Reflections in the Shadow of Death: Values,Relationships,and the Search for the Meaning in the End-of-Life Care

Abstract

The study explores the reflections of terminally ill patients on life and death, drawing from theories of regret, existential psychology, and positive psychology. A qualitative study was conducted using the IDI technique with a structured interview questionnaire (named ‘4You’). The study took place in four Polish hospice facilities between 2022 and 2023. Forty-five patients (aged 33–94) participated. The interview included open-ended questions about life advice, pride, gratitude, and self-reflection. Analysis revealed that patients’ reflections focused on relationships (29.9%), personal attitudes (27.95%), and the value of life and health (19.2%). Expressions of gratitude and pride correlated with improved well-being, optimism, and life satisfaction. Many respondents highlighted the importance of maintaining health, staying positive, and cherishing relationships. 4You interview questionnaire facilitated personal reflection and reinforced positive self-perceptions. Findings suggest that structured self-reflection can enhance spiritual and emotional well-being, offering valuable insights for palliative care practices.

Keywords

quality of life palliative care dying attitude to death spirituality

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