Childhood Cancer: Bremen Psychologist on Diagnosis, Therapy & Family Support
The emotional toll of a cancer diagnosis extends far beyond the patient, profoundly impacting the entire family. At the Klinikum Bremen-Mitte, approximately 50 children are treated for cancer annually, part of a national total of around 2,300 pediatric cancer cases each year. Psychologist Angela Duhr, who has worked in pediatric oncology since 2001 and leads the Psychosocial Team since 2012, emphasizes the critical need to support not just the child, but the whole family navigating this challenging journey.
Understanding a Child’s Awareness
A common question arises when observing a child undergoing treatment – a small patient walking the halls with an IV drip, perhaps having lost their hair – is the child aware of the gravity of their illness? According to Duhr, the initial conversation with parents often centers around this very question: how much to explain, and how to do so.
The Importance of Honesty
Duhr advises parents to be open with their children, recognizing that they will sense changes in the family dynamic – increased tension, or a parent’s visible distress. Withholding information, she explains, can erode trust during the often months-long treatment process. Support is available to help parents communicate in an age-appropriate manner.
Addressing Parental Fears
The initial reaction to a cancer diagnosis is often shock, with parents immediately fearing the worst. Duhr and her team focus on providing hope, emphasizing the high success rates of pediatric cancer treatment. Many parents, she notes, are surprised to learn that a cure is often possible.
Dealing with Guilt
Duhr observes that many parents grapple with feelings of guilt, questioning their past choices – whether their child’s diet was adequate, or if they sought medical attention soon enough. These feelings are a common part of the emotional process.
Recognizing the Signs
It’s important to note that, in most cases, there are no clear warning signs that a child is developing cancer. Symptoms like headaches, stomachaches, or paleness are often attributed to common childhood illnesses, not cancer. The cause of childhood cancer remains unknown, but treatment advancements continue to improve outcomes.
The Family as the Unit of Care
The approach to care has evolved to recognize the importance of supporting the entire family. This shift, beginning in the 1980s, has led to the integration of psychosocial support staff into oncology units. As Duhr succinctly puts it, “The patient is the family.” This means involving parents in the treatment process, equipping them with the knowledge and skills to care for their child both during hospital stays and at home.
Supporting the Wider Circle
Families are encouraged to be open with their community – neighbours, school friends, and other parents – to avoid rumors and misinformation. Practical support, such as helping with siblings or providing meals, can be invaluable. Maintaining a sense of normalcy for the child, including continued interaction with friends, is also crucial.
Frequently Asked Questions
What types of cancer are commonly treated at the Klinikum Bremen-Mitte?
The Klinikum Bremen-Mitte treats a range of childhood cancers, including leukemias, brain tumors, kidney tumors, and bone tumors.
How do healthcare professionals help children understand their illness?
Healthcare professionals use tools like the “Chemo-Kasper” picture book to explain chemotherapy to young children in a simple and understandable way.
What is the role of the Psychosocial Team?
The Psychosocial Team provides support to both the child and the family, addressing emotional needs and helping them navigate the challenges of a cancer diagnosis and treatment.
How do you think the evolving understanding of the family’s role in a child’s cancer journey will shape future care models?