title: The diagnosis of breast cancer: transition from health to illness.
abstract: OBJECTIVE
  To gain a better understanding of the common meanings and shared experiences that women encounter after a diagnosis of breast cancer.
  
  
  METHODS
  Qualitative using Heideggerian hermeneutics.
  
  
  METHODS
  Tertiary breast care center in suburban Buffalo, NY.
  
  
  METHODS
  Purposive, convenience sampling recruited 30 women.
  
  
  METHODS
  Secondary analysis on tape-recorded interviews of women receiving their last cycle of chemotherapy. Narratives were interpreted using the seven-stage hermeneutic process.
  
  
  METHODS
  Life experiences, shared meanings, and perceptions.
  
  
  RESULTS
  Four themes emerged: Changing Health Overnight, Erasing of a Former Self, Appraising of Illness, and Approaching the Future Now What? The constitutive pattern was transitioning from health to illness.
  
  
  CONCLUSIONS
  Women experience a precipitous change in their lives after a diagnosis of breast cancer. How they mentally and emotionally approached diagnosis and treatment affected their symptom experience and outcomes.
  
  
  CONCLUSIONS
  This study provides oncology nurses with the awareness that beyond physical symptoms, women experience profound and precipitous emotional transformation following a diagnosis of breast cancer. It gives meaning to the devastation and symptom distress women experience that may be lessened if they are given adequate information and support. Women in the study who approached diagnosis and treatment more positively better incorporated the breast cancer process into their lives and better managed the side effects of treatment.
authors.affiliation: School of Nursing, University at Buffalo, State University of New York, USA. boehmke@buffalo.edu
authors.forename: Marcia M
authors.initials: MM
authors.lastname: Boehmke
authors.forename: Suzanne S
authors.initials: SS
authors.lastname: Dickerson
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis / Q000451:nursing / Q000523:psychology; D005260:Female; D006801:Humans; D008016:Life Change Events; D008875:Middle Aged; D015404:Nursing Methodology Research; D009859:Oncology Nursing; D012649:Self Concept; D012803:Sick Role