Panel 4 - Science, Medicine, and Care

Saturday, Nov. 14, 09:10 - 09:50 (US CST)
Saturday, Nov. 14, 22:10 - 22:50 Thailand

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Jesada Buaban

Holy Healthcare System for Sacred Status of Thai Monks

Some hospitals in Thailand are not designed for physical and mental medications only as found in other countries, they also function for maintaining the sacred status of monks who should not be treated as equally as other citizens. Consequently, the Priest Hospital and other Sangha Buildings in provincial hospitals have been initiated by the state in order to separate the monks’ dwelling from laypeople patients’. Though ideas of birth, aging, sickness, and death are fundamental teaching of Buddhism, allowing laypeople to see the monks who are in those conditions is undesirable because it will portray their unsacred figure. Simply put, practicing meditation and strictly following the monastic codes, as always claimed by previous scholars, are not only tools to create the holy figure, but a zoning method of the hospital by the modern (religious) state also help to intensify the monks’ sacredness as well as their privilege status.

Anuthep Meelertsom

Kent State University
Music for Great Teachers: The Piphat Mon Ensemble in The Context of Funeral Ceremony of Medical Institutions

This paper will examine how funeral ceremonies in medical institutions affect the musical practices of the piphat mon ensemble in Bangkok, Thailand. Modern Thai society has influenced many aspects of traditional culture, including funeral rites. The medical funeral is a modern ritual conducted for "great teachers." They are the remains of those who have donated their bodies for medical education and research. Both the traditional and medical funeral events include music that accompanies the ritual. Nowadays, the piphat mon ensemble is one of the most requested musical choices for a Thai funeral. Several scholars have studied piphat mon in numerous issues; however, the ensemble in the context of medical funerals lacks ethnomusicological study. This paper aims to fulfill and enlarge the knowledge of the Thai funeral practice and piphat mon ensemble in further context. This work will focus on variations between traditional and medical funeral settings that reflect the modernization of Thai society and its effects on traditional cultures. The medical funeral, which features the piphat mon ensemble, of the Faculty of Medicine at Srinakharinwirot University in Bangkok, Thailand, will provide a case study for this analysis. It is hoped that this paper will benefit not only ethnomusicologists interested in Thai funeral music but also those inquiring in Thai funeral rituals, the process of body donation, and the funeral for great teachers in contemporary Thailand.

Related Pre-Recorded Presentations for Panel 4

Supavadee Thiengtham

Florida Atlantic University
The Meaning of Family Caregiving among Thai Young Relative Family Caregivers of Older Adults

Thai families are experiencing family structural change because of the economic system transition from an agricultural country to an industrial country. While there are family expectations about the caregiving roles of Thai adult children, family caregivers have a wide range of responsibilities besides the family obligations. These changes may lead to the conflict of beliefs between cultural beliefs and personal beliefs. A critical ethnography study aims to understand the meaning of family caregiving among Thai people. In the first phase, semi-structured interviews were done in two family caregivers who were children adults of disabled older adults providing care at home. The ways in which caregiving was perceived and expressed were reflected in several coding in three categories: (1) caregiving activity: multi-caregiving tasks; (2) skills: time management, observation, self-empowerment, and resilience; (3) emotional experiences: feeling attachment, grateful, exhausted, no burden, and being proud of self; (4) caregivers need: social support; and (5) values: family responsibility, family involvement, gratitude, no expectation of anything in return, cares out of love, and successful caregiving. The findings of this study suggest that family is still the priority of Thai children adults. The positive motivation from gratitude culture is the best way to promote for maintaining family caregivers’ psychosocial well-being among Thais. Also, social supports are significant needs of family caregivers for preventing poor physical and psychosocial health from multi-caregiving tasks.

Wiphawadee Potisopha, MSN, RN

Karen M. Vuckovic, Ph.D., APRN, ACNS-BC, FAHA
Holli A. DeVon, Ph.D., RN, FAHA, FAAN
Chang Park, Ph.D.
Nichapatr Phutthikhamin, Ph.D.
Patricia E. Hershberger, Ph.D., APRN, FNP-BC, FAAN

University of Illinois at Chicago
Understanding Treatment-Seeking Decisions in Acute Stroke Survivors in Thailand: A Pilot Study


Background: Public stroke education has been promoted to increase stroke knowledge for the past ten years in Thailand. Yet, many acute stroke patients still arrive at the hospital beyond the therapeutic window for treatment with the patient’s decision delay as a significant contributor. Objective: This pilot study sought to gain an understanding of patients’ treatment-seeking decisions after acute stroke onset. Subjects and methods: A cross-sectional quantitative design was used for this study. The study data was obtained from acute stroke patients admitted at a secondary hospital in Khon Kaen, Thailand, in August 2020. Descriptive statistics and bivariate analysis were employed. Results: Ten participants (6 females) composed the pilot sample. The median interval between symptom onset and decision to seek treatment was 405 minutes. 50% of the participants decided to seek treatment within 3 hours after stroke onset (early group). Fear and anxiety influenced the decision to seek treatment in this group. In the delayed group (>3 hours), not recognizing symptoms as a stroke and waiting for symptoms to subside were reasons given for delay. Only 30% of participants made a decision by themselves, while 50% allowed bystanders to decide, and 20% reached a decision jointly with bystanders. Bystanders, as a primary or adjunct decision-maker, were found in both early and delayed decision groups. Conclusions: Treatment-seeking decisions made by bystanders shortened and lengthened decision delay. Therefore, bystanders’ knowledge and response to stroke symptoms are critical components to overall treatment seeking decisions and should be included in a larger study.

Keywords: Acute Stroke, Decision making, Treatment-seeking behavior, Thailand


Kanjana Thepboriruk, Ph.D., (กัญจนา เทพบริรักษ์)
Chair, NIU Thai Studies Committee

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