Coalition for Dialogue on Death and Dying

Appendix 4: Issues to be addressed by Task Forces

Source of issue

Issue

Task Forces

   

1

2

3

4

5

CONSUMER VIEWS

1. Lack of knowledge regarding resources

u

u

u

u

u

2. Doctor is seen as coordinator of care

u

u

u

Interviews with Dying Persons and Families

3. Health care professionals are not adequately prepared to deal with issues around death and dying.

u

u

4. The system increases streee/distress of dying individuals and their families.

u

u

5. Individuals fear becoming a physical and financial burden to their families.

u

u

6. Loss of control

u

7. Isolation

u

u

8. Support Systems

u

u

9. Lack of ability to talk about death and dying.

u

u

u

u

u

10. Quality of Life

u

u

11. There is a need for empowerment and advocacy

u

u

   

1

2

3

4

5

CONSUMER VIEWS

1. The relationship between families, loved ones, physicians, and other health care and community providers.

u

u

u

2. Lack of knowledge and the need for more information conveyed in an understandable manner

u

u

u

Community Dialogues

3. Cultural and personal barriers

u

u

u

u

4. Information and access to protrams in the community

u

5. Fear of the dying process

u

u

6. Lack of planning

u

7. The system itself.

u

u

u

u

   

1

2

3

4

5

CONSUMER VIEWS

1. Control over treatments; pain management

u

u

u

u

2. Communicate openly and trustingly about health care/patient and family wishes

u

u

u

Area-Wide Dialogues

3. Professional training

u

u

4. Increase ability of schools, work, church groups, and community groups to actively particpate

u

5. Insurance coverage and access

u

u

6. Isolation

u

u

PROVIDER VIEWS

1. Empowerment

u

u

2. Communication, including cultural issues

u

u

u

u

Focus Groups

3. Cultural diversity

u

u

u

u

4. Professional education

u

u

5. Public education

u

u

6. Coordination of community resources

u

7. Turf Issues

u

u

u

8. Financial barriers – insurance coverage and cost of care

u

9. Social isolation

u

u

10. Grief and bereavement

u

u

   

1

2

3

4

5

PROVIDER VIEWS

1. System problems: integration and continuity; coordination of resources; access to services; lack of joint planning

u

u

u

u

u

2. Strengthening referral systems: Lack of knowledge and information

u

u

u

u

Organizational Analyses

3. Educational issues regarding providers and consumers

u

u

u

u

u

4. Financial impediments

u

 

A Call To Action

Appendix 5

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