Ko Eunjeong, Kwak Jung, Nelson-Becker Holly
a School of Social Work, San Diego State University , San Diego , California , USA.
Death Stud. 2015;39(7):422-32. doi: 10.1080/07481187.2014.958629. Epub 2015 Feb 12.
This qualitative study explored perspectives toward a good or bad death among 21 older homeless adults residing in transitional housing. Using grounded theory approach, the themes for a good death were (a) dying peacefully; (b) not suffering; (c) experiencing spiritual connection; and (d) making amends with significant others. Themes for a bad death were (a) experiencing death by accident or violence; (b) prolonging life with life supports; (c) becoming dependent while entering a dying trajectory; and (d) dying alone. Healthcare professionals need to develop approaches for end-of-life care grounded in understanding unique needs of older homeless adults.
这项定性研究探讨了21名居住在过渡性住房中的老年无家可归者对善终或恶终的看法。采用扎根理论方法，善终的主题包括：（a）平静地死去；（b）不遭受痛苦；（c）体验精神联系；（d）与重要他人和解。恶终的主题包括：（a）意外死亡或死于暴力；（b）依靠生命维持系统延长生命；（c）在进入临终阶段时变得依赖他人；（d）孤独地死去。医疗保健专业人员需要基于对老年无家可归者独特需求的理解，制定临终关怀方法。
