The father of an 8-year-old male presents to the pediatric clinic for an evaluation of his child. The father provides a history that the child has had a poor appetite over the past two months, with...

The father of an 8-year-old male presents to the pediatric clinic for an evaluation of his child.

The father provides a history that the child has had a poor appetite over the past two months,

with increasing fatigue. The child has been complaining that his “Legs hurt”. The father stated

he just thought it was “growing pains” and was not concerned until recently. The boy has been

too fatigued to participate in his favorite sport, baseball. The child's teacher has notified the

parents that the child has been falling asleep during class and not engaging in recess or other

physical activities at school. The child has previously been healthy and is up to date on all

immunizations.
Upon assessment, the nurse notes the child to be pale, with scattered bruises in various stages

on all four extremities. When questioned, the child states he doesn’t remember how the

bruising occurred. The father states that new bruises appear daily, and this has not happened

before. He also states the child has been having nosebleeds frequently. The child also has

enlarged lymph nodes in the neck, axilla, and groin area. The health care provider gives a

preliminary diagnosis of leukemia and refers the client to a pediatric oncologist for a bone

marrow biopsy the following day.

Diagnostics Complete Blood Count Result

Hemoglobin(13.5 -17.5 g/dL) 11.4
Hematocrit (40-45%) 36
WBC (4-11 x103/L) 1.4
Platelets (150-400 x103/L) 75

Medications
Medication: Dose: Route:
Multivitamin 1 tablet daily Oral

Ibuprofen 200 mg as needed Oral

2. What are your expectations from the collaboration with the

dietitian, case manager, oncologist, and pharmacist in your case

study?