Evidence-Based Nursing Practices for Nausea and Vomiting in Pediatric Oncology

Abstract

In pediatric oncology patients, nausea and vomiting secondary to chemotherapy and radiotherapy can lead to fluid electrolyte imbalance, increased risk of infection, delayed recovery, and reduced childhood activities. For pediatric oncology patients, severe nausea and vomiting can also lead to an increased need for parenteral nutrition support and place an additional burden on care. Despite the existence of guidelines published by The Multinational Association for Supportive Care in Cancer, the European Society of Medical Oncology, and the Pediatric Oncology Group of Ontario, the assessment of nausea and the lack of a standardized scoring system remain a challenge. Therefore, it is important to implement innovative and age-appropriate interventions to prevent and manage chemotherapy-induced nausea and vomiting. In addition to pharmacological interventions such as serotonin receptor antagonists, anticholinergics, antiemetics, aromatherapy, relaxation techniques, acupressure, acupuncture, massage, storytelling, hypnosis, yoga, and video games, child distraction methods, music, painting, nonpharmacological interventions are used in the treatment of nausea and vomiting that may develop secondary to chemotherapy. Accurate and timely assessment of symptoms in pediatric oncology patients can lead to more effective treatment and management of nausea and vomiting and have a positive impact on overall treatment processes. Pediatric nurses can provide symptom recognition of children through standardized assessment tools and provide education and counseling to children and their parents regarding the identification of signs and symptoms of nausea and vomiting. In this section, we will discuss evidence-based nursing interventions for nausea and vomiting in pediatric oncology patients. © 2025 Elsevier B.V., All rights reserved.