[Intercultural differences in the treatment of severely injured patients with poor prognosis. Using the example of a 23-year-old Chinese patient]

Abstract

Because of globalization, we are increasingly confronted with the treatment of patients from other cultures. Using the example of a 23-year-old Chinese patient, we explain the origin of the intercultural differences which developed into a conflict.Due to a bicycle accident the patient incurred an extremely severe traumatic brain injury with multiple midface fractures. The prognosis was unfavorable. Despite extensive information the family insisted on maximum therapy. This resulted in a misunderstanding among the medical team involved, because they believed that this was not in the interests of the patient. The position of the family is rooted in Chinese culture. An intensive examination might have avoided, or at least mitigated, a conflict. To summarize, it could be useful to address cultural peculiarities at an early stage when treating patients from different cultures to prevent conflicts or to be better prepared for them. Also, an Ethics Commission may be involved early for preventing or resolving a potential conflict.