In the UK death is now most likely to occur at the end of a long life. The UK government has developed a National End of Life Care Strategy, which was published in June 2008. This aims to improve the quality and equity of service provision and consider which service models are most likely to achieve these objectives. A focus of much research on end of life care originating from the UK has been the mismatch between where most people say they would like to die (at home), and the place where the majority of people actually die (in hospital). This is reflected in current government policy, where there appears to be a shift to moving care of the dying back into the community. This paper presents evidence from a qualitative research study that seeks to discover the preferences of older people for care at the end of life. Issues surrounding independence, dependency, personal identity and the meaning of home are explored and the extent to which preferences may change along the dying trajectory are considered.
|Translated title of the contribution||"I'd rather be home all my life": Older people and place of care at the end of life|
|Edition||Re-Imaging Death and Dying. Cooley, D.R. & Steffen, L. (eds)|
|Publication status||Published - 1 Nov 2009|