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The views of older Malaysians on advanced directive and advanced care planning: a qualitative study

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Main Authors: Mohammad Iqbal, Omar@Ye Htut, Assoc. Prof. Dr., Shahrul Bahyah, Kamaruzzaman, Poi, Philip Jun Hua
Other Authors: shabkam72@hotmail.com
Format: Article
Language:English
Published: SAGE Publications 2014
Subjects:
Advanced care planning
Advanced directive
Elderly
Online Access:http://dspace.unimap.edu.my:80/dspace/handle/123456789/33581
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spelling my.unimap-335812014-04-10T03:53:23Z The views of older Malaysians on advanced directive and advanced care planning: a qualitative study Mohammad Iqbal, Omar@Ye Htut, Assoc. Prof. Dr. Shahrul Bahyah, Kamaruzzaman Poi, Philip Jun Hua shabkam72@hotmail.com iqbalomar@unimap.edu.my Advanced care planning Advanced directive Elderly Link to publisher's homepage at http://aph.sagepub.com/ The provision of optimum care for the ageing population is dependent on the understanding of their views and values on end of life issues. A qualitative descriptive study was conducted to describe views of elderly Malaysians on Advanced Care Planning (henceforth ACP) and Advanced Directives (henceforth AD), and explore factors influencing these views. Fifteen elderly subjects with ages ranging from 65 to 83 years, representing different ethnic and religious groups in Malaysia were selected for in-depth interviews guided by a questionnaire. Five core themes were extracted from the interviews: 1) Considering the future 2) Contingency plans for future illnesses 3) Attitudes towards life prolonging treatment procedures 4) Doctor-patient relationships and 5) Influence of religion on decisions related to future illness. Despite the lack of knowledge on ACP and AD, older respondents were very receptive to their concept. Although the majority agreed on the importance of planning for future medical management and having open discussion on end of life issues with their doctor, they felt it unnecessary to make a formal written AD. Most felt that the future was best left to fate or God, and none had made any contingency plan for severe future illnesses citing religion as reason for this view. Cardiopulmonary resuscitation, mechanical ventilation and dialysis were considered by most to be invasive life prolonging treatments. We suggest that doctors initiate discussions on end of life care with every older patient and their family so as to promote awareness and introduce the concept of ACP/AD to a Malaysian setting. 2014-04-10T03:53:23Z 2014-04-10T03:53:23Z 2007 Article Asia-Pacific Journal of Public Health, vol. 19(3), 2007, pages 58-67 1010-5395 (Print) 1941-2479 (Online) http://dspace.unimap.edu.my:80/dspace/handle/123456789/33581 http://aph.sagepub.com/content/19/3/58.long 10.1177/101053950701900310 en SAGE Publications
institution Universiti Malaysia Perlis
building UniMAP Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Perlis
content_source UniMAP Library Digital Repository
url_provider http://dspace.unimap.edu.my/
language English
topic Advanced care planning
Advanced directive
Elderly
spellingShingle Advanced care planning
Advanced directive
Elderly
Mohammad Iqbal, Omar@Ye Htut, Assoc. Prof. Dr.
Shahrul Bahyah, Kamaruzzaman
Poi, Philip Jun Hua
The views of older Malaysians on advanced directive and advanced care planning: a qualitative study
description Link to publisher's homepage at http://aph.sagepub.com/
author2 shabkam72@hotmail.com
author_facet shabkam72@hotmail.com
Mohammad Iqbal, Omar@Ye Htut, Assoc. Prof. Dr.
Shahrul Bahyah, Kamaruzzaman
Poi, Philip Jun Hua
format Article
author Mohammad Iqbal, Omar@Ye Htut, Assoc. Prof. Dr.
Shahrul Bahyah, Kamaruzzaman
Poi, Philip Jun Hua
author_sort Mohammad Iqbal, Omar@Ye Htut, Assoc. Prof. Dr.
title The views of older Malaysians on advanced directive and advanced care planning: a qualitative study
title_short The views of older Malaysians on advanced directive and advanced care planning: a qualitative study
title_full The views of older Malaysians on advanced directive and advanced care planning: a qualitative study
title_fullStr The views of older Malaysians on advanced directive and advanced care planning: a qualitative study
title_full_unstemmed The views of older Malaysians on advanced directive and advanced care planning: a qualitative study
title_sort views of older malaysians on advanced directive and advanced care planning: a qualitative study
publisher SAGE Publications
publishDate 2014
url http://dspace.unimap.edu.my:80/dspace/handle/123456789/33581
_version_ 1643797218772123648
score 13.209306

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