Dying at home in rural residential aged care: A mixed-methods study in the Snowy Monaro region, Australia

Health & Social Care in the Community
Suzanne RainsfordRobert B Wiles

Abstract

Residential aged care (RAC) is a significant provider of end-of-life care for people aged 65 years and older. Rural residents perceive themselves as different to their urban counterparts. Most studies describing place of death (PoD) in RAC are quantitative and reflect an urban voice. Using a mixed-methods design, this paper examines the PoD of 80 RAC residents (15 short-stay residents who died in RAC during respite or during an attempted step-down transition from hospital to home, and 65 permanent residents), within the rural Snowy Monaro region, Australia, who died between 1 February 2015 and 31 May 2016. Death data were collected from local funeral directors, RAC facilities, one multi-purpose heath service and obituary notices in the local media. The outcome variable was PoD: RAC, local hospital or out-of-region tertiary hospital. For the permanent RAC residents, the outcome of interest was dying in RAC or dying in hospital. Cross tabulations by PoD and key demographic data were performed. Pearson Chi squared tests and exact p-values were used to determine if any of the independent variables were associated with PoD. Using an ethnographic approach, data were collected from 12 face-to-face, open-ended interviews with four RAC ...Continue Reading

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Citations

Sep 29, 2020·The Australian Journal of Rural Health·Suzanne RainsfordNicholas Glasgow
Aug 4, 2020·Journal of Alzheimer's Disease : JAD·Sandra GarridoEsther Chang
Feb 10, 2021·Current Oncology Reports·Seema Rajesh RaoNaveen Salins

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