Dealing with taste and smell alterations-A qualitative interview study of people treated for lung cancer

PLoS One. 2018 Jan 23;13(1):e0191117. doi: 10.1371/journal.pone.0191117. eCollection 2018.

Abstract

Taste and smell alterations have been recognized as common symptoms in relation to various cancers. However, previous research suggests that patients do not receive sufficient support in managing taste and smell alterations. Therefore, the objective of this study is to investigate how persons with experience from lung cancer-related taste and smell alterations reason about resources and strategies offered and used to manage these symptoms. Data from semi-structured individual interviews with 13 women and four men were analyzed with qualitative content analysis. We used Kleinman's now classic medical anthropological model of local health care systems, consisting of the personal, professional, and folk sector, to interpret and understand how people respond to sickness experiences in their daily lives. By presenting the findings using this model, we demonstrate that most strategies for dealing with taste and smell alterations were undertaken in the personal sector, i.e. in participants' daily lives, on an individual level and in interaction with family, social networks and communities. Taste and smell alterations implied two overarching challenges: 1) adjusting to no longer being able to trust information provided by one's own senses of taste and/or smell, and 2) coming to terms with taste and smell alterations as a part of having lung cancer. Health care professionals' involvement was described as limited, but appeared to fulfil most participants' expectations. However, through provision of normalizing information, practical advice, and to some extent, emotional support, health care professionals had potential to influence strategies and resources used for dealing with taste and smell alterations. With this study, we further the understanding of how people deal with lung cancer-related taste and smell alterations and discuss the role of health care professionals for this process.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Female
  • Humans
  • Interviews as Topic
  • Lung Neoplasms / complications
  • Lung Neoplasms / physiopathology*
  • Male
  • Middle Aged
  • Olfaction Disorders / etiology
  • Olfaction Disorders / therapy*
  • Qualitative Research
  • Taste Disorders / etiology
  • Taste Disorders / therapy*

Grants and funding

Economic support was provided by the Swedish Research Council 2009-33868-68207-63 (https://www.vr.se/), the Strategic Research Program in Health Care Sciences 1976/2010 (http://ki.se/en/research/strategic-research-area-health-care-science-sfo-v), CancerRehabFonden F-C-001211 (https://www.cancerrehabfonden.se/) and the Health Care Science Postgraduate School, Karolinska Institutet 2286/2009-532 (http://ki.se/en/nvs/doctoral-school-in-health-care-sciences). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.