Perspectives of women about external breast prostheses
Abstract
As many as 90% of women who have undergone mastectomy or lumpectomy for breast cancer surgery will choose to wear a breast prosthesis. To date, there has been little systematic exploration of experiences and preferences related to wearing external breast prostheses, especially with new products. For this qualitative descriptive study, 24 women were interviewed regarding their perspectives about the conventional breast prosthesis and 19 about their perspectives regarding a newly available custom-designed breast prosthesis. Women spoke about difficulties obtaining information regarding available breast prostheses options; the awkwardness of being measured and fitted for a prosthesis, especially with seemingly untrained staff; challenges in wearing an external prosthesis; and how a prosthesis can foster increased confidence, enhanced body image and self-esteem, and a sense of normalcy. All recommended that women must make an individual decision about wearing a breast prosthesis and emphasized how important it is to have information about options early in the cancer journey. The study findings can guide oncology nurses in educating women about breast prostheses.
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Andersen, M.R., Bowen, D.J., Morea, J., Stein, K., & Baker, F. (2008).
Frequent search for sense by long-term breast cancer survivors
associated with reduced HRQOL. Women & Health, 47(4), 19–37.
Ashing-Giwa, K.T., Padilla, G., Tejero, J., Kraemer, J., Wright, K.,
Coscarelli, A., et al. (2004). Understanding the breast cancer
experience of women: A qualitative study of African American,
Asian American, Latina and Caucasian cancer survivors. Psychooncology,
(6), 408–428.
Bloom, J., Kang, S., Petersen, D., & Stewart, S. (2007). Quality of life
in long term cancer survivors. In M. Feuerstein (Ed.), Handbook of
Cancer Survivorship (pp. 43–63). New York: Springer.
Braude, H.D., MacDonald, N., & Chasen, M. (2008). Healing and survivorship:
What makes a difference? Current Oncology, 15(4), 20–22.
Canadian Cancer Society (2010). Canadian Cancer Statistics 2010.
Toronto, ON: Canadian Cancer Society.
Denzin, N.K., & Lincoln, Y.S. (Eds.) (2000). Handbook of Qualitative
Research. Thousand Oaks, CA: Sage.
Deshields, T.L., Reschke, A., Walker, M.S., Brewer, A., & Taylor, M.
(2007). Psychological status at time of diagnosis and patients’
ratings of cosmesis following radiation therapy for breast cancer.
Journal of Psychosocial Oncology, 25(2), 103–116.
Dodd, M.J., Cho, M.H., Cooper, B.A., & Miaskowski, C. (2010). The
effect of symptom clusters on functional status and quality of
life in women with breast cancer. European Journal of Oncology
Nursing, 14(2) 101–110.
Fitch, M.I., Gallagher, P., Buckmaster, A., O’Carroll, S., Kiernan, G.,
& Geraghty, J. (2009). Experiences in the provision, fitting, and
supply of external breast prostheses: Findings from a national
survey. European Journal of Oncology Nursing, 18(6), 556–68.
Fitch, M.I., Page, B.D., & Porter, H.B. (Eds.). (2008). Supportive Care
Framework: A foundation for person-centred care. Pembroke, ON:
Pappin Communications.
Gallagher, P., Buckmaster, A., O’Carroll, S., Kiernan, G., & Geraghty,
J. (2010). External breast prostheses in post-mastectomy care:
Women’s qualitative accounts. European Journal of Oncology
Nursing, 19(1), 61–71.
Glaus, S.W., & Carlson, G.W. (2009). Long-term role of external breast
prostheses after total mastectomy. Breast Journal, 15(4), 385–93.
Hassey-Dow, K. (2006). Nursing Care of Women with Cancer. St
Louis, MO: Mosby.
Janz, N., Mujahid, M., Lantz, P., Fargelin, A., Salem, B., Morrow, M., Deapen,
D., Katz, S.J. (2005). Population-based study of the relationship of
treatment and sociodemographics on quality of life for early stage
breast cancer. Quality of Life Research, 14(6), 1467–79.
Kubon, T.M., McClennen, J., Fitch, M.I., McAndrew, A., & Anderson, J.
(2011). A mixed method cohort study to determine feasibility and
perceived patient benefit in providing custom breast prostheses.
(Submitted for publication).
Mahon, S.M., & Casey, M. (2003). Patient education for women being
fitted for breast prostheses. Clinical Journal of Oncology Nursing,
(2), 194–9.
Maunsell, E., Drolet, M., Brisson, J., Brisson, C., Mâsse, B., & Deschênes,
L. (2004). Work situation after breast cancer: Results from a
population-based study. J Natl Cancer Inst, 96(24), 1813–22.
Roberts, S., Livingston, P., White, V., & Gibbs, A. (2003). External
breast prosthesis use: Experiences and views of women with
breast cancer, breast care nurses, and prosthesis fitters. Cancer
Nursing, 26(3), 179–186.
Rowland, J.H., Holland, J.C., Chaglassian, T., & Kinne, D. (1993).
Psychological response to breast reconstruction: Expectations
for and impact on post-mastectomy functioning. Psychosomatics,
(3), 241–50.
Schnur, J.B., Montgomery, G.H., Hallquist, M.N., Goldfarb,
A.B., Silverstein, J.H., Weltz, C.R., et al. (2008). Anticipatory
psychological distress in women scheduled for diagnostic and
curative breast cancer surgery. International Journal of Behavioral
Medicine, 15(1), 21–28.
Sjövall, K., Strömbeck, G., Löfgren, A., Bendahl, P.O., & Gunnars, B.
(2010). Adjuvant radiotherapy of women with breast cancer—
Information, support & side-effects. European Journal of Oncology
Nursing, 14(2), 147–153.
Sun, J., Chapman, J., Gordon, R., Sivaramakrishna, R., Link, M., &
Fish, E. (2002). Survival from primary breast cancer after routine
clinical use of mammography. Breast Journal, 8(4), 199–208.
Thijs-Boer, F.M., Thijs, J.T., & van de Wiel, H.B. (2001). Conventional
or adhesive external breast prosthesis? A prospective study of
the patients’ preference after mastectomy. Cancer Nursing, 24(3),
–30.
Wilmoth, M.C., & Ross, J.A. (1997). Women’s perception: Breast
cancer treatment and sexuality. Cancer Practice, 5(6), 353–9.
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