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Beyond Prognosis Communication: Exploring The Existential Dimensions Of Palliative Care Conversations With Adults With Advanced Cancer
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In: Publicly Accessible Penn Dissertations (2020)
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Beyond Prognosis Communication: Exploring the Existential Dimensions of Palliative Care Conversations with Adults with Advanced Cancer
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In: Dissertations available from ProQuest (2020)
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Existential Experience in Adults with Advanced Cancer: A Concept Analysis
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In: Nurs Outlook (2019)
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Abstract:
BACKGROUND: Attention to the existential dimension of individual experience during serious illness is important. However, existential concerns continue to be poorly defined in the literature, leading to neglect in the clinical realm. PURPOSE: This concept analysis seeks to clarify the concept of the existential experience within the context of adults with advanced cancer. METHODS: Rodgers’ evolutionary method of concept analysis was used. DISCUSSION: Existential experience in adults with advanced cancer is a dynamic state, preceded by confronting mortality, defined by diverse reactions to shared existential challenges related to the parameters of existence (body, time, others, and death), resulting in a dialectical movement between existential suffering and existential health, with capacity for personal growth. Personal factors and the ability to cope appear to influence this experience. CONCLUSION: These findings can drive future research and enhance clinician ability to attend to the existential domain, thereby improving patient experience at end-of-life.
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Article
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URL: http://www.ncbi.nlm.nih.gov/pubmed/31040052 https://doi.org/10.1016/j.outlook.2019.03.006 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6764914/
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