Palliative Care and Symptom Management for the Pediatric Oncology Patient

Inclusion Criteria:

Inclusion for Children:

* 10-18 years of age
* MD Anderson Children's Cancer Center (MCACC) cancer patient
* receiving anti-cancer treatment for disease that is not recurrent or metastatic for cancer diagnosed in the past 3-12 mos or receiving anti-cancer treatment for recurrent or metastatic cancer diagnosed within the past 3-12 months
* speak \& understand English
* reside in the Greater Houston area
* provide IRB-approved pediatric assent or informed consent, as age appropriate
* if \< 18 years of age, provide Internal Review Board (IRB)-approved parental permission
* child's eligibility is not contingent upon parent's decision to participate

Inclusion for parents:

* self-identified parent(s) that has(have) a child eligible for study, per the inclusion and exclusion criteria noted above or has had a child (0-18 yrs of age at time of death) treated for cancer at MCACC who has died in the last 1 to 2 years
* speak and understand English
* reside in the Houston metropolitan area
* provide IRB-approved informed consent
* attend different focus groups if more than one eligible parent per child (max 2 parents per child)
* parent's eligibility is not contingent upon the child's decision to participate

Exclusion Criteria:

Exclusion for Children:

* have cognitive impairment, developmental delay, or emotional distress that would limit participation in a group discussion, as determined by the clinical judgment of the investigator
* younger than 10 years or older than 18 years of age

Exclusion for Caregiver:

* have cognitive impairment, developmental delay, or emotional distress that would limit participation in a group discussion, as determined by the clinical judgment of the investigator.