The social experience of cancer
A diagnosis of cancer leads to many changes in a person’s social identity, including changes in roles and family relationships. It often results in disruptions to employment, loss of income, and financial problems, and this can impair self-esteem. Families have to cope with challenges to family cohesion and resilience. Children may be particularly vulnerable, and nurses can help to support both children and their families through periods of adjustment. Family members or friends providing care have their own needs and challenges, taking on additional roles and responsibilities for which they may feel ill-prepared. Cancer occupies a powerful place in public consciousness and the media, often seen as an enemy to be fought. Cancer stories can also be framed as a struggle or in sporting metaphors, e.g. ‘race for life’. Gender affects perceptions of how people react to cancer, e.g. that men are more stoical and women more emotional. Age is also an important social factor, with both older and younger patients having particular needs that should be addressed. Nurses need to develop the capacity to respond to culturally diverse populations, in order to meet the needs of patients representing all parts of society. Some patients may feel a sense of stigma as a result of cancer, particularly if their appearance is changed or if they feel a sense of guilt about their illness. Nurses can support them in maintaining self-esteem and overcoming stigma.