title: Living Well? Strategies Used by Women Living With Metastatic Breast Cancer.
abstract: Metastatic breast cancer is a disease of changing status-once an imminent death sentence, now a chronic (albeit incurable) disease. Medical intervention advances mean women with metastatic breast cancer now have symptoms alleviated and, potentially, life extended. Living with this disease, however, requires more than a medical approach to symptoms. We were interested to know whether women manage, and if so, how, to "live well" with metastatic cancer. We conducted interviews with 18 women. Women differed in the approaches they used. Most common was the attempt to reestablish a sense of normality in their lives. However, a second group reevaluated and reprioritized their lives; and a third group was restricted in their capacity to live well because of symptoms. The findings provide the foundation for future research exploring normalization of experiences of metastatic cancer, and other chronic illnesses, where people are living with knowledge that they have contracted time.
authors.affiliation: The University of Sydney, Sydney, Australia sophie.lewis@sydney.edu.au.
authors.forename: Sophie
authors.initials: S
authors.lastname: Lewis
authors.affiliation: Australian Catholic University, Melbourne, Australia.
authors.forename: Karen
authors.initials: K
authors.lastname: Willis
authors.affiliation: The University of Sydney, Sydney, Australia.
authors.forename: Jasmine
authors.initials: J
authors.lastname: Yee
authors.affiliation: The University of Sydney, Sydney, Australia.
authors.forename: Sharon
authors.initials: S
authors.lastname: Kilbreath
mesh_terms: D000223:Adaptation, Psychological; D001943:Breast Neoplasms / Q000473:pathology / Q000523:psychology; D002908:Chronic Disease; D005260:Female; D006801:Humans; D009362:Neoplasm Metastasis; D011788:Quality of Life
keywords: New South Wales; cancer, breast; cancer, psychosocial aspects; illness and disease, chronic; qualitative; self-care; social constructionism