Communication changes following non-glottic head and neck cancer management: The perspectives of survivors and carers

Autor: Martha N T Goodrow, Sandro V. Porceddu, Nerina Scarinci, Elizabeth C. Ward, Bena Cartmill, Laura N Tupling, Bridget C Debattista, Kori Johnson, Anna F. Rumbach, Rebecca L. Nund
Rok vydání: 2015
Předmět:
Gerontology
Adult
Male
medicine.medical_specialty
Population
Language and Linguistics
Speech Disorders
Interviews as Topic
Speech and Hearing
Quality of life (healthcare)
Cost of Illness
Activities of Daily Living
Adaptation
Psychological

medicine
Humans
Survivors
skin and connective tissue diseases
education
Everyday life
Hearing Disorders
Qualitative Research
Aged
education.field_of_study
Voice Disorders
Research and Theory
business.industry
Communication
Head and neck cancer
Perspective (graphical)
social sciences
Chemoradiotherapy
Middle Aged
LPN and LVN
medicine.disease
humanities
Persons With Hearing Impairments
Treatment Outcome
Otorhinolaryngology
Caregivers
Head and Neck Neoplasms
Physical therapy
Quality of Life
Female
sense organs
business
human activities
Psychosocial
Qualitative research
Zdroj: International journal of speech-language pathology. 17(3)
ISSN: 1754-9515
Popis: PURPOSE Head and neck cancer (HNC) survivors may experience functional changes to their voice, speech and hearing following curative chemoradiotherapy. However, few studies have explored the impact of living with such changes from the perspective of the HNC survivor and their carer. The current study employed a person-centred approach to explore the lived experience of communication changes following chemoradiotherapy treatment for HNC from the perspective of survivors and carers. METHOD Participants included 14 survivors with non-glottic HNC and nine carers. All participants took part in in-depth interviews where they were encouraged to describe their experiences of living with and adjusting to communication changes following treatment. Interviews were analysed as a single data set. RESULT Four themes emerged including: (1) impairments in communication sub-systems; (2) the challenges of communicating in everyday life; (3) broad ranging effects of communication changes; and (4) adaptations as a result of communication changes. CONCLUSION These data confirm that communication changes following chemoradiotherapy have potentially negative psychosocial impacts on both the HNC survivor and their carer. Clinicians should consider the impact of communication changes on the life of the HNC survivor and their carer and provide adequate and timely education and management to address the needs of this population.
Databáze: OpenAIRE