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Chinese seniors' perspectives on end-of-life decisions
Author Bowman, Kerry W. ; Singer, Peter A.
Source Social Science and Medicine
Volumev.53 n.4
Date2001.08
Pages455 - 464
PublisherElsevier Science
Publisher Url http://www.elsevier.com/
LocationUS [美國]
Content type期刊論文=Journal Article
Language英文=English
Noteauthor E-Mail:peter.singer@utoronto.ca
Keywordpunnabhava; death; 輪迴=轉世=Reincarnation=Rebirth=Samsara; terminal care
AbstractMaking 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.
ISSN02779536
Hits297
Created date2003.09.19
Modified date2019.08.26



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