PURPOSE: The aim of this study was to explore and understand the lived experience of older people living alone and suffering from incurable cancer in rural Norway. METHODS AND SAMPLE: Narrative interviews were conducted with five older people with incurable cancer (three women and two men, aged 71-79), receiving outpatient and life-prolonging chemotherapy and living alone in their homes in rural areas. A phenomenological hermeneutical approach was used to interpret the meaning of the lived experience. KEY RESULTS: Four main themes were found: enduring by keeping hope alive, becoming aware that you are on your own, living up to expectations of being a good patient and being at risk of losing one's identity and value. Enduring this situation means struggling with terminal illness and facing death in a brave manner, and replacing former ways of living. The process of providing treatment may threaten dignity and cause additional distress. CONCLUSIONS: These results show a complex and comprehensive situation where physical symptoms and emotions are interwoven. Further the results describe how the ways of suffering caused by the manner in which care is delivered, suffering related to the cancer disease and existential suffering, may increase each other's impact. The social and rural context calls for special attention as the patients may lack recourses to gain sufficient care. Their comfort depends to a large extent on the health professionals' sensitivity.
PURPOSE: The aim of this study was to explore and understand the lived experience of older people living alone and suffering from incurable cancer in rural Norway. METHODS AND SAMPLE: Narrative interviews were conducted with five older people with incurable cancer (three women and two men, aged 71-79), receiving outpatient and life-prolonging chemotherapy and living alone in their homes in rural areas. A phenomenological hermeneutical approach was used to interpret the meaning of the lived experience. KEY RESULTS: Four main themes were found: enduring by keeping hope alive, becoming aware that you are on your own, living up to expectations of being a good patient and being at risk of losing one's identity and value. Enduring this situation means struggling with terminal illness and facing death in a brave manner, and replacing former ways of living. The process of providing treatment may threaten dignity and cause additional distress. CONCLUSIONS: These results show a complex and comprehensive situation where physical symptoms and emotions are interwoven. Further the results describe how the ways of suffering caused by the manner in which care is delivered, suffering related to the cancer disease and existential suffering, may increase each other's impact. The social and rural context calls for special attention as the patients may lack recourses to gain sufficient care. Their comfort depends to a large extent on the health professionals' sensitivity.
Authors: Sophie I van Dongen; Kim de Nooijer; Jane M Cramm; Anneke L Francke; Wendy H Oldenmenger; Ida J Korfage; Frederika E Witkamp; Rik Stoevelaar; Agnes van der Heide; Judith Ac Rietjens Journal: Palliat Med Date: 2020-02 Impact factor: 4.762
Authors: Shannen R van der Kruk; Phyllis Butow; Ilse Mesters; Terry Boyle; Ian Olver; Kate White; Sabe Sabesan; Rob Zielinski; Bryan A Chan; Kristiaan Spronk; Peter Grimison; Craig Underhill; Laura Kirsten; Kate M Gunn Journal: Support Care Cancer Date: 2021-08-14 Impact factor: 3.603