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Embracing changes: adaptation by adolescents with cancer
Sasha Kareema Ramini1, Richard Brown, Ellen B Buckner
1Children's Hospital of Alabama, Birmingham, USA.
Pediatric Nursing
|March 26, 2008
Summary
Adolescents with cancer creatively manage changes and demonstrate psychosocial maturation. This study highlights the importance of listening to young patients to improve cancer care and support.
Area of Science:
- Nursing
- Adolescent Health
- Psychosocial Oncology
Background:
- Adolescents with cancer face unique challenges impacting their adaptation.
- The Roy Adaptation Model (RAM) provides a framework for understanding adaptive responses.
Purpose of the Study:
- To examine the adaptive strategies of adolescents experiencing cancer using the Roy Adaptation Model (RAM).
- To explore how adolescents adapt to cancer across physiological, self-concept, role function, and interdependence domains.
Main Methods:
- A descriptive, theory-based study utilizing investigator-designed, open-ended interview questions.
- Interviews were conducted with adolescents and young adults who had cancer during adolescence.
- The study was based on the four adaptive modes of the Roy Adaptation Model.
Main Results:
- Adolescents and young adults reported positive adaptation to cancer.
- Reported adaptive experiences included managing nausea, embracing changes, and seeking normalcy.
- Evidence of increased psychosocial maturation and strong family support was observed.
Conclusions:
- Adolescents demonstrate resilience through creative management of bodily changes and positive attitudes.
- Nursing practice should prioritize patient voices in care evaluation.
- Interventions like survivor clinics, peer support, and cancer camps can enhance adaptation for adolescent cancer survivors.
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