The Basics Does a person have the right to die at home?
Yes. The law permits individuals to refuse any type of medical care,
including hospitalization, even if that decision would result in physical harm
or death. Individuals can refuse to stay in hospitals and choose to return home
even against medical advice.
For some who are too sick to benefit from continued medical treatment in the
hospital, to die in the familiar and comfortable surroundings of home is
considered reasonable, and might even be suggested by the doctor. Although most
people today still die in healthcare facilities, an increasing number are
choosing to die at home when their deaths are expected because of a critical
illness or an advanced condition.
In Nora Ephron's best-selling book, I Feel Bad About My Neck, she
laments the sorry state of her 60-something neck: "Our faces are lies and our
necks are the truth. You have to cut open a redwood tree to see how old it is,
but you wouldn't have to if it had a neck," she writes.
"Every so often I read a book about age, and whoever's writing it says it's
great to be old. It's great to be wise and sage and mellow; it's great to be at
the point where you understand just what matters in life. I...
Dying people often are psychologically more comfortable in a familiar
environment, surrounded by caring family members and friends.
The home setting may offer a better environment for maximizing the quality
of life that remains and for achieving personal closure.
Dying people retain a greater sense of control over their lives at home.
They can live by their own schedules rather than those determined by
institutional policy. For example, patients in hospitals receive their meals
according to hospital schedules, whereas individuals at home can eat when they
feel hungry. This sense of control can help the dying person maintain emotional
well-being during the last weeks or days of life.
The home may be the ideal setting in which dying persons are able to say
their final goodbyes to family and friends.
Are there disadvantages to dying at home?
Yes, there can be. Dying at home may require an able-bodied care giver. If a
family member or friend cannot provide this care, homecare services may be
The emotional stress of caring for a dying person may be overwhelming. Also,
it may be frightening for both the dying persons and their families to be
without the direct medical supervision available in a hospital, nursing home or
inpatient hospice setting. Counseling by involved health professionals often
helps to alleviate these problems by letting the family know what to expect and
by reassuring them that appropriate assistance will be available if needed.
Can physicians refuse to treat a dying person at home?
Yes. Not all physicians are willing to care for patients at home. It is
important to ask the dying patient's physician if he or she will provide care
in the home and, if not, refer the patient to a physician who will.
WebMD Medical Reference from the National Hospice and Palliative Care Organization