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Unexpected death in ill old age: An analysis of disadvantaged dying in the English old population

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  • Teggi, Diana

Abstract

The literature on death expectation in ill old age is mostly medical. A social science standpoint (especially quantitative) is practically absent. However, whether families, social and healthcare services can anticipate, support and prepare for the deaths of ill old adults is not reducible to the biomedical paradigm. Yet it is critical for end of life care (EOLC) policy. This study's aim is to investigate relatives' perception of death as unexpected in relation to both disease-related and care-related factors. Using the English Longitudinal Study of Ageing End-of-life Interviews Wave 6 this paper draws on probit regression analysis of unexpected (vs. expected) death in ill adults aged 50+. Findings are interpreted considering the containment of sudden death and the trajectories of dying in ill old age. The latter display overall visible decline preceding death. On this basis, EOLC literature and policy evidence death's uncertain timing as much as death's certain emergence in the horizon of expectation. Therefore, unexpected death in ill old age was interpreted as a failure to acknowledge dying, rather than the impossibility of discerning its approach. Very old age, dementia diagnoses and supported care environments were found to shape unexpected death.

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  • Teggi, Diana, 2018. "Unexpected death in ill old age: An analysis of disadvantaged dying in the English old population," Social Science & Medicine, Elsevier, vol. 217(C), pages 112-120.
    • Handle: RePEc:eee:socmed:v:217:y:2018:i:c:p:112-120
    DOI: 10.1016/j.socscimed.2018.09.048
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    References listed on IDEAS

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    1. Borgstrom, Erica & Walter, Tony, 2015. "Choice and compassion at the end of life: A critical analysis of recent English policy discourse," Social Science & Medicine, Elsevier, vol. 136, pages 99-105.
    2. Kellehear, Allan, 2008. "Dying as a social relationship: A sociological review of debates on the determination of death," Social Science & Medicine, Elsevier, vol. 66(7), pages 1533-1544, April.
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    Cited by:

    1. Teggi, Diana, 2020. "Care homes as hospices for the prevalent form of dying: An analysis of long-term care provision towards the end of life in England," Social Science & Medicine, Elsevier, vol. 260(C).
    2. Hollingshaus, Mike & Smith, Ken R. & Meeks, Huong & Ornstein, Katherine & Iacob, Eli & Tay, Djin & Stephens, Caroline & Utz, Rebecca L., 2024. "Mortality risk following end-of-life caregiving: A population-based analysis of hospice users and their families," Social Science & Medicine, Elsevier, vol. 348(C).

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