Changes and challenges following treatment for head and neck cancer.

摘要

Receiving a diagnosis of cancer is one of the most challenging life events an individual and their family and friends can face. The treatment and consequences of head and neck cancer (H&NC) in particular can be devastating. Treatment generally involves surgery, radiotherapy and chemotherapy and their consequences have profound effects, not least having a changed appearance and the possibility of cancer recurrence. Impacts include physical, social and psychological difficulties and changed lifestyles (Semple et al. 2008, pp. 85-93). There is a body of evidence that has investigated the change in quality of life (QoL) as a result of H&NC and international standardized instruments for assessment are available (Rogers et al. 2007). Difficulties encountered include changes in appearance, speech, swallowing, saliva, chewing, taste, pain, shoulder movement, mood and anxiety (Rogers et al. 2008). Most studies that have investigated changes in QoL as a consequence of H&NC have been quantitative using these standardized instruments. Less research has investigated life changes as a consequence of H&NC and treatment using qualitative methods. Consequently, the study by Semple et al. (2008) in this issue of JAN is novel and contributes to the emerging body of evidence on this subject. They argue that understanding life changes following treatment would allow professionals to address information and support needs for patients and develop appropriate interventions.