2.4 (3.1) Barriers to delivery of PC

Question 1

How can the definition of PC act as a barrier to the delivery of palliative care services?

Answer 1

Some regard PC as only for EOL or only for malignant disease

Question 2

What is the fundamental rationale to improving global access to PC

Answer 2

designate it as a human right

Question 3

What are 5 groups that experience social barriers to PC

Answer 3

Ethnicity - esp minority with different cultural and religious beliefs
Elderly
Homeless
Prisoners
Community (organizational/coordination of care)

Question 4

What are two major types of professional barriers for delivery of PC

Answer 4

Attitude toward PC (e.g. PC only for EOL)
Identifying need for PC

knowledge

Question 5

What are three issues with attitude that can arise in health professionals and impact delivery of PC?

Answer 5

learned helplessness in ability to manage symptoms

inadequate communication skills

compassion fatigue

Question 6

What are three barriers for the delivery of PC in patients with non cancer diagnosis?

Answer 6

uncertain prognostication

inexperience amongst health professionals

reluctance to negotiate end of life decisions

lack of evidence and guidelines

Question 7

What are three barriers to delivery of PC for patients at EOL

Answer 7

reluctance of other health care providers to refer to PC

lack of familiarity with hospice teams

association of hospice with death