My experience with patients is that have already arranged all this. Before you know it, the imam is there to take over (GP of Moroccan male patient). As some of the till family are travelling to their country of origin for the funeral,

there is little opportunity for regular aftercare. Some care providers see this as a missed opportunity, others have got used Inhibitors,research,lifescience,medical to it. With Dutch patients, I would go to offer my condolences, but they had left for Morocco pretty quickly. I put a note in their letterbox to ask if they would get in touch with me. They appreciated that, but I felt it took a long time. Then I thought, maybe I should call myself? I don’t want to intrude. That was the final phase for me (GP of Moroccan male patient). Discussion Important elements of ‘good care’ in the palliative phase for people with a Turkish or Moroccan background are generally: Inhibitors,research,lifescience,medical curative treatment till the last moment, maximum care, keeping hope alive, attention and respectful treatment, avoiding shameful situations, dying with a clear mind without treatment that might Inhibitors,research,lifescience,medical shorten life, care and burial in the country of origin. Dutch care providers often see the desire for curative treatment until death, the wish

for maximum care and hope of recovery till the end as obstacles to joint decision making on palliative care. Care providers sometimes feel that the communication is handicapped by a relative acting as interpreter and person in charge. Some have difficulties with the fact that families attach more importance to avoiding shameful situations than to assuring Inhibitors,research,lifescience,medical quality of care. Care providers sometimes have differences of opinion with relatives, as their views on dying with a clear mind and refraining from life-shortening procedures do not always correspond

with their own professional values concerning the found relief of suffering. Besides, care providers notice that discussing these subjects can Inhibitors,research,lifescience,medical be complicated by the image that patients and families have of the Netherlands as a country where euthanasia is practised. Generally speaking, care providers GSK-3 are receptive to adjusting palliative care administering to the wishes of their patients, but sometimes the care providers’ values might hinder them in accepting views rooted in opposite values. This study showed that contradictive views on good care are connected with cultural values of aims and means of care. The main contradictive values are presented in a Table ​Table22 Table 2 Contradictory values for aims and means at the end-of-life for Dutch professionals and families with a Turkish or Moroccan background. In case a patient is not aware of the diagnosis, this may be in accordance with his or her personal values and wishes.