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Centre for Policy on Ageing | |
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Living and dying with dignity in Chinese society
— perspectives of older palliative care patients in Hong Kong | | Author(s) | Andy Hau Yan Ho, Cecilia Lai Wan Chan, Pamela Pui Yu Leung |
| Journal title | Age and Ageing, vol 42, no 4, July 2013 |
| Publisher | Oxford University Press, July 2013 |
| Pages | pp 455-461 |
| Source | www.ageing.oxfordjournals.org |
| Keywords | Dying ; Terminal illness ; Cancer ; Terminal care ; Chinese people ; Hong Kong. |
| Annotation | The empirical Dignity Model has profoundly influenced the provision of palliative care for older terminally ill patients in the West as it provides practical guidance and intervention strategies for promoting dignity and reducing distress at the end of life. The present study aimed to examine the concept of living and dying with dignity in the Chinese context, and to explore the application of the Dignity Model to older terminal patients in Hong Kong. Using qualitative interviews, the concept of dignity was explored among 16 older Chinese palliative care patients with terminal cancer. Framework analysis with both deductive and inductive methods was employed. Results showed that the three major categories of themes of the Dignity Model were broadly supported. However the subtheme of death anxiety was not supported, while two subthemes of generativity/legacy and resilience/fighting spirit manifested differently in the Chinese context. Furthermore four new emergent themes have been identified. They include enduring pain, moral transcendence, spiritual surrender and transgenerational unity. These findings highlight both a cultural and a familial dimension in the construct of dignity, underline the paramount importance of cultural awareness and competence for working with ethnically diverse groups, and call for a culturally sensitive and family oriented approach to palliative care interventions with older Chinese terminal patients. (JL). |
| Accession Number | CPA-130712223 A |
| Classmark | CX: CV: CK: LV: TKL: 7DR |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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