The research is based on the need to highlight the importance of the palliative care management in chronic, non-communicable diseases where chronic kidney disease (CKD) is found. CKD generates a slow, progressive and irreversible loss of renal functions, at this stage the kidneys become totally inefficient and lose control of the internal environment being necessary the implementation of renal replacement therapies (RRT) for the correction of the alterations and the survival of the patient. CKD from its own behavior and the requirement of RRT as the first line of treatment, have a significant impact on the health related quality of life in patients, highlighting that although RRT are an option for life preservation and symptom control, it does not change the patient's perception of living with a chronic disease that progressively deteriorates the quality of life. From this perception and the outcome that this disease can have, there’s a need to include palliative care, not only as a treatment option but as a professional response to the patient’s and his/her family’s requirements through the prevention, relief of pain and suffering and search of wellness; including the approach of physical, physiological, social and psychological alterations arising from CDK and its treatment. This research was aimed at nursing professionals with work experience in palliative care in the cities of Popayán, Cali and Bogotá, Colombia, in the first period of the year 2022. The study is descriptive cross-sectional and has as general objective to describe the factors involved in the access of patients with stage 5 chronic kidney disease to palliative care programs 36 nurses voluntary agreed to participate, which was expressed by signing the informed consent form. As result of the application of a questionnaire created by the researchers based on a review of the literature, which was structured considering the four dimensions evaluated to the participants (administrative, economic, geographical and cultural); it was confirmed that there are multiple factors that intervene in the access of patients with stage 5 of CDK to palliative care programs in Colombia. Currently, in the Colombian health system, palliative care is being promoted as part of basic health care, however, access to such care by the population is being deficient and insufficient; it is not clear why this situation is occurring, since the number of entities that provide this service is increasing, as well as the number of specialists in this area, and yet the patient is not reached in a timely manner. It is important to solve this problem, because it is necessary to identify the barriers to access to palliative care programs.