Subject(s)
Health Services Needs and Demand/organization & administration , Health Status , Neoplasms/psychology , Neoplasms/rehabilitation , Patient Education as Topic , Survivors/psychology , Adolescent , Child , Child, Preschool , Cross-Sectional Studies , Germany , Humans , Infant , Longitudinal Studies , Neoplasm Recurrence, Local/epidemiology , Neoplasm Recurrence, Local/psychology , Neoplasm Recurrence, Local/rehabilitation , Neoplasms/epidemiology , Neoplasms, Second Primary/epidemiology , Neoplasms, Second Primary/psychology , Neoplasms, Second Primary/rehabilitation , Patient Care Team/organization & administration , Registries/statistics & numerical data , Surveys and Questionnaires , Young AdultABSTRACT
Children who are diagnosed with cancer have a five-year survival rate of nearly 80%, and many live well into adulthood. Because of their disease and treatment exposures, survivors of childhood cancer are at risk for unique long-term health effects. This article reviews some of the more common late effects of childhood cancers and their treatments--endocrine abnormalities, cardiovascular compromise, subsequent neoplasms, and psychosocial issues.
Subject(s)
Neoplasms/psychology , Survivors/psychology , Adult , Cardiac Rehabilitation , Cardiovascular Diseases/psychology , Child , Combined Modality Therapy , Endocrine System Diseases/psychology , Endocrine System Diseases/rehabilitation , Follow-Up Studies , Humans , Neoplasms/complications , Neoplasms/therapy , Neoplasms, Second Primary/psychology , Neoplasms, Second Primary/rehabilitationABSTRACT
OBJECTIVES: To provide a review of long-term sequelae of lymphoma and its treatment, with emphasis on second malignancies, survivorship issues, rehabilitation, and quality of life. DATA SOURCES: Review articles, research studies, and book chapters pertaining to late effects of treatment of lymphomas and to rehabilitation and quality of life for survivors of Hodgkin's disease or non-Hodgkin's lymphoma. CONCLUSIONS: Overall, the outlook for survivors of the lymphomas is positive. The risk of developing second malignancies as long-term sequelae, although relatively low, and the need for physical and psychological health maintenance, warrant lifetime follow-up and support. IMPLICATIONS FOR NURSING PRACTICE: Nurses have a key role in preparing patients for survivorship. By fostering a philosophy and program of rehabilitation that begins at the time of diagnosis, nurses can assist survivors of lymphoma to achieve quality of life.
Subject(s)
Lymphoma/nursing , Lymphoma/rehabilitation , Oncology Nursing , Quality of Life , Survivors , Humans , Neoplasms, Second Primary/nursing , Neoplasms, Second Primary/rehabilitationABSTRACT
An increasing number of children suffering from cancer has been treated successfully during the last 25 years using therapy protocols of the Gesellschaft für Pädiatrische Onkologie und Hämatologie. The patients had to undergo an interdisciplinary treatment modality and a mostly intensive chemotherapy. Late effects could result from this approach for the now 20,000 survivors in the Federal Republik of Germany. The executive committee of the GPOH founded a working group for the detection of late effects stretching over all therapy studies. The first report of this group describes a spectrum of relevant late effects and proposes investigations for their detection.
Subject(s)
Aftercare , Developmental Disabilities/etiology , Neoplasms/rehabilitation , Patient Care Team , Adolescent , Adult , Child , Child, Preschool , Combined Modality Therapy , Developmental Disabilities/mortality , Developmental Disabilities/rehabilitation , Female , Follow-Up Studies , Humans , Infant , Male , Neoplasms/mortality , Neoplasms, Second Primary/etiology , Neoplasms, Second Primary/mortality , Neoplasms, Second Primary/rehabilitation , Quality of Life , Risk Factors , Survival RateABSTRACT
A problem-oriented approach to dysphagia treatment was developed for a post head/neck surgery patient with a hematologic condition. Treatment was graded so that a hierarchical approach was used for all problems. Passive and resistive exercises preceded active exercise, and sensory stimulation preceded motion tasks. After 3 mo of treatment using an oral sensory motor stimulation paradigm and graded series of lip and tongue strengthening and motion exercises, swallowing had improved so that total nutritional intake was by mouth and weight was restored to normal. He was able to resume an active social life and to engage in vocational activities and hobbies.
Subject(s)
Carcinoma, Squamous Cell/surgery , Deglutition Disorders/rehabilitation , Mouth Neoplasms/surgery , Neoplasms, Second Primary/surgery , Postoperative Complications/rehabilitation , Carcinoma, Squamous Cell/radiotherapy , Carcinoma, Squamous Cell/rehabilitation , Combined Modality Therapy , Deglutition Disorders/etiology , Follow-Up Studies , Humans , Male , Middle Aged , Mouth Neoplasms/radiotherapy , Mouth Neoplasms/rehabilitation , Neck Dissection , Neoplasms, Second Primary/radiotherapy , Neoplasms, Second Primary/rehabilitation , Patient Care Team , Postoperative Complications/etiology , Sensation Disorders/etiology , Sensation Disorders/rehabilitation , Surgical FlapsABSTRACT
Recent publications have questioned the benefit of extensive routine follow-up measures in all patients that have undergone treatment for head and neck cancer. Both the poor detection rate of asymptomatic early tumor lesions and the severe limitations that are encountered with regard to further treatment options require an individual follow-up protocol mainly depending on site, size, and treatment of the respective tumor. The objective is to increase the efficacy of the follow-up in head and neck cancer patients carried out in both clinics and private practice.
