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Existential concerns in late stage cancer
C Griffiths1, L Norton, G Wagstaff
1Applied Research Centre, Liverpool Hope, Hope Park, Liverpool L16 9JD, UK. griffic@Hope.ac.uk
Summary
Dying cancer patients often have undisclosed concerns, particularly existential ones. Addressing these issues earlier through holistic care can improve reflection and inner discovery during end-of-life care.
Area of Science:
- Palliative Care
- Oncology
- Psychosocial Oncology
Background:
- Cancer patients face significant challenges during illness and end-of-life.
- Existing oncology and palliative care expertise addresses treatment but may overlook patient concerns.
- Research indicates many concerns of dying cancer patients remain undisclosed and unresolved.
Purpose of the Study:
- To identify the specific concerns of dying cancer patients.
- To develop a Concerns Questionnaire for further research.
- To explore the relationship between patient concerns and psychological/physical distress.
Main Methods:
- Qualitative study design.
- In-depth interviews conducted with 21 patients with advanced cancer.
- Patients interviewed had been informed they would no longer receive curative treatments.
- Content analysis of interview transcripts.
Main Results:
- Existential concerns emerged as a significant issue for patients.
- Patients expressed a need for opportunities for reflection and inner discovery.
- Holistic cancer care experiences may enhance end-of-life reflection and personal change.
Conclusions:
- Dying cancer patients have significant, often undisclosed, existential concerns.
- A Concerns Questionnaire can aid in exploring these issues.
- Earlier holistic cancer care may improve the end-of-life experience for cancer patients.