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Nursing measures to support the needs of haematological cancer survivors post-treatment: a literature review

13 February 2020
Volume 29 · Issue 3

Abstract

Background:

Patients with haematological cancers are surviving longer due to increasingly effective treatments. Many patients continue to need support and advice after treatment ends.

Aims:

To review the support needs of patients after treatment for haematological cancer, in order to establish nursing measures for supporting them. Methods: A literature review and thematic analysis of six primary research articles.

Findings:

Three themes were identified: a sense of abandonment, education about late effects, and becoming a survivor.

Conclusion:

Understanding an individual's support needs after treatment for haematological cancer enables nurses to offer sensitive, individualised care to patients. A tailored survivorship plan, led by a specialist nurse, helps to meet the ongoing holistic needs of haematological cancer patients.

Advances in cancer treatment have resulted in a growing population of people who are alive and in remission from their cancer (cancer survivors) following treatment (Bower and Waxman, 2015). The increase in survival rate relates to early diagnosis and improvements in the types of treatment that are available (Jefford et al, 2008).

Haematological malignancies are blood-borne cancers beginning in the blood-forming tissues, that can range from slow-developing and chronic, to fast-growing and acute diseases. It is estimated that around 250 000 people are living with a haematological cancer, making it the fifth most common form of cancer in the UK (Bloodwise, 2014). Depending on the type of cancer and its growth rate, as well as the physical health of the patient at presentation, treatment options vary. Individuals with slow-growing cancers are likely to be actively monitored, with non-intensive chemotherapy treatment initiated in the presence of changes (Bloodwise, 2016). Where disease is advanced at presentation and diagnosis, or in the case of disease progression, individuals may receive supportive or palliative care, in order to manage the physical symptoms and provide emotional support (Bloodwise, 2016).

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