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September 23-24, 2019 | Prague, Czech Republic
2
nd
International Conference on
Palliative Care
Clinical Trials and Pharmacovigilance
Joint Event
&
A
very clear trend in end-of-life care is emerging and
becoming evident worldwide. This trend is for home-
based death and dying, and therefore also home-based end-
of-life care. Many countries have already realized a major
shift from hospital-based deaths to deaths in the home such
as the dying person’s own home or a family member’s home
and also nursing homes since these are now the last home for
many people.
There are laudable reasons for this shift out of hospital. The
chief reason is that death is rarely unexpected now, with
terminally ill people and their families having time to accept
the inevitability of death and plan for death. A wish to die at
home is often a major focus for these plans. However, death
and dying at home is not always easily accomplished. End-of-
life care can be emotionally and physically taxing, changes
in health and supportive care needs are common as death
nears, and many other factors contribute to the need for
frequent care setting transitions as death nears.
This presentation will highlight existing evidence in an
attempt to understand why dying people and their families
want home deaths, review worldwide trends in location
of death, and present new research on the contemporary
problem of frequent moves from place to place as death
nears. This presentation will focus on what must be done to
better support home dying to reduce or eliminate the need
for moving and moving again as death nears.
Speaker Biography
Donna M Wilson is a professor in the Faculty of Nursing at the University
of Alberta, with appointments in the Faculty of Medicine and University
of Limerick. She has worked as a staff nurse, nursing supervisor, senior
hospital administrator, media commentator, educator, researcher, and
professor in Alberta, British Columbia, New Zealand, Texas and Ireland. Her
research program focuses on health services and health policy; primarily in
relation to aging, ageism and end-of-life care. Her work is oriented to myth
busting, to ensure effective and accessible healthcare services for older
and younger people. Her investigations often involve population data and
mixed-methods research. She has over 300 articles, books, book chapters,
and other peer-reviewed communications in print. She is frequently and
widely consulted for expert commentary on aging, end-of-life care, health
policy, healthcare services and health system trends and issues.
e:
donna.wilson@ualberta.caDonna MWilson
University of Alberta, Canada
Moving and moving again as death draws near
Journal of Primary Care and General Practice | Volume 2
J Prim Care Gen Pract, Volume:2