ABSTRACT

Aging-in-place policies have especially prioritized the home, romanticizing its close intimate relationships and cherished memories to provide a historical continuity to older people's lives while safeguarding and enabling self-expression and autonomy. The entire focus on home care may also be contextually located in the debate on institutional versus family care. Despite the growing enthusiasm about home care, it is still not very clear whether home-based Long Term Care needs (LTC) services have eased the problem of the dying elderly patients and their careers. The reason for dying in nursing homes and hospitals rather than in family homes is not clear and evident. In addition to these, the rhetoric of home care often overlooks the meaning of home for the dying elderly when gendered personal conflicts and tensions have already been part of aging-at-home experience. First, is the poor level of support for aging-at-home, which is likely to be accentuated in end-of-life.