The purpose of this qualitative study was to examine the knowledge and attitudes about advance health care directives among community dwelling Hispanic older adults. The theme that emerged from 10 interviews was shared decision-making; with the older adult having the power to make autonomous decisions regarding their own end of life medical care and diffusing controls to external factors such as family, God, and doctors. Although respondents viewed the advance health care directive as a positive tool for end of life decision making, barriers to completion included (a) lack of knowledge, (b) lack of initiative on the part of the older adult and the physician to discuss end of life care, (c) health status, (d) religious beliefs, and (e) provoking sadness and worry within the family.
Education and resources should be directed to the responsible parties in end of life decision making, including the older Hispanic adult, family, and physician.
|School:||California State University, Long Beach|
|School Location:||United States -- California|
|Source:||MAI 52/05M(E), Masters Abstracts International|
|Subjects:||Gerontology, Social work|
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