title: Ethnic and cultural challenges at the end of life: setting the scene.
abstract: Patients with advanced kidney disease come from diverse ethnic, cultural and religious backgrounds. This potentially causes conflict when considering end-of-life management for patients from minority ethnic groups in a Western healthcare system that is dominated by the principles of patient autonomy, beneficence, non-maleficence and avoiding futile care. This article explores the impact of religion and culture on truth telling and futile care at end of life.
authors.affiliation: Imperial College Renal and Transplant Centre, Hammersmith Hospital, London, UK.
authors.forename: Edwina A
authors.initials: EA
authors.lastname: Brown
mesh_terms: D003144:Communication Barriers; D003299:Cooperative Behavior; D018864:Cultural Diversity; D054242:Emigrants and Immigrants / Q000523:psychology; D004993:Ethics, Nursing; D064946:Hospice and Palliative Care Nursing / Q000941:ethics / Q000379:methods*; D006801:Humans; D033183:Interdisciplinary Communication; D007514:Islam / Q000523:psychology; D007676:Kidney Failure, Chronic / Q000208:ethnology* / Q000451:nursing*; D018447:Medical Futility / Q000941:ethics / Q000523:psychology; D063505:Racism / Q000941:ethics / Q000208:ethnology / Q000523:psychology; D012068:Religion and Medicine; D006435:Renal Dialysis / Q000941:ethics / Q000451:nursing / Q000523:psychology; D013727:Terminal Care / Q000941:ethics / Q000379:methods*; D014342:Truth Disclosure / Q000941:ethics; D006113:United Kingdom; D028761:Withholding Treatment / Q000941:ethics
keywords: Palliative care; Psychosocial; Withdrawal