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  3. The State Of Transience, And Its Influence On The Wish To Die Of Advanced Disease Patients: Insights From A Qualitative Phenomenological Study.
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  3. The State Of Transience, And Its Influence On The Wish To Die Of Advanced Disease Patients: Insights From A Qualitative Phenomenological Study.

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The state of transience, and its influence on the wish to die of advanced disease patients: insights from a

Alazne Belar1, Maria Arantzamendi2, Philip Larkin3

  • 1Institute for Culture and Society, University of NavarraIdiSNA, Pamplona, Spain. abelar@unav.es.

BMC Palliative Care
|February 26, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Patients with advanced disease experience a transient existence and seek to reconnect with themselves. Compassionate care should affirm their intrinsic value to address the wish to die.

Keywords:
Desire to dieLiving experiencePhenomenological approachQualitative researchWish to die

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Area of Science:

  • Palliative Care
  • Existential Psychology
  • Medical Sociology

Background:

  • Wish to die is a common experience in advanced disease.
  • Qualitative studies have explored its complexity, but individual perspectives require deeper understanding.
  • This study aimed to identify common characteristics of the wish to die experience in advanced illness.

Purpose of the Study:

  • To identify common characteristics of the wish to die experience in patients with advanced disease.
  • To explore the lived experiences of patients expressing a wish to die.
  • To inform compassionate care strategies for patients with advanced disease.

Main Methods:

  • Phenomenological study with multicenter participation.
  • Semi-structured interviews with patients who expressed a wish to die.
  • Phenomenological analysis to describe characteristic aspects of the phenomenon.

    • Main Results:

    • Three common characteristics identified: experiencing transience, attempting self-reconnection, and disease-related influences.
    • Fourteen patients with advanced disease, mostly with cancer, were interviewed.
    • Patients emphasized the need for a safe space and care addressing both 'being' and 'doing'.

    Conclusions:

    • Patients with advanced disease and a wish to die experience a transient state of existence.
    • Interventions reinforcing intrinsic individual value are crucial for compassionate accompaniment.
    • Care should acknowledge the patient's 'being' and 'doing' in addressing the wish to die.