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Understanding the "work" of transiti...

Klimmek, Rachel Kay Walker.

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Understanding the "work" of transitional cancer survivorship: Case studies of rural older adults and their support persons.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Understanding the "work" of transitional cancer survivorship: Case studies of rural older adults and their support persons./
Author:	Klimmek, Rachel Kay Walker.
Description:	311 p.
Notes:	Source: Dissertation Abstracts International, Volume: 74-10(E), Section: B.
Contained By:	Dissertation Abstracts International74-10B(E).
Subject:	Health Sciences, Nursing. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3571796
ISBN:	9781303280542

Understanding the "work" of transitional cancer survivorship: Case studies of rural older adults and their support persons.
Klimmek, Rachel Kay Walker.

Understanding the "work" of transitional cancer survivorship: Case studies of rural older adults and their support persons. - 311 p.

Source: Dissertation Abstracts International, Volume: 74-10(E), Section: B.

Thesis (Ph.D.)--The Johns Hopkins University, 2013.

Background: In spite of the considerable progress that has been made in cancer care, stark disparities persist in the cancer burden and health outcomes of certain groups of cancer survivors such as rural-dwelling and minority older adults. Actions taken by patients and caregivers in the months following completion of primary treatment can have significant impacts on long-term outcomes of cancer survivorship. Understanding the 'work' performed by survivors and their support persons during this transitional period of cancer survivorship may help to explain disparities.

ISBN: 9781303280542Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Understanding the "work" of transitional cancer survivorship: Case studies of rural older adults and their support persons.
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020 $a 9781303280542
035 $a (MiAaPQ)AAI3571796
035 $a AAI3571796
040 $a MiAaPQ $c MiAaPQ
100 1 $a Klimmek, Rachel Kay Walker. $3 2094420
245 1 0 $a Understanding the "work" of transitional cancer survivorship: Case studies of rural older adults and their support persons.
300 $a 311 p.
500 $a Source: Dissertation Abstracts International, Volume: 74-10(E), Section: B.
500 $a Adviser: Jennifer Wenzel.
502 $a Thesis (Ph.D.)--The Johns Hopkins University, 2013.
520 $a Background: In spite of the considerable progress that has been made in cancer care, stark disparities persist in the cancer burden and health outcomes of certain groups of cancer survivors such as rural-dwelling and minority older adults. Actions taken by patients and caregivers in the months following completion of primary treatment can have significant impacts on long-term outcomes of cancer survivorship. Understanding the 'work' performed by survivors and their support persons during this transitional period of cancer survivorship may help to explain disparities.
520 $a Design and Methods: A prospective longitudinal case study design was used to follow eleven rural-dwelling dyads (n=22) from around the time of a new cancer diagnosis to at least three months post-completion of primary cancer treatment. Dyads included white and African American older adults treated for early-stage breast and prostate cancer, and their primary support persons. Data collection and analysis methods were framed in theory derived from the sociology of 'work'.
520 $a Findings: Analyses resulted in refinements to an adapted framework describing the `work' of transitional cancer survivorship. In the months following treatment, rural older adult participants who were treated for cancer had a need for life to be as 'normal' as possible. This need posed challenges to the provision of formal and informal support. Participants also benefited from re-engagement with 'productive' everyday life work tasks following the biographical disruption of cancer illness. None of the individuals treated for cancer identified themselves using the term 'survivor'. Case comparisons revealed possible mechanisms underlying cancer health disparities during survivorship.
520 $a Conclusions: Exploration of the 'work' of transitional cancer survivorship in a population at-risk for negative outcomes post-cancer treatment revealed new areas for further study, theoretical refinement, and intervention development. Implications for practice, theory, and future research are discussed.
590 $a School code: 0098.
650 4 $a Health Sciences, Nursing. $3 1017798
650 4 $a Health Sciences, Aging. $3 1669845
650 4 $a Gerontology. $3 533633
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690 $a 0493
690 $a 0351
710 2 $a The Johns Hopkins University. $b Nursing. $3 2094421
773 0 $t Dissertation Abstracts International $g 74-10B(E).
790 $a 0098
791 $a Ph.D.
792 $a 2013
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3571796