The parent of a teen with a diagnosis of Hodgkin disease asks what the child's prognosis will be with treatment. What information should the nurse give to the parent and child?
1. Clinical staging of Hodgkin disease will determine the treatment; long-term survival for all stages of Hodgkin disease is excellent.
2. There is a considerably better prognosis if the client is diagnosed early and is less than 5 years of age.
3. The prognosis for Hodgkin disease depends on the type of chemotherapy.
4. The only way to obtain a good prognosis is by chemotherapy and bone marrow transplant.
1. Clinical staging of Hodgkin disease will determine the treatment; long-term survival for all stages of Hodgkin disease is excellent.
rationale for each:
1. Long-term survival for all stages of Hodgkin disease is excellent. Early-stage disease can have a survival rate greater than 90%, with advanced stages having rates between 65% and 75%.
2. Hodgkin disease mostly affects adolescents.
3. The treatment consists of chemotherapy and often radiation therapy and does not predict prognosis.
4. Bone marrow transplant is not always necessary with the treatment of Hodgkin disease and will most likely worsen the prognosis.
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