Physical, psychological, social, and spiritual aspects of end-of-life trajectory among patients with advanced cancer: a phenomenological inquiry
Abstract
The study examined and described the perspectives of people living with advanced cancer and the changes over time in their needs and experiences. This paper reports the accounts of 11 terminally-ill people who gave a total of 25 in-depth interviews. Participants were recruited when they began receiving home hospice care service, and they were followed up over time, as their disease progressed. Framework method was used to organize the data and identify themes. The findings highlighted that end-of-life care needs to be holistic, encompassing physical, psychological, social, and spiritual needs, as well as dynamic along the course of disease progression.
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After being affected by death anxiety, patients tended to shift their attention, defence and control death anxiety to deny the fact that they were terminally ill first.
“After being affected by DA, patients tended to shift their attention, defence and control DA to deny the fact that they were terminally ill first.23”
From Psychological adjustment to death anxiety: a qualitative study of Chinese patients with advanced cancer (2024) · cites this paper as [23]
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"There's More to Life than Just Cancer": A Study of Life Review Intervention in Palliative CarePreprint
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- Authors
- Lee, G. L., & Ramaswamy, A.
- Affiliations
- National University of Singapore (SG)
- Khoo Teck Puat Hospital (SG)
- Corresponding author
- Lee, Geok Ling
- ORCID
- Lee, Geok Ling
- Venue
- Death Studies
- Publisher
- Informa UK Limited
- Published
- 2018-12-20
- Volume
- 44
- Issue
- 5
- Pages
- 292-302
- ISSN
- 0748-1187 (ISSN-L)
- 1091-7683
- OpenAlex
- W2906347760
- Cited by
- 43
- References
- 50
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 8 · 2023: 6 · 2022: 7 · 2021: 7 · 2020: 3 · 2019: 4
- FWCI
- 3.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Death Studies (publishedVersion)
- PubMed (publishedVersion)
- National University of Singapore (submittedVersion)
- Funders
- FASS Start-Up [ (])
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- end-of-life care, advanced cancer, terminal illness, patient experience, holistic care, physical needs, psychological needs, social needs, spiritual needs, disease progression, home hospice care, phenomenology
- MeSH terms
- Aged, Death, Female, Follow-Up Studies, Health Services Needs and Demand, Home Care Services, Humans, Male, Middle Aged, Neoplasms, Hospice Care, Disease Progression, Terminally Ill, Spirituality, Qualitative Research
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