Goals Set in the Land of the Living/Dying: A Longitudinal Study of Patients Living with Advanced Cancer

Author: Nissim Rinat   Rennie David   Fleming Stephen   Hales Sarah   Gagliese Lucia   Rodin Gary  

Publisher: Routledge Ltd

ISSN: 1091-7683

Source: Death Studies, Vol.36, Iss.4, 2012-04, pp. : 360-390

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Abstract

A longitudinal qualitative research study was undertaken to provide an understanding of a prolonged experience of advanced cancer, as seen through the eyes of dying individuals. Using a variant of the grounded theory method, the authors theoretically sampled, from outpatient clinics in a large comprehensive cancer treatment center, 27 patients with either advanced lung or gastrointestinal cancer who had an expected survival of up to 2 years. The authors conducted a total of 54 interviews with these patients to learn of their experience of advanced cancer. The authors represent their experience with the core category: striving to grow in the land of the living/dying, symbolizing their sense of finding themselves in a borderland between life and death where their efforts focused on 3 common goals: controlling dying, valuing life in the present, and creating a living legacy. They provide a longitudinal account of how these goals were addressed throughout the illness trajectory and discuss the theoretical and clinical implications of this understanding for the experience of dying from advanced cancer.