Sometimes the decision to return for care to their own Idelalisib in vitro country is taken too late; the journey is too exhausting and/or airlines will not take the patient

at that stage. Burial in the country of origin For many families with a Turkish or Moroccan background, ‘good care’ implies, in the last instance, burial in their own village or town in their country of origin. Various respondents have indicated that they have taken out insurance for this with special Turkish Inhibitors,research,lifescience,medical or Moroccan organisations. These organisations will, if required, arrange the entire funeral. Some Dutch undertakers employ specialists who organise burials in Morocco and Turkey. We had an insurance. You just call their number when you need them and everything is organised. Then I said

goodbye to him and he was taken to another room. The man came the next morning, he was ritually washed and laid out in the mosque and the next day I was able to go with him to Morocco (wife of a male Moroccan patient). Good Inhibitors,research,lifescience,medical final care involves ritual washing and wrapping in cloths by Muslims of the same sex; after this, the funeral in the country of origin is always arranged by men. Therefore, little is expected here of the Dutch care providers, but speed may be necessary in taking the deceased as quickly as possible to his last resting place. In our culture and according to our faith, once someone dies, they must immediately be undressed and wrapped Inhibitors,research,lifescience,medical in cloths and buried as soon as possible (daughter of a Inhibitors,research,lifescience,medical male Turkish patient). Travel to the country of origin and burial there are an expensive business for which families sometimes get themselves into debt. Reactions from care providers to these specific views How do the Dutch care professionals react to these views? From the interviews with 48 care providers who were closely involved in the palliative care of the 33 patients, it appears that many of them realise that there is often a question of ‘different ideas’. Curative

care until death The care providers in the cases we studied are aware that Inhibitors,research,lifescience,medical patients from a Turkish or Moroccan background often wish to continue for a very long time with curative care aimed at prolonging life. That was what next the children wanted to know, too. Could they be sure that father would receive the best possible care? People don’t want to go to the hospital, but they don’t want to miss out on any possible chances. It’s no good saying that there is nothing more that can be done, you must do everything possible and, then, if father does die, everybody is satisfied (GP of Turkish male patient). In practice, the desire for curative care to prolong life regularly stands in the way of any joint investigation and decision making on the subject of the various kinds of palliative care. I am dissatisfied as I had hoped that I could arrange for discharge from hospital to everyone’s satisfaction. Then it’s not nice to see that it hasn’t worked. That people were so upset at home. I think that’s sad.