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Integration of Latino/a cultural values into palliative health care: A culture centered model

Published online by Cambridge University Press:  17 June 2013

Hector Y. Adames*
Affiliation:
The Chicago School of Professional Psychology, Chicago, Illinois
Nayeli Y. Chavez-Dueñas
Affiliation:
The Chicago School of Professional Psychology, Chicago, Illinois
Milton A. Fuentes
Affiliation:
Montclair State University
Silvia P. Salas
Affiliation:
The Chicago School of Professional Psychology, Chicago, Illinois
Jessica G. Perez-Chavez
Affiliation:
Cornell University
*
Address correspondence and reprint requests to: Hector Y. Adames, The Chicago School of Professional Psychology, 325 North Wells Street, MM-4116, Chicago, IL 60642. E-mail: [email protected]

Abstract

Objective:

Culture helps us grapple with, understand, and navigate the dying process. Although often overlooked, cultural values play a critical and influential role in palliative care. The purpose of the present study was two-fold: one, to review whether Latino/a cultural values have been integrated into the palliative care literature for Latinos/as; two, identify publications that provide recommendations on how palliative care providers can integrate Latino/a cultural values into the end-of-life care.

Method:

A comprehensive systematic review on the area of Latino/a cultural values in palliative care was conducted via an electronic literature search of publications between 1930–2013. Five articles were identified for reviewing, discussing, or mentioning Latino/a cultural values and palliative care.

Results:

Only one article specifically addressed Latino/a cultural values in palliative care. The four remaining articles discuss or mention cultural values; however, the cultural values were not the main focus of each article's thesis.

Significance of results:

The results of the current study highlight the lack of literature specifically addressing the importance of integrating Latino/a cultural values into the delivery of palliative care. As a result, this article introduces the Culture-Centered Palliative Care Model (CCPC). The article defines five key traditional Latino/a cultural values (i.e., familismo, personalismo, respeto, confianza, and dignidad), discusses the influence of each value on palliative health care, and ends with practical recommendations for service providers. Special attention is given to the stages of acculturation and ethnic identity.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2013 

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References

REFERENCES

Añez, L.M., Silva, M.A., Paris, M., et al. (2008). Engaging Latinos through the integration of cultural values and motivational interviewing principles. Journal of Professional Psychology: Research and Practice, 39, 153159.Google Scholar
Atkinson, D.R., Morten, G. & Sue, D.W. (1989). A minority identity development model. In Counseling American Minorities, Atkinson, D.R., Morten, G. & Sue, D.W. (eds.), pp. 3552. Dubuque: W. C. Brown.Google Scholar
Becker, E. (1973). The Denial of Death. New York: The Free Press.Google Scholar
Berry, J.W. (1990). Psychology of acculturation. In Applied Cross-Cultural Psychology, Brislin, R.W. (ed.) pp. 232253. Newbury Park: Sage.Google Scholar
Born, W., Greiner, K.A., Sylvia, E., et al. (2004). Knowledge, attitudes, and beliefs about end-of-life care among inner-city African Americans and Latinos. Journal of Palliative Medicine, 7, 247256.Google Scholar
Bosma, H., Apland, L. & Kazanjian, A. (2010). Cultural conceptualizations of hospice palliative care: More similarities than differences. Journal of Palliative Medicine, 24, 510522.Google Scholar
Boyd-Franklin, N. (2006). Black Families in Therapy: Understanding the African American Experience. New York: The Guilford Press.Google Scholar
Bracero, W. (1998). Intimidades: Confianza, gender, and hierarchy in the construction of Latino–Latina therapeutic relationships. Cultural Diversity and Mental Health, 4, 264277.Google Scholar
Carteret, M. (2012). Cultural Values of Latino Patients and Families. http://www.dimensionsofculture.com/2011/03/cultural-values-of-latino-patients-and-families/ (Accessed June 12, 2013).Google Scholar
Chochinov, H.M. (2002). Dignity-conserving care—a new model for palliative care: Helping the patient feel valued. Journal of the American Medical Association, 287, 22532260.Google Scholar
Cuéllar, I., Arnold, B. & Maldonado, R. (1995). Acculturation rating scale for Mexican Americans-II: A revision of the original ARSMA scale. Hispanic Journal of Behavioral Sciences, 17, 275304.Google Scholar
Del Gaudio, F., Hichenberg, S., Eisenberg, M., et al. (2012). Latino values in the context of palliative care: Illustrative cases from the family focused grief therapy trial. American Journal of Hospice & Palliative Medicine, doi: 10.1177/1049909112448926.Google Scholar
Del Rio, N. (2010). The influence of Latino ethnocultural factors on decision making at the end of life: Withholding and withdrawing artificial nutrition and hydration. Journal of Social Work in End of Life Palliative Care, 6, 125149.CrossRefGoogle ScholarPubMed
Falicov, C. (1998). Latino Families in Therapy: A Guide to Multicultural Practice. New York: Guilford.Google Scholar
Fischer, S.M., Sauaia, A. & Kutner, J.S. (2007). Patient navigation: A culturally competent strategy to address disparities in palliative care. Journal of Palliative Care, 10, 10231028.Google Scholar
Gutheil, I.A. & Heyman, J C. (2006). “They don't want to hear us”: Hispanic elders and adult children speak about end-of-life planning. Journal of Social Work in End of Life Palliative Care, 2, 5570.Google Scholar
Helms, J.E. (1990). Black and White Racial Identity: Theory, Research, and Practice. Westport: Greenwood Press.Google Scholar
Krakauer, E.L., Crenner, C. & Fox, K. (2002). Barriers to optimum end-of-life care for minority patients. Journal of American Geriatrics Society, 50, 182190.Google Scholar
Kreling, B., Selsky, C., Perret-Gentil, M., et al. (2010). “The worst thing about hospice is that they talk about death”: Contrasting hospice decisions and experience among immigrant Central and South American Latinos with US-born White, and non-Latino cancer caregivers. Palliative Medicine, 24, 427432.Google Scholar
Kohatsu, E.L., Concepción, W.R. & Perez, P. (2010). Incorporating levels of acculturation in counseling practice. In Handbook of Multicultural Counseling, Ponterotto, J.G., Casas, J.M., Suzuki, L.A. & Alexander, C.M. (eds.), pp. 343356. Thousand Oaks: Sage.Google Scholar
Kwak, J. & Haley, W.E. (2005). Current research findings on end-of-life decision making among racially or ethnically diverse groups. Gerontologist, 45, 634641.Google Scholar
Lewis-Fernandez, R. & Kleinman, A. (1994). Culture, personality, and psychopathology. Journal of Abnormal Psychology, 103, 6771.Google Scholar
Miller, W.R. & Rollnick, S. (2013). Motivational Interviewing: Helping People Change. New York: Guilford Press.Google Scholar
Minnesota Network of Hospice & Palliative Care & Comunidades Latinas Unidas en Servicio (2010). Serving Latino/Hispanic patients & families in end-of-life care: A guide for hospice and palliative care providers. http://mnhpc.org/wp-content/uploads/2009/12/MNHPC_LatinoHispanicGuide1.pdf (Accessed June 12, 2013).Google Scholar
McCann, C.J. & Adames, H.Y. (2012). Dying other, dying self: Creating culture and meaning in palliative healthcare. Journal of Palliative & Supportive Care. doi:10.1017/S1478951512000557.Google Scholar
Phinney, J. (1989). Stages of ethnic identity development in minority group adolescents. Journal of Early Adolescence, 9, 3449.Google Scholar
Ramirez, M.I. (1984). Assessing and understanding biculturalism-multiculturalism in Mexican-American adults. In Chicano psychology, Martinez, J.L. (ed.), pp. 7794. New York: Academic Press.Google Scholar
Santiago-Rivera, A.L., Arredondo, P. & Gallardo-Cooper, M. (2002). Counseling Latinos and la familia: A Practical Guide. Thousand Oaks: Sage Publications.Google Scholar
Smith, A.K., Sudore, R.L. & Perez-Stable, E.J. (2009). Palliative care for Latino patients and their families: Whenever we prayed, she wept. Journal of American Medical Association, 301, 10471057.Google Scholar
Tellez-Giron, P. (2007). Providing culturally sensitive end-of-life care for the Latino/a community. World Medical Journal, 106, 402406.Google Scholar
Triandis, H.C., Marin, G., Lisansky, J., et al. (1984). Simpatia as a cultural script of Hispanics. Journal of Personality and Social Psychology, 47, 13631375.Google Scholar
U.S. Bureau of the Census. (2011). The Hispanic population: census 2011 brief. http://www.census.gov/compendia/statab/brief.html (Accessed June 12, 2013).Google Scholar
U.S. Bureau of the Census. (2004). U.S. interim projections by age, sex, race, and Hispanic origin. http://www.census.gov/ipc/www.usinterimproj/ (Accessed June 12, 2013).Google Scholar
Villarruel, F.A., Carlo, G., Grau, J.M., et al. (2009). Handbook of U.S. Latino Psychology: Development and Community-Based Perspectives. Thousand Oaks: Sage Publications.Google Scholar
White, J.L. & Cones, J.H. III. (1999). Black Man Emerging: Facing the Past and Seizing a Future in America. New York: W. H. Freeman.Google Scholar
White, J.L. & Henderson, S.J. (2008). The browning of America: Building a new multicultural, multiracial, multiethnic paradigm. In Building Multicultural Competency: Development, Training and Practice, White, J.L. & Henderson, S.J. (eds.), pp.1749. New York: Rowman & Littlefield Publishers.Google Scholar
Zuñiga, M.E. (1992). Dichos as metaphorical tools for resistant Latino clients. Psychotherapy, 28, 480483.CrossRefGoogle Scholar