Symptom Clusters in Children and Adolescents with Cancer

Cheryl Rodgers, Mary C Hooke, Jessica Ward, Lauri A Linder
Seminars in Oncology Nursing 2016, 32 (4): 394-404

OBJECTIVE: To report evidence regarding assessment methods and management strategies for symptom clusters among children and adolescents with cancer.

DATA SOURCES: Published research and clinical guidelines.

CONCLUSION: Although a number of studies have identified multiple co-occurring symptoms in children and adolescents with cancer, only a few have included analyses aimed at identifying symptom clusters. Evidence is limited for symptom cluster management strategies.

IMPLICATIONS FOR NURSING PRACTICE: Researchers and clinicians need to employ mechanisms that support children and adolescents to: 1) fully express multiple, co-occurring symptoms; 2) identify symptom clusters within specific developmental and diagnostic groups; and 3) develop and evaluate interventions targeting symptom clusters.

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