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    Meeting the ongoing needs of survivors of rarer cancer

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    Authors
    Griffiths, Jane
    Willard, Carole
    Burgess, Andrea
    Amir, Ziv
    Luker, Karen
    Affiliation
    Department of Nursing Midwifery and Social Work, University of Manchester, Oxford Road, Manchester M13 9PL, UK. jane.griffiths@manchester.ac.uk
    Issue Date
    2007-09-04
    
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    Abstract
    With more treatment options for people with cancer long-term survivorship is increasing. Physical and psycho-social needs have been identified in survivors of common cancers but very little has been written about the needs of patients with rarer cancers. Patients treated for rarer cancer are discharged to the primary health care team (PHCT), yet little is known about the assessment, management and support of these patients. Thirty-nine semi-structured interviews were conducted with (1) survivors of and (2) people living with rarer cancer (i.e. <5% of cancer burden). Participants were asked about physical and psycho-social needs and service provision. Data were analysed thematically using Atlas ti. Contrary to expectation, disease-free survivors of rarer cancer were indistinguishable from those living with disease in their ability to cope, and range of symptoms and needs. Participants with a clinical nurse specialist (CNS) reported that they were well supported on their return home and their needs were met. Participants without a CNS were referred to the PHCT who were unsure how to assess or support them. These participants felt abandoned. There is a need for the rehabilitation of patients with rarer cancer to strengthen individual coping mechanisms, and family and social support. Although there are resource and training implications, this is a potential role for the PHCT, district nursing in particular, and may lead to more focused and targeted provision of services.
    Citation
    Meeting the ongoing needs of survivors of rarer cancer. 2007, 11 (5):434-41 Eur J Oncol Nurs
    Journal
    European Journal of Oncology Nursing
    URI
    http://hdl.handle.net/10541/70217
    DOI
    10.1016/j.ejon.2007.09.004
    PubMed ID
    18023615
    Type
    Article
    Language
    en
    ISSN
    1462-3889
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ejon.2007.09.004
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