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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Veröffentlicht in: | European journal of oncology nursing : the official journal of European Oncology Nursing Society 2009-07, Vol.13 (3), p.171-178 |
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description | 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. |
doi_str_mv | 10.1016/j.ejon.2008.09.002 |
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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. 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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.</description><subject>Adaptation, Psychological</subject><subject>Adolescent</subject><subject>Age Factors</subject><subject>Chemotherapy, Adjuvant</subject><subject>Cognition Disorders - epidemiology</subject><subject>Cognition Disorders - etiology</subject><subject>Cognition Disorders - physiopathology</subject><subject>Combined Modality Therapy</subject><subject>Early Detection of Cancer</subject><subject>Female</subject><subject>Hematology, Oncology and Palliative Medicine</subject><subject>Humans</subject><subject>Infratentorial Neoplasms - complications</subject><subject>Infratentorial Neoplasms - diagnosis</subject><subject>Infratentorial Neoplasms - psychology</subject><subject>Infratentorial Neoplasms - therapy</subject><subject>Intervention</subject><subject>Late-effects</subject><subject>Male</subject><subject>Morbidity</subject><subject>Neoplasm Staging</subject><subject>Neurosurgical Procedures - adverse effects</subject><subject>Neurosurgical Procedures - methods</subject><subject>Nursing</subject><subject>Paediatrics</subject><subject>Patient Education as Topic</subject><subject>Pediatric cancer</subject><subject>Prognosis</subject><subject>Quality of Life</subject><subject>Radiotherapy, Adjuvant</subject><subject>Risk Assessment</subject><subject>Risk factors</subject><subject>Risk Management</subject><subject>Sex Factors</subject><subject>Sickness Impact Profile</subject><subject>Survivors</subject><subject>Survivors - statistics & numerical data</subject><subject>Survivorship</subject><subject>Teachers</subject><subject>Treatment Outcome</subject><subject>Tumours</subject><subject>Young Adult</subject><issn>1462-3889</issn><issn>1532-2122</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkktv1TAQRiMEoqXwB1ggr2DThPEjcYxQJXTFS6rEorC2XGdSnCb2xU4i9d_j6F7xWpSVR_KZT_acKYrnFCoKtHk9VDgEXzGAtgJVAbAHxSmtOSsZZexhrkXDSt626qR4ktIAAIrL9nFxQhVQJTk_LezVEle3hphI6MkeO2fm6CzZhzRjdCGSPqRkyLxMmXlDduHGu9mtSMIy2zDhOXE-kyv62QV_TozvSHTptrw2CTtiTcSnxaPejAmfHc-z4tuH9193n8rLLx8_795dlraWdC6RCVH3om-lYb3qmJB9A7SnnVGIHIyQtOem7RjljEuRSyVFzaW0TS1UC_ysuDjk7pfrCTubnxTNqPfRTSbe6WCc_vvGu-_6JqyaSQZCbAGvjgEx_FgwzXpyyeI4Go9hSVo2gitOVZ3Jl_eSjawFk1z-F6wlByV4k0F2AG3MA4_Y_3o3Bb3p1oPedOtNtwals-7c9OLPH_9uOfrNwNsDgHnuq8Ook3XobfYc0c66C-7-_It_2u3ovLNmvMU7TENYos9GNdWJadBX28Jt-wYtAGWN4j8BIabRyw</recordid><startdate>20090701</startdate><enddate>20090701</enddate><creator>Palmer, Shawna L</creator><creator>Leigh, Laurie</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>5PM</scope></search><sort><creationdate>20090701</creationdate><title>Survivors of pediatric posterior fossa tumors: Cognitive outcome, intervention, and risk-based care</title><author>Palmer, Shawna L ; Leigh, Laurie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c571t-e2445f4f87a2f9d247f601f1da9ee30a471f3a8d21323743a89745377c6549803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adaptation, Psychological</topic><topic>Adolescent</topic><topic>Age Factors</topic><topic>Chemotherapy, Adjuvant</topic><topic>Cognition Disorders - epidemiology</topic><topic>Cognition Disorders - etiology</topic><topic>Cognition Disorders - physiopathology</topic><topic>Combined Modality Therapy</topic><topic>Early Detection of Cancer</topic><topic>Female</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Humans</topic><topic>Infratentorial Neoplasms - complications</topic><topic>Infratentorial Neoplasms - diagnosis</topic><topic>Infratentorial Neoplasms - psychology</topic><topic>Infratentorial Neoplasms - therapy</topic><topic>Intervention</topic><topic>Late-effects</topic><topic>Male</topic><topic>Morbidity</topic><topic>Neoplasm Staging</topic><topic>Neurosurgical Procedures - adverse effects</topic><topic>Neurosurgical Procedures - methods</topic><topic>Nursing</topic><topic>Paediatrics</topic><topic>Patient Education as Topic</topic><topic>Pediatric cancer</topic><topic>Prognosis</topic><topic>Quality of Life</topic><topic>Radiotherapy, Adjuvant</topic><topic>Risk Assessment</topic><topic>Risk factors</topic><topic>Risk Management</topic><topic>Sex Factors</topic><topic>Sickness Impact Profile</topic><topic>Survivors</topic><topic>Survivors - statistics & numerical data</topic><topic>Survivorship</topic><topic>Teachers</topic><topic>Treatment Outcome</topic><topic>Tumours</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Palmer, Shawna L</creatorcontrib><creatorcontrib>Leigh, Laurie</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of oncology nursing : the official journal of European Oncology Nursing Society</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Palmer, Shawna L</au><au>Leigh, Laurie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Survivors of pediatric posterior fossa tumors: Cognitive outcome, intervention, and risk-based care</atitle><jtitle>European journal of oncology nursing : the official journal of European Oncology Nursing Society</jtitle><addtitle>Eur J Oncol Nurs</addtitle><date>2009-07-01</date><risdate>2009</risdate><volume>13</volume><issue>3</issue><spage>171</spage><epage>178</epage><pages>171-178</pages><issn>1462-3889</issn><eissn>1532-2122</eissn><abstract>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.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>19019733</pmid><doi>10.1016/j.ejon.2008.09.002</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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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 |
title | Survivors of pediatric posterior fossa tumors: Cognitive outcome, intervention, and risk-based care |
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