Document Detail

Fighting over food: patient and family understanding of cancer cachexia.
MedLine Citation:
PMID:  19581234     Owner:  NLM     Status:  MEDLINE    
PURPOSE/OBJECTIVES: To investigate tensions over food that exist between patients with advanced cancer with cachexia and their families. RESEARCH APPROACH: Heideggerian phenomenologic inquiry using unstructured interviews. SETTING: A regional cancer center in the United Kingdom. PARTICIPANTS: 8 patients with advanced cancer living with cachexia and 8 family members. METHODOLOGIC APPROACH: Singular unstructured interviews were recorded digitally, transcribed verbatim, and analyzed using thematic and interpretative phenomenologic analysis. MAIN RESEARCH VARIABLES: Cachexia and advanced cancer. FINDINGS: A fine line existed between offering food to a patient and forcing a patient to eat; often, conflict arose as a result. Contributors to that conflict focused on reduced dietary intake by the patient and the reaction to food refusal by the family, which frequently led to patients eating to please. CONCLUSIONS: This study highlights the anxiety that surrounds eating and the distress it causes to patients and their families. This strain can escalate into arguments over food, causing negative repercussions for patients and their family members. INTERPRETATION: This is the first study to uncover tensions about eating as experienced by patients with advanced cancer and cachexia and their families. Nurses must consider this issue when designing and delivering effective care for this patient population.
Joanne Reid; Hugh McKenna; Donna Fitzsimons; Tanya McCance
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Oncology nursing forum     Volume:  36     ISSN:  1538-0688     ISO Abbreviation:  Oncol Nurs Forum     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-07     Completed Date:  2009-10-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7809033     Medline TA:  Oncol Nurs Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  439-45     Citation Subset:  IM; N    
Nursing and Midwifery Research Unit, School of Nursing, Queens University, Belfast, Ireland.
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MeSH Terms
Cachexia / diet therapy,  nursing*
Family Health
Family Nursing / methods*
Neoplasms / diet therapy,  nursing*,  psychology
Nursing Methodology Research
Oncologic Nursing / methods*
Stress, Psychological / nursing*,  psychology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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