Making Self-Care a Priority for Women At Risk of Breast Cancer–Related Lymphedema. (May 2014)

• Record Type: Journal Article
• Authors: Radina, M. Elise; Armer, Jane M.; Stewart, Bob R.
• Is Part Of: Journal of family nursing. Volume 20:Number 2(2014:May)
• Page Start: 226
• Page End: 249
• Publication Date: 2014-05
• Subjects: breast cancer -- lymphedema -- family roles -- gender -- self-care; Family nursing -- Periodicals; Nursing -- Periodicals; 610.73
• DOI: 10.1177/1074840714520716
• Languages: English
• ISSNs: 1074-8407

Abstract

Estimates suggest that between 41% and 94% of breast cancer survivors may develop the chronic condition of secondary lymphedema at some point during their lifetimes. Self-care is critical for effective lymphedema management and risk-reduction. At the same time, women in general have been characterized as engaging in self-sacrificing behaviors in which they choose other-care over self-care. This study explored the self-care experiences of women with breast cancer within the contexts of complex and demanding familial and work-related responsibilities. Participants ( N = 14) were enrolled in a behavioral-educational intervention aimed at lymphedema risk-reduction. This feminist family theory-informed secondary analysis of qualitative data focused on women's familial roles and the balance or lack of balance between self-sacrifice and self-care. Findings included participants' struggles with time management and prioritizing self-care over care of others as well as making a commitment to self-care. Findings have implications for patient and family-level education and research with regard to gender role-based barriers to self-care and self-care within complex social contexts.