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. 2016 Jan;57(1):22-8.
doi: 10.11622/smedj.2016008.

Differences in attitudes to end-of-life care among patients, relatives and healthcare professionals

Guat Cheng Ang  1 , Di Zhang  2 , Kim Hwa Jim Lim  1
Affiliations

Differences in attitudes to end-of-life care among patients, relatives and healthcare professionals

Guat Cheng Ang et al. Singapore Med J. 2016 Jan.

Abstract

Introduction: This study explored and compared the differences in attitudes toward end-of-life care among patients, relatives and healthcare professionals, including doctors and nurses.

Methods: We performed a descriptive study on a cross-section of the population of a tertiary hospital in Singapore. Data was collected using a questionnaire survey involving 50 participants from each of the four groups of patients, relatives, doctors and nurses.

Results: Family members were the most commonly nominated surrogate decision-makers by the patient group (76%) and the majority of the relative group (74%) felt comfortable deciding on end-of-life care for their loved ones. However, the patient and relative groups differed significantly in their preferences on end-of-life care options, including cardiopulmonary resuscitation (CPR) (p = 0.001), intubation (p = 0.003), nasogastric tube feeding (p < 0.001) and the use of antibiotics (p = 0.023). Doctors, nurses and relatives demonstrated differences in preference between end-of-life care for themselves and for their loved ones, especially with regard to the use of nasogastric tube feeding. There was also a difference between patients and doctors in their decisions on CPR (p < 0.001) and intubation (p = 0.008).

Conclusion: This study demonstrated the importance of early planning for end-of-life care. This must be initiated proactively by healthcare professionals to engage patients in a culturally sensitive manner to discuss their preferences, in order to facilitate open communication between the patient and family.

Keywords: decisions; end-of-life care; options; surrogate.

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References

    1. Department of Statistics, Singapore. Population Trends 2015. [Accessed December 23, 2015]. Available at: http://www.singstat.gov.sg/docs/default-source/default-document-library/... .
    1. Lien Foundation. Survey on death attitudes in Singapore. [Accessed April 8, 2014]. Available at: http://lienfoundation.org/sites/default/files/Death%20survey%20Presser%2... .
    1. Tang CSH, Lam LCW, Chiu HFK. Attitudes to end-of-life decisions: a survey of elderly Chinese with dementia and their carers. Asian J Gerontol Geriatr. 2007;2:119–25.
    1. National Health Services. In: What end of life care involves. End of life care [online] [Accessed August 9, 2014]. Available at: http://www.nhs.uk/planners/end-of-life-care/pages/what-it-involves-and-w... .
    1. Lien Foundation. What doctors say about care of the dying. [Accessed December 10, 2013]. Available at: http://www.lienfoundation.org/sites/default/files/What_Doctors_Say_About... .