Problem-Solving Strategies of Women Undergoing Chemotherapy for Breast Cancer

Lyons, Kathleen Doyle; Erickson, Kelly; Hegel, Mark T.

doi:10.2182/cjot.2012.79.1.5

Cited by 30 publications

(30 citation statements)

References 35 publications

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“…Quality of life ( n = 6) and the impact of cancer on every day enjoyment, creativity (Miller, Wagner, Gardner, Reid, & Carson, ), participation in roles and return to activities was discussed (Stern, ), as was psychosocial support required and provided by health‐care teams ( n = 2) for those living with cancer. Self‐management ( n = 3) needs identification and education (Berg & Hayashi, ; Lyons & Erickson & Hegel, 2), was highlighted in a small number of papers. This included one paper that identified lymphoedema management practices used by those living with cancer; another paper that identified self‐management strategies that supported adolescents living post‐childhood cancer, including sleep, exercise and scheduling strategies and the third paper that discussed strategies used by women living with breast cancer to adapt to changed roles and activities as a result of diagnosis and treatment of cancer.…”

Section: Resultsmentioning

confidence: 99%

Cancer care and occupational therapy: A scoping review

Wallis

Stanley

2020

Aus Occup Therapy J

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Introduction Cancer can disrupt participation in everyday activities, suggesting a place for occupational therapy; however, there is a need to articulate the nature, scope and available evidence supporting the occupational therapy role within cancer care. In this scoping review, we identify the breadth of practice and evidence for occupational therapy in cancer care, across all stages of the disease trajectory (diagnosis to palliation/survivorship) throughout the lifespan. Methods Five electronic databases were searched in June 2018, for English language articles. Key words were: cancer care, OR oncolog*, OR oncologic care, OR neoplasms, OR cancer survivors, OR terminal cancer, OR cancer rehabilitation, AND occupational therap*. No date restrictions were imposed. Included were: all styles of literature including grey literature, all types of cancers and all age brackets. There were no restrictions on place of origin of papers. Following the Arksey and O’Malley (2006; International Journal of Social Research Methodology, 8: 19–32) framework for scoping reviews, the first author screened titles and abstracts, and all three authors reviewed sets of the included articles. Conflicts were discussed until consensus was reached. Results After evaluating 305 titles and abstracts and 111 full‐text articles, 89 papers were retained. Articles included research studies (n = 43), reviews (n = 15), grey literature (n = 16), practice analyses (n = 14) and an editorial (n = 1). The occupational therapy roles described were diverse, but largely descriptive in nature, with little evidence of outcomes from treatment. Furthermore, the majority of papers addressed adult populations, with few considering children, adolescents or young adults. Most papers focused on specific stages of the disease, and none addressed the disease along its full trajectory. Conclusion Despite identifying a diverse range of occupational therapy roles in cancer care throughout the disease trajectory and across the lifespan, the need for professional discourse and research within our profession was highlighted. This was particularly evident for adolescents and young adults with cancer.

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Section: Resultsmentioning

confidence: 99%

Cancer care and occupational therapy: A scoping review

Wallis

Stanley

2020

Aus Occup Therapy J

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“…Aging cancer survivors must deal with consequences of cancer and related therapies that may overlap with simultaneous effects of other chronic conditions or life changes that can serve as barriers to a return to normalcy. Oncology nurses should be attentive to the specific needs of older adult cancer survivors, particularly as they relate to setting goals, planning for the future, physical and social functioning, cancer- and non–cancer-related symptoms, engagement in valued activities, and ability to maintain independence (Bellury et al, 2013; Deimling, Sterns, Bowman, & Kahana, 2007; Lyons, Erickson, & Hegel, 2012; Wenzel, Jones, Klimmek, Krumm, et al, 2012). Older adult survivors seeking to reestablish a sense of normalcy may benefit from education and assistance distinguishing normal, aging-related changes from pathologic changes from cancer, other illnesses, or possible late effects of cancer therapies.…”

Section: Discussionmentioning

confidence: 99%

“…Based on information from Atchley, 1989; Havighurst & Albrecht, 1953; Jacelon & Choi, 2014; Klimmek & Wenzel, 2012; Lubkin & Larsen, 2006; Lyons et al, 2011, 2012; Parsons, 1951; Pols, 2013a, 2013b; Roux et al, 2004.…”

Section: Figurementioning

confidence: 99%

Working Toward Normalcy Post-Treatment: A Qualitative Study of Older Adult Breast and Prostate Cancer Survivors

Walker¹,

Szanton²

2015

ONF

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Purpose/Objectives To develop a better understanding of how older adult survivors of early-stage breast and prostate cancer managed the work of recovery. Research Approach Multiple case study design embedded in a larger randomized, controlled trial of a nurse-led patient navigation intervention. Setting Community-based research conducted via in-home visits and by phone with participants residing in non-metropolitan areas of a mid-Atlantic state. Participants Rural-dwelling adults aged 60 years or older with early-stage breast or prostate cancer and the people who support them (11 dyads). Methodologic Approach An approach to grounded theory analysis was used to evaluate the fit between existing theoretical knowledge and case findings and to generate new knowledge about the cancer recovery process. Findings Working toward normalcy was a core process of cancer recovery prompted by participants’ internal experiences and external interactions with their environments. This ongoing, iterative, and active process involved multiple concurrent strategies that were not necessarily medically oriented or cancer specific. Working toward normalcy resulted in movement along a continuum of self-appraisal anchored between participants experiencing life as completely disrupted by cancer to a life back to normal. A greater sense of normalcy was associated with higher engagement in valued activities and increased physical and psychological well-being. Conclusions In addition to the core process of working toward normalcy, multiple theories from nursing, sociology, psychology, and gerontology helped to explain case findings. This knowledge could serve as a foundation on which to design survivorship care that supports the goals of cancer survivors working toward normalcy post-treatment. Interpretation Post-treatment wellness goals can include a desire to reestablish or maintain a sense of normalcy. Nursing actions that promote survivors’ efforts to be perceived as capable, stay engaged in valued activities and roles, maintain a sense of control over their lives and bodies, and make plans for the future may help meet this goal. Existing theories about identity, dignity, inner strength, and the work of illness can inform nursing interventions.

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“…Breast cancer survivors' ability to participate in activities is affected by surgery, chemotherapy, and radiation. Many survivors do not return to their pre-treatment activity levels (Lyons, Erickson, & Hegel, 2012). Investigators are struggling to describe and explain this inactivity (Bloom et al, 2011;Champion et al, 2014;Devoogdt et al, 2010).…”

Section: Impact Of Treatment On Occupation Participationmentioning

confidence: 99%