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Coping with an exulcerated breast carcinoma: an interpretative phenomenological study
S Probst1, A Arber, S Faithfull
1Department of Health, Zurich University of Applied Sciences, Winterthur, Switzerland. sebastian.probst@zhaw.ch
Journal of Wound Care
|October 26, 2013
Summary
Women with malignant fungating wounds (MFWs) experience significant distress due to unpredictable symptoms. Coping often involves isolation or denial, highlighting the need for holistic palliative care.
Area of Science:
- Oncology Nursing
- Palliative Care
- Qualitative Research
Background:
- Malignant fungating wounds (MFWs) present unique challenges for patients living at home.
- Understanding patient coping mechanisms is crucial for effective care.
Purpose of the Study:
- To explore the lived experiences and coping strategies of women with malignant fungating wounds (MFWs).
Main Methods:
- Heideggerian hermeneutic phenomenology framework.
- Semi-structured interviews with nine patients experiencing MFWs.
Main Results:
- Patients described 'living with a MFW' and 'feeling different' due to unpredictable symptoms like malodour, bleeding, and pain.
- Loss of bodily control led to significant distress and suffering.
- Coping strategies included social isolation and denial.
Conclusions:
- Living with and coping with MFWs is exceptionally difficult.
- Effective care requires a palliative, holistic, and empathic approach.
- Healthcare providers should acknowledge and address the profound impact of MFWs on patients' lives.
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