title: How older people with incurable cancer experience daily living: A qualitative study from Norway.
abstract: OBJECTIVE
  An increasing number of older people are living with incurable cancer as a chronic disease, requiring palliative care from specialized healthcare for shorter or longer periods of time. The aim of our study was to describe how they experience daily living while receiving palliative care in specialized healthcare contexts.
  
  
  METHODS
  We conducted a qualitative research study with a phenomenological approach called "systematic text condensation." A total of 21 participants, 12 men and 9 women, aged 70-88, took part in semistructured interviews. They were recruited from two somatic hospitals in southeastern Norway.
  
  
  RESULTS
  The participants experienced a strong link to life in terms of four subthemes: to acknowledge the need for close relationships; to maintain activities of normal daily life; to provide space for existential meaning-making and to name and handle decline and loss. In addition, they reported that specialized healthcare contexts strengthened the link to life by prioritizing and providing person-centered palliative care.
  
  
  CONCLUSIONS
  Older people with incurable cancer are still strongly connected to life in their daily living. The knowledge that the potential for resilience remains despite aging and serious decline in health is considered a source of comfort for older people living with this disease. Insights into the processes of existential meaning-making and resilience are seen as useful in order to increase our understanding of how older people adapt to adversity, and how their responses may help to protect them from some of the difficulties inherent to aging. Healthcare professionals can make use of this information in treatment planning and for identification of psychosocial and sociocultural resources to support older people and to strengthen patients' life resources.
authors.affiliation: Center for Psychology of Religion,Innlandet Hospital Trust, andThe Norwegian School of Theology,Oslo,Norway.
authors.forename: Sigrid Helene Kjørven
authors.initials: SH
authors.lastname: Haug
authors.affiliation: Centre for Psychology of Religion,Innlandet Hospital Trust, andThe Norwegian School of Theology,Oslo,Norway.
authors.forename: Lars J
authors.initials: LJ
authors.lastname: Danbolt
authors.affiliation: Hedmark University College,Department of Public Health,Institute of Nursing and Mental Health,Elverum,Norway, andNesna University College,Institute for Nursing Education,Nordland,Norway.
authors.forename: Kari
authors.initials: K
authors.lastname: Kvigne
authors.affiliation: Centre for Psychology of Religion,Innlandet Hospital Trust, andThe Norwegian School of Theology,Oslo,Norway.
authors.forename: Valerie
authors.initials: V
authors.lastname: Demarinis
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000523:psychology*; D009664:Norway; D010166:Palliative Care / Q000523:psychology*; D036301:Qualitative Research
keywords: Aging; Cancer; Experience; Palliative care; Phenomenology