Perspectives of women about external breast prostheses

Margaret I. Fitch, Alison McAndrew, Andrea Harris, Jim Anderson, Todd Kubon, Jay McClennen

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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References


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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