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    Dealing with loss: food and eating in women with ovarian cancer on parenteral nutrition

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    Authors
    Sowerbutts, AM
    Lal, S
    Sremanakova, J
    Clamp, Andrew R
    Jayson, Gordon C
    Hardy, L
    Sutton, E
    Raftery, Anne-Marie
    Teubner, A
    Burden,S
    Affiliation
    Faculty of Biology, Medicine and Health and Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
    Issue Date
    2020
    
    Metadata
    Show full item record
    Abstract
    BACKGROUND: Malignant bowel obstruction is a common complication of ovarian cancer, resulting in limited oral intake. Home parenteral nutrition (HPN) may be offered to patients in this condition to meet nutritional requirements. However, it is not known how they experience being unable to eat. The present study reports how patients related to food when receiving HPN. METHODS: The investigation was a qualitative study underpinned by phenomenology with women with advanced ovarian cancer in bowel obstruction receiving parenteral nutrition. Interview transcripts were analysed thematically guided by the techniques of Van Manen. RESULTS: We recruited 20 women to the study. Participants were interviewed a maximum of four times and a total of 39 in-depth longitudinal interviews were conducted. Participants could tolerate minimal amounts of food, if they had a venting gastrostomy. Not being able to eat engendered a sense of sadness and loss, and most women found it challenging to be in the presence of others eating. They adopted strategies to cope, which included fantasising about food and watching cookery programmes. These approaches were not a long-term solution; either participants came to terms with their loss or the strategies became less effective in providing relief. CONCLUSIONS: Home parenteral nutrition meets the nutritional requirements of patients with malignant bowel obstruction but cannot replace the non-nutritive functions of food. Healthcare professionals can offer a patient-centred approach by acknowledging the difficulties that patients may face and, wherever possible, encourage them to focus on the positive benefits of interacting with people rather than the loss of eating on social occasions.
    Citation
    Sowerbutts AM, Lal S, Sremanakova J, Clamp AR, Jayson GC, Hardy L, et al. Dealing with loss: food and eating in women with ovarian cancer on parenteral nutrition. J Hum Nutr Diet. 2020.
    Journal
    Journal of Human Nutrition and Dietetics
    URI
    http://hdl.handle.net/10541/622789
    DOI
    10.1111/jhn.12738
    PubMed ID
    32026525
    Additional Links
    https://dx.doi.org/10.1111/jhn.12738
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1111/jhn.12738
    Scopus Count
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