title: Experience of parents with head and neck cancer who are caring for young children.
abstract: OBJECTIVE
  This paper is a report of a study exploring the experience and support needs of parents with head and neck cancer, who are also caring for their young children.
  
  
  BACKGROUND
  The incidence of head and neck cancer is steadily rising in the younger age groups (under 50 years). As a direct consequence, more parents of young children are being diagnosed with this cancer.
  
  
  METHODS
  Using a qualitative descriptive design, 12 patients with young children under the age of 16 were interviewed during 2008. The data were analysed using cognitive mapping.
  
  
  RESULTS
  At diagnosis, parents experienced the fear of missing milestones in the life of their children and fear of telling the children about their diagnosis. During treatment, parents' inevitable stays in hospital led to separation from the children and the need to prepare their children for the first hospital visit. Parents experienced many debilitating effects of treatment, which had an impact on family activities, especially those that involved eating. There was often changing roles within the family. After treatment, the experience of living with cancer for parents resulted in the desire to get back to day-to-day life. Parents had an increased appreciation of life but were also living with uncertainties. The most important support networks for parents were their spouse, family and friends.
  
  
  CONCLUSIONS
  Oncology nurses are in an excellent position to offer support and guidance to parents with cancer who have children, and should encourage them to explore with the family the best way of managing role change during treatment.
authors.affiliation: Macmillan Clinical Nurse Specialist Head and Neck Cancer, South Eastern Health & Social Care Trust, Cancer Services, Ulster Hospital, UK. cherith.semple@setrust.hscni.net
authors.forename: Cherith J
authors.initials: CJ
authors.lastname: Semple
authors.forename: Tanya
authors.initials: T
authors.lastname: McCance
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D002648:Child; D002654:Child Care / Q000523:psychology*; D002668:Child Rearing / Q000523:psychology; D002675:Child, Preschool; D005195:Family Relations; D005260:Female; D006258:Head and Neck Neoplasms / Q000523:psychology*; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D016487:Parenting / Q000523:psychology*; D010290:Parents / Q000523:psychology*; D036301:Qualitative Research; D012944:Social Support; D011795:Surveys and Questionnaires