Connect
MJA
MJA

Where to die?

Vineet Sarode, John Reeves, Jonathan Barrett and Jennifer McCambley
Med J Aust 2012; 197 (9): . || doi: 10.5694/mja12.10262
Published online: 5 November 2012

An intensive care patient, terminally ill, chooses to die at home

In the past, most deaths took place at home. There has recently been a lot of interest in providing patients and their families with a “good death”,1 and research has shown that if a choice was given to terminally ill patients in the intensive care unit (ICU), they would prefer to die at home.2 Much of the palliative care literature is about providing care for a terminally ill patient in the patient’s home. However, little information is available on taking a critically ill patient home to die.


  • Intensive Care Unit, Cabrini Hospital, Melbourne, VIC.


Correspondence: vsarode@cabrini.com.au

Acknowledgements: 

We are very thankful to the patient’s family for their generosity in allowing us to share this important story with our colleagues.

Competing interests:

No relevant disclosures.

  • 1. Kehl KA. Moving toward peace: an analysis of the concept of a good death. Am J Hosp Palliat Care 2006; 23: 277-286.
  • 2. Yang L, Sakamoto N, Marui E. A study of home deaths in Japan from 1951 to 2002. BMC Palliat Care 2006; 5: 2.
  • 3. Beuks BC, Nijhof AC, Meertens JH, et al. A good death. Intensive Care Med 2006; 32: 752-753.
  • 4. Boussarsar M, Bouchoucha S. Dying at home: cultural and religious preferences. Intensive Care Med 2006; 32: 1917-1918.
  • 5. Hawdon JM, Williams S, Weindling AM. Withdrawal of neonatal intensive care in the home. Arch Dis Child 1994; 71: F142-F144.
  • 6. Huang YC, Huang SJ, Ko WJ. Going home to die from surgical intensive care units. Intensive Care Med 2009; 35: 810-815.
  • 7. Kallel H, Dammak H, Bahloul M, et al. A good death: another break in the wall. Intensive Care Med 2006; 32: 1915-1916.
  • 8. Kumar G, Obuch S, Vyakarnam P. Withdrawal of intensive care treatment at home — ‘a good death’. Anaesth Intensive Care 2009; 37: 484-486.
  • 9. Mann S, Galler D, Williams P, Frost P. Caring for patients and families at the end of life: withdrawal of intensive care in the patient’s home. N Z Med J 2004; 117: U935.
  • 10. Ryder-Lewis M. Going home from ICU to die: a celebration of life. Nurs Crit Care 2005; 10: 116-121.
  • 11. Lusardi P, Jodka P, Stambovsky M, et al. The going home initiative: getting critical care patients home with hospice. Crit Care Nurse 2011; 31: 46-57.
  • 12. Cicely Saunders Institute. Palliative care outcome scale. http://www.csi.kcl.ac.uk/pos.html (accessed Jul 2012).

Author

remove_circle_outline Delete Author
add_circle_outline Add Author

Comment
Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.