Sio-Wa Ho1, Gregory F Sanders2. 1. Univerity of Macau, Macao, China. 2. North Dakota State University, Fargo, ND, USA greg.sanders@ndsu.edu.
Abstract
PURPOSE: The purpose of the present study was to learn about the perspectives on end-of-life decision making among older Chinese people in Macau. METHOD: A qualitative approach was used, and interviews were conducted with 18 Chinese aged 65 years or older. RESULTS: Four major themes were identified: (a) institutionalized care at the end of life was preferred as not to be a burden on family, (b) life-prolonging measures were not preferred, (c) funeral arrangement preferences were based on personal and religious beliefs, and (d) end-of-life decision making would be deferred to others. DISCUSSION AND CONCLUSIONS: These themes provide an understanding of personal preferences of older Chinese on end-of-life issues, and personal preferences are always secondary to their respect toward family and medical doctors. This compliance with family and medical authority can be understood through Chinese cultural beliefs. IMPLICATIONS FOR PRACTICE: Knowledge of cultural influences is needed for nursing professionals to deal effectively with older adults and families regarding end-of-life issues.
PURPOSE: The purpose of the present study was to learn about the perspectives on end-of-life decision making among older Chinese people in Macau. METHOD: A qualitative approach was used, and interviews were conducted with 18 Chinese aged 65 years or older. RESULTS: Four major themes were identified: (a) institutionalized care at the end of life was preferred as not to be a burden on family, (b) life-prolonging measures were not preferred, (c) funeral arrangement preferences were based on personal and religious beliefs, and (d) end-of-life decision making would be deferred to others. DISCUSSION AND CONCLUSIONS: These themes provide an understanding of personal preferences of older Chinese on end-of-life issues, and personal preferences are always secondary to their respect toward family and medical doctors. This compliance with family and medical authority can be understood through Chinese cultural beliefs. IMPLICATIONS FOR PRACTICE: Knowledge of cultural influences is needed for nursing professionals to deal effectively with older adults and families regarding end-of-life issues.
Authors: Wei Li; Hwee Lan Ng; Wenyun Li; Anthony N Piano; Shireen Abdul Karim; Kay Yaw Tay; Wing Lok Au; Louis Cs Tan Journal: Mov Disord Clin Pract Date: 2016-01-09