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...

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Bibliographic Details
Main Author: Lee, Guozhang (Author)
Format: Electronic Article
Language:English
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Published: Sage 2020
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)
Description
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.
ISSN:1477-0989
Contains:Enthalten in: Nursing ethics
Persistent identifiers:DOI: 10.1177/0969733019876304