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Chinese seniors' perspectives on end-of-life decisions |
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Author |
Bowman, Kerry W.
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Singer, Peter A.
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Source |
Social Science and Medicine
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Volume | v.53 n.4 |
Date | 2001.08 |
Pages | 455 - 464 |
Publisher | Elsevier Science |
Publisher Url |
http://www.elsevier.com/
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Location | US [美國] |
Content type | 期刊論文=Journal Article |
Language | 英文=English |
Note | author E-Mail:peter.singer@utoronto.ca |
Keyword | punnabhava; death; 輪迴=轉世=Reincarnation=Rebirth=Samsara; terminal care |
Abstract | Making end-of-life decisions is a painful and difficult process; one that can be intensified by cultural differences between physicians and their patients. The objective of this study was to examine attitudes of Chinese seniors towards end-of-life decisions. A qualitative survey was conducted in a Chinese community centre in Toronto,Canada. Face-to-face interviews, in Cantonese,were conducted with 40 Chinese seniors 65 yrs of age or older. Respondents based their end-of-life decision making on the following factors:hope,suffering and burden,the future,emotional harmony,the life cycle,respect for doctors, and the family. Respondents rejected advance directives. Respondents' attitudes toward end-of-life decision making can be understood through the lens of values from Confucianist,Buddhist and Taoist traditions. Health care workers can best achieve quality end-of-life care--and address the cultural differences that may arise--by focusing primarily on understanding the perspectives of patients and their families, and by continually striving for balanced and open communication at all stages of the caregiving process. |
ISSN | 02779536 |
Hits | 297 |
Created date | 2003.09.19
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Modified date | 2019.08.26 |
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