title: End-of-life care in nursing and care homes.
abstract: BACKGROUND
  More than 70,000 people die each year in nursing and residential care homes, yet comparatively little attention has been paid to end-of-life care practice and its challenges in this setting.
  
  
  RESULTS
  We conducted interviews and group discussions in 12 homes, involving 73 residents, 97 members of staff and 16 relatives. These revealed that personalised care, dignity and respect, making time, talking about death, relatives' roles, and staff support were priorities for all concerned.
  
  
  CONCLUSIONS
  Training is vital in helping staff to engage sensitively, respectfully and creatively with dying residents. Staffing levels must be sufficient so staff can sit with residents and care in a way that is attuned to their personality, life history and wishes. relatives help to ensure a "civilised death".
authors: Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol.
authors: John
authors: J
authors: Percival
authors: Malcolm
authors: M
authors: Johnson
mesh_terms: D000368:Aged; D001291:Attitude of Health Personnel; D001293:Attitude to Death; D004739:England; D005190:Family / Q000523:psychology*; D005851:Geriatric Nursing / Q000193:education*; D006801:Humans; D009735:Nursing Homes / Q000458:organization & administration*; D009740:Nursing Staff / Q000523:psychology*; D011787:Quality of Health Care / Q000592:standards*; D013727:Terminal Care / Q000379:methods*; D014852:Wales