Document Detail


Moving beyond the impasse: discussing death and dying with African American patients.
MedLine Citation:
PMID:  21252754     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article offers a historical and cultural lens through which physicians can gain a better understanding of patient-provider conflict in end-of-life discussions with African American patients and their families. Just as a practitioner would not prescribe a medication to treat a symptom without first determining its underlying cause, it is unwise, and usually ineffective, to try to discuss end-of life care with patients without first understanding the context that shapes their perspectives on death and dying. The first section of this article provides a historical and sociological context to understand the source of the patient-provider conflicting perspectives. I argue that historical factors, such as dying prematurely and experiencing unequal treatment in the health care system, along with cultural factors shaped by faith traditions, contribute to preferences for more aggressive treatment and resuscitative care at the end of life. The second section offers providers a framework-guided by Four Fs: encourage Faith, address Fear, consider Finances, and avoid Futility-to help address these conflicts and effectively navigate end-of-life discussions with African American patients and families.
Authors:
Brownsyne Tucker Edmonds
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Publication Detail:
Type:  Case Reports; Editorial    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  117     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-21     Completed Date:  2014-08-15     Revised Date:  2014-09-30    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  383-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
African Americans / ethnology*,  psychology
Aged
Communication*
Death*
Female
Humans
Terminal Care / psychology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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