A Psychiatrist’s Opinion: Dying well is Dying at home.

In a short article, Dr. Allen Frances, a psychiatrist, makes the case for the home being a more desirable place to die   He states that, “…there is no worse death than a hospital death”.   He emphasizes the unpleasantness of the ICU given the noise, light, strangers, unfamiliar physicians, etc.   Ken Murray, MD who has written extensively about how doctors die, has observed that they are less likely to choose to die in hospitals than the general population.

But dying at home is not always a choice.  Sometimes family or care givers are not capable of providing the care needed to prevent hospitalization.  Quite possibly the medical needs of the patient are too complex or the patient doesn’t want to subject the family to the burden of care.

If you could choose where you spent your last days and hours, where would you want to be?  When making your choice it is important to discuss your wishes with your proxy, doctor, and loved ones.

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