title: Servicing multi-cultural needs at the end of life.
abstract: Ethnic and cultural diversity are widespread across the world, but there is growing concern that end-of-life care is not offering Black Asian and Minority Ethnic (BAME) groups the most appropriate services. This article explores the experiences of BAME patients with advanced disease and the response of the healthcare professionals who care for them. Key questions include cultural influences on symptoms of advanced disease, communication and the role of religion and spirituality.
authors.affiliation: King's College London, Department of Palliative Care, Policy and Rehabilitation, Cicely Saunders Institute, London, UK.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Koffman
mesh_terms: D000368:Aged; D015897:Comorbidity; D003431:Cross-Cultural Comparison; D054521:Cultural Competency / Q000941:ethics; D018864:Cultural Diversity; D004993:Ethics, Nursing; D064946:Hospice and Palliative Care Nursing / Q000941:ethics; D006801:Humans; D007676:Kidney Failure, Chronic / Q000208:ethnology* / Q000451:nursing*; D008297:Male; D018447:Medical Futility / Q000941:ethics; D028701:Patient Rights / Q000941:ethics; D011368:Professional-Family Relations / Q000941:ethics; D006435:Renal Dialysis / Q000941:ethics / Q000451:nursing; D013727:Terminal Care / Q000941:ethics; D035502:Trust; D006113:United Kingdom; D028761:Withholding Treatment / Q000941:ethics
keywords: Culture; End of life; Ethnicity; Palliative care