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'Finishing up' on country: challenges and compromises
E Waran1, N O'Connor2, M Y Zubair2
1Territory Palliative Care, Royal Darwin Hospital, Darwin, Northern Territory, Australia. Eswaran.waran@nt.gov.au.
Facilitating the return of Indigenous patients to their communities for end-of-life care requires addressing geographical and cultural barriers. Solutions are needed to support culturally appropriate palliative care delivery in remote settings.
Area of Science:
- Palliative Care
- Indigenous Health
- Healthcare Delivery
Background:
- Dying in community is crucial for Indigenous patients.
- Place of death is a key consideration in end-of-life care for Indigenous individuals.
- The Top End Palliative Care Service has experience with Indigenous patients' end-of-life care needs.
Purpose of the Study:
- To report on the experiences of the Top End Palliative Care Service.
- To identify barriers and solutions for returning Indigenous patients to their communities for end-of-life care.
- To explore factors influencing healthcare delivery for Indigenous patients.
Main Methods:
- Qualitative reporting of service experiences.
- Analysis of barriers encountered in patient return to community.
- Identification of solutions to facilitate community-based end-of-life care.
Main Results:
- Significant distances and remoteness in the Northern Territory pose barriers.
- Spiritual and cultural factors influence healthcare delivery and patient return.
- Experiences highlight challenges in providing palliative care outside of major centers.
Conclusions:
- Addressing geographical and cultural barriers is essential for Indigenous end-of-life care.
- Tailored solutions are needed to support Indigenous patients returning to community.
- Culturally sensitive palliative care models are vital for remote Indigenous populations.
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