<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2216-0973</journal-id>
<journal-title><![CDATA[Revista Cuidarte]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cuid]]></abbrev-journal-title>
<issn>2216-0973</issn>
<publisher>
<publisher-name><![CDATA[Programa de Enfermería, Facultad de Ciencias de la Salud, Universidad de Santander UDES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2216-09732025000300005</article-id>
<article-id pub-id-type="doi">10.15649/cuidarte.4455</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Advance care planning in people with advanced cancer: a phenomenological study]]></article-title>
<article-title xml:lang="es"><![CDATA[Planificación avanzada de cuidados en personas con cáncer avanzado: un estudio fenomenológico]]></article-title>
<article-title xml:lang="pt"><![CDATA[Planejamento avançado de cuidados em pessoas com câncer avançado: um estudo fenomenológico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arias-Rojas]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carreño-Moreno]]></surname>
<given-names><![CDATA[Sonia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arredondo Holguín]]></surname>
<given-names><![CDATA[Edith]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>16</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2216-09732025000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2216-09732025000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2216-09732025000300005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Significant challenges currently exist in addressing patients' preferences regarding end-of-life care, particularly in the context of advance care planning.  Objective: To understand advance care planning at the end of life in people with cancer in palliative care in Medellin Colombia.  Materials and Methods: This study used a hermeneutic phenomenological approach to explore the lived experiences of nine patients with advanced cancer. In-depth interviews were conducted, focusing on patients' understanding of advanced care planning. Data was analyzed using thematic analysis to identify major themes related to advance care planning.  Results: Six key themes emerged from the data: (1) Clinging to life; (2) Decision delegation and reflective avoidance; (3) Silence to avoid suffering; (4) Resignation; (5) A quiet place; and (6) My legacy. These results describe the experiences of cancer patients in palliative care versus advanced care planning.  Discussion: The findings highlight the complexity of advanced care planning in advanced cancer patients in palliative care.  Conclusion: This study revealed barriers to care planning, including a lack of understanding of the palliative care process, communication difficulties, and cultural factors.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: Actualmente existen retos significativos para abordar las preferencias de los pacientes con respecto a los cuidados al final de la vida, particularmente en el contexto de la planificación anticipada de cuidados.  Objetivo: Comprender la planificación avanzada de la atención en el final de la vida en personas con cáncer en cuidados paliativos en Medellín Colombia.  Materiales y métodos: Este estudio empleó un enfoque fenomenológico hermenéutico para explorar las experiencias vividas de nueve pacientes con cáncer avanzado. Se realizaron entrevistas a profundidad, centradas en la comprensión de los pacientes sobre la planificación anticipada de los cuidados. Los datos se analizaron mediante análisis temático para identificar los temas principales relacionados con la planificación anticipada de los cuidados.  Resultados: De los datos surgieron seis temas clave: (1) Aferrarse a la vida, (2) Delegación de decisiones y evitación reflexiva; (3) Silencio para evitar el sufrimiento; (4) Resignación; (5) Un lugar tranquilo; y (6) Mi legado. Estos resultados describen las experiencias de los pacientes con cáncer en cuidados paliativos frente a la planificación anticipada de cuidados.  Discusión: Los hallazgos destacan la complejidad de la planificación anticipada de cuidados en pacientes con cáncer avanzado en cuidados paliativos.  Conclusiones: Este estudio reveló barreras para la planificación de la atención, incluyendo una falta de comprensión del proceso de cuidados paliativos, dificultades en la comunicación y factores culturales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução: Atualmente, existem desafios significativos para abordar as preferências dos pacientes em relação aos cuidados no fim da vida, particularmente no contexto do planejamento avançado de cuidados.  Objetivo: Compreender o planejamento avançado de cuidados no fim da vida em pessoas com câncer em cuidados paliativos em Medellín, Colômbia.  Materiais e métodos: Este estudo utilizou uma abordagem fenomenológica hermenêutica para explorar as experiências vividas por nove pacientes com câncer avançado. Foram realizadas entrevistas em profundidade, com foco na compreensão dos pacientes sobre o planejamento avançado de cuidados. Os dados foram analisados por meio de análise temática para identificar os principais temas relacionados ao planejamento avançado de cuidados.  Resultados: Seis temas principais emergiram dos dados: (1) Apegar-se à vida; (2) Delegar decisões e evitar reflexivamente; (3) Silêncio para evitar o sofrimento; (4) Resignação; (5) Um lugar tranquilo; e (6) Meu legado. Esses resultados descrevem as experiências de pacientes com câncer em cuidados paliativos com o planejamento avançado de cuidados.  Discussão: Os resultados destacam a complexidade do planejamento antecipado de cuidados para pacientes com câncer avançado em cuidados paliativos.  Conclusões: Este estudo revelou barreiras ao planejamento de cuidados, incluindo a falta de compreensão do processo de cuidados paliativos, dificuldades de comunicação e fatores culturais.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Advance Care Planning]]></kwd>
<kwd lng="en"><![CDATA[Advance Directives]]></kwd>
<kwd lng="en"><![CDATA[Palliative Care]]></kwd>
<kwd lng="en"><![CDATA[Qualitative Research]]></kwd>
<kwd lng="es"><![CDATA[Planificación Anticipada de Atención]]></kwd>
<kwd lng="es"><![CDATA[Directivas Anticipadas]]></kwd>
<kwd lng="es"><![CDATA[Cuidados Paliativos]]></kwd>
<kwd lng="es"><![CDATA[Investigación Cualitativa]]></kwd>
<kwd lng="pt"><![CDATA[Planejamento Antecipado de Cuidados]]></kwd>
<kwd lng="pt"><![CDATA[Diretivas Antecipadas]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados Paliativos]]></kwd>
<kwd lng="pt"><![CDATA[Pesquisa Qualitativa]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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