Embracing diversity at the end of life
This chapter examines differences that make a difference among people when they negotiate institutions and practices for palliative and end of life care. This has particular resonance given that there is now increasing recognition of how multiple and simultaneous disadvantages can influence palliative care needs and end of life experiences. It offers an understanding of the current controversies with the language of understanding diversity in society. The chapter then explores the experiences of advanced disease among Black and Asian minority ethnic communities and related contributory factors. Finally, it offers a case study of a hospice based in an area characterized by social and cultural diversity, which has attempted to address issues of accessibility and acceptability of its services for the many communities it serves.
Keywords: palliative care, end of life care, social diversity, cultural diversity, ethnic minorities
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