Older people living alone at home with terminal cancer
| Autor: | Samar M. Aoun, Kim Skett, Kathy Deas |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
Gerontology Coping (psychology) Palliative care Personhood media_common.quotation_subject Population Psychology of self Friends Life Change Events 03 medical and health sciences Dignity 0302 clinical medicine Neoplasms Adaptation Psychological Humans Terminally Ill Medicine Family Interpersonal Relations Spirituality 030212 general & internal medicine education Aged media_common Aged 80 and over education.field_of_study business.industry Loneliness Social Support Single Person Western Australia Cognitive reframing Middle Aged Patient Acceptance of Health Care 3. Good health Oncology 030220 oncology & carcinogenesis Disease Progression Female Independent Living business Autonomy |
| Zdroj: | European Journal of Cancer Care. 25:356-364 |
| ISSN: | 0961-5423 |
| DOI: | 10.1111/ecc.12314 |
| Popis: | This study describes the lived experiences of older people coping with terminal cancer and living alone, focusing on how they face challenges of the biographical life changes from their disease progression. Face-to-face semi-structured interviews were conducted in two phases with palliative care clients of a community-based service in Western Australia (2009-2011): Brief interviews with 43 cancer patients who live alone and then in-depth interviews with 8 of them. Using biographical disruption as the analytical framework for interpreting the qualitative data, four main themes emerged: Biographical disruption: adjusting to change; Biographical continuity: preserving normality; Biographical reconstruction: redefining normality; and Biographical closure: facing the end. Biographical disruption was a suitable framework for analysis, permitting identification of the biographical disruptions of the individual's world and the reframing that is undertaken by the individual to maintain autonomy and independence while acknowledging and accepting their closeness to death. Understanding the factors associated with the individual's need to maintain their own identity will enable nurses working with this population to tailor support plans that meet the individuals' needs while maintaining or restoring the person's sense of self. Interventions that directly address end-of-life suffering and bolster sense of dignity and personhood need to be considered. |
| Databáze: | OpenAIRE |
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