Helping patients with advanced cancer live with concerns about eating: A challenge for palliative care professionals

被引:65
作者
Hopkinson, Jane [1 ]
Corner, Jessica
机构
[1] Univ Southampton, Macmillan Res Unit, Southampton SO17 1BJ, Hants, England
[2] Univ Southampton, Sch Nursing & Midwifery, Southampton SO17 1BJ, Hants, England
关键词
eating-related concern; good death; health promotion; self-action; end-of-life care; palliative care;
D O I
10.1016/j.jpainsymman.2005.09.005
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This paper reports findings of an exploratory study of the eating habits of people with advanced cancer living in the south of England in 2003. The purpose of the study was to develop an understanding of why eating can be experienced as troubling and examine the potential for helping people live with the changes in eating habits that Often accompany advanced cancer. Semistructured interviews were conducted with 30 patients, 23 lay caregivers, and 14 specialist nurses. The data were analyzed. thematically. It was found that patients experienced. eating related concerns when the reality of eating differed from the expectations of eating. Patient response to concern ranged from acceptance to self-action. A subgroup of participants believed that they could have been helped by support for taking self-action. Eating related concerns present nurses and other health care professionals with the challenge of supporting differing patient preferences for living with the symplom, which can include the expectation of support for self-action.
引用
收藏
页码:293 / 305
页数:13
相关论文
共 29 条
[1]   DYING FROM CANCER - RESULTS OF A NATIONAL POPULATION-BASED INVESTIGATION [J].
ADDINGTONHALL, J ;
MCCARTHY, M .
PALLIATIVE MEDICINE, 1995, 9 (04) :295-305
[2]  
[Anonymous], 1999, SAV LIV OUR HLTH NAT
[3]  
[Anonymous], 2001, FRAGILE LIVES DEATH
[4]  
Arbolino L., 2000, Topics in Clinical Nutrition, V15, P12
[5]  
Brown J K, 1998, Oncol Nurs Forum, V25, P547
[6]   Nutrition and physical activity during and after cancer treatment: An American Cancer Society guide for informed choices [J].
Brown, JK ;
Byers, T ;
Doyle, C ;
Coumeya, KS ;
Demark-Wahnefried, W ;
Kushi, LH ;
McTiernan, A ;
Rock, CL ;
Aziz, N ;
Bloch, AS ;
Eldridge, B ;
Hamilton, K ;
Katzin, C ;
Koonce, A ;
Main, J ;
Mobley, C ;
Morra, ME ;
Pierce, MS ;
Sawyer, KA .
CA-A CANCER JOURNAL FOR CLINICIANS, 2003, 53 (05) :268-291
[7]  
CHUI TY, 2002, SUPPORT CARE CANCER, V10, P630
[8]  
Coulter A., 2002, The Autonomous Patient: Ending Paternalism in Medical Care
[9]   Anorexia and anxiety in advanced malignancy: the relative problem [J].
Hawkins, C .
JOURNAL OF HUMAN NUTRITION AND DIETETICS, 2000, 13 (02) :113-117
[10]  
Holden C M, 1991, Hosp J, V7, P73