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
For children:
 No physical activities
 Limited exposure to other
children and family members
due to risk of contracting
infection.
 Frequent hospitalizations for
treatments, and follow ups.
 Frequent illness due to disease
and treatment modalities.
 Changing of physical self, loss of
hair, swelling, pale skin and
dark circles under eyes, weight
loss, central lines or ports.
 Limited exposure to animals.
 Family pressures with medical
bills and transportation.
 Threat of mortality.

For adults:
 Frequent monitoring,
hospitalizations for testing,
treatments, and follow up.
 Missed work, or need for leave
of absence.
 Loss of income due to missed
work time, leave of absence, and
elevated medical bills.
 Family dynamic changes, the
primary caregiver may become
the one being cared for.
 Changing of physical self, loss of
hair, swelling, pale skin and
dark circles under eyes, weight
loss, central lines or ports.
 Family pressures due to
decreased income, increased
bills, changes in family
dynamics, and feeling of lack of
self worth.
 Threat of mortality.
(Dunphy, 2011; Larson, 2014)