Table 3

Categories and Exemplars of Patient-nominated Effects of Neutropenia

Major Category Specific Problem Domain

Illustrative Exemplars in Patients' Own Words

Physical Complaints

Tired, fatigued, exhausted, weak, feeling "drained"

If I walk from one room to the next, I'm worn out.

Reduced sexual activity

It has definitely slowed down. I don't have a great deal of interest.

Daily Routine Disruptions

Loss of daily routine

I have stopped going to church and taking my son to school.

Difficulties with household activities

I have stopped most everything. I am not doing my housework.

Negative Thought and Self Evaluation

Worrying about paying for extra care needed

If I don't work, I don't get paid. It's getting very scary.

Feeling useless/helpless, letting people down

I feel guilty when I see other people doing work I should be doing.

Negative Emotions

Feeling down

I feel like giving up. I just wish it would all end.

Feeling anxious

I am scared. I hope I don't have to go through this (neutropenia) the next three times I come here.

Social Relationships

Decreased social contacts and activity

I can't spend time with other people because I am sick.

Avoiding crowds

I don't go to church because someone might hug me or sneeze near me.

Note: This table contains selected exemplars of the problem domains presented by patients in the five broad categories identified as follows: Physical Complaints, Daily Routine Disruptions, Negative Thought and Self Evaluation, Negative Emotions, and Social Relationships.

Fortner et al. BMC Nursing 2005 4:4   doi:10.1186/1472-6955-4-4

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