The long-term cancer survivor: a challenge for nurse practitioners

For approximately 8 million Americans alive today, the words "cancer" and "survival" are no longer mutually exclusive. As advances are made in the early detection and treatment of cancer, the numbers of survivors who are recovering from their illnesses or living longer with cancer as a chronic disease are increasing. With this extended survival comes a new set of responsibilities and standards for follow-up care that include the following: (1) the recognition of chronic or potential problems, (2) the need for life-long surveillance, and (3) continued access to quality health care. Long-term follow-up care for cancer survivors can be a specialty unto itself. The development of clinics or programs that specialize in caring for this expanding population have a history within pediatric oncology. The challenge in the current health care market is to dedicate energy and resources to do the same within the adult oncology community. Nurse practitioners are ideal candidates to create holistic programs that focus on the special needs, both biomedical and psychosocial, of long-term cancer survivors.