{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:34:43Z","timestamp":1777908883560,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000654","name":"Marie Curie Cancer Care","doi-asserted-by":"crossref","award":["MCCC-RP-16-A21001"],"award-info":[{"award-number":["MCCC-RP-16-A21001"]}],"id":[{"id":"10.13039\/501100000654","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Malignant bowel obstruction is a common complication of ovarian cancer, resulting in limited oral intake. Home parenteral nutrition (HPN) may be offered to patients in this condition to meet nutritional requirements. However, it is not known how they experience being unable to eat. The present study reports how patients related to food when receiving HPN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The investigation was a qualitative study underpinned by phenomenology with women with advanced ovarian cancer in bowel obstruction receiving parenteral nutrition. Interview transcripts were analysed thematically\u00a0guided by the techniques of Van Manen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We recruited 20 women to the study. Participants were interviewed a maximum of four times and a total of 39 in\u2010depth longitudinal interviews were conducted. Participants could tolerate minimal amounts of food, if they had a venting gastrostomy. Not being able to eat engendered a sense of sadness and loss, and most women found it challenging to be in the presence of others\u00a0eating. They adopted strategies to cope, which included fantasising about food and watching cookery programmes. These approaches were not a long\u2010term solution; either participants came to terms with their loss or the strategies became less effective in providing relief.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Home parenteral nutrition meets the nutritional requirements of patients with malignant bowel obstruction but cannot replace the non\u2010nutritive functions of food. Healthcare professionals can offer a patient\u2010centred approach by acknowledging the difficulties that patients may face and, wherever possible, encourage them to focus on the positive benefits of interacting with people rather than the loss of eating on social occasions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jhn.12738","type":"journal-article","created":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T09:11:23Z","timestamp":1580980283000},"page":"550-556","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Dealing with loss: food and eating in women with ovarian cancer on parenteral nutrition"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3094-1488","authenticated-orcid":false,"given":"A. 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