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End Of Life Care Consensus

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End Of Life Care Consensus
FOCUS

Culture and diversity

End of life care
Katherine Clark
Jane Phillips

The importance of culture and ethnicity

Background
Australia is a culturally and ethnically diverse country.
Within such diversity there will be differing beliefs systems about death and dying. This may be a challenging prospect for health professionals.

Objective
This article discusses how cultural diversity may impact care and provides some strategies for the general practitioner when considering the provision of end of life care. Disscussion
This article does not attempt to provide GPs with a prescriptive approach to multicultural care, as this would run the risk of stereotyping individuals. Rather, it discusses the barriers to end
…show more content…
Auckland: Pearson Education
New Zealand, 2005: p. 20–8.
7. Crawley LM, Marshall PA, Lo B, Koenig BA. End-of-life care consensus.
Strategies for culturally effective end-of-life care. Ann Intern Med
2002;136:673–9.
8. Spector R. Cultural diversity in health and illness. 6th edn. Upper Saddle
River, New Jersey: Pearson Education, 2004.
9. Con A. Cross-cultural consideration in promoting advance care planning in Canada. In: Canadian Institute of Health Research. Cross-cultural palliative NET, editor. Vancouver: BC Cancer Agency, 2008.
10 Searight HR, Gafford J. Cultural diversity at the end of life: issues and guidelines for family physicians. Am Fam Physician 2005;71:515–22.
11. Lum H, Arnold R. Fast facts: asking about cultural beliefs in palliative care. Medical College of Wisconsin, 2009: p. 1–2.
12. Duffy S, Jackson F, Schim S, Ronis D, Fowler K. Cultural concepts at the end of life. Nurs Older People 2006;18:10–4.
13. Koffman J, Morgan M, Edmonds P, Speck P, Higginson IJ. Cultural meanings of pain: a qualitative study of black Caribbean and white
British patients with advanced cancer. Palliat Med 2008;22:350–9.
14. Peretti-Watel P, Bendiane MK, Obadia Y, et al. The prescription of
…show more content…
Multicultural palliative care guidelines:
P
www.palliativecare.org.au/Portals/46/Multicultural%20palliative%20care%20guidelines.pdf
•  he RACGP. Clinical resources for cultural and linguistic diversity:
T
www.racgp.org.au/cald.

Authors

Katherine Clark MBMS, MMed(pain), FRACP, FAChPM, FACP, is
Associate Professor, The Cunningham Centre for Palliative Care, The
University of Notre Dame Australia, Sacred Heart Centre, Sydney, New
South Wales. kclark3@nd.edu.au
Jane Phillips RN, PhD, is Professor Palliative Nursing, Cunningham
Centre for Palliative Care and School of Nursing, The University of
Notre Dame Australia, Sydney, New South Wales.
Conflict of interest: none declared.

References

1. Australian Bureau of Statistics. 2006 Census of Population and Housing: media releases and fact sheets. Available at www.abs.gov.au.
2. Scheppers E, van Dongen E, Dekker J, Geertzen J, Dekker J. Potential barriers to the use of health services among ethnic minorities: a review. Fam Pract

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