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Monty's Corner - Childhood Cancers Support for All Affected
Childhood Cancers Support for All Affected

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Managing Fatigue and Cognitive Changes in Class

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  • Managing Fatigue and Cognitive Changes in Class

Children returning to school after cancer treatment often face ongoing fatigue and changes in how they think, concentrate, or remember things. These effects, sometimes called “chemo brain”, can make learning feel more tiring and less familiar than before.

These challenges may not be obvious to others, but they are very real. Some days will be easier than others, and that’s perfectly normal.

Preparing Your Child

Talk openly with your child about what to expect. Reassure them that it’s okay to feel tired or forgetful, and that support is available.

  • Let your child know they can ask for help at any time
  • Encourage them to share what helps them feel more focused or rested
  • Remind them that every child learns differently — and that’s okay

Tip: Use a simple daily check-in to help your child express how they’re feeling before and after school.

Working with the School

Teachers and school staff play a key role in helping your child feel safe and supported. A short meeting can go a long way.

  • Share any medical updates or recent changes
  • Explain how fatigue or cognitive changes show up day to day
  • Ask about flexible arrangements for breaks, homework, or attendance
  • Explore options for a quiet space where your child can rest or concentrate

Tip: Bring a short-written summary to meetings. It helps teachers remember key points and refer back later.

Supporting Learning in Class

Small adjustments can make a big difference. These strategies can help your child stay engaged and confident:

  • Break tasks into smaller, manageable steps
  • Use visual aids, checklists, and reminders
  • Offer extra time for reading, writing, or completing tasks
  • Encourage gentle peer support or buddy systems
  • Allow movement breaks or quiet time when needed

Tip: Ask the teacher if your child can use a visual timetable or checklist to stay on track during lessons.

Final Thoughts

Fatigue and cognitive changes can be frustrating for children and parents alike. But with patience, teamwork, and kindness, children can continue learning and growing.

Progress may be slow, but every step forward is worth celebrating. You’re not alone in this journey.

Fatigue
Cognitive Changes
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Learning After Treatment
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Chemo Brain
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Education & Reintegration

Tom’s Story: How Visualisation Helped Him Prepare for School After Treatment

Tom was fourteen and recovering from treatment for bone cancer when he began to worry about returning to school - whether friends would recognise him, how he would keep up, and how different everything might feel after months away.

With gentle support, he used simple visualisation exercises to imagine small moments of his first day back. Picturing friendly faces, familiar spaces, and practical steps helped him approach school with more calm and confidence.

Read Tom’s Full Story

Breathing & Relaxation Techniques for Children

A free, parent‑friendly guide with simple breathing exercises, grounding activities, and child‑safe visualisation scripts prepared by Professional Development Service for Teachers (PDST) in Ireland. 

Download the manual 

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Monty’s Corner does not provide medical advice. All content is for general support and informational purposes only.