title: Becoming patient: a path to effective participation with chronic terminal cancer.
abstract: One chronic terminal lung cancer patient was purposely selected. My grounded theory findings indicated that this middle-aged, asymptomatic, otherwise healthy woman used the basic social process of asking, "How can I participate in treatment?" in order to resolve a crisis of pain. Participation involved the overarching condition of trust in medical personnel, and included seven overlapping considerations: expense, disease progress, bodily feeling, explanations, plans, emotional reactions, and turning point. The findings provide information that may lead to smoother transitions to changing the status of a patient.
authors.affiliation: Department of Foreign Studies, Osaka University, Osaka, Japan. s.katzman@stanfordalumni.org
authors.forename: Sandra
authors.initials: S
authors.lastname: Katzman
mesh_terms: D000970:Antineoplastic Agents / Q000627:therapeutic use; D002908:Chronic Disease; D003142:Communication; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy / Q000523:psychology*; D008875:Middle Aged; D059408:Pain Management; D010358:Patient Participation / Q000523:psychology*; D010361:Patients / Q000523:psychology*; D010817:Physician-Patient Relations; D011379:Prognosis; D036301:Qualitative Research; D013727:Terminal Care; D035502:Trust
chemical_list: D000970:Antineoplastic Agents