| Self-Management and Transitions in Women with Advanced Breast Cancer. | |
| | |
MedLine Citation:
|
PMID: 21444183 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
CONTEXT: Self-management involves behaviors that individuals perform to handle health conditions. Self-management may be particularly challenging during transitions-shifts from one life phase or status to another, for example, from cure- to noncure-oriented care-because they can be disruptive and stressful. Little is known about individuals' experiences with self-management, especially during transitions. OBJECTIVE: Our purpose was to describe experiences of self-management in the context of transitions among women with advanced breast cancer. METHODS: We interviewed a purposive sample of 15 women with metastatic breast cancer about their self-management preferences, practices, and experiences, including how they managed transitions. Interviews were recorded and transcribed. The qualitative method of interpretive description was used to code and analyze the data. RESULTS: Participants' mean age was 52 years (range 37-91 years); most were White (80%), married (80%), and college educated (60%). Self-management practices related to womens' health and to communication with loved ones and providers. Participants expressed a range of preferences for participation in self-management. Self-management included developing skills, becoming empowered, and creating supportive networks. Barriers to self-management included symptom distress, difficulty obtaining information, and lack of knowledge about the cancer trajectory. Women identified transitions as shifts in physical, emotional, and social well-being, as when their cancer progressed and there was a need to change therapy. Transitions often prompted changes in how actively women self-managed and were experienced as positive, negative, and neutral. CONCLUSIONS: Self-management preferences can vary. Providers should explore and revisit patients' preferences and ability to self-manage over time, particularly during transitions. |
| | |
Authors:
|
Dena Schulman-Green; Elizabeth H Bradley; M Tish Knobf; Holly Prigerson; Michael P Digiovanna; Ruth McCorkle |
Related Documents
:
|
11098203 - Does experience of the 'occult' predict use of complementary medicine? experience of, a... 21911433 - Antibacterial prescribing patterns in small animal veterinary practice identified via s... 21099433 - Practice patterns of cardiologists, general practitioners, and internists for managing ... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-3-26 |
Journal Detail:
|
Title: Journal of pain and symptom management Volume: - ISSN: 1873-6513 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
|
Created Date: 2011-3-29 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8605836 Medline TA: J Pain Symptom Manage Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved. |
Affiliation:
|
Yale School of Nursing (D.S.-G., M.T.K., R.M.), Yale School of Public Health (E.H.B., R.M.), and Yale School of Medicine (M.P.D.), New Haven, Connecticut; and Dana Farber Cancer Institute (H.P.) and Harvard Medical School (H.P.), Boston, Massachusetts, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Patient-Reported Pressure Ulcer Pain: A Mixed-Methods Systematic Review.
Next Document: Formal Feasibility Studies in Palliative Care: Why They Are Important and How to Conduct Them.