OBJECTIVE: Our aim was to explore preparation for the end of life (EoL) and life closure among @entity1 with advanced metastatic @entity2 . Understanding quality of life through the lens of preparation and completion is important since the trajectory of @entity2 can be relatively short, often leading to application of @entity5 without the opportunity for advance planning or palliative care. Clinical research is needed to understand the kinds of distress specific to older adults with advanced @entity2 that are amendable to palliative care interventions. METHOD: We employed an exploratory cross-sectional design to examine psychosocial and existential concerns among a purposive sample (N  =  30) of advanced @entity2 @entity1 using the "end-of-life preparation" and "life completion" subscales of the Quality of Life at the End of Life (QUAL-E) questionnaire. Nonparametric methods were employed to analyze preparation, completion, global quality of life (QoL), and the associations among @entity308 , preparation, completion, and global QoL. RESULTS: Higher scores on life completion were associated with better global QoL, and with items related to transcendence, communicative acts, and interpersonal relationships demonstrating important contributions. The perception of being a future burden on family members was the greatest concern within the preparation domain. @entity308 were not associated with preparation, completion, or global QoL. SIGNIFICANCE OF RESULTS: Psychosocial and existential issues contribute to QoL at the EoL among older adults with @entity5 during @entity5 -directed therapy, concurrent care, and hospice. The role of preparation, especially self-perceived burden, merits further research early on in the oncological setting. The preparation and life completion subscales of the QUAL-E are feasible clinical tools for facilitating dyadic communication about sensitive topics in the palliative care setting.

Preparation for the end of life and life completion during XXXX : An exploratory analysis.

@entity1 :: ('9606', 'Species') :: ['patients', 'persons'] @entity2 :: ('MESH:D008175', 'Disease') :: ['lung cancer'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer-directed therapies near death', 'late-stage lung cancer', 'cancer'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depressive symptoms', 'Depressive symptoms']
@entity5 :: (MESH:D009369,Disease) :: ['late-stage lung cancer']
