Survivors of pediatric posterior fossa tumors: Cognitive outcome, intervention, and risk-based care

Abstract Adolescent and young adult survivors of posterior fossa tumors face a wide variety of functional challenges following treatment. The concept of survival needs to include plans to regularly monitor and effectively respond to those patients considered at risk for continued morbidities associa...

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Bibliographic Details
Published in:European journal of oncology nursing : the official journal of European Oncology Nursing Society 2009-07, Vol.13 (3), p.171-178
Main Authors: Palmer, Shawna L, Leigh, Laurie
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adolescent
Age Factors
Chemotherapy, Adjuvant
Cognition Disorders - epidemiology
Cognition Disorders - etiology
Cognition Disorders - physiopathology
Combined Modality Therapy
Early Detection of Cancer
Female
Hematology, Oncology and Palliative Medicine
Humans
Infratentorial Neoplasms - complications
Infratentorial Neoplasms - diagnosis
Infratentorial Neoplasms - psychology
Infratentorial Neoplasms - therapy
Intervention
Late-effects
Male
Morbidity
Neoplasm Staging
Neurosurgical Procedures - adverse effects
Neurosurgical Procedures - methods
Nursing
Paediatrics
Patient Education as Topic
Pediatric cancer
Prognosis
Quality of Life
Radiotherapy, Adjuvant
Risk Assessment
Risk factors
Risk Management
Sex Factors
Sickness Impact Profile
Survivors
Survivors - statistics & numerical data
Survivorship
Teachers
Treatment Outcome
Tumours
Young Adult
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Summary:Abstract Adolescent and young adult survivors of posterior fossa tumors face a wide variety of functional challenges following treatment. The concept of survival needs to include plans to regularly monitor and effectively respond to those patients considered at risk for continued morbidities associated with cancer and its treatment. The nature of impairment experienced by survivors is discussed, including predominant patient- and treatment-related risk factors. A model to respond to the cognitive needs of survivors, including risk-based evaluation and intervention, is proposed. It is imperative for the success of the survivor that a team approach is taken to care. This approach must include improving the awareness and education of teachers and other education specialists who interact with this population of survivors. There is also an obligation to put forth effort in developing and validating efficacious intervention programs.
ISSN:1462-3889
1532-2122
DOI:10.1016/j.ejon.2008.09.002