Preferences on end-of-life decisions among older Chinese in Macau.
OBJECTIVE
The purpose of the present study was to learn about the perspectives on end-of-life decision making among older Chinese people in Macau.


METHODS
A qualitative approach was used, and interviews were conducted with 18 Chinese aged 65 years or older.


RESULTS
Four major themes were identified: (a) institutionalized care at the end of life was preferred as not to be a burden on family, (b) life-prolonging measures were not preferred, (c) funeral arrangement preferences were based on personal and religious beliefs, and (d) end-of-life decision making would be deferred to others.


CONCLUSIONS
These themes provide an understanding of personal preferences of older Chinese on end-of-life issues, and personal preferences are always secondary to their respect toward family and medical doctors. This compliance with family and medical authority can be understood through Chinese cultural beliefs.


CONCLUSIONS
Knowledge of cultural influences is needed for nursing professionals to deal effectively with older adults and families regarding end-of-life issues.
Univerity of Macau, Macao, China.
Sio-Wa
SW
Ho
North Dakota State University, Fargo, ND, USA greg.sanders@ndsu.edu.
Gregory F
GF
Sanders
D000368:Aged; D000369:Aged, 80 and over; D044466:Asian People / Q000523:psychology*; D003657:Decision Making; D006801:Humans; D008256:Macau; D057240:Patient Preference; D012067:Religion; D013727:Terminal Care / Q000379:methods* / Q000523:psychology
doctors; end-of-life decisions; family; older Chinese; preferences