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Advance Care Planning.

Laurence Tan1, Lai Kiow Sim1, Lynnette Ng2

  • 11 Palliative Care Service, Department of Geriatric Medicine, Khoo Teck Puat Hospital, Singapore.

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|December 25, 2015
PubMed
Summary

Catholic nuns in Singapore view advance care planning (ACP) as compatible with their faith, emphasizing spirituality and quality of life in end-of-life decisions. Their preferences highlight the importance of autonomy and spiritual values in care planning.

Keywords:
advance care planningdecision-makingend of lifeperceptionreligiosityspirituality

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Area of Science:

  • Gerontology
  • Bioethics
  • Religious Studies

Background:

  • Growing recognition of spiritual needs in end-of-life care.
  • Advance care planning (ACP) is a tool to explore spiritual and existential dimensions of care.
  • Understanding specific religious communities' perspectives on ACP is crucial.

Purpose of the Study:

  • To explore the views and preferences of Catholic nuns in Singapore regarding end-of-life treatment options.
  • To understand what is meaningful and valuable to this group in the context of advance care planning.
  • To examine the intersection of religious beliefs, spirituality, and end-of-life care preferences.

Main Methods:

  • Purposive sampling of 23 Catholic nuns in Singapore.
  • Administration of a questionnaire.
  • Conducting a focus group discussion after an educational talk on ACP.

Main Results:

  • Majority of participants agreed ACP is not against their religious beliefs.
  • Quality of life was considered important for end-of-life care decisions.
  • Key themes identified: autonomy, freedom, spirituality, quality of life, and the meaning of ACP.

Conclusions:

  • Spirituality and faith significantly shape participants' lives and end-of-life care preferences.
  • Integrating spirituality into care is vital for honoring end-of-life discussions.
  • ACP holds deep meaning for the spiritual community when spirituality is considered.