Cancer is a very rare disease in children. There have been impressive gains in survival in recent years, and these have been achieved through the use of chemotherapy and national and international clinical trials. The diagnosis of cancer in a child imposes considerable stress on the whole family. In the immediate time after diagnosis, parents must learn about the disease and its treatment, explain what is happening to the child, and make arrangements for the care of other children in the family. For the child, treatment is associated with many side effects depending on the specific drugs used. In addition, the child is prone to infection and therefore is likely to miss a lot of school and other activities.
For all these reasons, physicians and families have become aware that cancer has huge implications for the quality of the child's life. This book is an attempt to describe how quality of life is affected at different stages of the disease process. Comprehensive reviews are provided of the impact on the child's physical activity, social life, and school and educational achievements. Special consideration is given to children with leukemia (one of the more common cancers) and brain tumors.
Cancer does not just affect the child but every member of the family. Consequently there is coverage of the effects on parents and also healthy brothers and sisters. To the extent that improvements in survival have been achieved by national and international collaboration between clinicians, it is concluded that efforts to improve the quality of these children's lives is dependent on collaboration between clinicians, nurses, and behavioral scientists at national and international levels. This book should provide an impetus for such collaboration.
Contents: Why Write a Book About Children With Cancer? Part I: The Holistic Care of the Child. Pediatric Oncology: A Medical Overview. A History of Psychosocial Care. Theory and Method. Part II: Children on Treatment. Effects of Chronic Illness on the Child. Measuring Outcomes: Children Adjusting to Cancer. Back to Normal; Impact on Schooling. Learning Difficulties in Children Treated for Leukemia. The Impact of a CNS Tumor on Children's Learning and Quality of Life. Part III: The Wider Family. The Diagnosis--Parents' Perspectives. Beyond the Diagnosis: The Impact on Parents. Brothers and Sisters. Part IV: Surviving Childhood Cancer. Long-Term Consequences of Surviving Childhood Cancer. Lifestyles and Interventions. Long-Term Issues--The Impact on Parents. Part V: Survival and Quality of Life. Quality of Life. Conclusions.