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When a child is diagnosed with cancer, it obviously has a big effect on them. They may be very frightened as well as feeling unwell and having side effects of treatment to cope with.
Being away from home, family and friends can also be difficult for a child to cope with. Understandably, this can have an effect on their behaviour. They may become very clingy, argumentative or difficult. Maintaining normal discipline during this time is reassuring for your child and can help them feel more secure.
Treatment may cause changes in their appearance, such as weight loss or gain, or hair loss|. These changes can affect their confidence, especially for older children and teenagers.
One of the hardest parts of caring for a child with cancer is knowing what to say| and how much information to give them.
Answering questions honestly is best. Some children may not ask questions, but this doesn’t mean they don’t want to know what’s happening. They may be frightened and uncertain of many things. Some children may even wonder if they have done something wrong and that’s why they have cancer.
You can ask your doctors or nurses for guidance on how to talk to your child.
Children with cancer often have gaps in their education. This can be due to going into hospital, the side effects of treatment, or generally not feeling well enough to fully take part in daily school life. Most children’s cancer hospitals have education departments that can support your child while they’re in hospital. The teaching staff at the hospital will contact your child’s teachers to make sure they can continue their schooling whenever they feel well enough. It’s even possible for children to take exams in hospital if necessary.
As your child’s health improves and if treatment allows, going back to school may be a relief or a challenge. For many children, school is a refuge from the world of hospitals and procedures - a place for fun, friends and learning. Going back to school can be a sign that life is returning to normal.
However, some children, especially teenagers, may dread going back to school. This may be because of temporary or permanent changes in their appearance. Or they may worry that they’ll have missed a lot of work, or that being away will have affected their relationships with their friends.
Bullying may be an issue for some children at school, especially more vulnerable children. You can get advice and support from the school and other organisations if you think your child is being bullied.
If treatment has affected your child’s ability to learn, this can be a major frustration for them and may affect their confidence and self-esteem. The school can give extra help for children with learning difficulties. Talk to the teachers at school if you think your child may have problems.
It’s important to let the school know how your child is doing. As soon as your child is diagnosed, contact the head teacher to tell them what's happening. It can help to let the school know about the plans for treatment. The school teachers can then work with the hospital education department to make sure they cover the same work as the rest of the class.
It can help for the teachers at the hospital to let the school know if your child is emotionally or physically fragile. The school teachers can then take this into account.
At any stage of treatment, your child should be involved in letting the teacher know what information they would like to be shared with their classmates.
Infectious illnesses such as chickenpox, measles or shingles can be dangerous to children who have a low immunity due to cancer treatment. If your child is going to school, ask the teachers to let you know immediately if any child in the school develops chickenpox, measles or shingles. If your child has been exposed to chickenpox and has not had it before, contact the hospital straight away. Your child should have an injection of varicella zoster immune globulin (VZIG) within 72 hours, or they should be given a drug called Acyclovir by tablet or liquid medicine (suspension).
It can be difficult to get the balance right between letting your child mix with their friends and worrying that they might pick up an infection. You can discuss this with both the hospital staff and the teachers at school to make sure you’re happy with what your child does.
The school can develop a system to let other parents know that they should notify their child’s teacher if their child develops chickenpox, measles or shingles, so that appropriate action can be taken.
If this hasn’t been suggested, you could ask your child’s specialist cancer nurse or social worker to talk to the class about what is happening to your child and how they will look and feel when they come back to school. This could include a question-and-answer session to clear up misunderstandings and reassure the children in the class. Children having cancer treatment should be involved in deciding what information should be given to their classmates.
You could also send pictures of your child having treatment to the school. Some families have photo albums that can be shared with the classmates.
Encourage classmates to keep in touch by sending cards, phoning, texting and emailing. Social networking websites, such as Facebook, can be a good way for older children to keep in touch with classmates.
School teachers may find the Schools and young people| section of our wesite useful. There you’ll find all the information, support and resources you need to talk about cancer with children and young people.
It’s important for your child to try to keep up with schoolwork whenever they can. Learning can continue outside school. By speaking regularly to the teacher, you’ll know which subjects are being covered. Often, the teacher will send assignments and materials home with siblings or arrangements can be made to collect them.
To help your child keep up in school, you may need to ask for a special education statement. This qualifies your child for extra help. You can download a booklet| about special educational needs.
You can also get information about the education of children with special needs from the government website|.
Many children diagnosed with cancer are very young and have not yet started school. As a parent, you may have to choose between having your child at nursery throughout treatment or keeping your child at home.
Keeping your child at home may mean they have less chance for social growth and development, but if they stay at nursery there’s a risk of infection. There is no right or wrong decision - it’s a personal choice for you to make. You may want to think about whether:
Content last reviewed: 1 April 2012
Next planned review: 2014
For answers, support or just a chat, call the Macmillan Support Line free (Monday to Friday, 9am-8pm)
If you have any questions about cancer, need support or just want someone to talk to, ask Macmillan.
We worked with The Chilidren's Cancer and Leukaemia Group (CCLG) to make sure you have the information you need about children's cancer.
If you have any questions about Macmillan we would love to hear from you| .
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© Macmillan Cancer Support 2013
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