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Pain relief, spiritual needs, and family support: Three central areas in intercultural palliative care

Published online by Cambridge University Press:  05 August 2013

Ingrid Hanssen  and
Gry Pedersen
Ingrid Hanssen*
Affiliation:
Lovisenberg Diakonale Høgskole, Oslo, Norway
Gry Pedersen
Affiliation:
Hospice Lovisenberg, Oslo, Norway
*
Address correspondence and reprint requests to: Ingrid Hanssen, Lovisenberg Deaconal University College, Oslo, Norway. E-mail: Ingrid.Hanssen@ldh.no
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Abstract

Objective:

The purpose of this study was to draw out and coalesce the topic-specific information found in research literature regarding the provision of culturally sensitive palliative practice.

Method:

This was a literature study and Gadamerian hermeneutic text analysis.

Results:

It is more difficult to assess the level of pain in ethnic minority patients, and healthcare providers may become frustrated and interpret pain symptoms as fabrication. These patients are more likely to receive inadequate pain medication. Physical symptom management has become the priority in palliative care, but pain must also be viewed from the perspective of its social, cultural, and spiritual significance. Collectivist values may lead to an other-reliant and dependent coping style. This and religious demands may cause the family to rally around the patient. Many dying patients wish to be cared for at home by their families, but as the patient often has complex needs, the family may not be able to cope with the patient's care.

Significance of results:

Formal education and in-service programs are needed for healthcare providers, together with empirical studies regarding how to achieve more culturally appropriate care in intercultural palliative practice. The immigrant population needs to be educated about cancer and the various kinds of palliative and hospice care offered in the society in which they now live.

Keywords

PainSpiritualityFamilyCulturePalliative care
Type
Review Articles
Information
Palliative & Supportive Care , Volume 11 , Issue 6 , December 2013 , pp. 523 - 530
Copyright
Copyright © Cambridge University Press 2013 

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