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Purpose: AD advance is a document that allows mentally competent individuals to make medical decisions in their own state, which they may not be able to take in the future. The purpose of this study is to investigate the perceptions of AD decisions from different stakeholders in the context of Chinese comfort. METHODS: Life-bound patients, family members, health professionals, and hospital volunteers were employed in the palliative care unit of a Hong Kong hospital with purposeful gender-based sampling. High quality semi-structured individual interviews were conducted. RESULTS: A total of 96 participants completed the survey, including 24 participants in each group. Most participants discussed NA but were not asked about her prior to the interview. Patients considered decisions made in the context of AD as a way to reduce future suffering and took the family well into account. Family members were concerned about the psychological toll when discussing NA. Medical professionals emphasized the logistical infrastructure and the process of AD. Hospital volunteers noted the impact of Chinese culture on ad acceptance and the lack of AD promotion to the community. CONCLUSION: The results of the study indicated that more promotion to the community is needed. It is important to consider the views of the patient's family in any discussion about ADs in Chinese culture.

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