Upshaw Naadira C, Roche Anna, Gleditsch Katrina, Connelly Erin, Wasilewski-Masker Karen, Brock Katharine E
Aflac Cancer and Blood Disorders Center at Children's Healthcare of Atlanta, Atlanta, Georgia.
Division of Pediatric Hematology/Oncology, Emory University School of Medicine, Atlanta, Georgia.
Pediatr Blood Cancer. 2021 Jan;68(1):e28781. doi: 10.1002/pbc.28781. Epub 2020 Oct 21.
The definition of adolescents and young adults (AYAs) in oncology varies with upper limits up to age 39. Younger AYAs, ages 12-24 years, are often cared for within pediatrics. In caring for AYAs with cancer, there are unique considerations that become even more important to recognize, acknowledge, and address in AYAs with life-threatening cancer receiving palliative care. This review highlights important factors such as psychosocial development, cultural considerations, and support structure, which should be considered when providing palliative care to AYAs with cancer during the various stages of care: introduction of palliative care; symptom management; advanced care planning (ACP); end-of-life (EOL) care; and bereavement.
肿瘤学中青少年及青年成人(AYA)的定义各不相同,年龄上限可达39岁。年龄较小的AYA,即12至24岁的人群,通常在儿科接受治疗。在照料患有癌症的AYA时,有一些独特的因素需要认识、承认并加以解决,对于接受姑息治疗的患有危及生命癌症的AYA来说,这些因素更为重要。本综述强调了一些重要因素,如心理社会发展、文化因素和支持结构,在为患有癌症的AYA在不同护理阶段提供姑息治疗时应予以考虑:姑息治疗的引入;症状管理;临终关怀计划(ACP);临终(EOL)护理;以及哀伤辅导。