Characteristics of a Good Death as Perceived by Related People in the Upper Northern Thai Context
Keywords:
perception, characteristics, good death, upper Northern Thai contextAbstract
Objective: To describe characteristics of a good death according to related people’s
perception and in the upper Northern Thai context
Design: Qualitative descriptive research
Methodology: The informants, recruited via purposive sampling, consisted of (i) terminal chronic patients; (ii) their caregivers; and (iii) palliative care teams of hospitals in three upper Northern Thai provinces. Then, based on a review of literature relevant to the characteristics of a good death, data collection methods were developed, namely, focus group discussion for 10 groups of 8 informants (80 in total) and in-depth interviews for 45 informants. Both the discussion and the interviews were audiotaped and recorded in writing during April to June 2019. The data were analysed using content analysis.
Results: A good death, as perceived by related persons in the upper Northern Thai context, was characterised by five features: 1) absence of physical discomfort; 2) psychological and spiritual tranquility; 3) preparedness for death; 4) ability to determine the place of death; and 5) assurance of post-mortem care.
Recommendations: People involved in policymaking and end-of-life care can use the findings to formulate indicators of palliative care outcomes for people in their end-of-life stage.
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References
Nimmannit S. Understanding about near death. Bangkok: Folk Doctor Foundation; 2003. (in Thai)
Phra-Paisal-Visalo. Buddhisht - based terminal care. In before shed leaves: living will (2nd ed). Bangkok: AME Enterprise; 2009. (in Thai)
Kunsongkeit W. Good death as perceived by the cancer patients. The Journal of Faculty of Nursing Burapha University, 2013;21(4):25-36. (in Thai)
Srisukho C. Proactive thinking: When death is coming. Journal of New Step [Internet]. 2016 [Cited 2019 July 15] ;8(39):10-3. Available from: http://www.thungluknok.go.th/assets-admin/fles/news/ 18948244133175.pdf (in Thai)
National Health Assembly. 2nd health assembly: National strategic plan on health promotion for good death 2014-2016 [Internet]. 2013 [Cited 2019 July 15]; Available from: http://www.thailivingwill. in.th/sites/default/files/main_gooddeath_17_Dec_fnal.pdf (in Thai)
Leung KK, Tsai JS, Cheng SY, Liu WJ, Chiu TY, Wu CH, et al. Can a good death and quality of life be achieved for patients with terminal cancer in a palliative care unit? J Palliat Med, 2010;13(12):1433-8.
Cheng SY, Hu WY, Liu WJ, Yao CA, Chen CY, Chiu TY. Good death study of elderly patients with terminal cancer in Taiwan. Palliat Med, 2008;22(5):626-32.
Krikorian A, Maldonado C, Pastrana T. Patient's perspectives on the notion of a good death: a systematic review of the literature. J Pain Symptom Manage, 2020;59(1):152-64.
Hirai K, Miyashita M, Morita T, Sanjo M, Uchitomi Y. Good death in Japanese cancer care: a qualitative study. J Pain Symptom Manage, 2006;31(2):140-7.
Meier EA, Gallegos JV, Thomas LP, Depp CA, Irwin SA, Jeste DV. Defning a good death (successful dying): literature review and a call for research and public dialogue. Am J Geriatr Psychiatry, 2016;
(4):261-71.
Jiamdamras O. Psychological well-being with the methods of Lanna. Bangkok: Nantakan Graffc Printing; 2016. (in Thai)
Kim H, Sefcik JS, Bradway C. Characteristics of qualitative descriptive studies: a systematic review. Res Nurs Health, 2017;40(1):23-42.
Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs, 2008;62(1):107-15
Lincoln YS, Guba EG. Naturalistic inquiry. Beverly Hills, CA: Sage Publication; 1985
Chaiwong S. Factors influencing the changing of belief and funeral ritual of Lanna. MCU SSP, 2016; 6(2),487-499. (in Thai)
Siripun A, Boontham N, Aum-in R. Trust, worship belief to Lanna lifestyles: knowledge transfer from 1st Local Lanna Musium Festival. Bangkok: Yin Yang Printing; 2019. (in Thai)
Phramaha-Jarun-Kanthima. Study of cultural concept of Lanna Buddhist on small castle construction for the corpse. Journal of Buddhist Studies, 2015;6(2) 75-89. (in Thai)
Khongpan S, Korcharoen M. Myths of dying communication in Buddhist mortal ritual: case study
of Phu-Thai and Tai-Lue Racing. DPU Arts Journal, 2018;12(1),79-119. (in Thai)
Delaney WP. Death and dying in Northern Thailand [Dissertation]. Urbana (IL): University of Illinoin;1997 [Cited 2019 July 15]. Available from: https://www.academia.edu/29080706/Good_Death_Bad_Death_in_Northern_Thailand53
Kunsongkeit W. Good death as perceived by the cancer patients. The Journal of Faculty of Nursing Burapha University. 2013;21(4):25-36. (in Thai)
Rodpal J, Kespichayawattana J, Wisesrith W. Good death : perspectives of Thai Buddhist elderly. Journal of Health Science, 2007;16(6):924-33. (in Thai)
Steinhauser KE, Clipp EC, McNeilly M, Christakis NA, McIntyre LM, Tulsky JA. In search of a good death: observations of patients, families, and providers. Ann Intern Med, 2000;132(10):825-32.
Lee GL, Woo IM, Goh C. Understanding the concept of a "good death" among bereaved family caregivers of cancer patients in Singapore. Palliat Support Care,2013;11(1):37-46.
Teeraputtigunchai B, Kaewtep K. A northern funeral: Ritualistic media & community strength. Journal of Language and Culture, 2010;29(2),5-28. (in Thai)
Ko E, Cho S, Perez RL, Yeo Y, Palomino H. Good and bad death: Exploring the perspectives of older Mexican Americans. Journal of Gerontological Social Work,2013;56(1):6-25.
Stonington SD. On ethical locations: the good death in Thailand, where ethics sit in places. Soc Sci Med, 2012;75(5):836-44.
Long SO. Cultural scripts for a good death in Japan and the United States: similarities and differences. Soc Sci Med, 2004;58(5):913-28.
Hales S, Zimmermann C, Rodin G. Review: the quality of dying and death: a systematic review of measures. Palliat Med, 2010;24(2):127-44.
Rietjens JA, van der Heide A, Onwuteaka-Philipsen BD, van der Maas PJ, van der Wal G. Preferences of the Dutch general public for a good death and associations with attitudes towards end-of-life decision-making. Palliat Med, 2006;20(7):685-92.
Koh-Krienke L. Dying the good death: Cultural competence and variance in hospice care. Tapestries: Interwoven voice of local and global identities. 2019;8(1):1-26.