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In the interviews they described most of their health changes in response to open questions (table 3: exceptions to the normalisation of symptoms), including symptoms not presented to GPs, and did not normalise these symptoms.
In retrospective accounts patients might normalise symptoms to justify delays in seeking help so we also investigated the normalisation of symptoms that started following LC investigation.
One reason for this appears to be the normalisation of symptoms and illness experiences.
Whereas normalisation of symptoms and experiences might reduce the impact of diagnosis for some, others identified how the nature of the disease led to disengagement.
Improvement during acute treatment is called response and the full normalisation of symptoms is called remission.
'Symptoms of concern' accounts are described in order to demonstrate exceptions to the normalisation of symptoms.
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However, research has not yet addressed the reasons for normalisation of LC symptoms, or investigated how normalised symptoms that are not presented to healthcare professionals might be better elicited.
It is primarily non-advisory but may include some elements of psycho-education about stress reaction and normalisation of PTSD symptoms [ 20].
Criteria for the evaluation of efficacy were the duration of treatment (days) to normalisation of clinical symptoms, the necessity of parenteral nutrition after 5 days of treatment, the possible mobilisation of the patients and their delirium specific concomitant medication.
Two studies of lung cancer patients from Western Australia have found that normalisation of respiratory symptoms is very common with mean patient delays to seek help of 47 80 days, respectively.
We combined the thematic analysis and discourse analyses to explain normalisation and non-presentation of symptoms.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com