“…45,46 In this study, the sun, red hearts, green trees, a sailing ship, a house, and the home were metaphors for hope; a cloud on the sky was metaphor for the pending threat to life that the diagnosis meant; and a fish in troubled water was the metaphor for the struggle between hope and hopelessness in an uncertain time. Metaphors are used to convey a meaning, describe a complex condition, or illustrate the meaning of a phenomenon.…”