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Palliative care in adolescents.

D Schrijvers¹, P Meijnders

¹Department of Hematology-Oncology, Ziekenhuisnetwerk Antwerpen-Middelheim, Lindendreef 1, B-2020 Antwerp, Belgium. Dirk.schrijvers@zna.be

Cancer Treatment Reviews

|January 16, 2007

Summary

Adolescents with incurable cancer require specialized palliative care focusing on symptom management, psychosocial support, and developmental needs. This comprehensive approach ensures optimal comfort and quality of life for patients and their families.

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Area of Science:

Adolescent oncology
Palliative care
Supportive oncology

Background:

High cure rates in adolescent cancers exist, yet 10-40% develop incurable disease.
Palliative care is essential for these patients to optimize comfort, function, and social support.
Adolescent palliative care must address unique physical and psychosocial developmental changes.

Purpose of the Study:

To define the scope and necessity of palliative care for adolescents with incurable cancer.
To highlight the importance of a multidisciplinary team approach.
To emphasize the inclusion of spiritual, ethical, and legal considerations.

Main Methods:

Review of current palliative care guidelines for adolescent oncology.
Analysis of the specific needs of adolescents with life-limiting cancer diagnoses.
Integration of developmental psychology principles into palliative care frameworks.

Main Results:

Palliative care significantly improves symptom control and quality of life.
Multidisciplinary teams are crucial for holistic patient and family support.
Addressing developmental, spiritual, ethical, and legal issues is integral to adolescent palliative care.

Conclusions:

Palliative care is a critical component of managing incurable cancer in adolescents.
Tailored palliative care strategies are needed to address the unique vulnerabilities of this age group.
Comprehensive care optimizes patient well-being and family support throughout the illness trajectory.