Challenging perceptions about palliative care

New survey data has highlighted limited community understanding around the broader meaning of palliative care and a general reluctance to engage in conversations on death and dying.

A national education campaign – Palliative Care It’s more than you think– has been created to engage the community in a conversation about the benefits of palliative care.

The multimedia campaign developed by Palliative Care Australia (PCA), with the support of the Australian Government, seeks to challenge perceptions that palliative care is a ‘last resort’ and empower individuals to engage with their health care professionals early in their diagnosis in the hope to live as well as possible for as long as possible.

It is conservatively estimated that in addition to the 40,000 Australians receiving palliative care, there are at least a further 40,000 Australians who would also benefit from palliative care treatment.

Three quarters of Australians (76 per cent) say they would ask for palliative care for themselves or a family member when first diagnosed with a terminal illness. However, there is strong evidence that Australians do not fully understand the full breadth of palliative care and its benefits, which then presents as a barrier to accessing timely care.

Fewer than four out of 10 Australians (39 per cent) correctly understand that palliative care can be requested when a person is first diagnosed with a terminal, chronic or degenerative illness.

And only three out of 10 Australians surveyed correctly understand that General Practitioners (GPs) are among those who can provide palliative care.

Almost 90 per cent of Australians surveyed last month agree that people should plan for end-of-life and think it is important to start thinking and talking about their wishes and preferences for care if they were to become seriously or terminally ill.

However, far fewer Australians; in fact, half of all respondents have done nothing regarding their end-of-life wishes, finding the subject of death and planning for the end of life too difficult to talk about and think talking about their preference for end-of-life with their family will upset them.

PCA chair Professor Meera Agar, says the campaign will help Australians better understand that palliative care helps people living with a life-limiting illness to live as well as they can by managing pain and symptoms to ensure their quality of life is maintained.

“At its heart, it is a clear and simple message; the campaign is aimed at informing, empowering and encouraging Australians living with a life-limiting illness to engage with their health care professionals early in their diagnosis, so as to live as well as possible for as long as possible,” Prof. Agar said.

The new campaign website, https://morethanyouthink.org.au/ explains clearly and simply what palliative care is, who it is for, who can provide it, and where palliative care can be provided, together with answers to frequently asked questions.

“Palliative care really is more than you think. It’s for anyone of any age – from babies to older adults – who have been diagnosed with a life-limiting illness, and it can be provided alongside curative treatments, or when those treatments have ended,” Prof. Agar said.

Have you talked to your family about end-of-life options? If not, why not?

3 comments

My husband's doctor was useless when it came to giving him the best medical care. I wouldn't take my dog to see him. Totally uncaring and when I asked if he could see somebody about his bladder problem, only then did he make a suggestion. He never did any follow-up to see how he was, and in the end I took it on myself to contact the Cancer Council in tears saying I didn't know what to do anymore. They immediately arranged for an ambulance to take my husband to a Palliative Care Hospital. He did respond to some medications but it was all in vain and he died 2 weeks later. I don't know where some of these doctors get their degrees from.

My wife recently passed away after a long neurological illness.  We received excellent support from both our GP and My Aged Care, the latter enabling me to keep my wife at home for the whole period of her 9 year illness.  Where we were let down was in the last several weeks when my wife was obviously terminal and required end of life care at our local public hospital.  Not only did the treating specialist ignore my wife's written end of life instructions by administering, without my permission, life sustaining drugs, but when she recovered a little there was a concerted move to get her out and into a nursing home.  Fortunately we had private health cover and I was able, with little support from the public hospital, to transfer my wife to a local private hospital where her end of life care was excellent and all of our wishes respected.  Yes, we live in a rural area so choices are extremely limited but that's no excuse for inadequate and unacceptable public end of life care.  If my wife hadn't prepared a Power Of Guardianship and End of Life document, I wouldn't have had the written authority to insist on proper palliative care at the end of my wife's life.

 

 

I'm so sorry for your wife's recent passing Buggsie. My Dad had Parkinson's Decease and at the age of 85 my Mother found it very difficult looking after him, she was 80. When Dad had to go to hospital with a kidney infection I asked if it was possible to have my Dad transferred into a nursing home because she couldn't cope , this was 30 years ago when that was possible. I was referred to the Social Worker at the hospital who handed me a list(the size of a telephone book) of Nursing Homes and told me to ring around and find a vacancy myself. What a daunting task. I had almost given up when one nursing home said they should have a bed available within the week. I think someone was about to die. Anyway Dad was admitted and he hated it. They said he could go home for a few days and they would keep his bed vacant. He lasted 2 days with my Mother, and wanted to go back. We explained to him  the Nursing Home  could give him 24 hours attention and Mother could only give him 12, which was not fair to her. He did go back and lasted 2 years there.  I do have a Power of Guardianship and will have the End of Life prepared soon. That way my sons will be in control to insist on proper palliative care if I get to that stage. 

 

 

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