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The 'safe death': An ethnographic study exploring the perspectives of rural palliative care patients and family caregivers

Rainsford, Suzanne; Phillips, Christine; Glasgow, Nicholas; MacLeod, Rod Duncan; Wiles, Robert

Description

Background: In rural settings, relationships between place and self are often stronger than for urban residents, so one may expect that rural people would view dying at home as a major feature of the ‘good death’. Aim: To explore the concept of the ‘good death’ articulated by rural patients with life-limiting illnesses, and their family caregivers. Design: Ethnography, utilising open-ended interviews, observations and field-notes. Participants: In total, 12 rural (town and farm) patients with...[Show more]

dc.contributor.authorRainsford, Suzanne
dc.contributor.authorPhillips, Christine
dc.contributor.authorGlasgow, Nicholas
dc.contributor.authorMacLeod, Rod Duncan
dc.contributor.authorWiles, Robert
dc.date.accessioned2020-03-31T00:31:44Z
dc.identifier.issn0269-2163
dc.identifier.urihttp://hdl.handle.net/1885/202525
dc.description.abstractBackground: In rural settings, relationships between place and self are often stronger than for urban residents, so one may expect that rural people would view dying at home as a major feature of the ‘good death’. Aim: To explore the concept of the ‘good death’ articulated by rural patients with life-limiting illnesses, and their family caregivers. Design: Ethnography, utilising open-ended interviews, observations and field-notes. Participants: In total, 12 rural (town and farm) patients with life-limiting illnesses, 18 family caregivers and 6 clinicians, in the Snowy Monaro region of New South Wales, Australia, participated in this study over the course of the deaths of the patients. Interviews were transcribed and analysed with observational data using an emergent thematic process. Results: A ‘safe death’ was central to a ‘good death’ and was described as a death in which one could maintain (1) a connection with one’s previous identity; (2) autonomy and control over decisions regarding management of end-of-life care and (3) not being overwhelmed by the physical management of the dying process. For all participants, the preferred place of death was the ‘safe place’, regardless of its physical location. Conclusion: Safety, in this study, is related to a familiar place for death. A home death is not essential for and does not ensure a ‘good death’. We all have a responsibility to ensure all places for dying can deliver the ‘safe death’. Future research could explore the inter-relationships between safety and preference for home or home-like places of death.
dc.description.sponsorshipThis research was supported by an Australian Government Research Training Programme (RTP) Scholarship
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherSage Publications Inc
dc.rights© The Author(s) 2018
dc.sourcePalliative Medicine
dc.titleThe 'safe death': An ethnographic study exploring the perspectives of rural palliative care patients and family caregivers
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume32
dc.date.issued2018
local.identifier.absfor111718 - Residential Client Care
local.identifier.absfor119999 - Medical and Health Sciences not elsewhere classified
local.identifier.ariespublicationu3102795xPUB74
local.identifier.ariespublicationu3841020xPUB78
local.type.statusPublished Version
local.contributor.affiliationRainsford, Suzanne, College of Health and Medicine, ANU
local.contributor.affiliationPhillips, Christine, College of Health and Medicine, ANU
local.contributor.affiliationGlasgow, Nicholas, College of Health and Medicine, ANU
local.contributor.affiliationMacLeod, Rod Duncan, University of Sydney
local.contributor.affiliationWiles, Robert, College of Health and Medicine, ANU
local.description.embargo2037-12-31
local.bibliographicCitation.issue10
local.bibliographicCitation.startpage1575
local.bibliographicCitation.lastpage1583
local.identifier.doi10.1177/0269216318800613
local.identifier.absseo920506 - Rural Health
local.identifier.absseo920502 - Health Related to Ageing
local.identifier.absseo920211 - Palliative Care
dc.date.updated2019-11-25T07:45:57Z
local.identifier.scopusID2-s2.0-85056379853
CollectionsANU Research Publications

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