Advance care planning in people with advanced cancer: a phenomenological study.

INTRODUCTION

Significant challenges currently exist in addressing patients' preferences regarding end-of-life care, particularly in the context of advance care planning.

OBJECTIVE

To understand advance care planning at the end of life in people with cancer in palliative care in Medellin Colombia.

MATERIALS AND

METHODS

This study used a hermeneutic phenomenological approach to explore the lived experiences of nine patients with advanced cancer. In-depth interviews were conducted, focusing on patients' understanding of advanced care planning. Data was analyzed using thematic analysis to identify major themes related to advance care planning.

RESULTS

Six key themes emerged from the data: (1) Clinging to life; (2) Decision delegation and reflective avoidance; (3) Silence to avoid suffering; (4) Resignation; (5) A quiet place; and (6) My legacy. These results describe the experiences of cancer patients in palliative care versus advanced care planning.

DISCUSSION: The findings highlight the complexity of advanced care planning in advanced cancer patients in palliative care.

CONCLUSION

This study revealed barriers to care planning, including a lack of understanding of the palliative care process, communication difficulties, and cultural factors.