Cancer in Context: A practical guide to supportive care

Paperback | September 14, 2004

byJames Brennan, Clare Moynihan

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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 manypractical 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 sexualdifficulties, 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 theclinical 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 treatmentdifficulties, 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 theirsupportive care in light of such high levels of stress and burnout among these staff groups.

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From the Publisher

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 manypractical ways distress can be minimised and preven...

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

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Format:PaperbackDimensions:456 pages, 9.45 × 6.61 × 0.98 inPublished:September 14, 2004Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0198515251

ISBN - 13:9780198515258

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Extra Content

Table of Contents

IntroductionPart 1: Human contextHuman natureThe catastrophe of cancerWhat helps people with cancer?Quality of lifeSummaryReferencesPart 2: Personal contextChanged livesExpectation about illnessShock of diagnosisDenial and avoidanceDelays to diagnosis"Why me?" - the meaning of cancerCoping with treatmentRelationship with healthcare teamPractical concernsRelationship with family and friendsImpact on selfHopeThe bodyExistential beliefsEnding treatmentLiving with uncertaintyReferencesPart 3: Other peopleWhat is social support and why is it important?Family contextPartner relationshipCaringReferencesPart 4: Social contextBackground and introductionSocial classGenderHomeless peopleDefining 'homelessness'EthnicityDefining 'race', 'culture', and 'ethnicity'Ethnicity and giving support: communication, advocacy, and interpretersAn interpreterAn advocateRefugees and asylum seekersConclusionReferencesPart 5: Clinical contextGeneral practiceDiagnosisSurgeryRadiotherapyChemotherapy and hormone therapyCommon treatment difficultiesRehabilitationRecurrencePalliative careBereavement careReferencesPart 6: CommunicationCommunication and ethicsInformationStaff-patient relationshipPatient-centred communicationEliciting concernsSpecific communication issuesProfessional issues in communicationReferencesPart 7: Professional contextPart 1Stress and burnout in healthcare professionalsCancer professionalsPreventing burnout and reducing stressPart 2User-involvementVoluntary supportComplementary therapy and alternative medicineReferencesAppendices1. Common self report questionnaires2. Managing the stress of cancer - a psychosocial guide for people with cancer

Editorial Reviews

"It is all too rare to find sensitivity and knowledge in perfect balance among the medicos; with the joy of discovery, therefore, I read Dr Brennan's book, Cancer in Context, and with genuine enthusiasm I can recommend it to anyone - professional or layperson - caring for or about a cancer patient."--Irma Kurtz, Writer, Journalist and Broadcaster "Cancer in Context: A Practical Guide to Supportive Care, is a sensible, humane, and sophisticated examination of the challenges facing patients, their families, and those who care for them. The deep understanding conveyed by this book will lead to more compassionate and effective care."--David Spiegel, M.D., Willson Professor in the School of Medicine, Stanford University, USA "This is a reflective, informed and empathic book which illustrates, with the use of personal diaries, the many perspectives that interact and influence the meanings people ascribe to their cancer."--Psycho-Oncology .,."the nearest one can get to actually experiencing living with cancer...it is written in an empathic and flowing style, which helps draw the reader along. Each of the seven chapters deals with a different aspect of supportive care in cancer, and includes a discussion on families and carers."--Psychology and Health