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The three main barriers that prevent many people from accessing appropriate high-quality care at the end of their lives include:
•Inadequate Quality of Care
- Inconsistency in care standards and inappropriate hospital admissions
- Poor pain management
•Identification and Planning
- Poor recognition of dementia as a terminal illness and a cause of death
- Lack of appropriate/timely diagnosis and care planning
•Inequality of Access
- Poor access to palliative care, hospice care and funding
- Discrimination
Those are the textbook answers. But in actual life I have found
1. Denial: by the patient or their family that the end is near.
2. Greed: by relatives who want the estate for themselves
3. Fear: that you are a bad child for going against their wishes.
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