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Autor/inChettih, Mindy
TitelTurning the Lens Inward: Cultural Competence and Providers' Values in Health Care Decision Making
QuelleIn: Gerontologist, 52 (2012) 6, S.739-747 (9 Seiten)
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Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN0016-9013
DOI10.1093/geront/gns008
SchlagwörterDecision Making; Cultural Awareness; Older Adults; Health Services; Patients; Informed Consent; Planning; Values; Ethics; Death; Cognitive Ability; Anxiety; Bias; Fear; Beliefs; Cultural Background
AbstractThe population of older adults in the United States is growing in size and diversity, presenting challenges to health care providers and patients in the context of health care decision making (DM), including obtaining informed consent for treatment, advance care planning, and deliberations about end-of-life care options. Although existing literature addresses providers' need to attend to patients' cultural values and beliefs on these issues, less attention has been paid to how the corresponding values and beliefs of providers color the care they deliver and their assessments of older adults' DM capacity. The provider's challenge is to understand her own unacknowledged anxieties, prejudices, and fears around such charged issues as truth telling, individual agency, capacity, death and dying, and the value of life itself and address their impact on the delivery of care. A social constructivist perspective and the clinical concept of cultural countertransference are proposed as aides in achieving this awareness and improving care. (As Provided).
AnmerkungenOxford University Press. Great Clarendon Street, Oxford, OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://gerontologist.oxfordjournals.org
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2017/4/10
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