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Exploring the Ethical Dilemmas in End-of-Life Care and the Concept of a Good Death in Bhutan

Exploring the Ethical Dilemmas in End-of-Life Care and the Concept of a Good Death in Bhutan Buddhists, including the Bhutanese, value human life as rare and precious, and accept sickness, ageing and death as normal aspects of life. However, death and dying are subjects that evoke deep and disturbing emotions often characterised by denial related to high-tech medicalisation and its inspiring hope. Advanced medical interventions such as cardiopulmonary resuscitation are believed to interfere with the natural process of dying. However, some excessively pursue medical interventions in the hope of prolonging and preserving life, refusing its finitude. Healthcare workers are faced with increasing instances of ethical and moral dilemmas exacerbated by inadequate training and lack of proper understanding of the socio-cultural context on end-of-life care and to facilitate good death in Bhutan. We discuss these ethical dilemmas in providing quality end-of-life care and good death against the backdrop of rapidly changing social values and expectations. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Asian Bioethics Review Springer Journals

Exploring the Ethical Dilemmas in End-of-Life Care and the Concept of a Good Death in Bhutan

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References (9)

Publisher
Springer Journals
Copyright
Copyright © National University of Singapore and Springer Nature Singapore Pte Ltd. 2022
ISSN
1793-8759
eISSN
1793-9453
DOI
10.1007/s41649-021-00199-7
Publisher site
See Article on Publisher Site

Abstract

Buddhists, including the Bhutanese, value human life as rare and precious, and accept sickness, ageing and death as normal aspects of life. However, death and dying are subjects that evoke deep and disturbing emotions often characterised by denial related to high-tech medicalisation and its inspiring hope. Advanced medical interventions such as cardiopulmonary resuscitation are believed to interfere with the natural process of dying. However, some excessively pursue medical interventions in the hope of prolonging and preserving life, refusing its finitude. Healthcare workers are faced with increasing instances of ethical and moral dilemmas exacerbated by inadequate training and lack of proper understanding of the socio-cultural context on end-of-life care and to facilitate good death in Bhutan. We discuss these ethical dilemmas in providing quality end-of-life care and good death against the backdrop of rapidly changing social values and expectations.

Journal

Asian Bioethics ReviewSpringer Journals

Published: Apr 1, 2022

Keywords: Death; Palliative care; Elderly and terminally ill; Medical aid in dying; Compassion

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