The Diagnosis Phase

Why We Focus On The Diagnosis Phase

"The diagnosis phase is one of the earliest high points of emotional & psychological shock.  This shock can cause a negative ripple effect in the life of the child and their family." 

(The DLF)


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Signs & Symptoms


According to HeadSmart, it can be difficult for healthcare professionals to recognise when a child presents with the signs and symptoms of a brain tumour.  Childhood brain tumours are relatively rare and have a very varied presentation. The signs and symptoms that occur before diagnosis vary, change in severity and differ according to the tumour location and the developmental stage of the child. 


Many of the initial signs and symptoms of brain tumours in babies, children and young people are non-specific and mimic other more common and less serious disorders.  According to research by HeadSmart, children with brain tumours are frequently unwell for a prolonged period before the diagnosis is made. 


In the UK, the average time between the first appearance of the symptom and diagnosis for childhood brain tumours is over three months.  This is longer than that experienced by children in other countries and needs to be improved.  The more prolonged this interval is, for example in medulloblastomas, the more it is associated with the increased risk of life-threatening and disabling neurological complications at the start and a worse cognitive outcome in survivors. 


This has a detrimental effect on professional relationships with patients and their families, and their psychological well-being

What We Do Help Us Reach More Families

"Earlier recognition of the signs & symptoms of childhood brain tumours can increase the numbers of children who can be diagnosed & treated earlier and offer hope to more families."

(The DLF)


Diagnosis Decision Tool


We understand the detrimental effect that this prolonged interval of symptom recognition and diagnosis can cause a family or the impact it can have on their relationship with the medical teams around their child.  We can offer a range of wellbeing support services to help our families cope with this devastating news. 


The HeadSmart Decision Support Tool and the RCPCH NICE-Accredited Guidelines are invaluable resources that provide guidelines on the management of children and young people presenting with various symptoms for child professionals.   


Research has shown that an increase in brain tumour survival rates has resulted in increasing numbers of children diagnosed with brain tumours within the education system and in wider society (read more here). 


This offers more hope for the future and we partner with HeadSmart to raise more awareness of the signs and symptoms of childhood brain tumours in schools and amongst child professionals in our region.   

What We Do Help Us Reach More Families
"I have heard both Angela & Terry's experiences, both positive and negative, of their journey from diagnosis to Daniella’s sad passing, and I am convinced that there is so much that can be done to improve this process for others in the same position."

Louise Young

(Yiewsley, Community Leader)


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Palliative Care & the MDT


10 children and young people are diagnosed weekly in the UK, according to The Brain Tumour Charity and this introduces permanent change to the child, their family and friends. 


Change is difficult no matter what that change involves.  In theory, change requires time, a different mindset, a new discipline and acceptance.  In practice, this may not always be possible and for families in this situation, a brain tumour diagnosis is never welcome change. 


When a child is diagnosed, the child and their family enter into this new complex world of specialist medicine and science.  A world of clinicians, oncologists, neurologists, cancer nurse specialists, neuro-oncologists, neuro-pathologists, neuro-psychologists, neuro-endocrinologist, neuro-radiologists, radiation oncologist and other specialist multi-disciplinary teams (MDT) professionals committed to the best standard of medical care for that child.  However, families are almost always unprepared for the wealth of information they will have to learn very quickly and this can affect how well they respond and interact with these specialist professionals.  The news of their child's diagnosis, the pace at which medical care needs to happen and the use of new and sometimes complex medical terminology, are often examples of new changes that can leave families feeling breathless and as if there isn't enough time to process these different changes. 


The British Medical Journal describes the summary of the 8 stages a child diagnosed with a life limiting condition will pass through as the End of Life Care pathway.  This is another terminology families may be unfamiliar and needs to be clearly explained.  According to Marie Curie, End of Life Care is treatment, care and support for people who are nearing the end of their life.  It’s an important part of palliative care but not the same as palliative care.  Palliative Care is treatment, care and support for people with a life-limiting illness, and their family and friends.  It’s sometimes called ‘supportive care’. 


There are several myths around having palliative care which only adds to the mis-information.  Palliative care can be received at any stage in a child's brain tumour illness.  Having palliative care doesn’t necessarily mean that a child is likely to die soon – some children receive palliative care for years.  A child diagnosed with a brain tumour, can also have palliative care alongside treatments, therapies and medicines aimed at controlling your illness, such as chemotherapy or radiotherapy.  At a time like this, communication between the child's family and the medical teams around their child is everything and we encourage our families to reach out to our medical advisors for extra support in de-mystifying the myths and mis-information around their child's brain tumour care.  You can learn more about other myths around palliative care here

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Palliative Care & the Advanced Care Plan


Palliative care is a type of medical supportive care that is provided by specialist medical teams.  It is important because it aims to help the child have a good quality of life and requires many decisions about the child's care around symptom management, involvement of family and friends, spirituality, faith, beliefs etc.  According to NICE, the Advanced Care Plan (ACP) is a significant part of this process.  The ACP is a formal care plan that includes details about the child or young person's condition, decisions made with them and their parents or carers (for example about managing symptoms), and their wishes and ambitions. This plan is a core element of their palliative care and the earlier discussions can be initiated the better quality of care the child can receive.


The NICE guidelines that cover the planning and management of end of life and palliative care in for infants, children and young people (aged 0–17 years) with life-limiting conditions, explain that children, young people and their families should be involved in the decisions about their care to improve the support that is available to them throughout their lives.


The 'diagnosis phase' is the first stage in this journey and 'breaking this news' to the family is a difficult experience for all involved, the medical teams, the child and their family.  For many families, receiving this news maybe unexpected and invoke strong emotional responses including fear, confusion, panic, anger, denial, hysteria or shock.  We understand that these feelings will be new, difficult to contain, control or come to terms with.  We understand this reality and the decisions and pressures families will have to face at the same time.  We believe is important for the child and their family to be offered holistic wellbeing support at this early entry point.  Our wellbeing support service is available and you do not have to go through this alone.


The founders of the Daniella Logun Foundation understand the importance of an Advanced Care Plan and supports research at the Ulster University to improve the initiation of this vital conversation amongst paediatricians early on in a child's care pathway.  We are keen to encourage this discussion early on between our families and their child's care givers for a better holistic care throughout their child's brain tumour journey.  Has your child been recently diagnosed, call us today for additional information. 

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