Box 5.
  • Sikh beliefs towards end-of-life care are under-evaluated in the medical literature and further studies are required to explore attitudes and mainstream opinion

  • Sikhs have a strong tradition of accepting death, and believe in karma and reincarnation

  • The five K’s are of fundamental importance to Sikhs and are to be respected and not removed unless life threatening. Observance of these symbols may become particularly apparent at the end of life

  • Many Sikhs will forego unnecessary and invasive life-prolonging treatments when it is clear that it is futile

  • Sikhism is a social religion; therefore, a large number of community members may will wish to visit and offer support