See validated screening tools mentioned in Principle 4 ‘Supportive care’. Additionally, the ‘Cancer Survivors Unmet Needs (CaSun)’ is another validated screening tool that may help health professionals to identify the unmet needs of patients during survivorship.

A number of specific challenges and needs may arise for cancer survivors:

• physical, psychological, nutritional, fitness, wellbeing and immunological issues – these can arise due to lymphoma or DLBCL, or from treatment or both, and should be noted, reported and managed; some of these issues can be life-threatening and can affect quality of life (referral to an appropriate clinician may be required)
• financial and employment issues (e.g. loss of income and assistance with returning to work, and the cost of treatment, travel and accommodation)
• appointing a substitute decision-maker and completing an advance care directive
• legal issues such as completing a will.

For more information on supportive care and needs that may arise for different population groups, see Appendices A and B, and special population groups.