{"id":8118,"date":"2023-10-27T03:37:51","date_gmt":"2023-10-27T03:37:51","guid":{"rendered":"https:\/\/www.ioa.cuhk.edu.hk\/end-of-life-care\/?page_id=8118"},"modified":"2023-10-27T05:01:38","modified_gmt":"2023-10-27T05:01:38","slug":"mr-cheung","status":"publish","type":"page","link":"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/mr-cheung\/","title":{"rendered":"Cases:Mr Cheung"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8118\" class=\"elementor elementor-8118\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-794135d header-banner elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"794135d\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5af50ce\" data-id=\"5af50ce\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2ee1c01 banner-title elementor-widget elementor-widget-heading\" data-id=\"2ee1c01\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Jockey Club End-of-Life Community Care Project<br>\nJCECC Capacity Building and Education Programmes on End-of-Life Care<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8a62b09 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8a62b09\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8bf66bd\" data-id=\"8bf66bd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f32c87e quick-links elementor-widget elementor-widget-wp-widget-nav_menu\" data-id=\"f32c87e\" data-element_type=\"widget\" data-widget_type=\"wp-widget-nav_menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"menu-second-menu-container\"><ul id=\"menu-second-menu\" class=\"menu\"><li id=\"menu-item-126\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-126\"><a href=\"https:\/\/www.ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/\">Home<\/a><\/li>\n<li id=\"menu-item-6666\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6666\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/academic-output\/\">Academic Output<\/a><\/li>\n<li id=\"menu-item-6671\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-6671\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/\">Capacity Building Programme<\/a>\n<ul class=\"sub-menu\">\n\t<li id=\"menu-item-6758\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-6758\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-doctors\/\">Training for Doctors<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-6870\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6870\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-doctors\/interactive-workshops\/\">Interactive Workshops<\/a><\/li>\n\t\t<li id=\"menu-item-6868\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6868\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-doctors\/seminars-and-lectures\/\">Seminars and Lectures<\/a><\/li>\n\t\t<li id=\"menu-item-6867\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6867\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-doctors\/symposia\/\">Symposia<\/a><\/li>\n\t\t<li id=\"menu-item-6869\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6869\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-doctors\/online-training\/\">Online Training<\/a><\/li>\n\t\t<li id=\"menu-item-6873\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6873\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-doctors\/death-audits\/\">Death Audits<\/a><\/li>\n\t\t<li id=\"menu-item-6871\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6871\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-doctors\/evaluation-quantitative\/\">Evaluation (Quantitative)<\/a><\/li>\n\t\t<li id=\"menu-item-6872\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6872\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-doctors\/evaluation-qualitative\/\">Evaluation (Qualitative)<\/a><\/li>\n\t\t<li id=\"menu-item-8279\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-8279\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-doctors\/webinar\/\">Webinar<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li id=\"menu-item-6757\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-6757\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-nurses\/\">Training for Nurses<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-6862\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6862\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-nurses\/train-the-trainer-series\/\">Train-the-trainer Series<\/a><\/li>\n\t\t<li id=\"menu-item-6864\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6864\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-nurses\/interactive-workshops\/\">Interactive Workshops<\/a><\/li>\n\t\t<li id=\"menu-item-6863\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6863\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-nurses\/online-training\/\">Online Training<\/a><\/li>\n\t\t<li id=\"menu-item-6865\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6865\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-nurses\/evaluation-quantitative\/\">Evaluation (Quantitative)<\/a><\/li>\n\t\t<li id=\"menu-item-6866\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6866\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-nurses\/evaluation-qualitative\/\">Evaluation (Qualitative)<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li id=\"menu-item-6756\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-6756\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-allied-health-professionals\/\">Training for Allied Health Professionals<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-6859\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6859\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-allied-health-professionals\/experiential-learning-activities\/\">Experiential Learning Activities<\/a><\/li>\n\t\t<li id=\"menu-item-6858\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6858\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-allied-health-professionals\/talks-and-information-sessions\/\">Talks and Information Sessions<\/a><\/li>\n\t\t<li id=\"menu-item-6860\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6860\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-allied-health-professionals\/evaluation-quantitative\/\">Evaluation (Quantitative)<\/a><\/li>\n\t\t<li id=\"menu-item-6861\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6861\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/capacity-building-programme\/training-for-allied-health-professionals\/evaluation-qualitative\/\">Evaluation (Qualitative)<\/a><\/li>\n\t<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li id=\"menu-item-6679\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-6679\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/public-education\/\">Public Education<\/a>\n<ul class=\"sub-menu\">\n\t<li id=\"menu-item-6771\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6771\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/public-education\/interactive-workshops\/\">Interactive Workshops<\/a><\/li>\n\t<li id=\"menu-item-6791\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6791\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/public-education\/advance-care-planning-workshops\/\">Advance Care Planning Workshops<\/a><\/li>\n\t<li id=\"menu-item-6790\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6790\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/public-education\/talks-and-information-sessions\/\">Talks and Information Sessions<\/a><\/li>\n\t<li id=\"menu-item-6789\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6789\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/public-education\/roving-exhibitions\/\">Roving Exhibitions<\/a><\/li>\n\t<li id=\"menu-item-6788\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6788\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/public-education\/evaluation-quantitative\/\">Evaluation (Quantitative)<\/a><\/li>\n\t<li id=\"menu-item-6787\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6787\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/public-education\/evaluation-qualitative\/\">Evaluation (Qualitative)<\/a><\/li>\n<\/ul>\n<\/li>\n<li id=\"menu-item-313\" class=\"hide menu-item menu-item-type-post_type menu-item-object-page menu-item-313\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/?page_id=228\">Activities<\/a><\/li>\n<li id=\"menu-item-6689\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-6689\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/resources\/\">Resources<\/a>\n<ul class=\"sub-menu\">\n\t<li id=\"menu-item-7193\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-7193\"><a href=\"#\">For Healthcare Professionals<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-6762\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6762\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/resources\/for-healthcare-professionals-videos\/\">Videos<\/a><\/li>\n\t\t<li id=\"menu-item-6761\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6761\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/resources\/for-healthcare-professionals-leaflet\/\">Leaflet<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li id=\"menu-item-7194\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-7194\"><a href=\"#\">For General Public<\/a>\n\t<ul class=\"sub-menu\">\n\t\t<li id=\"menu-item-6759\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6759\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/resources\/for-general-public-videos\/\">Videos<\/a><\/li>\n\t\t<li id=\"menu-item-6760\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-6760\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/resources\/for-general-public-leaflet\/\">Leaflet<\/a><\/li>\n\t<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li id=\"menu-item-699\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-699\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/ethics-casebook\/\">Ethics Casebook<\/a><\/li>\n<li id=\"menu-item-1411\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1411\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/dying-matters-awareness-event\/\">Dying Matters Awareness Event<\/a><\/li>\n<li id=\"menu-item-1311\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1311\"><a href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/useful-materials\/\">Useful Materials<\/a><\/li>\n<\/ul><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0aa4c74 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0aa4c74\" data-element_type=\"section\" id=\"Ethics\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-9a2df79 col-intro\" data-id=\"9a2df79\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e47826e elementor-align-justify btn1 elementor-widget elementor-widget-button\" data-id=\"e47826e\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/end-of-life-care\/ethics-casebook\/#Ethics\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Introduction<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-8b2e41e\" data-id=\"8b2e41e\" data-element_type=\"column\" id=\"col-intro2\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-876fcbd elementor-align-justify btn2 elementor-widget elementor-widget-button\" data-id=\"876fcbd\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/end-of-life-care\/ethics-casebook-cases\/#Ethics\" elementor-tab-content-2642=\"\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Cases<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-b338cf7\" data-id=\"b338cf7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a0b5b52 elementor-align-justify btn3 elementor-widget elementor-widget-button\" data-id=\"a0b5b52\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/end-of-life-care\/ethics-casebook-backgrounds\/#Ethics\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\"> Backgrounders<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-cb1bc3b\" data-id=\"cb1bc3b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8b91ffc elementor-align-justify btn4 elementor-widget elementor-widget-button\" data-id=\"8b91ffc\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/end-of-life-care\/ethics-casebook-themes\/#Ethics\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Themes<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2512e70 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2512e70\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-558ec79\" data-id=\"558ec79\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-41de086 mrswong-mrstam-title elementor-widget elementor-widget-text-editor\" data-id=\"41de086\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3 style=\"text-align: left; padding-left: 80px;\">Case: Mr. Cheung<\/h3>\n<h3 style=\"text-align: left; padding-left: 80px;\">Ethical dilemma related to \u201cdying at home\u201d<\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3910703 mrswong-mrstam-tab-themes elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3910703\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0bc2cca msng-tab\" data-id=\"0bc2cca\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ae033b3 msng-tab-themes elementor-tabs-view-horizontal elementor-widget elementor-widget-tabs\" data-id=\"ae033b3\" data-element_type=\"widget\" data-widget_type=\"tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-tabs\">\n\t\t\t<div class=\"elementor-tabs-wrapper\" role=\"tablist\" >\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1821\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1821\" aria-expanded=\"false\">Case Description<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1822\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1822\" aria-expanded=\"false\">Commentary<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"elementor-tabs-content-wrapper\" role=\"tablist\" aria-orientation=\"vertical\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1821\" aria-expanded=\"false\">Case Description<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1821\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1821\" tabindex=\"0\" hidden=\"false\"><p>Mr. Cheung, a 68-year-old gentleman, was diagnosed of advanced pancreatic cancer. He preferred palliative care and\n    symptom control. He used to be a successful small shop owner and enjoyed the life with his beloved family. He was a\n    non-smoker, social drinker with good health before the diagnosis. He lived with his wife. His adult children and\n    grandchildren visited him frequently. Mr. and Mrs. Cheung had good relationship all along. Mrs. Cheung was taking\n    good care of her husband in all aspects and followed his decisions in most of the major family issues. <\/p>\n\n<p>Few months later, Mr. Cheung\u2019s conditions further deteriorated and became home bound. His medical follow-up was\n    shifted from the out-patient clinic to a home-visit approach. The palliative home care nurse offered a home visit to\n    Mr. Cheung. On arrival, Mr. Cheung was sitting on the sofa with both lower limbs elevated by a comfortable stool.\n    Both his wife and daughter were performing gentle massage to him. He had cachectic appearance and decreased duration\n    of concentration during the conversation. <\/p>\n\n<p>During the home visit, the home care nurse had an updated assessment of his physical and psycho-spiritual conditions.\n    Mr. Cheung and his family members were coping well at home with the support of the palliative care team. Mr. Cheung\n    had a clear mind and was mentally alert. Pain and other symptoms were well under control except for insomnia and an\n    occasional sense of nausea.<\/p>\n\n<br\/><ul class=\"case\">\n    <li class=\"case-li\">Mr. Cheung asked \u201cWhen should I go to the hospital? Can I have a try of my favorite dish, braised pork with\n        preserved vegetable (\u6885\u83dc\u6263\u8089), before the admission?\u201d<\/li>\n\n    <li class=\"case-li\">Mrs. Cheung replied \u201cYou do not need to go back to the hospital for follow-up. That\u2019s why the home care nurse\n        comes to visit you. Braised pork is unhealthy, so don\u2019t try it anymore.\u201d<\/li>\n\n    <li class=\"case-li\">The daughter further explained \u201cMost of the major examinations have already been done. Are you thinking of any\n        specific treatments, or do you wish to see the doctor?\u201d<\/li>\n\n    <li class=\"case-li\">Mr. Cheung replied \u201cNothing special. Just want to know when I need to return to the hospital.\u201d<\/li>\n\n    <li class=\"case-li\">The home care nurse further clarified with Mr. Cheung \u201cCan you tell me the reasons why you are repeated asking\n        about hospital admission?\u201d<\/li>\n\n    <li class=\"case-li\">Mr. Cheung said \u201cI am no longer able to walk and wet my trousers more frequently. I think it\u2019s time for me to be\n        admitted.\u201d<\/li>\n\n    <li class=\"case-li\">The home care nurse answered \u201cHospital admission cannot change these conditions. Is there anything more\n        important in your mind?\u201d and paused a while, allowing Mr. Cheung to react.<\/li>\n\n    <li class=\"case-li\">Mr. Cheung expressed \u201cAm I going to die? People should be admitted to the hospital in their last days of life.\u201d\n    <\/li>\n\n    <li class=\"case-li\">The home care nurse acknowledged Mr. Cheung \u201cYour perception is very reasonable. What about your own thoughts?\n        Would you prefer to stay at home or go to the hospital when you are very weak physically?\u201d<\/li>\n\n    <li class=\"case-li\">Mr. Cheung said \u201cIndeed I would like to stay at home with my beloved family members. On the other hand, I don\u2019t\n        want to burden them anymore. I believe that everybody must go to the hospital when they are no longer able to\n        take care of themselves.\u201d<\/li>\n\n    <li class=\"case-li\">The home care nurse replied \u201cThere are no fixed rules regarding whether you should or should not go to the\n        hospital. It depends on your preferences and the practical situations. We will try to work it out with the whole\n        team, including your doctor-in-charge and family members, to see how to keep you stay at home with high quality\n        of life, if this is what you want. Of course, we will also discuss other possible ways of handling your\n        situations with your wife and daughter as a contingency plan.\u201d<\/li>\n\n    <li class=\"case-li\">Mr. Cheung became tearful and expressed \u201cIs it possible? I don\u2019t mean I truly wish to be admitted. Just my\n        worries. If I can stay at home until my last breath, it will be much better.\u201d<\/li>\n\n    <li class=\"case-li\">The daughter echoed with Mr. Cheung\u2019s wish \u201cYou will never be our burden. Instead, you are our spiritual pillar.\n        We will try our best to look after and stay with you for as much as we can. Just like how you took care of us\n        when we were toddlers.\u201d<\/li>\n\n    <li class=\"case-li\">Mrs. Cheung said \u201cYes, you should know that all of us care so much about you. You took care of us in the past\n        and are still our emotional support now. I can cook healthy and delicious dishes for you anytime.\u201d<\/li>\n\n    <li class=\"case-li\">Mr. Cheung asked again \u201cCan I have braised pork with preserved vegetable and beer, please?\u201d <\/li>\n\n    <li class=\"case-li\">The wife said \u201cDefinitely not. You are a patient.\u201d<\/li>\n\n<\/ul>\n\n<p>The home care nurse interviewed Mrs. Cheung in the kitchen separately, checking her concerns and clarifying some of\n    her myths.<\/p>\n\n<br\/><ul class=\"case\">\n    <li class=\"case-li\">Mrs. Cheung said \u201cIt is impossible for me to cook such an unhealthy dish for a seriously ill patient.\u201d<\/li>\n\n    <li class=\"case-li\">The home care nurse guided Mrs. Cheung\u2019s thinking and asked \u201cDo you know why your husband has such a strong\n        desire to eat braised pork with preserved vegetable, even though he knows it is unhealthy?\u201d<\/li>\n\n    <li class=\"case-li\">Mrs. Cheung replied \u201cMany years ago, we used to enjoy this home-made dish with soft drinks and beer in the\n        evening after long working hours. At that time, our children were very young and we did not have many enjoyable\n        activities. This was one of the common activities that he could enjoy and felt relaxed at home. He seldom went\n        out by himself and preferred watching our children play among themselves at home.\u201d<\/li>\n\n    <li class=\"case-li\">The home care nurse asked \u201cWhat are the pros and cons for him to take this \u2018unhealthy food\u2019?\u201d<\/li>\n\n    <li class=\"case-li\">Mrs. Cheung said \u201cHe is ill and should take as much healthy food as possible. I understand that he wishes to\n        bring back the memory of a previous enjoyable moment. But actually, he cannot tolerate the food and may even\n        vomit it out.\u201d<\/li>\n\n<\/ul>\n\n<p>The daughter came into the kitchen and joined the conversation.<\/p>\n\n<br\/><ul class=\"case\">\n    <li class=\"case-li\">The home care nurse asked \u201cDo you know the reasons why he is asking for it, even though he fully understands\n        that he cannot take too much of it and may even not be able to tolerate?\u201d<\/li>\n\n    <li class=\"case-li\">Mrs. Cheung said \u201cMaybe he wishes to take it with us and recall the happiness of food sharing in the past. I am\n        not sure. It seems to be the most likely reason. He is a disciplined person and seldom has any inappropriate\n        requests.\u201d<\/li>\n\n    <li class=\"case-li\">The home care nurse further asked \u201cIf this is the reason, what would be your decision?\u201d<\/li>\n\n    <li class=\"case-li\">The daughter said \u201cHe likes it. Let him try. As long as there is no harm done to him and it is not contradicting\n        with the medical and nursing advices.\u201d<\/li>\n\n    <li class=\"case-li\">The home care nurse answered \u201cWe have no objection in letting him try. As you know, the texture of this dish is\n        very soft and can be easily dissolved in mouth. You can create a relaxing environment at home and share the food\n        with him. Not aiming to make him swallow it, but just let him taste it and spit it out. The most important point\n        is to create an enjoyable moment for him through sharing.\u201d <\/li>\n<\/ul>\n\n<p>After the discussion, Mrs. Cheung returned to the sitting room.<\/p>\n\n<br\/><ul class=\"case\">\n    <li class=\"case-li\">Mrs. Cheung told Mr. Cheung \u201cI am going to prepare your favorite dish tonight. Do you want a mouthful of beer\n        too?\u201d<\/li>\n\n    <li class=\"case-li\">Mr. Cheung was excited and asked \u201cIs it for real? I can have some beer too?\u201d<\/li>\n\n    <li class=\"case-li\">Mrs. Cheung said \u201cYes. I have never lied to you. But just a small amount. Not all is for you, we need to share\n        together.\u201d<\/li>\n\n    <li class=\"case-li\">Mr. Cheung told his daughter \u201cI always tell people that your mum is the most understanding and caring wife in\n        the world.\u201d<\/li>\n<\/ul>\n\n<p>The patient\u2019s daughter followed up the preparation of dying at home for handling the different situations that might\n    possibly happen in the dying process, including the modification of basic care as the patient\u2019s conditions further\n    deteriorated, special arrangement with the funeral home, liaison with the relevant religious parties, arrangement of\n    doctor home visits, handling of uncontrolled symptoms, and steps to take under special circumstances. <\/p>\n\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;<\/p>\n<p>Themes: <a href=\"https:\/\/www.ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/beneficence\/\" target=\"_blank\"\n        rel=\"noopener\">Beneficence<\/a><\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1822\" aria-expanded=\"false\">Commentary<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1822\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1822\" tabindex=\"0\" hidden=\"hidden\"><p>\u2013 Dr. Lai Tze Kwan Theresa, Associate Professor of Practice cum Programme Leader of Bachelor of Nursing (Honours),\n    Cartias Institute of Higher Education<\/p>\n<p>The above scenario is a common situation that many dying patients and their family members encounter. They are\n    supportive and want to do everything they can to fulfill the patients\u2019 wishes and needs. At the same time, they are\n    confused as to what is good for the patients. <\/p>\n\n<p>In Mr. Cheung\u2019s case, the background information reveals that he was a family man and wished to stay with his family\n    most of the time. We feel a strong sense of separation grief from his dialogue with the home care nurse. His wife\n    and daughter were caring, but unable to understand his true emotions and underlying intentions. They just focused on\n    the practical issues and based their solutions on what they believed is good for people with advanced illness. We\n    learn that they were all supportive, but no one could hear the inner voice of the patient except for the home care\n    nurse.\n<\/p>\n\n<p><strong>What kinds of ethical principles are being considered?<\/strong><br \/>\n    We will try to explain the above scenario from the perspective of an ethical dilemma. More specifically, we are\n    going to explain the application of the following ethical principles in his case one-by-one. They are autonomy,\n    beneficence, non-maleficence and respect.\n<\/p>\n\n<p>\n    <strong>Autonomy<\/strong>: Mr. Cheung expressed that he wished to stay at home with his family members for as long\n    as possible. His family members also supported his thought and managed his daily care routines well with the\n    instructions and advices from the home care team. After the nurse\u2019s assessment, it was highly possible that dying at\n    home could be achieved if the symptoms of Mr. Cheung continued to be well under control in the near future. We\n    respect the patient\u2019s choice regarding the most suitable place of death.\n<\/p>\n\n<p>\n    <strong>Beneficence<\/strong>: It is clear that the choice of dying at home did not only benefit the patient, but\n    also\n    his family members. He knew what was going on and his wishes were acknowledged, thereby having a reduced sense of\n    uncertainty. From the perspectives of the family members, they could spend more time with the patient and did not\n    need to travel frequently between the hospital and their home. They could see each other more frequently without\n    being confined by the visiting hours of the hospital.\n<\/p>\n\n<p>\n    <strong>Non-maleficence<\/strong>: When Mr. Cheung asked for the so-called unhealthy food, the home care nurse tried\n    to guide his wife to think more about the underlying reasons why Mr. Cheung had such a request. Even though the food\n    might not have much nutritional value for him, the emotional value could not be neglected. If the action does not do\n    significant harm, but may bring subtle benefit to the patient, then it may be worthwhile to do so. Throughout the\n    process, it is clear that the respect of his decision was fully demonstrated.\n<\/p>\n\n<p>\n    <strong>Respect<\/strong>: Mr. Cheung was a successful small business owner. He used to make major decisions for his\n    business and family. He became a more dependent and vulnerable person due to his medical conditions. As his formal\n    or informal caregivers, it is important to be sensitive and respectful of his wishes. On the other hand, we also\n    need to respect the family\u2019s decisions. If there are conflicts between the patient and his family, we need to\n    facilitate their communication from different points of view and head in the same direction for the future care\n    plan.\n<\/p>\n\n<p><strong>How does it work from a nursing perspective?<\/strong><br \/>\n    The Satir Transformational Systemic Therapy helps to explain the transformational changes of Mr. Cheung and his wife\n    during the therapeutic process. The core elements include experiential, systemic, positively directional,\n    change-oriented and congruence.\n<\/p>\n\n<p>\n    <strong>Experiential<\/strong>: Through the behaviors and conversations between Mr. Cheung and his family, we only\n    know\n    that he made a humble request to his wife that he wanted to have his favorite dish before admission. It seemed to be\n    a simple request from a patient with advanced illness. His coping stance was likely to be \u201cPlacating\u201d or\n    \u201cCongruent\u201d, depending on the couple\u2019s usual communication patterns. When we go deeper into the feelings of the\n    patient, he might have experienced a sense of powerlessness and loss of control. His feelings could be sadness, fear\n    and anxiety. His perception might be to simply have a good last supper with his family before being admitted to the\n    hospital, from which he believed he won\u2019t have a chance to be discharged again. His expectation might be to share a\n    piece of memory with his beloved family. The yearnings from the bottom of his heart might be to be loved by someone\n    and maintain the connections with them. The deepest level of his \u201cself\u201d could be \u201cI am a loveable husband and father\n    with harmonious family relationships.\u201d\n<\/p>\n\n<p>\n    <strong>Systemic<\/strong>: By facilitating Mr. and Mrs. Cheung to experience their feelings and discover their\n    needs, the home care nurse guided Mrs. Cheung to think about the pros and cons of addressing Mr. Cheung\u2019s request.\n    When she knew more about the patient\u2019s needs and the underlying reasons of his request from a new perspective, her\n    decision making was affected in a positive way within the interactive system.\n<\/p>\n\n<p>\n    <strong>Respect<\/strong>: Mr. Cheung was a successful small business owner. He used to make major decisions for his\n    business and family. He became a more dependent and vulnerable person due to his medical conditions. As his formal\n    or informal caregivers, it is important to be sensitive and respectful of his wishes. On the other hand, we also\n    need to respect the family\u2019s decisions. If there are conflicts between the patient and his family, we need to\n    facilitate their communication from different points of view and head in the same direction for the future care\n    plan.\n<\/p>\n\n<p>\n    <strong>Positively directional<\/strong>: By improving the mutual understanding within Mr. Cheung\u2019s family, they were\n    able to express their wishes and needs directly without hiding their emotions. Individual personal growth and the\n    hopeful atmosphere created a more favorable environment for them to work out a realistic plan for Mr. Cheung, such\n    as having a nice and simple meal with his core family members at home.\n<\/p>\n\n<p>\n    <strong>Change-oriented<\/strong>: Since a realistic hope was formulated, Mr. Cheung could express his worries and\n    wishes directly. Mrs. Cheung could support her husband\u2019s wishes and showed her love by performing the desired\n    behavior, such as preparing the requested dish. The home care nurse helped them achieve transformational changes by\n    empowering them using a down-to-earth approach.\n<\/p>\n\n<p>\n    <strong>Congruence<\/strong>: After establishing an open communication and therapeutic relationship, the home care\n    nurse did not only take up the role of providing physical care to the patient, but also that of providing holistic\n    nursing advices. She also helped Mr. Cheung keep a sense of living, instead of simply waiting to die. Since we\n    believe that dying is only a part of our lives, the patient could still have something worthwhile to do even in his\n    very late stage of life.\n<\/p>\n\n<p>All of the above nursing perspectives focus on high-quality, compassionate and culturally sensitive patient care, and\n    tailored to Mr. Cheung\u2019s needs. <\/p><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Jockey Club End-of-Life Community Care Project JCECC Capacity Building and Education Programmes on End-of-Life Care Introduction Cases Backgrounders Themes Case: Mr. Cheung Ethical dilemma related to \u201cdying at home\u201d Case Description Commentary Case Description Mr. Cheung, a 68-year-old gentleman, was diagnosed of advanced pancreatic cancer. He preferred palliative care and symptom control. He used to [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-8118","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cases:Mr Cheung - IOA EOL<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ioa.cuhk.edu.hk.w26.ysdhost.com\/end-of-life-care\/mr-cheung\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cases:Mr Cheung - IOA EOL\" \/>\n<meta property=\"og:description\" content=\"Jockey Club End-of-Life Community Care Project JCECC Capacity Building and Education Programmes on End-of-Life Care Introduction Cases Backgrounders Themes Case: Mr. Cheung Ethical dilemma related to \u201cdying at home\u201d Case Description Commentary Case Description Mr. Cheung, a 68-year-old gentleman, was diagnosed of advanced pancreatic cancer. He preferred palliative care and symptom control. 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