title: Referring patients for domiciliary care.
abstract: This article attempts to identify some of the reasons why patients who meet the referral criteria of domiciliary palliative nursing care services are not referred. A study was conducted among district nurses and GPs which highlighted that a 'conspiracy of silence' still existed between patients, professionals and families. A desire to manage patients themselves and a misunderstanding of the work of Macmillan nurses were also reported. Some recommendations for change are made.
authors.forename: D
authors.initials: D
authors.lastname: Graves
authors.forename: A
authors.initials: A
authors.lastname: Nash
mesh_terms: D003152:Community Health Nursing; D006801:Humans; D010166:Palliative Care; D010821:Physicians, Family; D012017:Referral and Consultation; D013222:State Medicine; D006113:United Kingdom