{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:46:48Z","timestamp":1760057208298,"version":"build-2065373602"},"reference-count":0,"publisher":"Universidad de Santander - UDES","issue":"3","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["udes.edu.co"],"crossmark-restriction":true},"short-container-title":["Rev Cuid"],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:p>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. Conclusions: This study revealed barriers to care planning, including a lack of understanding of the palliative care process, communication difficulties, and cultural factors.<\/jats:p>","DOI":"10.15649\/cuidarte.4455","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T16:04:25Z","timestamp":1756742665000},"update-policy":"https:\/\/doi.org\/10.15649\/cuidarte.crossmark","source":"Crossref","is-referenced-by-count":0,"title":["Advance care planning in people with advanced cancer: a phenomenological study"],"prefix":"10.15649","volume":"16","author":[{"name":"Universidad de Antioquia, Medell\u00edn, Colombia","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2096-1792","authenticated-orcid":false,"given":"Mauricio","family":"Arias-Rojas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4386-6053","authenticated-orcid":false,"given":"Sonia","family":"Carre\u00f1o-Moreno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1907-2787","authenticated-orcid":false,"given":"Edith","family":"Arredondo Holgu\u00edn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6285","published-online":{"date-parts":[[2025,9,1]]},"container-title":["Revista Cuidarte"],"original-title":[],"link":[{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/4455\/3499","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/4455\/3500","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/4455\/3501","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/4455\/3502","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/download\/4455\/3501","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T15:50:48Z","timestamp":1760025048000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistas.udes.edu.co\/cuidarte\/article\/view\/4455"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,1]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,9,1]]},"published-print":{"date-parts":[[2025,9,1]]}},"URL":"https:\/\/doi.org\/10.15649\/cuidarte.4455","relation":{},"ISSN":["2216-0973","2346-3414"],"issn-type":[{"type":"print","value":"2216-0973"},{"type":"electronic","value":"2346-3414"}],"subject":[],"published":{"date-parts":[[2025,9,1]]}}}