Navigating complex end-of-life decisions in a family-centric society
End-of-life decision making frequently involves a complex balancing of clinical, cultural, social, ethical, religious and economic considerations. Achieving a happy balance of these sometimes-competing interests, however, can be particularly fraught in a family-centric society like Singapore where t...
Main Author: | |
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Format: | Electronic Article |
Language: | English |
Check availability: | HBZ Gateway |
Journals Online & Print: | |
Fernleihe: | Fernleihe für die Fachinformationsdienste |
Published: |
Sage
2020
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In: |
Nursing ethics
Year: 2020, Volume: 27, Issue: 4, Pages: 1003-1011 |
Further subjects: | B
Decision Making
B end of life B Welfare B relational autonomy B best interests B Palliative Care B Family B case report |
Online Access: |
Volltext (lizenzpflichtig) |
Summary: | End-of-life decision making frequently involves a complex balancing of clinical, cultural, social, ethical, religious and economic considerations. Achieving a happy balance of these sometimes-competing interests, however, can be particularly fraught in a family-centric society like Singapore where the family unit often retains significant involvement in care determinations necessitating careful consideration of the family’s position during the decision-making process. While various decision-making tools such as relational autonomy, best interests principle and welfare-based models have been proposed to help navigate such difficult decision-making processes, their application in practical terms, however, is dubious at best. This case report is presented to highlight these issues and explore the utility of these frameworks within the Singapore end-of-life care context when the interests of the family may be dissonant from those of the patient. |
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ISSN: | 1477-0989 |
Contains: | Enthalten in: Nursing ethics
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Persistent identifiers: | DOI: 10.1177/0969733019876304 |