Nursing Care of Patient With Cancer Diagnosis According To Merle Mishel"s Theory of Uncertainty In Illness: a Case Report
Abstract
Diagnosis of cancer, limited and shocking treatment options, the experience of loss, fear of recurrence and an uncertain life expectancy can lead patients to experience obscurity and high uncertainty. Uncertainty is an important component of the cancer experience and can dramatically affect the results of the patient’s illness. Mishel’s Uncertainty in Illness Theory; by providing uncertainty as a conceptual framework in diseases, it forms the basis and provides guidance for holistic care. The Uncertainty in Illness Theory UIT is an approach that helps to eliminate uncertainty in the patient and use coping mechanisms. The role of nurses to contribute to the management of uncertainty related to the disease; is to facilitate the process, to strengthen the patient with healthy responses
References
- Özçelik H, Fadıloğlu Ç, Karabulut B, Uyar M, Elbi H, Eyigör S, et al. Kanser Hastasının Palyatif Bakımında Vaka Yönetimine Dayalı Multidispliner Bakım Protokolü. Ağrı Derg 2014;26:47–56. [CrossRef]
- Sepşlveda C, Marlin A, Yoshida T, Ullrich A. Palliative Care: The World Health Organization’s Global Perspective. J Pain Symptom Manage 2002;24:91–6. [CrossRef]
- Dünya Sağlık Örgütü (WHO) . WHO Definition of Palliative Care. http://www.who.int/cancer/palliative/definition/en/
- Karabacak Ü, Acaroğlu R. Konfor Kuramı. Maltepe Üniversitesi Bilim ve Sanat Derg 2011;4:197–202.
- Bailey DE, Stewart JL. Uncertainty in illness theory. In: Alligood MR, Tomey AM, editors. Nursing Theorist and Their Work. New York: Mosby-Elsevier; 2010. pp.599–617.
- Mishel MH. Uncertainty in illness. Image J Nurs Sch 1988;20:225–32. [CrossRef]
- Barron CR. Stress, Uncertainty, and Health. In: Rice VH, editor. Handbook of Stress, Coping, and Health: Implications for Nursing Research, Theory, and practice. Thousand Oaks, CA: Sage Publications; 2000. pp.517–39.
- Neville KL. Uncertainty in illness: an integrative review. Orthop Nurs 2003;22:206–14. [CrossRef]
- Mishel MH. Reconceptualization of the Uncertainty in Illness Theory. Image J Nurs Sch 1990;22:256–62. [CrossRef]
- Braden CJ. A test of the self-help model: learned response to chronic illness experience. Nurs Res 1990;39:42–7. [CrossRef]
- Regan-Kubinski MJ, Sharts-Hopko N. Illness cognition of HIV- infected mothers. Issues Ment Health Nurs 1995;16:327–44. [CrossRef]
- Lee YL, Gau BS, Hsu WM, Chang HH. A model linking uncertainly, post-traumatic stress and health behaviors in childhood cancer survivors. Oncol Nurs Forum 2009;36:E20–30. [CrossRef]
- Lien C, Chen S, Tsai P, Chen K, Hsieh Y, Liang Y. Effectiveness of nursing instruction in reducing uncertainty, anxiety and self-care in breast cancer women undergoing initial chemotherapy. Hu Li Za Zhi 2010;57:51–60.
- Sammarco A, Konecny LM. Quality of life, social support, and uncertainty among latina and caucasian breast cancer survivors: a comparative study. Oncol Nurs Forum 2010;37:93–9. [CrossRef]
- Kazer MW, Bailey DE, Sanda M, Colberg J, Kelly WK. An internet intervention for management of uncertainty during active surveillance for prostate cancer. Oncol Nurs Forum 2011;38;561–8. [CrossRef]
- Lien CY, Lin HR, Kuo IT, Chen ML. Perceived uncertainty, social support and psychological adjustment in older patients with cancer being treated with surgery. J Clin Nurs 2009;18:2311–9. [CrossRef]
- Clayton MF, Mishel MH, Belyea M. Testing a model of symptoms, communication, uncertainty, and well-being, in older breast cancer survivors. Res Nurs Health 2006;29:18–39. [CrossRef]
- Bailey D, Barroso J, Muir A, Sloane R, Richmond J, McHutchison J, et al. Patients with chronic hepatitis C undergoing watchful waiting: Exploring trajectories of illness uncertainly and fatigue. Res Nurs Health 2010;33:465–73. [CrossRef]
- Tluczek A, McKechnie AC, Lynam PA. Modified uncertainty theory and parents’ perspectives about equivocal diagnostic results for cystic fibrosis. Qual Health Res 2010;20:209–23. [CrossRef]
- Anema C, Johnson M, Zeller JM, Fogg L, Zetterlund J. Spiritual well- being in individuals with fibromyalgia syndrome: relationships with symptom pattern variability, uncertainty, and psychosocial adaptation. Res Theory Nurs Pract 2009;23:8–22. [CrossRef]
- Reich JW, Johnson LM, Zautra AJ, Davis MC. Uncertainty of illness relationships with mental health and coping processes in fibromyalgia patients. J Behav Med 2006;29:307–16. [CrossRef]
- Landis BJ. Uncertainty, spiritual well-being, and psychosocial adjustment to chronic illness. Issues Ment Health Nurs 1996;17:217– 31. [CrossRef]
- Sanders-Dewey NEJ, Mullins LL, Chaney JM. Coping style, perceived uncertainty in illness, and distress in individuals with Parkinson’s disease and their caregivers. Rehabil Psychology 2001;46:363–81. [CrossRef]
- Mishel M. Uncertainty of Illness. https://sites.google.com/a/ northgeorgia.edu/merle-mishel-middle-range-nursing-theorist/ home/uncertainty-of-illness
- Mishel M, Sorenson D. Uncertainty in Gynecological Cancer: A Test of the Mediating Functions of Mastery and Coping. Nurs Res 1991;40:167–71. [CrossRef]
- Holland JC, Andersen B, Breitbart WS, Compas B, Dudley MM, Fleishman S, et al. NCCN Distress Management, Clinical Practice Guidelines in Oncology. J NCCN 2010;8:448–85. http://www. aftercancer.co/wp-content/uploads/2015/11/NCCN-Distress- management-guidelines.pdf
- NCCN. Distress Management for Patients. Version 1.2017.https:// www.nccn.org/patients/guidelines/content/PDF/distress-patient. pdf
Year 2020,
Issue: 3, 553 - 559, 01.09.2020
Abstract
Kanser tanısı almak, sınırlı ve sarsıcı tedavi seçenekleri, yaşanan kayıplar, nüksetme korkusu ve belirsiz bir ömür beklentisi hastaların bilinmezlik yaşamalarına ve yüksek belirsizlik deneyimlemelerine neden olabilir. Belirsizlik kanser deneyiminin önemli bir bileşenidir ve hastanın hastalık durumunun sonuçlarını dramatik bir şekilde etkileyebilir. Mishel’in Hastalıkta Belirsizlik Hemşirelik Kuramı; hastalıklarda kavramsal bir çerçeve olarak belirsizliği sunarak, bütüncül bakıma temel oluşturmakta ve rehberlik etmektedir. Hastalıkta Belirsizlik Teorisi, hastadaki belirsizliği gidermeye ve başa çıkma mekanizmalarını kullanmalarına yardımcı olan bir yaklaşımdır. Hastalığa ilişkin belirsizliğin yönetimine katkı sağlamak amacıyla hemşirelerin rolü; süreci kolaylaştırmak, hastanın sağlıklı tepkilerle daha da güçlenmesini sağlamaktır
Keywords
References
- Özçelik H, Fadıloğlu Ç, Karabulut B, Uyar M, Elbi H, Eyigör S, et al. Kanser Hastasının Palyatif Bakımında Vaka Yönetimine Dayalı Multidispliner Bakım Protokolü. Ağrı Derg 2014;26:47–56. [CrossRef]
- Sepşlveda C, Marlin A, Yoshida T, Ullrich A. Palliative Care: The World Health Organization’s Global Perspective. J Pain Symptom Manage 2002;24:91–6. [CrossRef]
- Dünya Sağlık Örgütü (WHO) . WHO Definition of Palliative Care. http://www.who.int/cancer/palliative/definition/en/
- Karabacak Ü, Acaroğlu R. Konfor Kuramı. Maltepe Üniversitesi Bilim ve Sanat Derg 2011;4:197–202.
- Bailey DE, Stewart JL. Uncertainty in illness theory. In: Alligood MR, Tomey AM, editors. Nursing Theorist and Their Work. New York: Mosby-Elsevier; 2010. pp.599–617.
- Mishel MH. Uncertainty in illness. Image J Nurs Sch 1988;20:225–32. [CrossRef]
- Barron CR. Stress, Uncertainty, and Health. In: Rice VH, editor. Handbook of Stress, Coping, and Health: Implications for Nursing Research, Theory, and practice. Thousand Oaks, CA: Sage Publications; 2000. pp.517–39.
- Neville KL. Uncertainty in illness: an integrative review. Orthop Nurs 2003;22:206–14. [CrossRef]
- Mishel MH. Reconceptualization of the Uncertainty in Illness Theory. Image J Nurs Sch 1990;22:256–62. [CrossRef]
- Braden CJ. A test of the self-help model: learned response to chronic illness experience. Nurs Res 1990;39:42–7. [CrossRef]
- Regan-Kubinski MJ, Sharts-Hopko N. Illness cognition of HIV- infected mothers. Issues Ment Health Nurs 1995;16:327–44. [CrossRef]
- Lee YL, Gau BS, Hsu WM, Chang HH. A model linking uncertainly, post-traumatic stress and health behaviors in childhood cancer survivors. Oncol Nurs Forum 2009;36:E20–30. [CrossRef]
- Lien C, Chen S, Tsai P, Chen K, Hsieh Y, Liang Y. Effectiveness of nursing instruction in reducing uncertainty, anxiety and self-care in breast cancer women undergoing initial chemotherapy. Hu Li Za Zhi 2010;57:51–60.
- Sammarco A, Konecny LM. Quality of life, social support, and uncertainty among latina and caucasian breast cancer survivors: a comparative study. Oncol Nurs Forum 2010;37:93–9. [CrossRef]
- Kazer MW, Bailey DE, Sanda M, Colberg J, Kelly WK. An internet intervention for management of uncertainty during active surveillance for prostate cancer. Oncol Nurs Forum 2011;38;561–8. [CrossRef]
- Lien CY, Lin HR, Kuo IT, Chen ML. Perceived uncertainty, social support and psychological adjustment in older patients with cancer being treated with surgery. J Clin Nurs 2009;18:2311–9. [CrossRef]
- Clayton MF, Mishel MH, Belyea M. Testing a model of symptoms, communication, uncertainty, and well-being, in older breast cancer survivors. Res Nurs Health 2006;29:18–39. [CrossRef]
- Bailey D, Barroso J, Muir A, Sloane R, Richmond J, McHutchison J, et al. Patients with chronic hepatitis C undergoing watchful waiting: Exploring trajectories of illness uncertainly and fatigue. Res Nurs Health 2010;33:465–73. [CrossRef]
- Tluczek A, McKechnie AC, Lynam PA. Modified uncertainty theory and parents’ perspectives about equivocal diagnostic results for cystic fibrosis. Qual Health Res 2010;20:209–23. [CrossRef]
- Anema C, Johnson M, Zeller JM, Fogg L, Zetterlund J. Spiritual well- being in individuals with fibromyalgia syndrome: relationships with symptom pattern variability, uncertainty, and psychosocial adaptation. Res Theory Nurs Pract 2009;23:8–22. [CrossRef]
- Reich JW, Johnson LM, Zautra AJ, Davis MC. Uncertainty of illness relationships with mental health and coping processes in fibromyalgia patients. J Behav Med 2006;29:307–16. [CrossRef]
- Landis BJ. Uncertainty, spiritual well-being, and psychosocial adjustment to chronic illness. Issues Ment Health Nurs 1996;17:217– 31. [CrossRef]
- Sanders-Dewey NEJ, Mullins LL, Chaney JM. Coping style, perceived uncertainty in illness, and distress in individuals with Parkinson’s disease and their caregivers. Rehabil Psychology 2001;46:363–81. [CrossRef]
- Mishel M. Uncertainty of Illness. https://sites.google.com/a/ northgeorgia.edu/merle-mishel-middle-range-nursing-theorist/ home/uncertainty-of-illness
- Mishel M, Sorenson D. Uncertainty in Gynecological Cancer: A Test of the Mediating Functions of Mastery and Coping. Nurs Res 1991;40:167–71. [CrossRef]
- Holland JC, Andersen B, Breitbart WS, Compas B, Dudley MM, Fleishman S, et al. NCCN Distress Management, Clinical Practice Guidelines in Oncology. J NCCN 2010;8:448–85. http://www. aftercancer.co/wp-content/uploads/2015/11/NCCN-Distress- management-guidelines.pdf
- NCCN. Distress Management for Patients. Version 1.2017.https:// www.nccn.org/patients/guidelines/content/PDF/distress-patient. pdf
There are 27 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | September 1, 2020 |
| Published in Issue | Year 2020Issue: 3 |