A systematic review and qualitative synthesis of the experience of living with colorectal cancer as a chronic illness:Qualitative synthesis: Colorectal cancer

Objective Advances in detection and treatment mean that over 50% of people diagnosed with colorectal cancer can expect to live for more than ten years following treatment. Studies show that colorectal cancer patients can experience numerous physical and psychological late effects. The aim of this study was to conduct a systematic review and qualitative synthesis on the experiences of living with colorectal cancer as a chronic illness. Methods Electronic searches of online databases were undertaken of peer reviewed and grey literature. Forty-seven papers were eligible for inclusion in the review, capturing the experiences of over 700 participants, the findings from which were analysed using thematic synthesis. Results Three higher order concepts were identified which were prevalent across studies and countries and which related to the supportive care needs of patients; common physical and psychological late effects of cancer; and methods of psychosocial adjustment to living with and beyond colorectal cancer. Conclusion The results are considered in the context of existing theoretical approaches to chronic illness and the need to develop a theoretical approach which fully encapsulates the experience of living with colorectal cancer as a chronic illness in order to inform interventions to support patient adjustment

‘They come with a package of issues’: challenges of supporting older victims of domestic violence and abuse

In this chapter, we focus on the experiences of front line and support workers, and how they characterise the task of supporting older victims of violence within their intimate and family relationships (domestic violence and abuse; DVA). Of particular interest are the perceived difficulties associated with supporting this population, characterised as barriers to help-seeking and barriers to help-giving. This is achieved in the first instance by summarising what has already been investigated in relation to this, and then we present the findings of a small interview study conducted with six professionals whose roles involve safeguarding older adults