Another antecedent to the end of life process is the ethnic and cultural patient background. (Ho, Krishna and Yee, 2010). Different cultures have specific expectations and beliefs that pertain to the end of life process. For example, Ho, Krishna and Yee (2010) describe the case of elderly Chinese man living in Singapore, who was diagnosed with metastatic cancer. The family of the patient and the physicians handing his care developed conflicting goals, as the family wanted their patriarch treated with an untested medication and his physicians favored conventional interactions (Ho, Krishna and Yee, 2010). Eventually, a consensus was reached as to the elderly gentlemen's treatment, which honored the desires of his family and also reduced the patient's distress and experience of pain, demonstrating the utility of effective cultural communication. (Ho, Krishna and Yee, 2010).