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Palliative Medicine
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Short Report: Preferences for location of death of seriously ill hospitalized patients: perspectives from Canadian patients and their family caregivers

Kelli I. Stajduhar

Centre on Aging and School of Nursing, University of Victoria, BC, kis{at}uvic.ca

Diane E. Allan

Centre on Aging and School of Nursing, University of Victoria, BC

S. Robin Cohen

Department of Oncology and Medicine, McGill University, QC

Daren K. Heyland

Department of Community Health and Epidemiology, Queen's University, ON

Previous studies involving palliative patients suggest a preference for dying at home. The purpose of this paper is to examine, prospectively, patient and family caregiver preferences for, and congruence with, location of death for hospitalized patients with cancer and end-stage medical conditions. Questionnaires were administered to 440 eligible in-patients and 160 family caregivers in five hospitals across Canada. This paper reports results of 138 patient/family caregiver dyads who answered a question about preference for location of death. The results suggest that only half of all patients and family caregivers report a preference for a home death. Furthermore, half of the patient/family caregiver dyads disagree on preferred location of death. If one of the primary goals of end of life care is to enhance the quality of life of dying patients and their family caregivers, policies directed towards ensuring that patients die in their location of choice ought to be a priority and resources should be allocated to promote the development of excellent care, not only in the home, but also within our institutional settings. Palliative Medicine 2008; 22: 85—88

Key Words: end of life • family caregivers • location of death • seriously ill-hospitalized patients

Palliative Medicine, Vol. 22, No. 1, 85-88 (2008)
DOI: 10.1177/0269216307084612


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