care of children with cancer. A variety of frequently encountered situations is covered, including infections, metabolic, cardiopulmonary and neurologic emergencies, tumor lysis syndrome, pain, emesis, mucositis, thrombotic disorders, nutritional problems, hyperleukocytosis and acute abdomen. Throughout the emphasis is firmly on evidenced-based guidance developed from the relevant literature. Information is presented in a manner that will enable readers quickly to locate advice when confronted by a supportive care problem in one of their patients. Helpful algorithms are provided and important “take home points” are highlighted in figures and tables. Supportive Care in Pediatric Oncology will be an invaluable source of assistance for a wide range of health professionals involved in pediatric cancer care.

Childhood cancer is an area of oncology that has seen both remarkable progress as well as substantial continuing challenges. While survival rates for some pediatric cancers present a story of success, for many types of pediatric cancers, little progress has been made. Many cancer treatments are known to cause not only significant acute side effects, but also lead to numerous long-term health risks and reduced quality of life. Even in cases where the cancer is considered curable, the consequences of treatment present substantial long-term health and psychosocial concerns for children, their families, their communities, and our health system. To examine specific opportunities and suggestions for driving optimal care delivery supporting survival with high quality of life, the National Cancer Policy Forum of the Institute of Medicine and the American Cancer Society co-hosted a workshop which convened experts and members of the public on March 9 and 10, 2015. At this workshop, clinicians and researchers in pediatric oncology, palliative, and psychosocial care, along with representatives from the U.S. Food and Drug Administration, National Cancer Institute, Children's Oncology Group, pharmaceutical companies, and patient advocacy organizations, discussed and developed a menu of options for action to improve research, quality of care, and outcomes for pediatric cancer patients and their families. In addition, parents of children with cancer and pediatric cancer survivors shared their experiences with care and provided poignant personal perspectives on specific quality of life concerns and support needs for children and families across the life spectrum. This report summarizes the presentations and discussion of the workshop.

Because six of every seven children and adolescents with cancer can now be cured, the quality of life during and after treatment is displacing cure as the paramount objective. With this shift in emphasis, attention to supportive care in pediatric cancer therapy has become as important as surgery, chemotherapy, and radiotherapy. In this book, now in its second edition, the discipline of supportive care in pediatric oncology is covered in depth. Supportive Care of Children with Cancer is a ready-reference handbook designed for use at the hospital bedside, in the oncology outpatient clinic, or in the physician's office. Five new chapters have been added and significant revisions have been made in each of the others. The new chapters reflect new ideas in the management of heretofore incompletely understood mechanisms of hemorrhage and thrombosis, the recognition of the increasing numbers of patients with various kinds of transplants and the more prominent role their long-term follow-up plays in pediatric oncology, the socioeconomically driven rapid changes in the practice and delivery of health care, and the deservedly increased attention to the child with terminal illness. Other important changes in individual chapters continue to keep this bedside handbook current. Approaches to supportive care were recommended by leading experts in each field, then critically reviewed by members of the Children's Cancer Group, the world's largest cooperative study group for children's cancer. For students, house officers, fellows, pediatric oncologists, surgeons, nurses, nutritionists, social workers, and psychologists, this book provides convenient access to essential information about the careof pediatric oncology patients.

This textbook is the first to focus on comprehensive interdisciplinary care approaches aimed at enhancing the wellbeing of children with cancer and their families throughout the illness experience. Among the topics addressed are the epidemiology of pediatric cancer distress, including physical, emotional, social, and spiritual dimensions; the role of the interdisciplinary team; communication and advance care planning; symptom prevention and management; care at the end of life; family bereavement care; and approaches to ease clinician distress. The contributing authors are true experts and provide guidance based on the highest available level of evidence in the field. The book has not only an interdisciplinary but also an international perspective; it will appeal globally to all clinicians caring for children with cancer, including physicians, nurses, psychosocial clinicians, and chaplains, among others.