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Fighting for Wellness: Strategies of Mid-to-older Women Living with Cancer

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Abstract

A significant portion of older adult cancer patients are using complementary and alternative medicine (CAM ) during and after treatment. I used four case studies to examine the strategies of older adult CAM-using cancer patients to maintain a sense of well-being as they transitioned to a post-treatment phase of life. Data were collected via qualitative interviews. Findings included strategies for financing CAM treatments, dealing with life disruption, and managing the complete nutritional overhaul recommended by their program. Participants worked to achieve new lifestyles and senses of wellness, finding ways to pay for expensive, out-of-pocket care while still meeting family obligations. These findings shed light on assumptions about older adult health-seeking behaviors, culturally embedded life course expectations, and raised questions about how the pursuit of health activities involving boundary crossings are received.

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References

  • Arcury, T. A., Grzywacz, J. G., Bell, R. A., Neiberg, R. H., Lang, W., & Quandt, S. A. (2007). Herbal remedy use as health self-management among older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 62(2), S142–S149. doi:10.1093/geronb/62.2.S142.

    Article  Google Scholar 

  • Arcury, T. A., Nguyen, H. T., Sandberg, J. C., Neiberg, R. H., Altizer, K. P., Bell, R. A., & Quandt, S. A. (2013). Use of complementary therapies for health promotion among older adults. Journal of Applied Gerontology. doi:10.1177/0733464813495109.

    Google Scholar 

  • Author (2012) Omitted for blind review.

  • Baer, H. (2004). Toward an integrative medicine: Merging alternative therapies with biomedicine. New York: Altamira Press.

    Google Scholar 

  • Becker, G. (1994). Metaphors in disrupted lives: Infertility and cultural constructions of continuity. Medical Anthropology Quarterly, 8(4), 383–410.

    Article  Google Scholar 

  • Bell, R. A., Suerken, C. K., Grzywacz, J. G., Lang, W., Quandt, S. A., & Arcury, T. A. (2006). CAM use among older adults age 65 or older with hypertension in the United States: General use and disease treatment. The Journal of Alternative and Complementary Medicine, 12(9), 903–909. doi:10.1089/acm.2006.12.903.

    Article  Google Scholar 

  • Bennett, J. A., Cameron, L. D., Whitehead, L. C., & Porter, D. (2009). Differences between older and younger cancer survivors in seeking cancer information using complementary/alternative medicine. Journal of General Internal Medicine, 10, 1089–94.

    Article  Google Scholar 

  • Cassileth, B. R., & Deng, G. (2004). Complementary and alternative therapies for cancer. The Oncologist, 9, 80–89.

    Article  Google Scholar 

  • Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. California: Pine Forge Press.

    Google Scholar 

  • Cohen, R. J., Ek, K., & Pan, C. X. (2002). Complementary and alternative medicine (CAM) use by older adults: A comparison of self-report and physician chart documentation. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 57(4), M223–M227. doi:10.1093/gerona/57.4.M223.

    Article  Google Scholar 

  • Crawford, R. (2006). Health as a meaningful social practice. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 10, 401–420.

    Google Scholar 

  • Frank, A. (1995). The wounded storyteller: Body, illness and ethics. Chicago: The University of Chicago Press.

    Book  Google Scholar 

  • Gieryn, T. F. (1983). Boundary-work and the demarcation of science from non-science: Strains and interests in professional ideologies of scientists. American Sociological Review, 48(6), 781–795. doi:10.2307/2095325.

    Article  Google Scholar 

  • Glazer, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Chicago: Aldine.

    Google Scholar 

  • Halliburton, M. (2009). Mudpacks and prozac: Experiencing ayurvedic, biomedical, and religious healing. Walnut Creek, CA: Left Coast Press.

    Google Scholar 

  • Janzen, J. M. (1978). Quest for therapy: Medical pluralism in lower Zaire. Berkeley: The University of California Press.

    Google Scholar 

  • Kabel, A. (2012). Beyond Patienthood: Integrative Medicine, Healing Environments and the Journey toward New Selfhood. Health, Culture and Society 3 (1) doi:10.5195/hcs.2012.94.

  • Klein, J. T. (1996). Crossing boundaries: Knowledge, disciplinarities, and interdisciplinarities. Charlottesville, VA: University Press of Virginia.

    Google Scholar 

  • Lamont, M., & Molnar, V. (2002). The study of boundaries in the social sciences. Annual Review of Sociology, 28(1), 167–95. doi:10.1146/annurev.soc.28.110601.141107.

  • Maizes, V., Rakel, D., & Niemiec, C. (2009). Integrative medicine and patient-centered care. Explore, 5(5), 277–289.

    Article  Google Scholar 

  • Manderson, L. (2011). Surface tensions: Surgery, bodily boundaries, and the social self. Walnut Creek, CA: Left Coast Press.

    Google Scholar 

  • Nichter, M. (2002). The Social relations of therapy management. In N. Mark & L. Margaret (Eds.), New horizons in medical anthropology: Essays in honour of Charles Leslie (pp. 81–110). New York: Routledge.

    Chapter  Google Scholar 

  • Riley, L. D., & Bowen, C. (2005). The sandwich generation: Challenges and coping strategies of multigenerational families. The Family Journal: Counseling and Therapy for Couples and Families, 13(1), 52–58.

    Article  Google Scholar 

  • Roseman, M. (2002). Making Sense Out of Modernity. In N. Mark & L. Margaret (Eds.), New horizons in medical anthropology: Essays in honour of Charles Leslie (pp. 111–140). New York: Routledge.

    Chapter  Google Scholar 

  • Schoenberg, N. E., Stoller, E. P., Kart, C. S., Perzynski, A., & Chapleski, E. E. (2004). Complementary and alternative medicine use among a multiethnic sample of older adults with diabetes. The Journal of Alternative and Complementary Medicine, 10(6), 1061–1066. doi:10.1089/acm.2004.10.1061.

    Article  Google Scholar 

  • Schwartz, A. N. (1977). Survival handbook for children of aging parents. New York: Follett.

    Google Scholar 

  • Smith, B. D., Smith, G. L., Hurria, A., Hortobagyi, G. N., & Bucholz, T. A. (2009). Future of cancer incidence in the United Stated: Burdens upon an aging, changing nation. The Journal of Clinical Oncology, 27(17), 2758–2765.

    Article  Google Scholar 

  • Votova, K., & Wister, A. V. (2007). Self-care dimensions of complementary and alternative medicine use among older adults. Gerontology, 53(1), 21–27. doi:10.1159/000095681.

    Article  Google Scholar 

  • Wellman, B., Kelner, M., & Wigdor, B. T. (2001). Older adults’ use of medical and alternative care. Journal of Applied Gerontology, 20(1), 3–23. doi:10.1177/073346480102000101.

    Article  Google Scholar 

  • Williamson, A. T., Fletcher, P. C., & Dawson, K. A. (2003). Complementary and alternative medicine use in an older population. Journal of Gerontological Nursing, 29(5), 20–8.

    Article  Google Scholar 

  • Yoshida, M. (2002). A Theoretical model of biomedical professional’s legitimization of alternative therapies. Complementary Health Practice Review, 7, 187–208.

    Google Scholar 

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Correspondence to Allison Kabel.

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Kabel, A. Fighting for Wellness: Strategies of Mid-to-older Women Living with Cancer. J Cross Cult Gerontol 30, 107–117 (2015). https://doi.org/10.1007/s10823-014-9252-7

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  • DOI: https://doi.org/10.1007/s10823-014-9252-7

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