Late effects in adolescent survivors of childhood cancer

Abstract

The late effects examination must not be regarded as merely an academic exercise or routine by the nurse. Much study, documentation, and time is needed to learn more about potential effects of cancer treatment. Children diagnosed as having cancer are entitled to quality long-term follow-up. The nurse's role is extremely important in helping adolescents with a history of cancer face potential life changes. Prompt intervention may prevent further exaggeration of newly developed problems. The medical team must provide families with a concrete approach to any abnormalities or concerns. In addition, the late effects examination should furnish answers to questions the adolescent or his family may have regarding any aspect of the teen's past or present health. The adolescent who is noncompliant for scheduled clinic visits presents another challenge to the oncology nurse. Phone contact should be maintained with those teens and their parents. Although this level of communication is not optimal, pertinent data regarding growth and development, school or employment, and social status, along with current state of health and any recent progeny can be ascertained. Maintaining telephone contact may also convey the treatment center's commitment to quality long-term care and prompt the adolescent or his family to return to the clinic. Lastly, the documentation of adverse late effects of cancer therapy should be looked upon by those performing late effects examinations as a strong incentive to continue the search for less toxic, but equally effective, treatment for childhood cancer.