The older patient's experience of the healthcare chain and information when undergoing colorectal cancer surgery according to the enhanced recovery after surgery concept

Journal of Clinical Nursing
Katja Schubert SamuelssonMarie Iwarzon

Abstract

To describe how older patients experience the healthcare chain and information given before, during and after colorectal cancer surgery. Most persons with colorectal cancer are older than 70 years and undergo surgery with subsequent enhanced recovery programmes aiming to quickly restore preoperative function. However, adaptation of such programmes to suit the older patient has not been made. Qualitative descriptive study. Semi-structured interviews were conducted on 16 patients undergoing colorectal cancer surgery at a Swedish University Hospital. The inductive content analysis was employed. During the period of primary investigation and diagnosis, a paucity of information regarding the disease and management, and lack of help in coping with the diagnosis of cancer and its impact on future life, leads to a feeling of vulnerability. During their stay in hospital, the patient's negative perception of the hospital environment, their need for support, and uncertainty and anxiety about the future are evident. After discharge, rehabilitation is perceived as lacking in structure and individual adaptation, leading to disappointment. Persistent difficulty with nutrition delays recovery, and confusion regarding division of responsibility...Continue Reading

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Citations

Feb 1, 2020·Scandinavian Journal of Primary Health Care·Tobias AbelssonAnn-Kristin Karlsson
Jul 10, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S NiemeläinenM Hyöty
Aug 28, 2020·European Journal of Cancer Care·Georgios SaltaourasEila K Watson
Nov 16, 2019·Current Colorectal Cancer Reports·Sooyeon KimCourtney J Balentine
Feb 19, 2021·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Pei-Shan LoTsae-Jyy Wang

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