Cancer in Context

A practical guide to supportive care

Häftad, Engelska, 2004

AvJames Brennan,Clare Moynihan,UK) Brennan, James (Consultant Clinical Psychologist, Bristol Haematology and Oncology Centre, and Senior Lecturer in Palliative Medicine, University of Bristol,UK) Moynihan, Clare (Senior Research Fellow and Research Associate, Institute of Cancer Research and Royal Marsden Hospital Foundation Trust, London

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This book offers healthcare professionals, academics and anyone affected by cancer a fresh and original approach to the supportive care of people with cancer. It looks at the underlying reasons why cancer so often leads to high levels of distress and, more importantly, it suggests many practical ways distress can be minimised and prevented. The actual experiences of cancer patients, as recorded in their personal diaries, are combined with theory, research and practical clinical advice.In each of its seven chapters Cancer in Context takes a different perspective towards supportive care in cancer. It begins by considering how people in general manage and adjust to massive changes in their lives and, in particular, how they react to the threat of cancer. It goes on to examine the "lived experience" of people with cancer as they negotiate the many changes and challenges that follow their diagnosis. Of course cancer doesn't only affect the person who has the disease, it also impacts on families, partners and carers. One chapter explores these and other issues, such as sexual difficulties, the needs of older people, single people, and gay and lesbian couples. Chapter 4 shows that the social and cultural context of a person's life is critical to understanding their resources, the way the are treated, and the responses the make to serious illness. However, it is in the clinical context that professionals have an opportunity to minimise disruption to their patients' quality of life as they endure the notorious demands of oncology treatments. The book offers practical clinical advice on psychosocial aspects of conventional cancer treatments, common treatment difficulties, cancer rehabilitation and palliative care. Chapter 6 provides a summary of the burgeoning area of information and communication skills within healthcare and, finally, the book ends by considering how doctors, nurses, radiographers and other healthcare professionals can maintain their supportive care in light of such high levels of stress and burnout among these staff groups.

Produktinformation

Utgivningsdatum2004-08-19
Mått170 x 241 x 26 mm
Vikt758 g
FormatHäftad
SpråkEngelska
Antal sidor450
FörlagOUP OXFORD
ISBN9780198515258

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Introduction ; PART 1: HUMAN CONTEXT ; Human nature ; The catastrophe of cancer ; What helps people with cancer? ; Quality of life ; Summary ; References ; PART 2: PERSONAL CONTEXT ; Changed lives ; Expectation about illness ; Shock of diagnosis ; Denial and avoidance ; Delays to diagnosis ; "Why me?" - the meaning of cancer ; Coping with treatment ; Relationship with healthcare team ; Practical concerns ; Relationship with family and friends ; Impact on self ; Hope ; The body ; Existential beliefs ; Ending treatment ; Living with uncertainty ; References ; PART 3: OTHER PEOPLE ; What is social support and why is it important? ; Family context ; Partner relationship ; Caring ; References ; PART 4: SOCIAL CONTEXT ; Background and introduction ; Social class ; Gender ; Homeless people ; Defining 'homelessness' ; Ethnicity ; Defining 'race', 'culture', and 'ethnicity' ; Ethnicity and giving support: communication, advocacy, and interpreters ; An interpreter ; An advocate ; Refugees and asylum seekers ; Conclusion ; References ; PART 5: CLINICAL CONTEXT ; General practice ; Diagnosis ; Surgery ; Radiotherapy ; Chemotherapy and hormone therapy ; Common treatment difficulties ; Rehabilitation ; Recurrence ; Palliative care ; Bereavement care ; References ; PART 6: COMMUNICATION ; Communication and ethics ; Information ; Staff-patient relationship ; Patient-centred communication ; Eliciting concerns ; Specific communication issues ; Professional issues in communication ; References ; PART 7: PROFESSIONAL CONTEXT ; Part 1 ; Stress and burnout in healthcare professionals ; Cancer professionals ; Preventing burnout and reducing stress ; Part 2 ; User-involvement ; Voluntary support ; Complementary therapy and alternative medicine ; References ; APPENDICES ; 1. Common self report questionnaires ; 2. Managing the stress of cancer - a psychosocial guide for people with cancer