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Putting people first: Equality and Diversity Matters 2 - Think Local Act ...

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40 <strong>Putting</strong> <strong>people</strong> <strong>first</strong> – equality <strong>and</strong> diversity matters 2about these may be found from mainstreamhealth services such as GPs or from localvoluntary sector organisations.End-of-life careSerious illness, death <strong>and</strong> dying can increase theimportance of ethnic, gender <strong>and</strong> faith identities<strong>and</strong> intensify experiences <strong>and</strong> feelings of socialexclusion for older <strong>people</strong>. Yet, at this difficultpoint, many black <strong>and</strong> minority ethnic <strong>people</strong> findaccess to palliative care services mystifying. 57The palliative care, older <strong>people</strong> <strong>and</strong> ethnicity(PALCOPE) project has produced a rangeof information for health <strong>and</strong> social careprofessionals <strong>and</strong> for black <strong>and</strong> minority ethnic<strong>people</strong> using services, available from the PolicyResearch Institute on Ageing <strong>and</strong> Ethnicity (seethe resources section).Enabling <strong>people</strong> to feel at home – goodpracticeAsk <strong>people</strong> about their preferred food <strong>and</strong> try tomeet these needsLook at ways for <strong>people</strong> using the service tocook for themselves if they wish<strong>Think</strong> creatively about meeting <strong>people</strong>’s dietaryrequirements – for example, consider offeringmenu choices that reflect a range of cultures toeveryoneAsk <strong>people</strong> how they prefer to eat their foodEnable <strong>people</strong> living in care homes topersonalise their own spaceAsk <strong>people</strong> about changes to the communalareas <strong>and</strong> act on a range of views, rather thanthe majority viewEstablish with each individual what theirpreferences are for personal care <strong>and</strong> how thehelp should be providedMake changes to the facilities, if required, tomeet <strong>people</strong>’s personal care requirementsAsk <strong>people</strong> whether they have any religious orspiritual practice or requirements <strong>and</strong> how theservice can respect or facilitate theseSupport <strong>people</strong> to see health professionals oftheir choice <strong>and</strong> to use medicines from theirown cultures or non-traditional medicines(within an appropriate framework of medicationpolicy <strong>and</strong> individual risk assessment)57. Gunaratam, Y (2006), Ibid

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