2.50
Hdl Handle:
http://hdl.handle.net/10755/159999
Type:
Presentation
Title:
Perspectives on Patient Autonomy of Older Adults and Their Families
Abstract:
Perspectives on Patient Autonomy of Older Adults and Their Families
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:Suen, Lee-jen, PhD
P.I. Institution Name:The Chang Jung University
Contact Address:Department of Nursing, 396 Chang Jung Road, Sec 1,, Kway Jen, Tainan,, 71101, Taiwan
In many Asian cultures, family decisions are valued above patient autonomy. The patient's family members, for example, rather than the patient are often the first to be informed of his or her health condition. However, there has been a recent increase in advocacy of patient autonomy in Taiwan. This study examines the perspective of Taiwanese older adults with chronic illnesses and that of their family members toward patient autonomy in the context of end-of-life care. The cross-sectional study recruited 69 pairs of older adults and families. The age of the older adults ranged from 60 to 90 (M=71, SD=9.4) and the age of the family members from 21 to 85 (M=38, SD=13.1). The older adults are 44% male and 55% female while the family members are 35% male and 65% female. There were significant differences between the older adults and their family members on four items: Forty-nine percent of older adults believe that making a health care decision is not a burden to the patient, compared to19% of the family members (p <0.01). Sixty-five percent of older adults, compared to 86% of family members, believe that health care providers should have the family's consent before disclosing a terminal diagnosis to the patient. Forty-nine percent of older adults, compared to 30% of family members (p<0.05), believe that the patient has the right to terminate his or her life if there is no cure. Sixty-one percent of older adults, compared to 51% of family members (p<0.05), favor legislation for euthanasia. No significant differences were found between older adults and their family members with regard to the following items: patient should be told about a terminal diagnosis (80% versus 77%), patient should be told about a terminal prognosis (74% versus 80%), patient has the right to terminate artificial life support (46% versus 38%), family should respect the patient's decision to terminate artificial life support (80% versus 73%), and patient should arrange his/her funeral in advance (65% versus 68%). This study demonstrates that both older adults and their families value patient autonomy and the patient's rights to health information.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePerspectives on Patient Autonomy of Older Adults and Their Familiesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159999-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Perspectives on Patient Autonomy of Older Adults and Their Families</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Suen, Lee-jen, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The Chang Jung University</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Department of Nursing, 396 Chang Jung Road, Sec 1,, Kway Jen, Tainan,, 71101, Taiwan</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ljwsuen@mail.cju.tw</td></tr><tr><td colspan="2" class="item-abstract">In many Asian cultures, family decisions are valued above patient autonomy. The patient's family members, for example, rather than the patient are often the first to be informed of his or her health condition. However, there has been a recent increase in advocacy of patient autonomy in Taiwan. This study examines the perspective of Taiwanese older adults with chronic illnesses and that of their family members toward patient autonomy in the context of end-of-life care. The cross-sectional study recruited 69 pairs of older adults and families. The age of the older adults ranged from 60 to 90 (M=71, SD=9.4) and the age of the family members from 21 to 85 (M=38, SD=13.1). The older adults are 44% male and 55% female while the family members are 35% male and 65% female. There were significant differences between the older adults and their family members on four items: Forty-nine percent of older adults believe that making a health care decision is not a burden to the patient, compared to19% of the family members (p &lt;0.01). Sixty-five percent of older adults, compared to 86% of family members, believe that health care providers should have the family's consent before disclosing a terminal diagnosis to the patient. Forty-nine percent of older adults, compared to 30% of family members (p&lt;0.05), believe that the patient has the right to terminate his or her life if there is no cure. Sixty-one percent of older adults, compared to 51% of family members (p&lt;0.05), favor legislation for euthanasia. No significant differences were found between older adults and their family members with regard to the following items: patient should be told about a terminal diagnosis (80% versus 77%), patient should be told about a terminal prognosis (74% versus 80%), patient has the right to terminate artificial life support (46% versus 38%), family should respect the patient's decision to terminate artificial life support (80% versus 73%), and patient should arrange his/her funeral in advance (65% versus 68%). This study demonstrates that both older adults and their families value patient autonomy and the patient's rights to health information.</td></tr></table>en_GB
dc.date.available2011-10-26T22:31:53Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:31:53Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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