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Implementing the Patient Self-Determination Act (PSDA): How to effectively engage Chinese-American elderly persons in the decision of advance directives

TitleImplementing the Patient Self-Determination Act (PSDA): How to effectively engage Chinese-American elderly persons in the decision of advance directives
Publication TypeJournal Article
Year of Publication1994
AuthorsFung, L-W
JournalJournal of Gerontological Social WorkJournal of Gerontological Social Work
Volume22
Pagination161-174
ISBN Number0163-4372<br/>1540-4048
Accession NumberPeer Reviewed Journal: 1995-27487-001
Keywords*Advance Directives, *Asians, *Laws, Civil Rights & Civil Law [4210], Human Adulthood (18 yrs & older) Aged (65 yrs & older), obstacles to implementation of law regarding advance directives, elderly Chinese Americans
AbstractDiscusses the PSDA as it relates to social work values and addresses the problems of implementing the law among elderly Chinese-Americans. The statute requires all health care institutions reimbursed by Medicare or Medicaid to provide all adults, on admission, with written information on their rights in making decisions about medical care and surgical treatment. These advance directives can be implemented only when the patient becomes incapacitated. However, Chinese-American social structures, attitudes toward suicide, beliefs about filial piety, and dependence on the community are strong obstacles to engaging elderly persons with regard to advance directives. Educational fora and small group discussions offer 2 means of discussing the PSDA in the Chinese-American community. (PsycINFO Database Record (c) 2012 APA, all rights reserved).
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