Table 5.

Line of argument 3, palliative patient group. Factors that influence patient spirituality at the end of life.

Line Argument: Concept of Spirituality	Role
	Palliative Patients	need to address conflict	PPAL3	“People are not really used to expressing anything that is not exactly physical, for this reason I try to resolve conflict both talking and without talking”
		coping strategies	PPAL6	“I am dealing with it 100% well, don’t consider it, I move forward, I keep going. I am great, I always say that I am good, it is better to not dwell”
		social support	PPAL3	“My husband is my main support, because my children support me, they call me every day, but they live in Madrid. They really do care for me a lot. But without him I wouldn’t have had the strength to go on“
		sense security	PPAL7	“It makes me feel good being able to lead the most normal life possible. To be able to have a beer someday with friends, any little thing will do for me”
		closeness to death	PPAL2	“I know I’m in a very advanced stage of metastasis but then... how it’s going to be, what I’m going to feel...... I think everything will be fine and that relaxes”
		feelings of despair	PPAL4	“But yesterday got me a bit despairing, and I said “now whatever has to happen”. Plus I really wanted to cry and I said “now I can’t stand this anymore”
		pain	PPAL2	My legs I can hardly move them for the pain. And for this I take a lot of painkillers every day, that has morphine, up until now they haven’t given me a single day without pain. They tell me that my pain is very difficult because it is in the bones and the nerves”
		fear of suffering	PPAL1	“Ay goodness me, that I don’t have to suffer much when I am dying, that my loved ones don’t see me suffer so that they don’t suffer, that I fall asleep one night, but the suffering…”
		body image	PPAL7	“7 years ago now I had an operation for breast cancer, they gave me a prosthetic and it looks awful, looking at it, it’s the difference between the two that you notice even with clothes, but it doesn’t bother me as much now because I have other concerns”
		family background	PPAL5	“Four siblings have died of the same thing. And my mum, I think it is hereditary. There’s more to come…I had a really bad time when they went, with my twin, we always used to go out together…. It is obvious that my destiny is what it is, the same as my family”