title: The experiences among older Taiwanese women facing a new diagnosis of breast cancer.
abstract: BACKGROUND
  Breast cancer is one of the most common types of cancer among women. Older women have differences in physical conditions and culture backgrounds compared with young age, which may influence their experiences in facing the diagnosis and treatment for breast cancer.
  
  
  OBJECTIVE
  The objective of the study was to explore the experiences of older Taiwanese women when they first faced a new diagnosis of breast cancer.
  
  
  METHODS
  A qualitative design was used. Fourteen women, aged 65 to 91 years, with a new diagnosis of breast cancer were interviewed within a month after they completed the first course of treatment at a cancer hospital in northern Taiwan.
  
  
  RESULTS
  Content analysis of the interviews revealed 5 themes: the delay in seeking medical help, the impact caused by the initial diagnosis, facing the threat from cancer and its treatments, the battle against the illness, and living with breast cancer.
  
  
  CONCLUSIONS
  Participants simultaneously faced physical discomfort, shock, denial, fear, worry, and hopelessness. Fortunately, despite these difficulties, they were encouraged to battle and live with breast cancer through the caring and support of family and by seeking information, searching for alternative therapies, practicing religion, readjusting their attitude to face the illness, getting back to a normal life, and appreciating the lives they have.
  
  
  CONCLUSIONS
  It is vital to assist older Taiwanese women to go to the physician earlier when they find something abnormal in their breast. Children, female relatives, and friends have important roles in helping them face the disease and treatment of breast cancer.
authors.affiliation: Department of Nursing, Mennonite Christian Hospital, Hualien.
authors.forename: Mei-Hsueh
authors.initials: MH
authors.lastname: Lu
authors.forename: Hung-Ru
authors.initials: HR
authors.lastname: Lin
authors.forename: Ming-Der
authors.initials: MD
authors.lastname: Lee
mesh_terms: D000223:Adaptation, Psychological; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007802:Language; D010342:Patient Acceptance of Health Care; D036301:Qualitative Research; D011788:Quality of Life / Q000523:psychology; D012944:Social Support; D013315:Stress, Psychological; D013624:Taiwan / Q000453:epidemiology; D013637:Tape Recording; D035502:Trust