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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.ca

Donna 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