CULTURE AND END OF LIFE CARE AND PRACTICES

Culture and End of Life Care and Practices

Culture and End of Life Care and Practices

Decisions of patients, families, and health care providers about medical care at the end of life depend on many factors, including the societal culture. A pan-European study was conducted to determine the frequency and types of end of life practices in European intensive care units (ICUs), including those in Israel. Several results of the Israeli subsample were different to those of the overall sample. (Teres , 2008)

Culture can influence many aspects of life, including family dynamics, coping styles, and perceptions of death and dying, as well as the expectations that people have from the health care system.1 Decisions of patients, families, and health care providers about medical care at the end of life also depend on many factors.

Presbyterianism refers to many different Christian churches adhering to the Calvinist theological tradition within Protestantism, and organized according to a characteristic Presbyterian polity. Presbyterian theology typically emphasizes the sovereignty of God, the authority of the Scriptures, and the necessity of grace through faith in Christ.

Presbyterianism originated primarily in Scotland and was confirmed as the means of Church Government in Scotland by the Act of Union in 1707. Most Presbyterians found in England can trace a Scottish connection. The Presbyterian denominations in Scotland hold to the theology of Calvin and his immediate successors, although there is a range of theological views within contemporary Presbyterianism.

Modern Presbyterianism traces its institutional roots back to the Scottish Reformation. Local congregations are governed by Sessions made up of representatives of the congregation, a conciliar approach which is found at other levels of decision-making (Presbytery, Synod and General Assembly). Theoretically, there are no bishops in Presbyterianism; however, some groups in Eastern Europe, and in ecumenical groups, do have bishops. The office of elder is another distinctive mark of Presbyterianism: these are specially ordained non-clergy who take part in local pastoral care and decision-making at all levels. The office of deacon is geared toward the care of members, their families, and the surrounding community. In some congregations active elders and deacons serve a three-year term and then rotate off for at least a year. The offices of pastor, elder, and deacon all commence with ordination; once a person is ordained, he or she holds that title for the rest of his or her life. An individual may serve as both an elder and a deacon.

The roots of Presbyterianism lie in the European Reformation of the 16th century, with the example of John Calvin's Geneva being particularly influential. Most Reformed churches who trace their history back to Scotland are either Presbyterian or Congregationalist in government.

In the twentieth century, some Presbyterians played an important role in the Ecumenical Movement, including the World Council of Churches. Many Presbyterian denominations have found ways of working together with other Reformed denominations and Christians of other traditions, especially in the World Alliance of Reformed Churches. Some Presbyterian churches have entered into unions with other churches, such ...