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Caring for Children With Life-Limiting Illness in Bloemfontein, South Africa

Challenging the Assumptions of the ‘Good Death’

Bibliographic Data

ID13630210
AuthorsCallie Daniels-Howell (0000-0003-3238-9375, Institute for Global Health,University College London, UK, corresponding author)
Year2020
Volume85
Issue2
Pages317-344
Publication date2020-07-23
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueOMEGA - Journal of Death and Dying (JOURNAL)
Journal identifiersISSN: 0030-2228 • E-ISSN: 1541-3764
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/0030222820944099
PMID32703072
OpenAlexW3044873350
LanguageEN
Citations received1
References cited46

Theories of good death focused on acceptance, control, and meaning-making inform adult palliative care in high-resource settings. As children's palliative and hospice care (CPHC) develops in resource-limited settings, critical conceptualisations of a good death for children across these diverse settings are unknown. Assessed against high-resource setting tenets of good death from carer perspectives, results suggest: carer agency is limited; advanced discussion of death does not occur; distress results from multiple burdens; basic survival is prioritised; physical pain is not an emphasised experience; and carers publicly accept death quickly while private grief continues. Hegemonic conceptions of 'good death' for children do not occur in contexts where agency is constrained and discussing death is taboo, limiting open discussion, acceptance, and control of dying experiences. Alternate forms of discourse and good death could still occur. Critical, grounded conceptualisations of good death in individual resource-limited settings should occur in advance of CPHC development to effectively relieve expansive suffering in these contexts

Agency (philosophy · Disenfranchised grief · Distress · Expansive · Good death · Grief · Limiting · Palliative care · Political science · Psychiatry · Social science · Sociology · Taboo · Childhood Cancer Survivors' Quality of Life · Clinical Psychology · Ethics and Legal Issues in Pediatric Healthcare · Law · Medicine · Nursing · Palliative Care and End-of-Life Issues · Psychology

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Unique citing works1
Citations per year0,25
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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