"Death is inevitable - a bad death is not" report from an international workshop.

Palliative care is an approach meant to improve the quality of life of patients facing life-threatening illness and to support their families. An international workshop on palliative care took place in Caesarea, Israel under the auspices of the National Institute for Health Policy Research on July 4-5th, 2018, with the goal of discussing challenges to the development and integration of palliative care services in Israel. At the workshop, both national and international figures in the field of palliative care and health policy addressed several issues, including truth telling, religious approaches to end of life care, palliative care in the community, pediatric palliative care, Israel's Dying Patient Act, the Ministry of Health's National Plan for palliative care, and challenges in using advance directives. We summarize the topics addressed, challenges highlighted, and directions for further advancement of palliative care in the future, emphasizing the critical role of the Ministry of Health in providing a framework for development of palliative care.

Reflections on palliative care from the jewish and islamic tradition.

Spiritual care is a vital part of holistic patient care. Awareness of common patient beliefs will facilitate discussions about spirituality. Such conversations are inherently good for the patient, deepen the caring staff-patient-family relationship, and enhance understanding of how beliefs influence care decisions. All healthcare providers are likely to encounter Muslim patients, yet many lack basic knowledge of the Muslim faith and of the applications of Islamic teachings to palliative care. Similarly, some of the concepts underlying positive Jewish approaches to palliative care are not well known. We outline Jewish and Islamic attitudes toward suffering, treatment, and the end of life. We discuss our religions' approaches to treatments deemed unnecessary by medical staff, and consider some of the cultural reasons that patients and family members might object to palliative care, concluding with specific suggestions for the medical team.

Ethical dilemmas and the dying Muslim patient.

All health care providers may be confronted by a Muslim patient, but many health care professionals are lacking basic knowledge on the Muslim faith and medical ethics based on Islamic law (Shariah). One must endeavour to differentiate between ethnic customs and Islamic tradition. It is important for staff to have a general understanding of the principles of Islamic beliefs and actions to attain better cultural competency and improved patient care. Terminally ill cancer patients are vulnerable and require sensitive care of their physical, psycho-social, cultural and spiritual aspects and needs. Muslims believe that the purpose of life is a test from God with the objective of full obedience, the outcome being purification of the soul and the resultant judgment after life to be directed to heaven or hell. The Muslim goal is to live and die in accordance with God's will, as revealed in the Qur'an and practiced by the Prophet.