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89 The provision of culturally appropriate palliative care at a large teaching hospital in the UK
  1. Michael Walsh,
  2. Nipuna Gunawardena,
  3. Ei Shwe Sin Oo,
  4. Sughra Alawi,
  5. Shaney Barratt,
  6. Huzaifa Adamali and
  7. Natasha Lovell
  1. North Bristol NHS Trust


Background Palliative care is a holistic approach aiming to improve quality of life of those with life-limiting illness and their caregivers. Care should be individualised in line with what is important to the patient/their family. To meet these needs an understanding of the cultural preferences of an individual is essential. Despite this, results from a national audit show that less than a third of families feel we meet the spiritual/religious needs of their loved one at the end-of-life.

Aims A service evaluation of current practice in a large teaching hospital in the UK, to determine whether the cultural needs of patients were assessed during their final admission to hospital.

Method A retrospective case note review of 200 patients who died between August-October 2021 in a large teaching hospital in the UK. We examined whether discussions had been had with the patient or family regarding cultural requirements. Frequencies/percentages were reported for categorical variables and chi-square statistics calculated to explore the relationship between variables and any discussion.

Results 104 (52%) were male, median age 82. Demographic characteristics were not routinely recorded. Ethnicity was recorded for 143 (71.5%) patients, religion for 82 (41%), and nationality for 136 (68.0%). Where it was documented, 88.1% were white and 98.5% were British. Discussions were only documented in 34 (17.0%) cases. If specialist palliative care input was sought, cultural preferences were more likely to be discussed (p<0.001). When discussions were documented, patients were more likely to be referred to chaplaincy (p<0.001).

Conclusion/Discussion In this service evaluation, cultural preferences at the end-of-life were often not documented and possibly not being discussed with patients and families. Education is needed on the importance of assessing and addressing these needs.

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