Culturally Appropriate Care Planning for Chinese Culture
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In a 2013 American Community Survey, there were 4.3 million Chinese Americans, and this number is rapidly growing (Wong, 2013). Among all Chinese Americans, threequarters (76%) of adults are foreign-born (United States Census Bureau, 2010), with values and beliefs strongly shaped and influenced by the traditional Chinese culture.
Aithough an advance directive is but one element of advance care planning, it ofien represents a culmination of the advance care planning process. Advance directives are completed by a person when he or she is competent or capable (ie, can understand and appreciate the consequences of treatment decisions), and used at a time when that person becomes incompetent or incapable. Advance directives fall into two categories: instruction directives and proxy directives.
Many Chinese families object to telling the patient a "bad" diagnosis or prognosis, which may hinder the chance in advance care planning (ACP) discussion. While death remains an inevitable consequence of being born, as such, it is important that human beings recognize its inevitability and plan ahead of a good death. Advance care planning enables patients to assert their care preferences in the event that they are unable to make their own medical decisions.
Wang SY. Study of the elderly Taiwanese patient’s medical autonomy and the relating factors [master thesis]. College of Medicine National Taiwan University, Taipei, Taiwan, 2010.
Cheng HC. Chinese philosophy of living. 1st ed. Taipei, Taiwan: Yang Chih; 2005.
Hsu CY, O’Connor M, Lee S. Understandings of death and dying for people of Chinese origin. Death Stud. 2009;33(2):153–174. doi:
Hsiung YFY, Ferrans CE. Recognizing Chinese Americans’ cultural needs in making end-of-life treatment decisions. J Hosp Palliat Nurs. 2007;9(3):132–140.
Huang C. Changed or unchanged for the structures of the four steps in the composition of a Chinese essay- opening, developing, changing and concluding. Chin Soc Sci Today. 2016.