Cultural Challenges in Implementing Palliative Services in Emerging Countries

Cultural Challenges in Implementing Palliative Services in Emerging Countries

Palliative Care (PC) services in the healthcare system in Palestine still remains undefined, with
inexistent home care, lack of rehabilitation program and inefficient insurance.

The healthcare system in Palestine is unable to meet the needs of its population,
forcing patients and their families to rely on international aid in order to receive medical attention.

The healthcare system is not equipped to confront many of the devastating
illnesses from which the population suffers.

Most of the time, the only solution for patients is to request a referral to a Jerusalem hospital,
which is only possible if the necessary permission is granted by the Israeli Government.

As a Head Nurse in the Pediatric Intensive Care Unit (PICU) at Makassed Hospital East Jerusalem,
I have observed the economic challenges, the patient’s efforts, and the suffering
of the families.

They are unwilling to discuss and accept issues related to death due to
the lack of family health services and adequate methods of pain relief.

We need to have a palliative care team that offers referral services to community agencies
for practical services and provides community resources to help meet family needs and
strengthen coping strategies for family members assisting in the treatment and care of their
loved ones.

Untreated pain leads to greater suffering and further complications,
resulting in longer hospital stays and greater
costs to families.

Cultural Challenges in Implementing Palliative Services in Emerging Countries

Palliat Med Hosp Care Open J. 2017; SE(1): S24-S27. doi: 10.17140/PMHCOJ-SE-1-106