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What is a good death? A critical discourse policy analysis
1School of Health, Wellbeing and Social Care, Open University, Milton Keynes, UK erica.borgstrom@open.ac.uk.
BMJ Supportive & Palliative Care
|July 8, 2020
Summary
English end-of-life care (EOLC) policy defines a good death through attributes like dignity, respect, and comfort. Analysis reveals it encompasses processes and holistic care, not just outcomes.
Area of Science:
- Public Health
- Sociology
- Healthcare Policy
Background:
- The concept of a 'good death' significantly influences end-of-life care (EOLC) policy.
- Understanding policy definitions is crucial for effective EOLC implementation.
Purpose of the Study:
- To examine the definition of a 'good death' within English end-of-life care policy.
- To analyze the discourse surrounding 'good death' in policy documents.
Main Methods:
- Critical discourse analysis was employed.
- Policy documents and related materials from 2008-2016 were analyzed.
Main Results:
- Explicit policy definitions include dignity, respect, pain-free status, familiar surroundings, and companionship.
- Analysis identified 'good death' as encompassing processes like holistic care, advance planning, open communication, and consideration for family.
- Key attributes involve treating individuals with dignity, minimizing suffering, and ensuring prepared, desired death circumstances.
Conclusions:
- Current EOLC policy discourses on 'good death' are complex and often emphasize care processes over the event of death.
- Policy should prioritize defining quality end-of-life care rather than relying on 'good death' as a sole outcome measure.
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