Non-Self-Advocacy—Another participant, ‘Anne’, illustrates how the absence of selfadvocacy’s
antecedents or an inability to internalize skills and resources into self-advocating
actions can lead to poorer outcomes. Anne feels that having to deal with her symptoms is
‘worse than death’ and while she dreams of getting back to life, has difficulty developing a
plan to achieve a new, more positive normal: ‘I would like to get on with my life and maybe
return to work, but the peripheral neuropathy and fibromyalgia I incurred with chemo and
the lack of [my oncologist] treating these conditions makes that impossible’.
Anne’s personal characteristics, lack of learned skills and lack of support put her at risk for
increased symptom distress. She possesses a drive to overcome her symptoms: ‘I wish I
could get back to normal’, but lacks the personal awareness and openness to try new
strategies for symptom management: ‘The only things I have tried are Cymbalta which does
not work and B6 which also does not work. I do not want to take Neurontin because I don't
like the side effects of it’. In terms of learned skills, Anne’s message board posts do not
reflect information-seeking or problem solving skills. The communication between her and
her healthcare team has broken down as she adamantly blames her oncologist for her
ไม่ใช่Non- -เองSelf- -ผู้สนับสนุนAdvocacy- —ผู้เข้าร่วมอีก' แสดงให้เห็นว่าตัวตนของ 's บุคคลหรือไม่สามารถที่จะ ทักษะและทรัพยากรในตัวเองเรียกร้องการกระทำที่จะนำไปสู่ผลลัพธ์ที่ยากจน Another participant, ‘Anne’, illustrates how the absence of selfadvocacy’s
antecedents or an inability to internalize skills and resources into self-advocating
actions can lead to poorer outcomes. Anne feels that having to deal with her symptoms is
‘worse than death’ and while she dreams of getting back to life, has difficulty developing a
plan to achieve a new, more positive normal: ‘I would like to get on with my life and maybe
return to work, but the peripheral neuropathy and fibromyalgia I incurred with chemo and
the lack of [my oncologist] treating these conditions makes that impossible’.
Anne’s personal characteristics, lack of learned skills and lack of support put her at risk for
increased symptom distress. She possesses a drive to overcome her symptoms: ‘I wish I
could get back to normal’, but lacks the personal awareness and openness to try new
strategies for symptom management: ‘The only things I have tried are Cymbalta which does
not work and B6 which also does not work. I do not want to take Neurontin because I don't
like the side effects of it’. In terms of learned skills, Anne’s message board posts do not
reflect information-seeking or problem solving skills. The communication between her and
her healthcare team has broken down as she adamantly blames her oncologist for her
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