Chemotherapy at home: Keeping patients in their “natural habitat”
Abstract
Escalating cancer rates and an increase in the complexity and duration of chemotherapy regimens have brought the issue of cancer treatment at home to the forefront. For the participants of this study, home chemotherapy was offered as a potential treatment choice. Ten patients who accepted home chemotherapy were interviewed using the methodology of interpretive description. They shared their experiences of receiving chemotherapy at home, and identified home as being a “natural habitat” in which they were better able to adapt to their circumstances. Patients were able to redistribute their resources including time, energy, and finances in ways that were meaningful to them. They felt the care provided was enhanced and they were more receptive to teaching. Lastly, participants viewed themselves as being less ill and better able to cope with their treatments. Given the results of this study and other research available, chemotherapy at home should be considered an option for patients with cancer.
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Appelin, G., & Bertero, C. (2004). Patients’ experiences of palliative
care in the home: A phenomenological study of a Swedish
sample. Cancer Nursing, 27(1), 65–70.
Bakker, D., DesRochers, C., McChesney, C., Fitch, M., & Bennett, J.
(2001). Community cancer clinics: Patients’ perspectives. Support
Care Cancer, 9, 234–240.
Beanlands, H., Lipton, J., McCay, E., Schimmer, A., Elliott, M., Messner, H., & Devins, G. (2003). Self-concept as a “BMT patient”, illness intrusiveness, and engulfment in allogeneic bone marrow transplant recipients. Journal of Psychosomatic Research, 55, 419–425.
Boothroyd, L., & Lehoux, P. (2004). Home based chemotherapy for
cancer: Issues for patients, caregivers, and the health care system.
(AETMIS 04-02). Montreal: Agence d’évaluation des technologies
et des modes d’intervention en santé (AETMIS).
Borras, J.M., Sanchez-Hernandez, A., Navarro, M., Martinez, M.,
Mendez, E., Ponton, J., et al. (2001). Compliance, satisfaction, and
quality of life of patients with colorectal cancer receiving home
chemotherapy or outpatient treatment: A randomised controlled
trial. British Medical Journal, 322(7290), 826–830.
Cancer Support Community. (2010). Financial burdens of cancer
care can cause severe post-traumatic stress among cancer
patients, caregivers. Retrieved from www.dotmed.com/legal/
print/story.html?nid=12277
Hall, M., & Lloyd, H. (2008). Evaluating patients’ experiences of home
and hospital chemotherapy. Cancer Nursing Practice, 7(1), 35–38.
King, M., Hall, J., Caleo, S., Gurney, H., & Harnett, P. (2000). Home or hospital? An evaluation of the costs, preferences, and outcomes
of domiciliary chemotherapy. International Journal of Health
Services, 30(3), 557–579.
Longo, C., Fitch, M., Deber, R., & Williams, P. (2006). Financial and
family burden associated with cancer treatment in Ontario,
Canada. Support Care Cancer, 14, 1077–1085.
Miller, S. (2009). Denial: Is it dangerous? Or just a normal reaction to
a cancer diagnosis? Coping With Cancer, 23(6), 16.
Rocchio, B. (2010). Evaluation report: Cancer treatment at home
pilot project. Innovative Health Care Consulting Ltd. Unpublished
manuscript. Edmonton, AB.
Stevens, B., Croxford, R., McKeever, P., Yamada, J., Booth, M., Daub,
S., et al. (2006). Hospital and home chemotherapy for children
with leukemia: A randomized cross-over study. Pediatric Blood
Cancer, 47, 285–292.
Stevens, B., McKeever, P., Law, M.P., Booth, M., Greenberg, M.,
Daub, S., et al. (2006). Children receiving chemotherapy at
home: Perceptions of children and parents. Journal of Pediatric
Oncology Nursing, 23(5), 276–285.
Thorne, S., Reimer Kirkham, S., & MacDonald-Emes, J. (1997).
Interpretive description: A noncategorical qualitative alternative
for developing nursing knowledge. Research in Nursing & Health,
, 169–177.
Williams, A. (2002). Changing geographies of care: Employing the
concept of therapeutic landscapes as a framework in examining
home space. Social Science & Medicine, 55, 141–154.
Zoutman, D., Ford, D., Bryce, E., Gourdeau, M., Hebert, G.,
Henderson, E., et al. (2003). The state of infection surveillance
and control in Canadian acute care hospitals. American Journal
of Infection Control, 31(5), 266–273.
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