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13<br />
The <strong>Royal</strong> <strong>Marsden</strong><br />
Impact of Malignant Bowel Obstruction<br />
– Gwilliam et al (2001)<br />
– Inability to eat:<br />
– Social and emotional loss<br />
– Inadequacy and displacement<br />
– Social disengagement<br />
– Disruption of identity<br />
– Alteration in activity<br />
– Deterioration of mental ability