@article { orvium-68e7af5d0c8229f7ab4cd286, title = "Cultural and Ethical Issues Impacting Decision-Making Around End-of-Life Care in the Middle East Countries", abstract = "There was a current research gap on the ethical and cultural issues associated with decision-making of End of Life (EOL) in the Middle Eastern countries, and it was investigated in this working paper. It was important to conduct this research because of the ageing population and the increase in chronic diseases. The findings will be beneficial for the practitioners and decision makers of the Middle Eastern countries to understand the strategies to over-come these barriers. The literature reviewed suggests that the decision-making of the patients is influenced by several factors, such as their cultural background and family. However, the usefulness of a culturally sensitive communication method was missing from the reviewed literature. The study has incorporated a literature review that explores the ethical and cultural factors impacting end-of-life decisions among countries in the Middle East. Secondary data has been selected as the key source due to the sensitivity nature of the research on end-of-life care and the difficulty of direct engagement with families or patients having a terminal illness. In the Middle East, end-of-life care has been shaped by the complex interplay among the paternal-istic practices in medicine, family-based decision-making, and religious beliefs. The cultural dynamics are rooted deeply in the values, but they have a contradiction with the ethical practices in the international market related to informed consent and patient autonomy.", keywords = "End-of-life decisions, Family-Centred Decision-Making, Religious interpretations of suffer-ing, death, Dying", author = "Hamda Alalawi", year = "2025", language = "English", url = "https://dapp.orvium.io/deposits/68e7af5d0c8229f7ab4cd286/view", }