Symptoms and symptom clusters in adolescents receiving cancer treatment: A review of the literature

Erickson, Jeanne M.; Macpherson, Catherine Fiona; Ameringer, Suzanne; Baggott, Christina; Linder, Lauri; Stegenga, Kristin

doi:10.1016/j.ijnurstu.2012.10.011

Cited by 86 publications

(82 citation statements)

References 103 publications

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“…Among the invasive procedures, pediatric cancer patients frequently mention venipuncture as a cause of pain, anxiety and tension, converging with other study results, 3,5,14 which mention venipuncture, besides lumbar puncture and bone marrow test collection, 3,5 as the main causes of pain in the pediatric population undergoing cancer treatment.…”

Section: Discussionmentioning

confidence: 52%

“…3 As they extend throughout the treatment, vomiting and stomachache interfere negatively in the diet and can make the patients refuse to eat. Including the adolescents' preferred foods into the diet can minimize this, in line with the medical recommendations.…”

Section: Discussionmentioning

confidence: 99%

“…1 After analyzing the literature in the area, authors 2 estimated that the prevalence of pain ranges between 9% and 26% for pediatric outpatient cancer patients and between 39% and 54% for children and adolescents hospitalized for treatment. Another study 3 reviewed the literature on the most common symptoms in adolescents with cancer and identified that the causes of pain in that population vary over time. In the diagnosis, pain is mainly related with the cancer itself but, in the course of the treatment, it turns into a consequence of the treatment itself and procedures.…”

Section: Introductionmentioning

confidence: 99%

“…The painful sites the adolescents most mentioned were: head, back, limbs, mouth and abdomen. 3 In the pediatric cancer population, historically, pain has been ignored or precariously treated. Since the previous decade, however, the attitudes that promoted its insufficient treatment and clinical practice standards have changed, 4 indicating the importance of assessment for the early identification and measuring of pain, as well as for effective treatment in each case.…”

Section: Introductionmentioning

confidence: 99%

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Oncologic pain relief: strategies told by adolescents with cancer

Rocha

Sposito

Bortoli

et al. 2015

Texto contexto - enferm.

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ABSTRACT:In view of the negative impact of pain on the quality of life of cancer patients, identifying and stimulating the use of effective strategies to minimize these painful feelings is highly relevant for care. The aim of this study was to identify painful experiences of adolescents with cancer and to get to know their strategies for pain relief. This is an exploratory research, using qualitative data analysis. Semistructured interviews were held with nine adolescents with cancer, who reported on acute, recurring and chronic, physical and emotional painful experiences. To relieve these pains, they described pharmacological and non-pharmacological strategies, including: distraction, presence of relatives, bed positioning, cooperation to accomplish procedures and keeping up positive thinking. Therefore, it is essential for health professionals to know available evidence for pain relief and to develop skills to articulate this knowledge with their professional experience and with the patients' own strategies. DESCRIPTORS: O ALÍVIO DA DOR ONCOLÓGICA: ESTRATÉGIAS CONTADAS POR ADOLESCENTES COM CÂNCER RESUMO:Tendo em vista o impacto negativo da dor na qualidade de vida do paciente oncológico, identificar e estimular o uso de estratégias eficazes para minimizar essas sensações dolorosas é de grande relevância para o cuidado. Este estudo objetivou identificar experiências dolorosas de adolescentes com câncer e conhecer suas estratégias para o alívio da dor. Trata-se de um estudo exploratório, com análise qualitativa dos dados. Foram realizadas entrevistas semiestruturadas com nove adolescentes com câncer, os quais relataram experiências dolorosas agudas, recorrentes e crônicas, tanto físicas quanto emocionais. Para o alívio dessas dores, descreveram estratégias farmacológicas e não farmacológicas, tais como: distração, presença de familiares, posicionamento no leito, colaboração para realizar procedimentos e manutenção de pensamento positivo. Assim, é essencial que os profissionais de saúde conheçam as evidências disponíveis para o alívio da dor e desenvolvam habilidades para articular esse conhecimento à sua experiência profissional e às estratégias dos próprios pacientes. DESCRITORES:Adolescente. Neoplasias. Dor. Enfermagem pediátrica. EL ALIVIO DEL DOLOR ONCOLÓGICO: ESTRATEGIAS CONTADAS POR ADOLESCENTES CON CÁNCER RESUMEN:Ante el impacto negativo del dolor en la calidad de vida del paciente oncológico, identificar y estimular el uso de estrategias eficaces para minimizar esas sensaciones dolorosas es muy relevante para el cuidado. El objetivo de este estudio fue identificar experiencias dolorosas de adolescentes con cáncer y conocer sus estrategias para aliviar el dolor. Estudio exploratorio con análisis cualitativo de los datos. Fueron realizadas entrevistas semiestructuradas con nueve adolescentes con cáncer, que relataron experiencias dolorosas agudas, recurrentes y crónicas, físicas y emocionales. Para aliviar esos dolores, describieron estrategias farmacológicas y no farmacológicas, tales como: distracción; ...

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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Oncologic pain relief: strategies told by adolescents with cancer

Rocha

Sposito

Bortoli

et al. 2015

Texto contexto - enferm.

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“…Research into the measurement of incidence and severity of fatigue in children and adolescents with cancer is increasing with some early evaluation of interventions to reduce fatigue [25][26][27][28]. However, despite these efforts, there remains a lack of understanding as to how children and adolescents with cancer describe fatigue and the impact of fatigue from the child's perspective.…”

Section: Introductionmentioning

confidence: 99%

The lived experience of fatigue in children and adolescents with cancer: a systematic review

Tomlinson

Zupanec

Jones

et al. 2016

Support Care Cancer

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Purpose Objectives of this systematic review were to summarize how fatigue has been described from the perspective of children and adolescents with cancer, the impact of fatigue on quality of life, and child reported contributing factors and potential alleviators of fatigue. Methods We conducted electronic searches of Ovid Medline, EMBASE, PsycInfo, Science Citation, Social Science Citation (Web of Science), and CINAHL. We included studies of children and adolescents with cancer in which the experience of fatigue was described by the child/adolescent. The search was restricted to publications in English. Themes were summarized. Results Eleven studies were represented in 18 publications. Ages of included children ranged from 6 to 19 years. Majority of studies used semi-structured interviews to elicit participant's perceptions of fatigue. Terms used to describe fatigue included the following: tiredness, weary, loss of strength, dizziness, feeling drained, feeling drowsy, lacking motivation, exhaustion, and feeling emotional. Impact of fatigue related to not being able to participate in regular activities; needing to sleep or rest more; and impact on psychosocial health. Perceived alleviators of fatigue included exercise, distraction, rest, eating, and drinking. Conclusions Fatigue is impactful from the perspective of children and adolescents. Future research should focus on prospective exploration of the impact of fatigue on pediatric cancer patients and identifying approaches to reduce fatigue.

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Specialty Palliative Care and Symptom Severity and Control in Adolescents and Young Adults With Cancer

Gupta,

Li,

Kassam

et al. 2023

JAMA Netw Open

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ImportanceAdolescents and young adults (AYAs) with cancer experience substantial symptom burden. Specialty palliative care (SPC) is recommended but often not involved or involved late.ObjectivesTo determine whether patient-reported symptom severity was associated with subsequent SPC involvement and whether SPC was associated with symptom improvement in AYAs with cancer.Design, Setting, and ParticipantsThis cohort study comprised AYAs (aged 15-29 years) with primary cancer diagnosed between January 1, 2010, and June 30, 2018, in Ontario, Canada. Data, including self-reported Edmonton Symptom Assessment System (ESAS) scores, were obtained from health care databases. Specialty palliative care was identified through billing codes and validated algorithms. Final data analysis was performed on April 4, 2023.Main Outcomes and MeasuresAssociations of ESAS scores with subsequent SPC involvement were determined. A difference-in-differences approach was used for patients who died within 5 years of their cancer diagnosis. Case patients (SPC predeath, index date equals first SPC service) were matched 1:1 to control patients (no SPC at equivalent time before death). The study examined whether the difference between 90-day postindex and preindex mean ESAS scores was itself different between case and control patients.ResultsThis study included 5435 AYAs with cancer, with a median follow-up of 5.1 (IQR, 2.5-7.9) years for analyses of general palliative care. Their median age at cancer diagnosis was 25 (IQR, 22-27) years, and more than half were male (2809 [51.7%]). For all symptoms, moderate and severe ESAS scores were associated with an increased likelihood of SPC involvement compared with mild scores. The greatest magnitude of association was seen for pain scores (hazard ratio for severe vs mild, 7.7 [95% CI, 5.8-10.2]; P &lt; .001). A total of 721 AYAs (13.3%) died within 5 years of diagnosis, and 612 of these patients (84.9%) had received SPC before death. Among 202 case-control pairs, SPC involvement was associated with improved pain trajectories (mean scores improved from 3.41 to 3.07 in case patients and worsened from 1.86 to 2.16 in control patients; P = .003). Other symptom trajectories were not affected.Conclusions and RelevanceIn this cohort study of AYAs with cancer, those reporting moderate or severe symptoms through a screening program were more likely to subsequently receive SPC. These findings suggest that SPC was associated with a subsequent decrease in pain severity but did not affect other symptoms. New interventions targeting other symptoms during treatment and particularly at the end of life are needed.

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Symptoms and symptom clusters in adolescents receiving cancer treatment: A review of the literature

Cited by 86 publications

References 103 publications

Oncologic pain relief: strategies told by adolescents with cancer

Oncologic pain relief: strategies told by adolescents with cancer

The lived experience of fatigue in children and adolescents with cancer: a systematic review

Specialty Palliative Care and Symptom Severity and Control in Adolescents and Young Adults With Cancer

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