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Adaptation to Long-Term Prostate Cancer Survival: The Perspective of Elderly Asian/Pacific Islander Wives.

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eBook details

  • Title: Adaptation to Long-Term Prostate Cancer Survival: The Perspective of Elderly Asian/Pacific Islander Wives.
  • Author : Health and Social Work
  • Release Date : January 01, 2005
  • Genre: Health & Fitness,Books,Health, Mind & Body,
  • Pages : * pages
  • Size : 234 KB

Description

In adapting to change and adversity, adults draw on coping resources developed over the course of their lifetime, including those influenced by ethnicity and its related components of culture, ethnic group history, social status, and group heritage (Atchley, 1999; Hooyman & Asuman Kiyak, 1999). When defined in this way, ethnicity functions as an integrating force for adults passing through significant fife changes, providing a context for evaluating issues of health and illness, for making meaning of the self in relation to the evolving phenomenal world, and for charting a course of action consistent with value preferences (Aleman, Fitzpatrick, Tran, & Gonzalez, 2000; Atchley; Hooyman & Asuman Kiyak; McCubbin, McCubbin, Thompson, & Thompson, 1995). Thus, ethnicity is an important consideration in understanding the challenges of elderly men surviving prostate cancer, a disease primarily associated with aging (American Cancer Society, 2001; Yancik & Ries, 2000). Prostate cancer is the most commonly diagnosed malignancy among men in the United States and is a significant cause of male cancer death (American Cancer Society, 2001, 2002). However, a growing number of men with localized tumors are living five or more years beyond initial diagnosis as a result of early detection and treatment advances (American Cancer Society, 2001, 2002). Current treatments offer an opportunity for cure for these long-term survivors, but are associated with enduring treatment side effects such as impotence and incontinence that potentially compromise the survivors' quality of life, as well as their partners' (Gotay & Muraoka, 1998; Laverly & Clark, 1999; Moinpour et al., 1998; Steginga et al., 2001). Although the physical complications of treatment are well documented, the psychosocial issues of long-term survival are less understood, especially as they affect partners, an increasing number of whom are elderly women of color likely dealing with their own age-related issues (Gotay & Muraoka). Only a few studies have examined quality of life and adaptation among long-term survivors and their partners, and even fewer studies considered the role of ethnicity in adaptation to prostate cancer (Germino et al., 1998; Gotay & Muraoka; Kornblith, 1998; Mellon & Northouse, 2001; Schnoll, Knowles, & Harlow, 2002). Research is needed to better assess and address the focus of interventions to enhance the adaptive challenges and coping strategies among diverse elders encountered by social workers and other professionals in the oncology, gerontology, and health and mental health settings (Hooyman & Asuman Kiyak, 1999; Schnoll et al.). As part of a longitudinal study on quality of life in a multiethnic population of long-term survivors, we explored the self-described challenges and adaptive work of elderly Asian/Pacific Islander (API) wives who identified as Native Hawaiian, Chinese, Filipino, or Japanese.


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