Can We Talk About It Now? Recognizing the Optimal Time to Initiate End-of-Life Care Discussions with Older Chinese Americans and Their Families

Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society
Han-Lin ChiRoberta S Rehm

Abstract

Older Chinese Americans often defer end-of-life care discussions. Researchers sought to explore how to engage older Chinese Americans and their families in end-of-life care discussions and to understand the optimal timing to initiate such discussions. Individual, semistructured interviews were conducted with 14 community-dwelling older Chinese Americans, 9 adult children, and 7 clinicians. The data were collected and analyzed using focused ethnographic methodology. Older Chinese Americans and their families would discuss end-of-life care when introduced at "optimal times," which included after-triggering events (e.g., death of loved ones, fall accidents), changes in health status, or advanced age. Adult children are not expected to initiate end-of-life care discussions with their parents. Thus, culturally congruent health care that could better engage Chinese Americans in such discussions would be optimized by having clinicians proactively assess their patients' readiness and initiate such discussion at optimal times.

References

Aug 9, 2008·BMJ : British Medical Journal·Ayelet KuperWendy Levinson
Jan 16, 2009·Death Studies·Chiung-yin HsuSusan Lee
Mar 16, 2011·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Stephen BarclayElizabeth Smith
Oct 25, 2013·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Tim SharpStephen Barclay
Jan 5, 2014·Journal of the American Geriatrics Society·Christopher T SuRebecca L Sudore
Apr 9, 2014·Journal of Cross-cultural Gerontology·Annie L Nguyen, David W Seal
Sep 23, 2014·Journal of Aging and Health·Ruijia ChenXinQi Dong
Apr 29, 2015·Journal of Gerontological Nursing·Mei Ching LeeErika Friedmann
Sep 2, 2016·Journal of the American Geriatrics Society·Jeanine Yonashiro-ChoSusan Enguidanos
Jan 8, 2017·Journal of Pain and Symptom Management·Rebecca L SudoreDaren K Heyland
May 26, 2017·Journal of Clinical Nursing·Sok Shin YapScott A Fraser

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Citations

May 29, 2020·Omega·Weiguo Zhang
Sep 30, 2020·Journal of Palliative Medicine·Zhimeng JiaJustin J Sanders
Jan 28, 2021·The American Journal of Hospice & Palliative Care·Zhimeng JiaCynthia X Pan

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