“It’s Always Been a Second Class Cancer”: An Exploration of the Experiences and Journeys of Bereaved Family Carers of People with Sarcoma

Sarcomas are a group of rare and aggressive cancers, which develop in bones and connective tissue throughout the body. Sarcomas account for only 1–2% of all cancers worldwide; however, mortality rates for sarcoma are high with approximately two in four sarcoma patients dying following a diagnosis. D...

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Main Authors: Moira O’Connor, Greta Smith, Ashleigh Pantaleo, Darren Haywood, Rhys Weaver, Georgia Kb Halkett
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/11/2670
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author Moira O’Connor
Greta Smith
Ashleigh Pantaleo
Darren Haywood
Rhys Weaver
Georgia Kb Halkett
author_facet Moira O’Connor
Greta Smith
Ashleigh Pantaleo
Darren Haywood
Rhys Weaver
Georgia Kb Halkett
author_sort Moira O’Connor
collection DOAJ
description Sarcomas are a group of rare and aggressive cancers, which develop in bones and connective tissue throughout the body. Sarcomas account for only 1–2% of all cancers worldwide; however, mortality rates for sarcoma are high with approximately two in four sarcoma patients dying following a diagnosis. Delays in diagnosis, poor management of symptoms, patients’ high symptom loads and high carer burden are all associated with carer distress, which may lead to complications after bereavement. The experience of having a family member referred for palliative care is also distressing for carers, with the realisation that their family member is dying. This study aimed to explore the experiences of bereaved family carers of people diagnosed with sarcoma. A qualitative descriptive design using a social constructionist framework was adopted. Interviews were conducted with sixteen participants, and thematic analysis was used to identify patterns in the data. Four overarching themes emerged: beginning the journey; moving through treatment; transitioning to palliative care; and experiencing bereavement. The narratives were coherent and potent, and people reflected on their journeys. Interventions and supports for bereaved carers could include opportunities for counselling to support reflections, supports for developing a narrative such as writing therapy, and preparation for the death of the family member.
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spelling doaj.art-dad9c29c1d1f491a925b11ee0a2fa00d2023-11-21T21:51:24ZengMDPI AGCancers2072-66942021-05-011311267010.3390/cancers13112670“It’s Always Been a Second Class Cancer”: An Exploration of the Experiences and Journeys of Bereaved Family Carers of People with SarcomaMoira O’Connor0Greta Smith1Ashleigh Pantaleo2Darren Haywood3Rhys Weaver4Georgia Kb Halkett5WA Cancer Prevention Research Unit, School of Population Health, Discipline of Psychology, Faculty of Health Sciences, Curtin University, Perth, WA 6102, AustraliaWA Cancer Prevention Research Unit, School of Population Health, Discipline of Psychology, Faculty of Health Sciences, Curtin University, Perth, WA 6102, AustraliaWA Cancer Prevention Research Unit, School of Population Health, Discipline of Psychology, Faculty of Health Sciences, Curtin University, Perth, WA 6102, AustraliaWA Cancer Prevention Research Unit, School of Population Health, Discipline of Psychology, Faculty of Health Sciences, Curtin University, Perth, WA 6102, AustraliaSchool of Nursing, Faculty of Health Sciences, Curtin University, Perth, WA 6102, AustraliaSchool of Nursing, Faculty of Health Sciences, Curtin University, Perth, WA 6102, AustraliaSarcomas are a group of rare and aggressive cancers, which develop in bones and connective tissue throughout the body. Sarcomas account for only 1–2% of all cancers worldwide; however, mortality rates for sarcoma are high with approximately two in four sarcoma patients dying following a diagnosis. Delays in diagnosis, poor management of symptoms, patients’ high symptom loads and high carer burden are all associated with carer distress, which may lead to complications after bereavement. The experience of having a family member referred for palliative care is also distressing for carers, with the realisation that their family member is dying. This study aimed to explore the experiences of bereaved family carers of people diagnosed with sarcoma. A qualitative descriptive design using a social constructionist framework was adopted. Interviews were conducted with sixteen participants, and thematic analysis was used to identify patterns in the data. Four overarching themes emerged: beginning the journey; moving through treatment; transitioning to palliative care; and experiencing bereavement. The narratives were coherent and potent, and people reflected on their journeys. Interventions and supports for bereaved carers could include opportunities for counselling to support reflections, supports for developing a narrative such as writing therapy, and preparation for the death of the family member.https://www.mdpi.com/2072-6694/13/11/2670sarcomacarersbereavementqualitativefamily
spellingShingle Moira O’Connor
Greta Smith
Ashleigh Pantaleo
Darren Haywood
Rhys Weaver
Georgia Kb Halkett
“It’s Always Been a Second Class Cancer”: An Exploration of the Experiences and Journeys of Bereaved Family Carers of People with Sarcoma
Cancers
sarcoma
carers
bereavement
qualitative
family
title “It’s Always Been a Second Class Cancer”: An Exploration of the Experiences and Journeys of Bereaved Family Carers of People with Sarcoma
title_full “It’s Always Been a Second Class Cancer”: An Exploration of the Experiences and Journeys of Bereaved Family Carers of People with Sarcoma
title_fullStr “It’s Always Been a Second Class Cancer”: An Exploration of the Experiences and Journeys of Bereaved Family Carers of People with Sarcoma
title_full_unstemmed “It’s Always Been a Second Class Cancer”: An Exploration of the Experiences and Journeys of Bereaved Family Carers of People with Sarcoma
title_short “It’s Always Been a Second Class Cancer”: An Exploration of the Experiences and Journeys of Bereaved Family Carers of People with Sarcoma
title_sort it s always been a second class cancer an exploration of the experiences and journeys of bereaved family carers of people with sarcoma
topic sarcoma
carers
bereavement
qualitative
family
url https://www.mdpi.com/2072-6694/13/11/2670
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