You never know when your last day will come and your trip will be over--existential expressions from a melanoma diagnosis.
OBJECTIVE
The aim of this study was to further explore expressions of existential experiences by patients diagnosed with malignant melanoma (MM).


METHODS
Semi-structured interviews were performed consecutively after diagnosis among 30 patients with MM. The methodological approach was inspired by Gadamer's hermeneutic philosophy.


RESULTS
The analysis of expressions of existential experiences after having been diagnosed with malignant melanoma revealed that it is an existential process that people go through, beginning with feelings of suddenly becoming groundless at the time of the diagnosis, including being empty and in a vacuum, being in chaos and uncertainty and being confronted with one's own death. Next theme searching for solid ground included striving to understand what lies ahead, striving to find a balance in life - fighting, hoping, going on living and striving to prioritize family. The last theme creating islands of solid ground when living with cancer included understanding what is meaningful in life, living in the moment - seizing the day and keeping watch on the body.


CONCLUSIONS
On being diagnosed with malignant melanoma, people go through a process where many questions emerge, including an existential turmoil, which health professionals should be aware of to provide these patients with sufficient support.
Department of Nursing, Umeå University, 901 87 Umeå, Sweden. Electronic address: senada.hajdarevic@umu.se.
Senada
S
Hajdarevic
Department of Nursing, Umeå University, 901 87 Umeå, Sweden. Electronic address: birgit.rasmussen@umu.se.
Birgit H
BH
Rasmussen
Department of Nursing, Umeå University, 901 87 Umeå, Sweden. Electronic address: asa.hornsten@umu.se.
Åsa
Å
Hörnsten
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001293:Attitude to Death; D001294:Attitude to Health; D004644:Emotions; D005086:Existentialism; D005260:Female; D006801:Humans; D008297:Male; D008545:Melanoma / Q000523:psychology*; D008875:Middle Aged; D012944:Social Support; D013548:Sweden; D055815:Young Adult
Cancer experience; Existential expression; Existential suffering; Groundlessness; Life disruption; Malignant melanoma; Nursing; Qualitative method