Altered body image in teenagers with cancer

Abstract

The complicated issue of altered body image has been discussed in adult literature for quite some time. In paediatric oncology, it is only relatively recently that it has been highlighted due to a stronger emphasis on quality of life. Teenagers are particularly vulnerable to the many traumas surrounding altered body image because they are negotiating a challenging phase of life. The need to conform and their preoccupation with appearances means that the way they present themselves to the world is highly significant. In addition, coming to terms with their own sexuality permeates many aspects of their lives and causes much consternation. Teenagers are striving to find equilibrium in life and part of that is to develop a more positive body image with an accompanying improvement in self-concept. Cancer and its treatment therefore poses a major threat to teenagers, and nurses need to be able to understand their underlying unrest as well as the stigma associated with altered body image. Young adult clinics are helping to provide a focus for the care of this age group.