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Journal Article
Where We Die
2014
Overview
After a decades-long trend toward dying in the hospital, a movement toward palliative care, hospice, and dying at home began in the 1980s. But even as increasing numbers of Americans choose to die at home, ICU stays toward the end of life have increased.
Until well into the 20th century in the United States, the appropriate place to die was a foregone conclusion: by expectation and practice, it was at home, surrounded by family and friends (Figure 1). A case in point was death from consumption (tuberculosis) in pre–Civil War New England. In tightly knit, homogeneous communities, a network of friends, neighbors, relatives, and clergymen comforted the dying, expecting, as Sheila Rothman has written, to walk with them “down to the borders of the River of death.”
1
Physicians, once they had ascertained that the disease was in its last stages, were peripheral to the . . .
Publisher
Massachusetts Medical Society
