This is an emotionally charged issue for many reasons.

Patients and families often disagree with providers and struggle to have their wishes followed.

Providers often feel futile care is given and struggle with communicating this to the patients and families.

For decades there has been great work being done in both the general public and academic environments to help patients, families / caregivers, and providers be more prepared and improve communication.

The most valuable thing is the continued conversation and collaboration for a better end.

Some resources and articles below:

Planning the Transition to End-of-Life Care in Advanced Cancer – NCI

Dealing With Grief, Loss and End of Life Planning

Providing Care and Comfort at the End of Life | National Institute on Aging

Palliative care

Improving End-of-Life Care for Diverse Populations: Communication, Competency, and System Supports – PMC

Addressing palliative and end-of-life care needs with Native American elders – PubMed

Cultural safety strategies for rural Indigenous palliative care: a scoping review – PMC

Improving Care Experiences for Patients and Caregivers at End of Life: A Systematic Review – PubMed

Improving End-of-Life Care for Nursing Home Residents Using an Interprofessional Approach – PubMed

Improving hospital-based end of life care processes and outcomes: a systematic review of research output, quality and effectiveness – PMC

Forty Years of Work on End-of-Life Care — From Patients’ Rights to Systemic Reform | New England Journal of Medicine

Improving End-of-Life Care for Veterans: PROMISE