Related Experiment Video
Updated: Apr 17, 2026
Assessment of Murine Exercise Endurance Without the Use of a Shock Grid: An Alternative to Forced Exercise
Published on: August 14, 2014
Challenges of Providing End-of-Life Care for Homeless Veterans
Evelyn Hutt1, Emily Whitfield2, Sung-Joon Min3
1Denver Veterans Affairs Medical Center (VAMC), Denver, CO, USA Department of Medicine, University of Colorado School of Medicine, Denver, CO, USA evelyn.hutt@ucdenver.edu.
Objective:
To describe challenges of caring for homeless veterans at end of life (EOL) as perceived by Veterans Affairs Medical Center (VAMC) homeless and EOL care staff.
Design:
E-mail survey.
Setting/Participants:
Homelessness and EOL programs at VAMCs.
Measurements:
Programs and their ratings of personal, structural, and clinical care challenges were described statistically. Homelessness and EOL program responses were compared in unadjusted analyses and using multivariable models.
Results:
Of 152 VAMCs, 50 (33%) completed the survey. The VAMCs treated an average of 6.5 homeless veterans at EOL annually. Lack of appropriate housing was the most critical challenge. The EOL programs expressed somewhat more concern about lack of appropriate care site and care coordination than did homelessness programs.
Conclusions:
Personal, clinical, and structural challenges face care providers for veterans who are homeless at EOL. Deeper understanding of these challenges will require qualitative study of homeless veterans and care providers.
Related Concept Videos
01:27Ethical Issues
Ethical Concerns in Healthcare:
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:25Continuing Care
01:29Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
01:30Ethical Dilemmas II
01:27Nursing Ethical Principles II
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...