End of life: the Buddhist view

Keown, Damien

doi:10.1016/s0140-6736(05)67323-0

Cited by 62 publications

(44 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This not only hampers their ability to effectively communicate and partake in any further decision-making process regarding their medical care, but also affects the emotional state of their loved ones. The idea of being put into a deep sleep may not be well tolerated with certain patients and their families whose spiritual belief includes that one should face death with a clear, alert and unclouded state of mind (Keown 2005;Zahedi et al 2007). …”

Section: Pain Management/terminal Sedationmentioning

confidence: 99%

Religious, Ethical and Legal Considerations in End-of-Life Issues: Fundamental Requisites for Medical Decision Making

Kassim

Alias

2015

J Relig Health

View full text Add to dashboard Cite

Religion and spirituality have always played a major and intervening role in a person's life and health matters. With the influential development of patient autonomy and the right to self-determination, a patient's religious affiliation constitutes a key component in medical decision making. This is particularly pertinent in issues involving end-of-life decisions such as withdrawing and withholding treatment, medical futility, nutritional feeding and do-not-resuscitate orders. These issues affect not only the patient's values and beliefs, but also the family unit and members of the medical profession. The law also plays an intervening role in resolving conflicts between the sanctity of life and quality of life that are very much pronounced in this aspect of healthcare. Thus, the medical profession in dealing with the inherent ethical and legal dilemmas needs to be sensitive not only to patients' varying religious beliefs and cultural values, but also to the developing legal and ethical standards as well. There is a need for the medical profession to be guided on the ethical obligations, legal demands and religious expectations prior to handling difficult end-of-life decisions. The development of comprehensive ethical codes in congruence with developing legal standards may offer clear guidance to the medical profession in making sound medical decisions.

show abstract

Section: Pain Management/terminal Sedationmentioning

confidence: 99%

Religious, Ethical and Legal Considerations in End-of-Life Issues: Fundamental Requisites for Medical Decision Making

Kassim

Alias

2015

J Relig Health

View full text Add to dashboard Cite

show abstract

“…Likewise, the differences among the different notions of death facilitate or make it difficult to decide about starting PS. In places where people believe in reincarnation or in life as a transit, as in the Eastern cultures, the decision may differ from that in Western cultures, which generally consider the different ways of prolonging life in view of the imminence of its end [25][26][27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

Palliative sedation in Latin America: survey on practices and attitudes

Moyano

Zambrano

Ceballos

et al. 2007

Support Care Cancer

View full text Add to dashboard Cite

show abstract

“…Some may be unwilling to take strong analgesics or sedatives. 22 the presence of palliative care awareness in a community will also affect culture. To effectively integrate palliative care in emerging countries, appropriate national policies must provide for adequate opioids availability; the education of health-care workers and the general public; and a culturally appropriate implementation of palliative-care services at all levels of society.…”

Section: Spainmentioning

confidence: 99%

“…However, loss of consciousness by sedation is unacceptable for the control of resistant symptoms in some cultures (Table 1). [20][21][22] There is no one best way to deal with a life-threatening illness, yet cultural, religious and interpersonal approaches strongly affect an individual's feelings. Individualized care is based on the fact that human responses to a similar situation vary significantly, and the recognition that only part of these variations, are predictable.…”

mentioning

confidence: 99%

Cultural Challenges in Implementing Palliative Programs in Emerging Countries

Şenel¹,

Silbermann²

2017

Palliat Med Hosp Care Open J

View full text Add to dashboard Cite

Clinical approach of palliative care is beneficial during an individual's journey with illness, and can be utilized through many care settings by all members of the health care team. Many complex cultural issues can affect the patient and the families during the course of a life-threatening illness. Palliative care services in all countries need to be delivered in a way that meets the cultural and spiritual needs of its people. Insuring the availability of palliative care has become an increasingly important global health priority in recent years. As population age and the prevalence of chronic illnesses increases in emerging countries, as in all other countries worldwide, the need for palliative care has risen significantly. The World Health Organization (WHO) estimates that more than 40 million people require palliative care annually at the end-of-life.One of the challenges of palliative care is to honour the personal wishes of culturally diverse patients while meeting universal medical relief standards. Palliative care begins with the understanding that every patient has his/her own story, relationships and culture, and is worthy of respect as a unique individual.Culture refers to common elements or characteristics within one's sociological grouping. Different values, beliefs, behaviours, languages, rituals, customs or traditions, and accepted practices for living and dying, partnering, marriage, childbearing, parenting, and family communal life creates cultural groupings. Culture can include elements such as developmental stage of life, profession, and educational level, geographic region of the country, religion, spirituality, sexual orientation, political affiliation, gender, socioeconomic status, and more.Palliative care is a relatively new concept in many countries in the developing world. Health professionals and whole populations are unaware of palliative care. Health care is not only providing cures, also improving the quality of life of patients and patient's families. Palliative care is applicable during the onset of life-threatening illness. A common misconception is that only terminal ill cancer patients are in need of palliative care. By contrast, the hospice and palliative care movement has been providing increasing awareness of various end-of-life issues. End-of-life care means more than treating physical symptoms -it extends to the psychosocial, existential, and spiritual aspects of the patient's needs, including developing trust in the substantial care of the patient and the family during this time. Numerous studies aimed to understand the relevance of culture to death and dying and found that communication was the greatest barrier between the health-care provider and the patient and family during end-of-life care.

show abstract

End of life: the Buddhist view

Cited by 62 publications

References 5 publications

Religious, Ethical and Legal Considerations in End-of-Life Issues: Fundamental Requisites for Medical Decision Making

Religious, Ethical and Legal Considerations in End-of-Life Issues: Fundamental Requisites for Medical Decision Making

Palliative sedation in Latin America: survey on practices and attitudes

Cultural Challenges in Implementing Palliative Programs in Emerging Countries

Contact Info

Product

Resources

About