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

Palliat Med. 2003 Sep;17(6):514-9. doi: 10.1191/0269216303pm797oa.


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.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Female
  • Hospice Care
  • Humans
  • Kidney Failure, Chronic / ethnology
  • Kidney Failure, Chronic / therapy*
  • Language
  • Male
  • Middle Aged
  • Native Hawaiian or Other Pacific Islander*
  • Northern Territory
  • Palliative Care / organization & administration*
  • Recurrence
  • Residence Characteristics
  • Treatment Outcome