worse health and wellbeing than those who have not experienced cancer (Elliot et al, 2011). Clearly, there is a significant gap in the care of patients with cancer (Maher and McConnell, 2011). In the words of Richards et al (2011): ‘Not enough attention has been given to the long-term consequences of a cancer diagnosis for the ever increasing number of individuals surviving the disease, or as to how to enable individuals to return to active lives following the completion of initial cancer treatment.’
In fact, as illustrated by John’s experience, these people may have complex health needs that are poorly identified. The nurse should aim to provide help and support in a way that will heighten confidence and allow the patient to live their lives as they choose. My interaction with John and his wife, though short, should have been seen as a vital opportunity to engage with them and discuss problem management, rather than a challenging situation to be endured. A more positive interaction could then have taken place at that time.