End-of-Life Communication Among Chinese Elderly in a Malaysian Nursing Home

J Patient Exp. 2020 Feb;7(1):62-70. doi: 10.1177/2374373518809004. Epub 2018 Nov 9.

Abstract

Religion and culture play important roles in influencing end-of-life communication among the elderly. However, little is known about end-of-life communication among elderly nursing home residents. A qualitative study involving a sample of 13 elderly residents of a non- government nursing home in the north of Peninsular Malaysia was conducted to investigate residents' attitudes and ideas about their end-of-life preferences. Thematic analysis was performed to identify major themes emerging from the interviews. This study found that elderly residents actively avoided end-of-life communication, but that their cultural and religious beliefs remained of paramount importance. It is hoped that these findings will provide a platform upon which to improve current nursing home care in Malaysia.

Keywords: culture; end-of-life communication; nursing home and elderly; religion.