2009
DOI: 10.1177/0269216308099959
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Patients’ constructions of disability in metastatic spinal cord compression

Abstract: Metastatic spinal cord compression (MSCC) is characterised by poor prognosis and serious physical disability. Patients have complex rehabilitation needs, but the evidence on rehabilitation is sparse. This study aimed to ascertain the constructions placed upon disability by patients with MSCC. A series of nine process-tracing, longitudinal case studies, involving 58 interviews with 9 patients, 6 carers and 29 staff in one NHS Q2

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Cited by 26 publications
(17 citation statements)
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“…21 and use rehabilitation resources more efficiently than their care in non-specialist settings. Admitting people with SCDys due to tumors into SRUs where they have not previously been managed will necessitate changes in practice for the rehabilitation teams and this process will take time and support from senior staff to effectively implement.…”
Section: Patient Supportmentioning
confidence: 99%
See 1 more Smart Citation
“…21 and use rehabilitation resources more efficiently than their care in non-specialist settings. Admitting people with SCDys due to tumors into SRUs where they have not previously been managed will necessitate changes in practice for the rehabilitation teams and this process will take time and support from senior staff to effectively implement.…”
Section: Patient Supportmentioning
confidence: 99%
“…5,10,[12][13][14][15][16][17] It is acknowledged that the rehabilitation of patients with tumor presents unique challenges, 18 and this applies especially for those with tumor as the cause of SCDys. 10,16,[19][20][21] Despite the high proportion of people with tumor causing SCDys there has been relatively little written about these patients in terms of the ideal setting for their rehabilitation or recommendations for rehabilitation teams caring for them. 10,16,19,20,22 The objectives of this project were: 1) to provide a brief review of the epidemiology, clinical features and outcomes for patients with SCDys due to tumor, 2) to survey participants attending a workshop on the rehabilitation of people with SCDys due to tumor about the admission practices of their SRU regarding these people and the services available for their rehabilitation, and 3) based on evidence from the literature and our expert opinion, propose practical considerations for staff working in SRU when managing people with SCDys due to tumor.…”
Section: Introductionmentioning
confidence: 99%
“…Evidence from expert committee reports or opinions or clinical experience of respected authorities, or both With a diagnosis of spinal tumor, patients face a difficult adjustment due to denial of their disability, understanding new boundaries, concern about dependence on others, and learning to live within a new normality [61] . QOL is an important consideration for all cancer patients, and is a major focus of the rehabilitation plan of care.…”
Section: IVmentioning
confidence: 99%
“…Positive illusions were documented by Taylor and her colleagues in adults living with breast cancer, acquired immune deficiency syndrome (AIDS) and heart disease (e.g., Helgeson & Taylor, 1993;Taylor & Armor, 1996;Taylor et al, 1984;Taylor, Kemeny, Reed, Bower, & Gruenewald, 2000;Updegraff, Taylor, Kemeny, & Wyatt, 2002), and have subsequently been documented in adults living with other stressful conditions, including disease, injury, sexual abuse, and war (Eva, Paley, Miller, & Wee, 2009;Himelein & McElrath, 1996;Johnson, 2004;Kenen, Arden-Jones, & Eeles, 2004). These illusions are also theorized to protect against threats to the individual's usual positive self-assessment and sense of control, and promote active and effective coping (Taylor & Armor, 1996).…”
Section: Positive Illusions In Adultsmentioning
confidence: 99%
“…Extensive research on the effect of positive illusions on the well-being in individuals suffering from chronic disorders such as cancer, heart disease, spinal injury, and obesity has followed this early research (e.g., Eva, Paley, Miller, & Wee, 2009;Helgeson & Taylor, 1993;Kenen, Arden-Jones, & Eeles, 2004;Linde, Jeffery, Finch, Ng, & Rothman, 2004). In these circumstances, perceiving oneself as being competent and in control-even if illusory-may allow the individual to overcome threats to the person's psychological wellbeing, and allow them to motivate themselves to persevere in the face of adversity.…”
Section: Positive Illusions In Adults With Disabilities Positive Illmentioning
confidence: 99%