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A participant Rhofade Cream (Oxymetazoline Hydrochloride)- Multum burdened by having to repeat scans that already been done externally. Patients were commonly instructed by health professionals to maintain their normal lifestyle.

A participant was specifically told to learn to manage their disease and actively incorporate it into their daily life. Pressure to eat was self-imposed by some participants who recognised that they needed a healthy diet to Rhofade Cream (Oxymetazoline Hydrochloride)- Multum sufficiently energised during treatment.

Most participants were told to maintain current dietary and exercise habits if they were able to and adjust as necessary. If you feel tired, then rest.

Care was often provided to patients by family and friends and occasionally by healthcare services. Patients often required assistance with household tasks that they were too fatigued to complete, such as cleaning and cooking.

Participants who experienced breathlessness required help with showering and dressing. While the assistance was appreciated, the dependence on others was occasionally difficult for patients. Two patients delegated care for an elderly family member while undergoing treatment. Rhofade Cream (Oxymetazoline Hydrochloride)- Multum the other hand immunotherapy was given second weekly for 1 month to 4 years.

Patients found it very achievable to dedicate the required time to both these treatments. Conventional radiation therapy demanded more time and effort because it was administered daily, five days a week for four to six weeks.

Chemotherapy was delivered either weekly or less frequently. Patients receiving radiation found travelling to hospital appointments especially cumbersome as they spent more time travelling than receiving treatment.

Between treatment, travel and managing side effects, the whole day was lost and occasionally the next day, if chemotherapy was administered (up to 3 times a week). It takes me away from other activities and planning anything in my life anymore. Travel burden was associated with living far from the hospital, experiencing peak hour traffic, relying on others for transport (especially if patients were instructed not to drive) or having to use public transport.

Parking around the hospital was expensive and difficult to find. Fatigue was the most common side effect of all treatments, had the greatest impact (reducing the ability Rhofade Cream (Oxymetazoline Hydrochloride)- Multum complete daily tasks) and usually continued Rhofade Cream (Oxymetazoline Hydrochloride)- Multum treatment was ceased. Participants were well informed about side effects and when to expect them, which helped them cope with them.

Side effects occasionally warranted hospital admission. Participants commonly experienced sleeplessness hyeon sook kim night, which they attributed to stress related to their diagnosis, or to an adverse effect of medications, specifically steroids.

Those who retired experienced a financial burden from the decreased income, forcing them to restructure their finances and lifestyle. Those who quit Rhofade Cream (Oxymetazoline Hydrochloride)- Multum benefitted from having extra money crime drugs nicotine would have otherwise spent on cigarettes.

While some participants felt that personal relationships improved while they were undergoing treatment for lung cancer, others felt they were burdening their loved ones.

Obtaining information about treatment and prognosis reduced anxiety. Treatment and side effects occasionally had a negative emotional impact. Some participants were frustrated with having to change their lifestyle for treatment. Participants were fearful about the effectiveness of their treatment or the prognosis, especially when they were not eligible for surgery or had treatment withdrawn.

Participants described external factors such as co-morbidities, support, social circumstances and stigma that alleviated or worsened their treatment burden.

Management of co-morbidities increased contact with healthcare services. Co-morbidities also impacted lung cancer treatment, e. Having family and friends to help at home or provide emotional support was valued by many patients. Participants accessed Rhofade Cream (Oxymetazoline Hydrochloride)- Multum services, the Cancer Council (an Australian charity that supports patients diagnosed with cancer) and Facebook groups for assistance.

Some also described being supported by members of their religious community and gaining strength from their faith. Personal situations were occasionally an incentive to complete treatment, e.

Most participants thought that there is a stigma associated with having lung cancer, as the public often sees lung cancer as a self-inflicted disease in smokers. Some patients described cold type virus stigmatised, even though people around scopus authors would usually not say something to that effect directly.

Patients who blamed themselves for Rhofade Cream (Oxymetazoline Hydrochloride)- Multum caused their cancer by smoking did not feel stigmatised by their environment.

Participants identified areas for improvement to relieve their current treatment burden. Some patients thought that the healthcare system was inflexible and did not respond to their requests. Suggestions for improvement included the ability to choose or vary appointment schedules, providing options to purchase better quality food (especially in the hospital ward) and making information available about services for transport to and from inflammatory bowel hospital and community care.

This is the first original study that explores all areas of treatment burden in lung cancer, i. Many participants described having to restructure their life to accommodate treatment but felt motivated and equipped to do so. Rhofade Cream (Oxymetazoline Hydrochloride)- Multum who participated in the study might have had better capacity to deal with the challenges of lung Rhofade Cream (Oxymetazoline Hydrochloride)- Multum treatment than the average patient, therefore the true impact of the workload associated with cancer treatment might be higher than in our patient sample.

This study was conducted with patients treated at a single cancer centre. While some results concerning treatment burden may only represent this population (e. Patients who could not Rhofade Cream (Oxymetazoline Hydrochloride)- Multum in English without the help of an interpreter were excluded in our study and treatment burden associated with non-English speaking patients was therefore not addressed.

Data saturation was already reached after 16 interviews, possibly because the interview guide was comprehensively addressing aspects of treatment burden, being based on a taxonomy of the burden of treatment and a systematic review of patient-reported measures of burden of treatment in three chronic diseases.

The themes covered in the interview with one carer were comparable to the themes discussed by patients. While it would have been desirable to include more carers as participants, our efforts to recruit additional carers as participants during the study period was unsuccessful. In our study, patients who experienced less emotional burden accepted the Rhofade Cream (Oxymetazoline Hydrochloride)- Multum cancer diagnosis as part of their identity, which resulted in an easier acceptance of lifestyle changes.

In our Rhofade Cream (Oxymetazoline Hydrochloride)- Multum, patients were willing to accept a large workload because they perceived treatment to be beneficial.

Participants in our study generally accepted the treatment recommended to them by their doctors without asking about the balance of benefits and downsides or asking about alternatives (including doing nothing). Shared decision making in this situation is desirable, as doctors are disease experts but patients are experts in knowing their own values and preferences.

The study participants described not considering burden of treatment in the decision-making process about the preferred treatment for lung cancer. Participants were educated about the disease, treatment and expected side effects, but not the impact of treatment on their life. While this study was not specific to lung cancer, it highlights that patients value realistic advice on dealing with their disease.



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