Surviving breast cancer: a problematic work re-entry.

This article presents a paradigm case of a problematic work re-entry experience of a breast cancer survivor (Kathy). The case was drawn from a qualitative descriptive study of 25 long-term survivors of breast cancer. The study describes the lived experience and practical "know how" of survivors. Study participants completed three in-depth process interviews that were transcribed and analyzed for common themes. The paradigm case presented here is one of five paradigms that emerged from the data. The case demonstrates the profound impact of a negative work re-entry experience on a cancer survivor's reformulating sense of self. In addition to pericarditis and lymphedema, Kathy experienced long-term emotional distress. Although work provided a primary source of meaning, Kathy ultimately gave up her desire to return to work. Predominant features of the case include: a breach of confidentiality of medical information in the work setting; absence of resources and support to assist with work re-entry and the management of social stigma; difficulty in talking with colleagues and others about her health; and difficulty in asking for and receiving assistance. The understandings set forth from Kathy's experience can guide clinicians to explore the meaning of work in the lives of their patients and can encourage the development and use of work re-entry programs.