BMJ  2003;327:174-175 (26 July), doi:10.1136/bmj.327.7408.174

Editorial

Patient centred death

We need better, more innovative research on patients' views on dying

The first 150 words of the full text of this article appear below.

A good death has always been important in all cultures. To achieve your chosen afterlife you died either well (euthanatos) or nobly (kalosthanein). But what is a good death in a world that for many is post-religious and medicalised? We know something from research on patients and their families—but not nearly enough. We need much better research that uses innovative and different methods.

We don't have good data on how people die (as opposed to what they die of), but there is a strong impression that many die badly.¹ People do not die in the places they wish or with the peace they desire. Probably too many die alone, in pain, terrified, mentally unaware, without dignity, or feeling alienated. People who are poor, from ethnic minorities, or marginalised may have even worse deaths.

Modern dying involves a struggle for control. Some doctors fear failure when they cannot keep their patients . . . [Full text of this article]

BMJ (jclark@bmj.com)

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This article has been cited by other articles:

• Munn, J. C., Dobbs, D., Meier, A., Williams, C. S., Biola, H., Zimmerman, S. (2008). The End-of-Life Experience in Long-Term Care: Five Themes Identified From Focus Groups With Residents, Family Members, and Staff. Gerontologist 48: 485-494 [Abstract] [Full text]  
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Rapid Responses:

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