title: Does end-of-life decision making matter? Perspectives of older homeless adults.
abstract: This qualitative pilot study explored perspectives, needs, and concerns relating to advance care planning among older homeless adults. Twenty-one older adults residing at a transitional housing facility in an urban area of the West coast were interviewed in person. Key emergent themes included discomfort with the topic, trust in God's decisions, physicians preferred as decision makers, and planning is important but not an immediate concern. Further, people who are homeless want to be approached with sensitivity. Instead of simply eliciting life-sustaining treatment preferences of homeless people, health care professionals should assess their unique concerns and needs regarding death and dying, prepare them to consider their possible end-of-life situation, and assist them to plan in accordance with their needs.
authors.affiliation: 1San Diego State University School of Social Work, San Diego, CA, USA.
authors.forename: Eunjeong
authors.initials: E
authors.lastname: Ko
authors.forename: Holly
authors.initials: H
authors.lastname: Nelson-Becker
mesh_terms: D032722:Advance Care Planning; D000368:Aged; D001294:Attitude to Health; D003657:Decision Making; D005260:Female; D006301:Health Services Needs and Demand; D006703:Ill-Housed Persons / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D013727:Terminal Care / Q000523:psychology*
keywords: advance care planning; cultural sensitivity; end of life; homeless; older adult; perspective