Malignant brain tumor diagnosis in Manitoba: understanding patient and caregiver perspectives

dc.contributor.authorStromecki, Margaret
dc.date.accessioned2019-10-21T18:04:36Z
dc.date.available2019-10-21T18:04:36Z
dc.date.issued2019
dc.date.submitted2019-10-21T18:04:35Zen
dc.description.abstractIntroduction: About 55,000 Canadians are living with a brain tumor today (1). Brain tumor diagnoses are preceded by the onset of headaches, nausea, vomiting, and/or seizures (2). Malignant brain tumors have a poor prognosis and are frequently associated with neurocognitive deficits. Within the first eight months after a new malignant brain tumor diagnosis, 15-20% of patients develop a depressive disorder (3,4). The capability of patients to cope and understand a brain tumor diagnosis is dependent on several factors, including their physical, cognitive and psychosocial health (5,6). In this study, we sought to determine which factors contribute to newly diagnosed malignant brain tumor patient and caregiver needs after diagnosis. Methods: We conducted semi-structured interviews with two newly diagnosed malignant brain tumor patients and their caregivers to qualitatively explore both the patient and caregivers’ perspective about the diagnosis before and after tumor resection at the Health Sciences Centre (HSC). The software program NVivo was used to help analyze and code central themes within the interviews. Results: Our findings resulted in 3 central themes: (1) Information preferences in newly diagnosed malignant brain tumor patients vs. caregivers, (2) Patients managing family, changing quality of life, and healthcare provider visits, and (3) Caregiver responsibility. Our results demonstrated that patients and caregivers differ in their care needs and wants during the diagnostic phase of a malignant brain tumor. Conclusions: These interviews show how complex patient and caregiver needs are how difficult they can be to address with a new brain tumor diagnosis. For both newly diagnosed malignant brain tumor patients and caregivers, quality of life changes dramatically. Screening models aimed at identifying patient and caregiver needs would be helpful to ensure better health-related quality of life (HR-QoL) in brain tumor patients and their caregivers.en_US
dc.identifier.urihttp://hdl.handle.net/1993/34342
dc.rightsopen accessen_US
dc.subjectBrain tumoren_US
dc.titleMalignant brain tumor diagnosis in Manitoba: understanding patient and caregiver perspectivesen_US
dc.typemaster thesisen_US
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