Living with Suffering: The Process of Coping with Metastatic Breast Cancer Pain

2.50
Hdl Handle:
http://hdl.handle.net/10755/164746
Category:
Abstract
Type:
Presentation
Title:
Living with Suffering: The Process of Coping with Metastatic Breast Cancer Pain
Author(s):
Arathuzik, Mary Diane
Author Details:
Mary Diane Arathuzik,PhD, RN, ACNS-BC, Interim Chair and Associate Professor, Emmanuel College, Boston, Massachusetts, USA, email: arathuzi@emmanuel.edu
Abstract:
Research Study: Pain frequently is an integral part of the life of advanced breast cancer patients. Precious little is understood about the process used by advanced breast cancer patients to cope with pain. The purpose of this qualitative study was to investigate the process used by metastatic breast cancer patients to cope with pain. Coping with metastatic breast cancer pain was investigated as a process unfolding with repeated metastatic pain experiences. Grounded theory methodology was used in this study to discover a basic psychological or social process of how metastatic breast cancer patients cope with pain. A purposive sample of 19 women between the ages of 20 and 80 years with a confirmed diagnosis of metastatic breast cancer and pain due to bone or nerve metastases was drawn from the inpatient and outpatient populations of three community hospitals. Lengthy one to three hour semi-structured interviews provided documentation of how these metastatic breast cancer patients coped with cancer pain. A semi-structured interview schedule was used to elicit descriptions from the women about how they coped with pain. Data collection and analysis occurred simultaneously during a two and one-half year period of time. Interview data were content analyzed according to the constant comparative method of abstracting the qualitative data into codes and categories. The analysis yielded the core process of living with suffering. It is a fluid non-linear process whereby metastatic cancer patients endure suffering and use coping strategies to deal with pain based on remission, exacerbation, recurrence or stabilization of their disease. Three main strategies facilitated the major process: struggling with pain, surrendering to pain and adjusting to pain. Use of these three strategies depended upon the patientÆs age, the pain duration, the pain intensity and the patient's past experience with pain. Nurses and other health professionals should understand the process used by metastatic breast cancer patients to cope with pain. Knowledge gained from this research should help oncology nurses to assist patients to develop effective pain coping strategies.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, USA
Sponsors:
Funding Source: Purdue Pharma grant.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleLiving with Suffering: The Process of Coping with Metastatic Breast Cancer Painen_GB
dc.contributor.authorArathuzik, Mary Dianeen_US
dc.author.detailsMary Diane Arathuzik,PhD, RN, ACNS-BC, Interim Chair and Associate Professor, Emmanuel College, Boston, Massachusetts, USA, email: arathuzi@emmanuel.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/164746-
dc.description.abstractResearch Study: Pain frequently is an integral part of the life of advanced breast cancer patients. Precious little is understood about the process used by advanced breast cancer patients to cope with pain. The purpose of this qualitative study was to investigate the process used by metastatic breast cancer patients to cope with pain. Coping with metastatic breast cancer pain was investigated as a process unfolding with repeated metastatic pain experiences. Grounded theory methodology was used in this study to discover a basic psychological or social process of how metastatic breast cancer patients cope with pain. A purposive sample of 19 women between the ages of 20 and 80 years with a confirmed diagnosis of metastatic breast cancer and pain due to bone or nerve metastases was drawn from the inpatient and outpatient populations of three community hospitals. Lengthy one to three hour semi-structured interviews provided documentation of how these metastatic breast cancer patients coped with cancer pain. A semi-structured interview schedule was used to elicit descriptions from the women about how they coped with pain. Data collection and analysis occurred simultaneously during a two and one-half year period of time. Interview data were content analyzed according to the constant comparative method of abstracting the qualitative data into codes and categories. The analysis yielded the core process of living with suffering. It is a fluid non-linear process whereby metastatic cancer patients endure suffering and use coping strategies to deal with pain based on remission, exacerbation, recurrence or stabilization of their disease. Three main strategies facilitated the major process: struggling with pain, surrendering to pain and adjusting to pain. Use of these three strategies depended upon the patientÆs age, the pain duration, the pain intensity and the patient's past experience with pain. Nurses and other health professionals should understand the process used by metastatic breast cancer patients to cope with pain. Knowledge gained from this research should help oncology nurses to assist patients to develop effective pain coping strategies.en_GB
dc.date.available2011-10-27T12:06:13Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:06:13Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.description.sponsorshipFunding Source: Purdue Pharma grant.-
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.