The altered body after breast cancer surgery

Lindwall, Lillemor; Bergbom, Ingegerd

doi:10.3109/17482620903106645

Cited by 43 publications

(34 citation statements)

References 33 publications

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“…Besides increased bodily awareness, the women's lack of knowledge and understanding of their altered bodies was associated with a personal feeling of loss of control (Olesen et al., ), and a need for information and supervision from an early stage (Lindgren et al., ; Sekse et al., ). In the case of breast cancer, several studies (Arman & Rehnsfeldt, ; Lindwall & Bergbom, ; Thomas‐MacLean, ) have shown that knowledge and understanding are fundamental in the process of becoming confident and familiar with the altered body. Lindwall and Bergbom () found that women regarded their body as “a stranger” and that they had to process and regain familiarity with their altered bodies after breast cancer surgery.…”

Section: Discussionmentioning

confidence: 99%

Lived experiences and quality of life after gynaecological cancer—An integrative review

Sekse

Dunberger²,

Olesen

et al. 2019

Journal of Clinical Nursing

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Aim and objectives To review the literature on Nordic women's lived experiences and quality of life (QoL) after gynaecological cancer treatment. Background While incidence and survival are increasing in all groups of gynaecological cancers in the Nordic countries, inpatient hospitalisation has become shorter in relation to treatment. This has increased the need for follow‐up and rehabilitation. Design Integrative literature review using the Equator PRISMA guidelines. Methods The review was selected, allowing inclusion of both experimental and nonexperimental research. The search included peer‐reviewed articles published 1995–2017. To frame the search strategy, we applied the concept of rehabilitation, which holds a holistic perspective on health. Results Fifty‐five articles were included and were contextualised within three themes. Physical well-being in a changed body encompasses bodily changes comprising menopausal symptoms, a changed sexual life, complications in bowels, urinary tract, lymphoedema and pain, bodily‐based preparedness and fear of recurrence. Mental well-being as a woman deals with questioned womanliness, the experience of revitalised values in life, and challenges of how to come to terms with oneself after cancer treatment. Psychosocial well-being and interaction deals with the importance of having a partner or close person in the process of coming to terms with oneself after cancer. Furthermore, the women needed conversations with health professionals around the process of coping with changes and late effects, including intimate and sensitive issues. Conclusion Years after gynaecological cancer, women have to deal with fundamental changes and challenges concerning their physical, mental and psychosocial well‐being. Future research should focus on how follow‐up programmes can be organised to target the multidimensional aspects of women's QoL. Research collaboration across Nordic countries on rehabilitation needs and intervention is timely and welcomed. Relevance to clinical practice To ensure that all aspects of cancer rehabilitation are being addressed, we suggest that the individual woman is offered an active role in her follow‐up.

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Section: Discussionmentioning

confidence: 99%

Lived experiences and quality of life after gynaecological cancer—An integrative review

Sekse

Dunberger²,

Olesen

et al. 2019

Journal of Clinical Nursing

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“…Lindwall and Bergbom (2009) have indicated that this kind of treatment might cause a woman to objectify her own body and to experience it as a "stranger." Although we agree with the observation that breast surgery might result in objectifying one's own body, we think that it cannot be claimed a priori that body objectification is undesirable.…”

Section: Phenomenology Of the Bodymentioning

confidence: 97%

Responding to Scars After Breast Surgery

Slatman

Halsema²,

Meershoek

2016

Qual Health Res

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This article represents a phenomenological study on how women endow meaning to their scarred bodies after breast cancer treatment. Data collection consisted of multiple interviews with 10 women who had mastectomy, and 9 women who had breast-saving surgery. Against the background of the phenomenological premise that one's body can appear to oneself in various ways, we identified meaningful differences between experiences that go together with one's body "at a distance" and experiences that go together with one's body's "closeness." The diversity in body experiences we have revealed in our study calls for reconsidering the prejudiced critique of the "body as object" in mainstream phenomenology of health care, and invites medical professionals to develop the ability to recognize different perspectives on embodiment.

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“…According to Aristotle (2009), man should not focus on what is the right or wrong actions, but on which good act she, as a virtuous person, will perform. Dignified care does not merely entail medical treatment, but also shaping of an encounter and a conversation with the patient (Lindwall and Bergbom 2009). An ethical act means doing good, according to Aristotle (2009).…”

Section: Introductionmentioning

confidence: 99%

Ethical dilemmas in prehospital emergency care – from the perspective of specialist ambulance nurse students

Abelsson

Lindwall

2018

International Journal of Ethics Education

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The aim of this study was to describe specialist ambulance nurse students' experiences of ethical conflicts and dilemmas in prehospital emergency care. In the autumn of 2015, after participating in a mandatory lecture on ethics, 24 specialist ambulance nurse (SAN) students reported experiences and interpretations concerning conflicts and ethical dilemmas from prehospital emergency care. The text consisted of 24 written critical incidents which were interpreted using hermeneutic text interpretation. The text revealed three themes: Not safeguarding a patient's body and identity; Not agreeing on the care actions; and Not treating the patient with dignity. The SANs experiences ethical dilemmas and conflict of values when they witness how others violate a patient's dignity. Discussion and reflection is based on ethical conflicts and dilemmas experienced when students see how caregivers do not safeguard the patient's body or identity. When caregivers have a conflicting will, it results in patients not being treated in an ethical manner. Also, seeing how caregivers put themselves in a power position over patients is described as an ethical dilemma that students experience when they choose not to intervene.

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The altered body after breast cancer surgery

Cited by 43 publications

References 33 publications

Lived experiences and quality of life after gynaecological cancer—An integrative review

Lived experiences and quality of life after gynaecological cancer—An integrative review

Responding to Scars After Breast Surgery

Ethical dilemmas in prehospital emergency care – from the perspective of specialist ambulance nurse students

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