Barriers to Optimal Palliative Care of Lung Transplant Candidates

Abstract

both published statements emphasizing the importance of palliative care for such patients. 2,3 Although the prospect of lung transplantation provides hope to patients and their families, these patients are usually very symptomatic from their underlying disease. 3 Often, the severity of their symptom distress is an important factor driving the decision to list them for

Addressing Moral Distress: Application of a Framework to Palliative Care Practice

“…The surgeon who initiated the transplant may have experienced a heightened level of responsibility for the outcome and perceived an imperative to give her ''every chance to live.'' 25,26 In contrast, the nurses may have perceived their efforts as more harmful than beneficial, undermining their ethical mandate to relieve suffering. 8,27 Lack of understanding of differing perspectives and efforts can contribute to an exacerbation of both personal and moral distress.…”

Barriers to specialist palliative care in interstitial lung disease: a systematic review

“…This misconception has led to negative perceptions of palliative care associating it with the loss of hope and dying. Patients receiving life-prolonging or curative treatment fear that they may be abandoned by physicians if they require palliative care 44. This fear is not limited to patients.…”

Barriers to the Provision of Optimal Palliative Care in a Patient Awaiting Lung Transplantation

“…Fear of destroying the patient's hope of "new life" also affected the quality of care provided in the terminal phase of illness. All these barriers to optimal palliative care of lung transplant have been described by Colman et al [12].…”