A fast transition: A case study of patients' experiences during the diagnostic and surgical treatment phase of an accelerated brain cancer pathway

Scand J Caring Sci. 2024 Jun;38(2):451-460. doi: 10.1111/scs.13253. Epub 2024 Mar 3.

Abstract

Background: Patients receiving a brain cancer diagnosis may face cognitive decline and a poor prognosis. In addition, they suffer from a high symptom burden in a complex cancer pathway. The aim of this study was to investigate the early hospital experiences of brain tumour patients during the diagnostic and surgical treatment phase.

Methods: A descriptive longitudinal single-case study design was used, and data were analysed via systematic text condensation.

Results: The patients' experiences of being diagnosed with and treated for brain cancer were interpreted in terms of the central theme: a fast transition into an unknown journey. This theme consisted of the following subthemes: emotionally overwhelmed, putting life on hold and an unfamiliar dependency.

Conclusions: Patients diagnosed with brain cancer struggle with overwhelming emotions due to this sudden life-threatening diagnosis, their fear of brain surgery and their progressing dependence. Patients did not voice their feelings, fears or needs, so these may easily be overlooked and unmet. A proactive and continuous care approach throughout the diagnostic phase is needed to support these patients.

Keywords: brain cancer pathway; brain neoplasm; diagnostic phase; experiences; malignant brain tumour; qualitative studies.

MeSH terms

  • Adult
  • Aged
  • Brain Neoplasms* / diagnosis
  • Brain Neoplasms* / psychology
  • Brain Neoplasms* / surgery
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged