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.

Due to an increased potential for deep vein thrombosis and pulmonary embolism with high-grade gliomas, patients and their carers need to be alerted to possible symptoms and advised about the appropriate next steps (Natsumeda et al. 2018). Other challenges and needs that may arise for cancer survivors include:

• decline in mobility or functional status resulting from treatment
• 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.