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Competencies – Domain 2 – Cultural safety & humility. Advocates for incorporation of the person’s and family’s cultural traditions, beliefs, expectations, and preferences into decision making, care planning, and service delivery models. Facilitates expression and inclusion of the person’s and family’s values, beliefs, and wishes during declining health and bereavement. Advocates for changes in policy to facilitate incorporation of culture into care.  Domain 3 – Communication. Provides support, mediation, and advocacy in exploring and clarifying treatment goals and care planning.  Domain 4 – Comfort & quality of life. Adapts care to address persons fears and anxieties related to past trauma. Understands, educates, and works with the person/family and inter-professional team about the interplay of spiritual, emotional, social, cognitive, and physical aspects of the person’s past experiences on their current quality of life.  Describe strategies for persons in a helping role to assist them in reconciling working within a healthcare system that has and continues to do significant harm to Indigenous peoples and their way of being  Describe strategies and approaches people can use in their clinical practice to recognize and acknowledge both the devastating experiences of indigenous peoples both within and outside the healthcare system and the impact of these experiences on their decision-making around access to and receiving end of life care  Describe strategies and approaches people can use in their clinical practice to honour and value the stories of Indigenous peoples in a respectful way that builds trusting relationships and allyship, fosters connections, and allows Indigenous voices to be heard at all stages of life