Hope, Life, and Death: A Qualitative Analysis of Dying Cancer Patients' Talk About Hope

Abstract

Although deemed vital to patient well-being, hope in persons who are terminally ill is often thought to be problematic, particularly when centered on cure. As part of a study on end-of-life decision-making, we asked 28 patients with cancer, believed to be within weeks of their death, to talk about hope. Responses were transcribed and discursively analyzed, with 3 versions of hope, each of which connected hope and life, identified—hope as essential to, and for, life; hope, life, death, and others; and, hope/s changing during (or in) life. Hope for cure was common. Rather than death-denying, patients' hope appeared life-affirming, functioning to value patients, their lives, and connections with others.

Notes

¹Transcription protocol: [ ] indicates text inserted to clarify meaning; = indicates overlapping or abutting speech; (…) indicates inaudible or unintelligible speech; … indicates words omitted.