Dealing with loss: food and eating in women with ovarian cancer on parenteral nutrition
Clamp, Andrew R
Jayson, Gordon C
AffiliationFaculty of Biology, Medicine and Health and Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
MetadataShow full item record
AbstractBACKGROUND: 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.
CitationSowerbutts 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.
JournalJournal of Human Nutrition and Dietetics
- Discharging Women with Advanced Ovarian Cancer on Home Parenteral Nutrition: Making and Implementing the Decision.
- Authors: Sowerbutts AM, Lal S, Sremanakova J, Clamp AR, Jayson GC, Teubner A, Hardy L, Todd C, Raftery AM, Sutton E, Burden S
- Issue date: 2020 Jan 7
- Palliative home parenteral nutrition in patients with ovarian cancer and malignant bowel obstruction: experiences of women and family caregivers.
- Authors: Sowerbutts AM, Lal S, Sremanakova J, Clamp AR, Jayson GC, Teubner A, Hardy L, Todd C, Raftery AM, Sutton E, Morgan RD, Vickers AJ, Burden S
- Issue date: 2019 Dec 29
- The active problem solving of patients dependent on home parenteral nutrition: A qualitative analysis.
- Authors: Ennis L, Ablett J, Taylor M, Lal S
- Issue date: 2018 Aug
- The path from oral nutrition to home parenteral nutrition: a qualitative interview study of the experiences of advanced cancer patients and their families.
- Authors: Orrevall Y, Tishelman C, Herrington MK, Permert J
- Issue date: 2004 Dec
- Home parenteral nutrition: a qualitative interview study of the experiences of advanced cancer patients and their families.
- Authors: Orrevall Y, Tishelman C, Permert J
- Issue date: 2005 Dec