The Attitudes of Black Americans Toward Advance Directives

Dupree, Claretta Y.

doi:10.1177/104365960001100104

Cited by 34 publications

(32 citation statements)

References 31 publications

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“…The emphasis on family-centered decision making in Asian cultures can render formal procedures such as ACP less relevant. 10 In the same vein, filial piety also plays a part in influencing end-of-life planning, 11 and family members will quickly take over dominant medical decision-making roles for patients with no advance directives. 12 The notion of leaving it up to the family is often the reason proffered against completion of ACP, implying older adults entrust family members to take over decision-making when care issues become a concern.…”

mentioning

confidence: 99%

Education and Executive Function Mediate Engagement in Advance Care Planning in Early Cognitive Impairment

Tay

Davison

Jin

et al. 2015

Journal of the American Medical Directors Association

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mentioning

confidence: 99%

Education and Executive Function Mediate Engagement in Advance Care Planning in Early Cognitive Impairment

Tay

Davison

Jin

et al. 2015

Journal of the American Medical Directors Association

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“…Thus, paradigms are neither created nor exist within a vacuum: attitudes, historical relationships, values, and events construct paradigms. Regarding paradigms, Dupree (1998) concluded racial attitudes of Blacks are germane to the attitudes of Blacks regarding the health care system. The health care system is an essential part of the groups' environment; therefore, the relationship between the two necessitates a connection in medical decision making (Dupree, 1998).…”

Section: Statedmentioning

confidence: 99%

Psychosocial Issues Facing African and African American Women Diagnosed With Breast Cancer

Gregg

2009

Social Work in Public Health

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Breast cancer is a global issue. The World Health Organization estimates that approximately 1.2 million people will receive a diagnosis of breast cancer each year. Breast cancer continues to be the most diagnosed cancer for all women, after skin cancer, both within the United States and worldwide. Although the incidence of breast cancer among African and African American women is lower than that of European and White American women, their mortality rate is significantly higher. Findings indicated the common denominators for African, African American, and Caribbean women regarding breast cancer are that (1) they present at younger ages, (2) they present having advanced-stage tumors, (3) they are often from lower socioeconomic levels, and (4) they lack knowledge regarding causes and treatment of breast cancer. Social workers in their roles as researchers and advocates can identify gaps within the health care system that adversely impact these women. As policy makers and educators, social workers can design interventions to ensure that the needs of these women and their support system are fulfilled.

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“…Advance care directives for hydration and nutrition have been promoted as a means to improve decision making. But the rate of completion remains surprisingly low in the general US population and even lower among African American groups (Morrison et al, 1998b;Crawley et al, 2000;Dupree, 2000;Hopp & Duffy, 2000;Perkins et al, 2002). Influenced by historical and contemporary events of slavery, abuses in medical experimentation, economic injustices, racial-profiling practices and a disproportionate number of incarcerations reflect the general loss of trust and credibility of the healthcare system by African Americans.…”

mentioning

confidence: 95%

“…This culture faces many challenges within the healthcare system, including access to appropriate medical care and resourceintensive care when facing end-of-life decisions. However, when comparisons based on race or ethnicity are made with other cultures, many in the African American culture are more likely to desire prolonged and expensive treatments such as tube feeding, regardless of their stage of illness, and to choose aggressive treatments if permanently unconscious (Morrison et al, 1998b;Crawley et al, 2000;Dupree, 2000;Hopp & Duffy, 2000;Perkins et al, 2002). Advance care directives for hydration and nutrition have been promoted as a means to improve decision making.…”

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confidence: 97%

Tube feeding: Prolonging life or death in vulnerable populations?

Amella¹,

Lawrence²,

Gresle³

2005

Mortality

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Tube feeding can be an appropriate and effective means of providing nutrition for individuals who are unable to achieve adequate nourishment orally because of various medical problems. However, the delivery of nutrients by tube feeding can cause ethical dilemmas in cases where the effectiveness of tube feeding diminishes and medical complications increase. The decision to tube feed is often influenced by regional and cultural preferences, as well as the high cost of providing mealtime assistance. The effectiveness and appropriateness of tube feeding has been the subject of much debate as it applies to those with severe cognitive impairments and those who are in a persistent vegetative state (PVS). Recent research shows that in these vulnerable populations, tube feeding alone does not necessarily prevent malnutrition and risk of infection or improve functional status and comfort. While advanced directives allow an individual to make decisions about his or her care at the end of life, court cases and religious doctrine examine the individual's right to autonomous decision making in opposition to preserving the sanctity of life. As long as the outcome of this debate is largely undecided, the process of dying may be prolonged for those who can no longer advocate for themselves.

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The Attitudes of Black Americans Toward Advance Directives

Abstract: The alternative ways that Black Americans may conduct advance directing should be recognized.

Cited by 34 publications

References 31 publications

Education and Executive Function Mediate Engagement in Advance Care Planning in Early Cognitive Impairment

Education and Executive Function Mediate Engagement in Advance Care Planning in Early Cognitive Impairment

Psychosocial Issues Facing African and African American Women Diagnosed With Breast Cancer

Tube feeding: Prolonging life or death in vulnerable populations?

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