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Navigating complex end-of-life decisions in a family-centric society
- Source :
- Nursing Ethics. 27:1003-1011
- Publication Year :
- 2019
- Publisher :
- SAGE Publications, 2019.
-
Abstract
- 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.
- Subjects :
- Adult
Male
Palliative care
Social Values
media_common.quotation_subject
Decision Making
Relational autonomy
Best interests
Respect
Humans
Family
Sociology
Relational Autonomy
media_common
Singapore
Terminal Care
business.industry
Palliative Care
Public relations
Issues, ethics and legal aspects
Balance (accounting)
Personal Autonomy
Female
business
Welfare
Confucianism
Subjects
Details
- ISSN :
- 14770989 and 09697330
- Volume :
- 27
- Database :
- OpenAIRE
- Journal :
- Nursing Ethics
- Accession number :
- edsair.doi.dedup.....facc23a0203e818a09c7913c08964499