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"But my mom still blinks when I talk to her" : understanding the concept of social death to avoid bias and improve goals-of-care discussions at the end of life
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End-of-life decisions become ever more complex as new medical advances in life-sustaining interventions blur the conventional boundaries between life and death. These advances may prolong the dying process and create a burden of choice around the right time' to shift goals-of-care from prolonging life to prioritising comfort and allowing natural death. One potential influence on end-of-life decisions is patients' ability to interact in a socially meaningful way. The concept of 'social death" describes how people are treated differently or even dehumanised when they lose important social attributes. Understanding this concept may help clarify the role that patients' social interaction can play in decision-making and in potential disagreements regarding goals-of-care for patients near the end of life. Consider the follow-ing case.
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http://dx.doi.org/10.1111/jep.13907
Voir la revue «Journal of evaluation in clinical practice, 29»
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