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Centre for Policy on Ageing | |
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Death and dying in residential care
— a matter of concern | | Author(s) | Randall Smith |
| Journal title | Quality in Ageing and Older Adults, vol 14 no 3, 2013 |
| Publisher | Emerald, 2013 |
| Pages | pp 205-217 |
| Source | www.emeraldinsight.com/qaoa.htm |
| Keywords | Death ; Dying ; Terminal care ; Care homes ; Policy ; Literature reviews ; United Kingdom. |
| Annotation | The author traces the history of official policy on the regulation of care homes in respect of end of life care, also what is required to support care home staff in relation to dying residents and their relatives. A central concern is to argue for the open recognition that care homes now cater primarily for frail people towards the end of their lives. Good end-of-life care and a good death could become a positive "selling point". The author concludes that the system of regulation has broadly failed to address a good death or good end of life care in a residential home. Death talk should no longer need to be avoided in care homes. The research suggests that appropriate support for care home staff in relation to dying residents needs careful identification and investment. A cultural shift is required. Following a review of policy documents on regulation and standards of care in residential homes and a subsequent review of the research literature on death and dying in care homes, the paper illuminates the contrast between the ambitious aims in policy documents with very varied practice in everyday care of frail residents. The recent systems of regulation have broadly failed to address a good death or good end-of-life care in residential homes. Open acknowledgement of death and dying should not be avoided in care homes. Appropriate support for care home staff in relation to dying residents needs careful identification and investment. The focus of this paper is to contrast official policy with everyday practice. Whilst policy documents suggest recognition of the importance of dignity and respect from dying residents, the research literature indicates great variation in the practice of everyday care. (RH). |
| Accession Number | CPA-170526239 A |
| Classmark | CW: CX: LV: KW: QAD: 64A: 8 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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