From: Falling and rising in the vortex of cancer: children’s adaptation with cancer: a qualitative study
Physical challenges (physiological mode) | |||||||||||||||||||||||||||||
Disruption in breathing pattern | Disruption in nutritional pattern | Disruption in activity and rest pattern | Collapse of the protective system | Unpleasant accompaniment of pain | Agitated nerves | ||||||||||||||||||||||||
Oxygenation less than the body’s need | Need for respiratory support | Change in food intake level | Adherence to the diet | Lack of adherence to the diet | Weight fluctuations | Limitations in performing daily activities | Limited leisure | Change in play pattern | Disruption in sleep pattern | Disruption in skin integrity | Hair loss | Immune system weakness | Pain due to cancer | Pain due to diagnosis and treatment | Pharmacological methods of pain relief | Non-Pharmacological methods of pain relief | Inefficiency of pain relief methods | Symptoms of CNS involvement | Resolving neurological symptoms post-treatment | ||||||||||
Fragile self-concept (self-concept mode) | |||||||||||||||||||||||||||||
Distorted body image (physical self) | Unstable personal self (personal self) | ||||||||||||||||||||||||||||
Feeling of ugliness following hair loss | Efforts to regain fitness | Apprehension | Emotional behavior | Fragile spirituality | Threatened future | Efforts for positive thinking | |||||||||||||||||||||||
Difficulty of role transition (role function mode) | |||||||||||||||||||||||||||||
Responsibility despite cancer (primary role) | Loss of income (secondary role) | Efforts to tolerate cancer (tertiary role) | |||||||||||||||||||||||||||
Adjusting responsibility at home | Continuing education despite difficulties | Employment before the disease | Quitting one’s job after the disease | In search of diagnosis | Cancer bottlenecks | Adherence to treatment | Reduction in social activities | ||||||||||||||||||||||
Disruption of the path to independence(interdependence mode) | |||||||||||||||||||||||||||||
Influential others (significant others) | Insufficient support systems | ||||||||||||||||||||||||||||
Empowering behaviors | Limiting behaviors | Financial problems of the family | Lack of an integrated and purposive treatment system | Sufficiency of the educational system | Helpfulness of charity associations | Lack of specialized and all-inclusive insurance |