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Bad news from the patient's perspective: an analysis of the written narratives of newly diagnosed cancer patients

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  • Salander, Pär

Abstract

Papers in clinical journals dealing with how to tell cancer patients bad news rely mostly on the opinion of the physician. The purpose of the present study was to contribute with knowledge from the patient's perspective by analysing how patients with recently diagnosed cancer narrate the manner in which they received their diagnosis. A consecutive series of 187 patients who had received their cancer diagnosis 2-8 months prior to the outset of this study were asked to describe the manner in which they learned of their diagnosis in writing. A crucial finding from the submitted 138 written narratives was that the participants often described experiences from the first contact with hospital staff to the end of their treatment, rather than as a single instance of diagnosis communication. The relational meaning of these experiences was obvious. Information on treatment was of the utmost significance. No one required more prognostic information. From the perspective of the physicians, "bad news" focuses on how to provide information about diagnosis and prognosis in the course of a single diagnostic consultation. From the patient's perspective, "bad news" reflects the process of being diseased by cancer, and how medical services are available when one is in need of establishing a helpful relationship. In this relationship information about diagnosis and treatment is more a means than an end.

Suggested Citation

  • Salander, Pär, 2002. "Bad news from the patient's perspective: an analysis of the written narratives of newly diagnosed cancer patients," Social Science & Medicine, Elsevier, vol. 55(5), pages 721-732, September.
  • Handle: RePEc:eee:socmed:v:55:y:2002:i:5:p:721-732
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    Cited by:

    1. Macdonald, Sara & Conway, Elaine & Bikker, Annemieke & Browne, Susan & Robb, Kathryn & Campbell, Christine & Steele, Robert JC. & Weller, David & Macleod, Una, 2019. "Making sense of bodily sensations: Do shared cancer narratives influence symptom appraisal?," Social Science & Medicine, Elsevier, vol. 223(C), pages 31-39.
    2. Hedgecoe, Adam, 2005. "'At the point at which you can do something about it, then it becomes more relevant': Informed consent in the pharmacogenetic clinic," Social Science & Medicine, Elsevier, vol. 61(6), pages 1201-1210, September.
    3. Schaepe, Karen Sue, 2011. "Bad news and first impressions: Patient and family caregiver accounts of learning the cancer diagnosis," Social Science & Medicine, Elsevier, vol. 73(6), pages 912-921, September.
    4. Cecilia Hultstrand Ahlin & Åsa Hörnsten & Anna‐Britt Coe & Mikael Lilja & Senada Hajdarevic, 2019. "Wishing to be perceived as a capable and resourceful person—A qualitative study of melanoma patients’ experiences of the contact and interaction with healthcare professionals," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(7-8), pages 1223-1232, April.

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