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. 2023 Nov 6;22(2):234–272. doi: 10.11124/JBIES-22-00353
Duggleby WD, Penz KL, Goodridge DM, Wilson DM, Leipert BD, Berry PH, et al. The transition experience of rural older persons with advanced cancer and their families: a grounded theory study. BMC Palliat Care. 2010;9:529
Finding 1 Feelings of isolation (U)
Illustration “… so I guess, in that way, I suppose you’re isolated a bit.”(p.3)
Finding 2 Lack of information and poor communication with health care providers (U)
Illustration “… but nobody tells me anything … even the doctors.”(p.3)
Finding 3 Transitions disrupted the lives of palliative patients and their families … experienced feeling out of control (U)
Illustration “…everything I guess was out of control.”(p.4)
Finding 4 Coming to terms with their situation was the first process for palliative patients (U)
Illustration “… you have to come to terms, you know … with the change.”(p.4)
Finding 5 Palliative patients and their families changed what they considered to be normal (U)
Illustration “… like we said, you know, redefining everything in your world.”(p.5)
Finding 6 They defined new standards of what was “well” (U)
Illustration “I’m feeling well … normal … Yes, normal for being sick.”(p.5)
Finding 7 In the process of redefining normal maintaining their personhood–who they were–was very important (U)
Illustration “… because when you’re sick like everybody says … I’m still me you know … I don’t change. I deal with the changes by being me.”(p.5)

U, unequivocal.