Each Culture Has Different Customs and Beliefs in End of Life
There may be cultural differences in end-of-life decision making as a result of underlying cultural values with disclosure of a terminal illness and very critically -use of life-sustaining medical treatment. With the widespread availability of advanced medical technology in the United States, people are encouraged to do everything possible to seek a cure for a life-threatening medical condition or sustain life. However, there are many other cultures for whom quality of life is more important than the length of life.
Other Cultures Do Not Follow US Medical Model 
There are some societies, such as Japan, where a terminal illness may not be disclosed to a patient and it is culturally inappropriate to discuss impending or imminent death. For instance, among some Chinese, it is considered bad luck to discuss death because such talk may cause death to occur. Sometimes the ethnic elder is not expected to make healthcare decisions and the responsibility may be based on a traditional family hierarchy. For instance, in many Filipino families, there may be a designated decision-maker who is not the patient (e.g., the oldest son or a daughter or son who is a health professional) and who articulates the wishes of the elder or family.
Some Cultures Follow Religious Customs and Beliefs in Death & Dying 
Other end-of-life decisions are based on religious tenets. In many Catholic immigrant communities, there may be strong resistance to an advance directive because the document would signify a “loss of hope” or be interpreted as suicide, which is against church doctrine. These beliefs may also influence the use of hospice services.
Deliver a Good End of Life- Add Death and Dying to Your Care Management Agency
Serve Your Client until Death Do You Part
Join me Thursday March 11 and learn why End of Life Services Are a perfect new service for care managers
In this 1 ½ -hour webinar you will learn how to
1.Transition the patient/family through the five stages of death
2.Help clients be active participants in their care
3.Give the family/caregiver tools to manage care
4. Provide family center care to caregiver and family
5. Choose the right support services through all stages of death
6.Introduce Hospice and Palliative care and work with their team
7. Use ALCA End of Life Benefits During COVID
8.Use COVID -19 Family Coaching for GCM
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homes in the 1970s and keep them in the cheaper and nurturing community. By cutting MSSP and CRC the state will only accrue more debt by spending more money to fund now COVID -19 disease-ridden nursing homes. These nursing home certified beneficiaries who are the frailest and poorest of our elderly population. They are kept in the community by MSSP where they receive food services, socialization, and therapy. Their family caregivers receive respite.
ones with cognitive impairments such as Alzheimer’s Disease, making referrals to caregiver counseling, support groups, local caregiver service, and giving small respite grants. Without the caregiver falling apart, which the Caregiver Resource Center stops, once again, 
LOOKS LIKE GARBAGE BAGS WITH HOLES
MSSP.This makes the cuts both fiscally stupid and mystifying.
in the HEROES Act. Cutting both programs saves $119 million. But these cuts would be eliminated if Congress OKs this aid for state and local governments — a prospect many state lawmakers believe is unlikely as 
