Table 1.

Coding and Data Analyses.

			Theoretical Coding
Excerpt	Initial Coding	Focused Coding	Subcategory	Main Category	Main Concern
1. So all the policies implemented today . . . It’s the actions that accommodate those who already can . . . it’s really really hard to meet the fragile and vulnerable patients who cannot achieve the expected lifestyle changes . . . and listen to what they want and what they can accomplish . . . “How can I really support you in this . . . what is it you want to achieve? If you want to see your son getting married, then it’s probably now you need to make the changes and do things in another way, right?” (HCP) 2. Some of the patients have a psychological problem that sometimes renders irrelevant what we are saying to them . . . (HCP) 3. I mean, that’s the way it is . . . Some have more resources than others . . . That’s the way it will always be . . . We can’t give knowledge to people who are not able to take it in . . . (HCP) 4. We are not grasping the story . . . We think we are . . . but we are not, because we are treating them all the same . . . (HCP) 5.  . . . You may also worry about what you are digging into . . . because you cannot manage to put a lid on the problems before ending the interaction (HCP)	Powerlessness Obligations Lack of strategies Hopelessness Resignation Impact focusing Lack of skills Uncertainty Frustration	Looking for lifestyle markers Controlling patient information Maintaining mind and body separately Avoiding the impossible Ignoring the insecure Avoiding failure and sorrow	Maintaining the sick lungs as the main task Avoiding the existential suffering in patients Avoiding the non-alterable	Maintaining a distinction between possible and impossible topics of conversation	Striving to manage contradictory expectations to the content of counseling

Note. HCP = health care professional.