Table 2.

Focal, contextual and residual stimulant in children with cancer’s adaptation to their disease

Category	Focal stimulant	Contextual stimulant	Residual stimulant
Physical challenges: Disruption in nutritional pattern	Cancer	- Unwillingness to eat at the hospital - Taste and smelling of chemotherapy medications - Inadequate ventilation in the ward - Lack of a dining hall at the ward - Serving the food on the bed	- Experience of nausea during the first course of chemotherapy - A belief that all chemotherapy medications cause nausea and vomiting
Physical challenges: Disruption in activity and rest pattern	Cancer	- Reduced playing due to physical weakness - Lack of a suitable play area at the hospital - Experience of unsuccessful play due to physical weakness	- The attitude that, due to cancer, they are not like their peers when playing - The belief that the patient should not have activity and should rest
Fragile self-concept	Cancer	- Sex - Age - passage of time - Severity of complications	- Cultural values such as high esteem for beauty - Valuing other people’s opinions too much - Poor self-confidence - Lack of independence
Difficulty of role transition	Cancer	- Age - Poor economic status - Inability to self-care	- Sense of value with continuing education and employment - Being the source of income for the family - Others’ culture
Disruption of the path to independence	Cancer	- Long-term hospitalization - Hospitalization in an isolation room - Financial burden imposed on the family - Inability to self-care - Heavy costs of treatment - Family’s economic status - Lack of all-inclusive insurance or charity coverage for treatment costs	- Significant others’ culture