Managing daily life among people with advanced cancer living at home: Responding to uncertainties related to shifting abilities, home care, and treatment

Introduction: People with advanced cancer are increasingly expected to live at home and manage the consequences of illness and
treatment. The purpose of this study was to explore how people with advanced cancer manage the influence of home care and
treatment on occupations and habits.
Method: Constructivist grounded theory guided the collection and analysis of data from 22 people with advanced cancer. Data
were collected using in-depth interviews and participant diaries.
Findings: Uncertainty about abilities to engage in occupation and home care and treatment delivery disrupted participants’ daily
life. Participants employed various strategies to manage uncertainties and to preserve a sense of agency and control.
Conclusions: This study provides insights into how people with advanced cancer manage and respond to the impact of illness,
home care, and treatment in their daily life. The findings may aid occupational therapists to develop and deliver interventions that
allow their patients to maintain a sense of agency in their daily life.