Culture & End of Life Care: Patients' Beliefs and Values

Learning Objectives

As a result of completing this activity, the participant will be better able to:

  • Ask questions that will help you gather information on the patient's Explanatory Model, or understanding, of her illness experience.
  • Organize your approach to culture using the LEARN mnemonic: Listen, Explain, Acknowledge, Recommend, and Negotiate.
  • Elicit and respond to patients' faith-based values and goals for care.
  • Enable patients to anticipate and consider aspects of the dying process they might not have considered.
  • Facilitate communication with others who will be involved in patients' end-of-life care.
  • Incorporate patients' values and preferences in advance care planning.
  • Identify options for responding to requests from a patient's family that raise ethical questions.
  • Analyze how to offer truth in order to elicit your patients' preferences.
  • Negotiate solutions that respect patients' preferences as well as your ethical duty.
  • Evaluate evidence for and against complementary and alternative medicine (CAM) practices.
  • Advise patients on the basis of evidence.
  • Negotiate treatment plans with patients who incorporate CAM.
  • Build trust and promote open communication with patients.

Additional Information

Virtual Lecture Hall
Course summary
Available credit: 
  • 1.50 ABMS MOC II
  • 1.50 AMA PRA Category 1 Credit
Course opens: 
Course expires: 

About the Author

Eileen Van Schaik, Ph.D.
Senior Research Scientist
Talaria, Inc.
Clinical Assistant Faculty
Biobehavioral Nursing & Health Systems, University of Washington School of Nursing

Following an earlier career as a registered nurse, Dr. Van Schaik taught anthropology and conducted ethnographic evaluation research as a visiting lecturer and research assistant professor at the University of Alabama at Birmingham for six years. She joined Talaria in 2002, and is the principal investigator for five completed and three ongoing SBIR grants. Dr. Van Schaik enjoys translating her nursing experience and expertise in anthropology into multimedia resources for healthcare providers, patients, and families. Currently, Dr. Van Schaik is also a clinical assistant professor in Biobehavioral Nursing and Health Systems at the University of Washington.


Additional Contributors

Amy Baernstein, MD
Associate Professor, Medicine / General Internal Medicine
University of Washington

Laurie Fronek

Diane Timberlake, MD
Clinical Associate Professor, Family Medicine
Harborview Medical Center


Disclosure: The author and contributors state that they do not have any financial arrangements that could constitute a conflict of interest.

ACCME/AMA PRA Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The University of Arizona College of Medicine - Tucson and Talaria, Inc.. The University of Arizona College of Medicine - Tucson is accredited by the ACCME to provide continuing medical education for physicians.

The University of Arizona College of Medicine - Tucson designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

1.50 AMA PRA Category 1 Credit(s)TM

1.50 Part II MOC points are available for these specialty board(s) (Optional):

American Board of Internal Medicine

  • Credit Type: Medical Knowledge
  • Practice Areas: Hospice and Palliative Medicine


MOC Recognition Statement(s)

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.50 Medical Knowledge Part II MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

If you elect to receive MOC credit for this course, you give permission for to share your information and activity completion data with the ACCME and the specialty board(s) chosen through the ACCME's Program and Activity Reporting System (PARS).

Available Credit

  • 1.50 ABMS MOC II
  • 1.50 AMA PRA Category 1 Credit


Please login or register to take this course.

This course is offered through The Virtual Lecture Hall. 

To take this course you will be redirected to The Virtual Lecture Hall's website. You must login or create an account with The Virtual Lecture Hall in order to complete this activity. 

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