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Culture and Palliative Care: Preferences, Communication, Meaning, and Mutual Decision Making
Cindy L Cain1, Antonella Surbone2, Ronit Elk3
1Department of Health Policy and Management, University of California-Los Angeles, Los Angeles, California.
Journal of Pain and Symptom Management
|January 26, 2018
Summary
Palliative care delivery often lacks equity for diverse populations. This study highlights cultural variations in care preferences, communication, suffering, and decision-making to improve equitable palliative care for all.
Area of Science:
- Medical Humanities
- Public Health
- Sociology
Background:
- Palliative care is increasingly recognized globally.
- Inequitable delivery and distribution of palliative care services persist for diverse populations.
- Understanding cultural nuances is crucial for effective palliative care.
Purpose of the Study:
- To illustrate challenges in delivering palliative care to diverse patient groups.
- To enhance clinicians' ability to provide equitable care.
- To differentiate culture, race, and ethnicity for improved application in patient care.
Main Methods:
- Integrative literature review of recent research on culture and palliative care.
- Analysis of international and multiethnic examples.
- Focus on four key areas: care preferences, communication, suffering, and decision-making.
Main Results:
- Varied responses to pain and suffering manifest in distinct patterns across cultures.
- Cultural factors significantly influence the formation of care preferences.
- Communication styles and decision-making processes in palliative care differ across diverse groups.
Conclusions:
- Personalization of care and avoidance of stereotyping are essential.
- Cultural perspectives are vital for improving palliative care research and practice.
- Partnerships with patients, families, and communities are key to achieving culturally meaningful and high-quality palliative care for all.
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