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Palliative Medicine
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Palliative care for patients with end-stage renal failure: reflections from Central Australia

Ofra Fried

Northern Territory Department of Health and Community Services, Alice Springs, Australia

This paper explores palliative care issues for Australian Aboriginal patients with end-stage renal failure. Renal disease is epidemic amongst Aboriginal Australians. The Central Australian Palliative Care Service, based in the remote town of Alice Springs, sees a high proportion of renal patients, with different demographic characteristics to those seen in urban palliative care services. A case history illustrates distinctive concerns for local service provision, including communication issues, cultural requirements for maximizing quality of life, and the need to provide care in remote locations. Palliation for end-stage renal failure (ESRF) patients should be based on standard principles, but modified in accordance with local practical requirements and community needs.

Key Words: Aboriginal • dialysis abatement • end-stage renal failure • palliative care

Palliative Medicine, Vol. 17, No. 6, 514-519 (2003)
DOI: 10.1191/0269216303pm797oa
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M. Ashby, C. o. Hoog, A. Kellehear, P. G Kerr, D. Brooks, K. Nicholls, and M. Forrest
Renal dialysis abatement: lessons from a social study
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[Abstract] [PDF]