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Professional fears about safety of morphine and addiction
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Logistic supply chain and transport inadequacies
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Public fears that morphine expedites death
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Lack of pharmacists and pharmacy support
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Perceived difficulties in predicting national requirements
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Lack of trained palliative care staff
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Fears about illegal diversion
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Over regulation, legal barriers and complex regulations
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Fear of inaccurate diagnosis
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Difficulties finding patients in need of care and following them up
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Perception that all therapeutic morphine prescribed needs to be accounted for
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Lack of hospital/palliative care vehicles
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Low priority given by medical staff to the dying
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Palliative care nurse training lengthy
|
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Cost of complimentary drugs e.g. laxatives or Step 1 and 2 analgesics
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Perceptions that laws governing therapeutic morphine are difficult to change
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Morphine storage difficulties
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Health staff overwhelmed
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Low priority by hospitals to palliative care
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