Abstract
The Palauan way is one where the entire family caters to the aging senior, a kelbelau a kmal kired el di mengisemuk el kirir a remechuodel. The older a person gets, the more he or she grows in respect. The Bureau of Ageing, Disability and Gender oversees the old age centers in all states, offering a site for seniors to congregate and socialize. Caregiving is largely provided by the extended family; in rare cases hired caregivers are needed. The Palau Community College offers a family caregiver training certificate as part of continuing education to strengthen caregiving skills on the island. The concept of nursing homes is non-existent in Palau. The Ministry of Health provides health planning and health services to the people of Palau. Elders and disabled persons’ medical needs are fully covered by the government’s National Health Insurance. There are initial discussions to extend this coverage to include home health and hospice services in the future. The majority of seniors die at home surrounded by their loved ones. Funerals are an important Palauan ritual, continuing the transfer of traditional titles, Palauan land and money, as well as strengthening familial relationships in this matrilineal society.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Aoyagi, M. (1987). Gods of the Modekngei religion of Belau. Senri Ethnological Studies, 21, 339–361.
Browne, C. V., Braun, K. L., & Arnsberger, P. (2007). Filipinas as residential long-term care providers: Influence of cultural values, structural inequity, and immigrant status on choosing this work. Journal of Gerontological Social Work, 48(3–4), 439–455.
Clark, G. (2007). Culture Contact in the Palau Islands, 1783. The Journal of Pacific History, 42(1), 89-97. Retrieved June 27, 2021, from http://www.jstor.org/stable/40346573
Dever, G., Finau, S. A., Kuartei, S., Durand, A. M., Rykken, D., Yano, V., et al. (2005). The Palau AHEC – Academizing the public health work plan: Capacity development and innovation in Micronesia. Pacific Health Dialogue, 12(1), 110–117.
Duerler, T. S., & Maskarinec, G. G. (2007). Public health in the Republic of Palau: What we can learn from a small island country. Pacific Health Dialogue, 14(1), 182–187.
Fernandes, R., Osarch, S., Bell, C. L., et al. (2013). Aging and caregiving in the Republic of Palau. Journal of Cross-Cultural Gerontology, 28(2), 167–180.
Fernandes, R., Osarch, S., Allen, N., E. (2018) Home healthcare and hospice: a Pacific Islands perspective. Home Health Now, 36(4):252–257.
Gotsman, M. S., & Schrire, V. (1968). Acute myocardial infarction—An ideal concept of progressive coronary care. South African Medical Journal, 42, 829–832.
Kuartei, S. (2005). Environmental sacredness and health in Palau. Pacific Health Dialogue, 12(1), 92–95.
Kuartei, S. (2006). Managing health care system in small island countries: Palau. Pacific Health Dialogue, 13(2), 143–150.
Maskarinec, G. G., Yalmadau, K., Maluchmai, M. R., et al. (2011). Palliative care and traditional practices of death and dying in Wa’ab (Yap Proper) and in the Outer Islands of Yap. Hawaii Medical Journal, 70(11 Suppl 2), 27–30.
Mclaughlin, L., & Braun, K. (1998). Asian and Pacific Islander values: Considerations for healthcare decision-making. Health & Social Work, 23(2), 116–126.
Oakley, E., Demaine, L., & Warnakulasuriya, S. (2005). Areca (betel) nut chewing habit among high-school children in the Commonwealth of the Northern Mariana Islands (Micronesia). Bulletin of the World Health Organization, 83(9), 656–660.
Paulino, Y. C., Novotny, R., Miller, M. J., & Murphy, S. P. (2011). Areca (Betel) nut chewing practices in Micronesian populations. Hawaii Journal of Public Health, 3(1), 19–29.
Quinn Griffin, M. T., Mott, M., Burrell, P. M., & Fitzpatrick, J. J. (2014). Palauans who chew betelnut: Social impact of oral disease. International Nursing Review, 61(1), 148–155.
Republic of Palau Government. (2014). 2014 Republic of Palau Household Income and Expenditure Survey. Retrieved July 16, 2020, from https://www.palaugov.pw/budgetandplanning
Republic of Palau, Ministry of Health. (2014). Annual Report 2014. Retrieved June 20, 2021, from http://www.palauhealth.org/MOHpages/MOHReports1.aspx
Republic of Palau, Ministry of Health. (2015). Palau NCD Plan 2015-2020. Retrieved June 11, 2021, from http://www.palauhealth.org/MOHpages/MOHReports1.aspx
Republic of Palau Social Security Administration. (2021). Retrieved June 10, 2021, from http://ropssa.pw
Scharlach, A. E., Guinta, N., Chow, J. C., & Lehning, A. (2008). Racial and ethnic variations in caregiver service use. Journal of Aging and Health, 20(3), 326–346.
Central Intelligence Agency (CIA). (2020). Palau. In The World Factbook. Retrieved September 1, 2020, from https://www.cia.gov/library/publications/resources/the-world-factbook/index.html
Watson, B. M., Chiang, C., Ikerdeu, E., et al. (2015). Profile of non-communicable disease risk factors among adults in the Republic of Palau: findings of a national STEPS survey. Nagoya Journal of Medical Science, 77(4):609-619.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Fernandes, R. (2021). The Beauty of Growing Old in the Republic of Palau. In: Selin, H. (eds) Aging Across Cultures. Science Across Cultures: The History of Non-Western Science, vol 10. Springer, Cham. https://doi.org/10.1007/978-3-030-76501-9_18
Download citation
DOI: https://doi.org/10.1007/978-3-030-76501-9_18
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-76500-2
Online ISBN: 978-3-030-76501-9
eBook Packages: Religion and PhilosophyPhilosophy and Religion (R0)