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Strengths and approaches are visualised in an overarching analytical framework 'the Propeller'. The constructed Propeller framework can be used to become aware of, apply and further develop approaches to foster existential or spiritual strengths among patients receiving palliative care. The constructed Propeller framework can be used to become aware of, apply and further develop approaches to foster existential or spiritual strengths among patients receiving palliative care.Celina Juliano is an Assistant Professor at UC Davis, where sh