Hodgkin's Disease and Adolescents: The Lost Tribe?

Windebank, Kevin

doi:10.1002/9780470994733.ch8

Cited by 1 publication

(2 citation statements)

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“…But not all adolescents are so willing to comply. Pediatric cancer health care professionals relate many examples of adolescents not adhering to treatment protocols 4–8. Some adolescents like to rebel.…”

Section: Where Are We Now?—adolescent Compliance In 2006mentioning

confidence: 99%

“… The first action that health care providers can take to reduce the level of non‐compliance is an open, honest and thorough level of communication. An increase in doctor/patient/family dialogue; the building of relationship and trust; and mutual information‐sharing constitute the single most important intervention strategy that we can apply in order to reduce adolescent non‐compliance 4–8. We can improve our pre‐emptive strategies: education, reinforcement, support, enhanced palatability and decreased side effects of medication.…”

Section: Where Do We Want To Be In 2010?mentioning

confidence: 99%

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Do as I say or die: Compliance in adolescents with cancer

Windebank

Spinetta

2008

Pediatr. Blood Cancer

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Adolescence is a time of great physical change and maturing brain function. This leads to adolescents establishing independence and coming to terms with the implications of their own actions. Not surprisingly, this phase is characterized by experimentation with both constructive and destructive behavior. Studies in many areas of chronic illness have shown that adolescents frequently neglect their care and revolt against the rules established during their childhood. It is therefore to be expected that teenagers diagnosed with a life threatening illness, such as cancer, may on occasion not fully comply with their therapy. The way forward includes improving communication and fully involving these young persons in their treatment planning, thereby moving from compliance to concordance. Additional improvements should be sought in medication, early recognition and support of familial or social problems, and using a specific adolescent multidisciplinary team. Research should not be limited to clinical trials.

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Section: Where Are We Now?—adolescent Compliance In 2006mentioning

confidence: 99%