Use this URL to cite or link to this record in EThOS: http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.579754
Title: A study to explore healthcare professionals' experience, understanding and perception of need of patients with advanced cancer who have cachexia and their families
Author: Millar, C. E.
Awarding Body: Queen's University Belfast
Current Institution: Queen's University Belfast
Date of Award: 2013
Availability of Full Text:
Full text unavailable from EThOS.
Please contact the current institution’s library for further details.
Abstract:
Cancer cachexia is a complex metabolic syndrome characterised by severe and progressive weight loss which is predominantly muscle mass. It is a devastating complication of advanced cancer with profound bio-psycho-social implications for patients and their families. At present there is no curative treatment for cachexia in advanced cancer therefore the most important healthcare response entails the minimisation of the psycho-social distress associated with it. However the literature suggests healthcare professionals' are missing opportunities to respond to the multi-dimensional needs of this population. The objective of this study was to explore healthcare professionals' experience, understanding and perception of need of patients with advanced cancer who have cachexia and their families. An interpretative qualitative approach based on symbolic interactionism was adopted. A purposive sample of doctors, nurses, specialist nurses and dieticians were recruited from a cancer centre in a large teaching hospital. Data collection consisted of two phases: focus group interviews followed by individual semi-structured interviews. Findings from the focus group interviews were used as a framework for the semi-structured interview schedule. Results of the semi-structured interviews revealed three overarching themes, eight themes and seven subthemes. These centred on the influence of a variable combination of knowledge, culture and resources on the management of cachexia in advanced cancer. Data revealed that variation in healthcare professionals' perceptions of cachexia in advanced cancer, along with their professional ethos, influenced their response to it in clinical practice. This study has revealed that cancer cachexia is a complex and challenging syndrome which needs to be addressed from a holistic model of care to reflect the multi-dimensional needs of patients and their families. Effective management will require a combination of knowledge, a supportive culture and adequate resources.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID: uk.bl.ethos.579754  DOI: Not available
Share: