title: [Comprehensive Metaphors About the Phenomenon That a Family System Lives When it Takes Care of One of Its Members With Oncological Disease in Advanced Stage: Study of Three Antioquia Families (Colombia)].
abstract: OBJECTIVE
  To interpret the meanings in the transformations affecting the family system when it takes care of one of its members with oncological disease in advanced stage.
  
  
  METHODS
  Hermeneutic phenomenological study. Nine in-depth interviews were conducted. The narrative was used to reach a more genuine appreciation of people as active social beings, and to consider the way to build personal and cultural realities through stories and tales.
  
  
  RESULTS
  the comprehensive metaphors that emerged were the experience of the disease as acceptance that generates learning; disease as possibility of internal renewal; and family breakdown in the middle of a vulnerable social structure.
  
  
  CONCLUSIONS
  In the interviewees emerge feelings, attitudes and wisdom itself, that allows them to understand what it means for them the experience of a disease such as cancer, which requires mobilizing forces at all levels. Capabilities articulated with some limitations emerged; competencies to learn to care basing on the knowledge, skills and courage to do so were developed; care experience is reconfigured with acts of bravery to overcome the feeling of pain caused by the disease and by difficult family relationships.
authors.affiliation: Facultad de Enfermería, Universidad de Antioquia, Medellín, Colombia. Electronic address: maria_lucelly_garcia@hotmail.com.
authors.forename: María Lucelly
authors.initials: ML
authors.lastname: García Henao
authors.affiliation: Departamento de Psiquiatría, Universidad de Antioquia, Medellín, Colombia.
authors.forename: Lina María
authors.initials: LM
authors.lastname: López Serna
mesh_terms: D000293:Adolescent; D000328:Adult; D017028:Caregivers / Q000523:psychology*; D003105:Colombia; D005195:Family Relations / Q000523:psychology*; D005260:Female; D066297:Hermeneutics; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D019365:Metaphor; D008875:Middle Aged; D033262:Narration; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy; D055815:Young Adult
keywords: Care; Cuidado; Enfermedad oncológica; Family changes; Oncological disease; Transformaciones familiares