The farewell
reflections on cultural competence in family communication in end-of-life care
DOI:
https://doi.org/10.5712/rbmfc17(44)3173Keywords:
Motion Pictures, Culturally Competent Care, Health Communication, Family Relations, Terminal CareAbstract
The conspiracy of silence is a recurrent theme in the care of families dealing with terminal illness. It is a form of communication often seen as harmful by health care teams. The 2019 film "The Farewell" puts this issue in check by exploring the story, based on true events, of a Chinese family whose matriarch is diagnosed with lung cancer that threatens the continuity of her life. The ethical conflict is evident, opposing the wishes of family members who are divided between Eastern traditions and Western philosophies. The unusual ending of the plot raises the discussion about cultural differences in the perception of well-being at the end of life and makes room for the application of this reflection in the care of people and families from different cultures in the finitude process.
Downloads
Metrics
References
Wang L. The Farewell [filme]. Nova Iorque: A24; 2019.
Ketiš ZK, Švab I. Using movies in family medicine teaching: a reference to EURACT educational agenda. Zdr Varst 2017;56(2):99-106. https://doi.org/10.1515/sjph-2017-0013 DOI: https://doi.org/10.1515/sjph-2017-0013
DiBartolo MC, Seldomridge LA. Cinemeducation: teaching end-of-life issues using feature films. J Gerontol Nurs 2009;35(8):30-6. https://doi.org/10.3928/00989134-20090706-06 DOI: https://doi.org/10.3928/00989134-20090706-06
Lemus-Riscanevo P, Carreño-Moreno S, Arias-Rojas M. Conspiracy of silence in palliative care: a concept analysis. Indian J Palliat Care 2019;25(1):24-9. https://doi.org/10.4103/IJPC.IJPC_183_18
Watt K, Abbott P, Reath J. Developing cultural competence in general practitioners: an integrative review of the literature. BMC Fam Pract 2016;17:158. https://doi.org/10.1186/s12875-016-0560-6 DOI: https://doi.org/10.1186/s12875-016-0560-6
Graven V, Woods S, Jacobsen-Hviid M. Hospitalised palliative care - from a philosophy of care to rigid guidelines for intervention? Omsorg 2016;33(2):56-62. Disponível em: https://eprints.ncl.ac.uk/file_store/production/227723/076A5BAF-6604-49C0-8FD8-7D8A5BBE0DA2.pdf
Chen X, Fan R. The family and harmonious medical decision making: cherishing an appropriate Confucian moral balance. J Med Philos 2010;35(5):573-86. https://doi.org/10.1093/jmp/jhq046 DOI: https://doi.org/10.1093/jmp/jhq046
Wang H, Zhao F, Wang X, Chen X. To tell or not: the chinese doctors' dilemma on disclosure of a cancer diagnosis to the patient. Iran J Public Health 2018;47(11):1773-4. PMID: 30581799
Mravec B, Tibenský M, Horváthová Ľ. Psychoneuroimmunology of cancer - recent findings and perspectives. Klin Onkol 2018;31(5):345-52. https://doi.org/10.14735/amko2018345 DOI: https://doi.org/10.14735/amko2018345
Li MT, Hillyer GC, Husain SA, Mohan S. Cultural barriers to organ donation among Chinese and Korean individuals in the United States: a systematic review. Transpl Int 2019;32(10):1001-18. https://doi.org/10.1111/tri.13439 DOI: https://doi.org/10.1111/tri.13439
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Rafael Fernandes de Almeida
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
By submitting a manuscript to the RBMFC, authors retain ownership of the copyright in the article, and authorize RBMFC to publish that manuscript under the Creative Commons Attribution 4.0 license and identify itself as the vehicle of its original publication.