Nursing approach for initial oncological disease in children

Section: Práctica Clínica

How to quote

Márquez Díaz RR. Abordaje enfermero en el debut de la enfermedad oncológica infantil. Metas Enferm mar 2023; 26(2):28-32. Doi:


Rita Rocío Márquez Díaz


Enfermera. Unidad Pediatría-Neonatos. Hospital General Universitario Gregorio Marañón. Madrid (España)

Contact address

Rita Rocío Márquez Díaz. C/ Camino de las Ventillas, 2. 18600 Motril, Granada (España).

Contact email:


The objective was to present an individualized nursing care plan for a 5-year-old girl newly diagnosed with B-cell acute lymphoblastic leukaemia. The patient was admitted to the Oncology ward due to bicytopenia and musculoskeletal pain, and was diagnosed through bone marrow aspiration. After assessment at admission, following the Virginia Henderson’s 14 Needs Model, the following NANDA nursing diagnosis and collaboration problems were prioritized: Risk of infection, Hyperthermia, Reduction of Involvement in Recreational Activities, and Tiredness of the Caregiver Role. The desired NOC outcomes were determined for each one: Severity of the Infection, Thermoregulation, Adaptation of the Child to Hospitalization, Participation in Games, and Performance of the Parental Roles. Due to the NIC interventions and their corresponding activities, there was an increase in the basal score for all indicators, and the target score was reached. It is essential to offer care for the global sphere of the paediatric patient and their environment, involving them in care.


Precursor b-cell lymphoblastic leukemia-lymphoma; pediatrics; family; Adaptation; psychological; pediatric nurse practitioners; patient care planning; standardized nursing terminology

Versión en Español


Abordaje enfermero en el debut de la enfermedad oncológica infantil