Medically Timed Death as an Enactment of Good Death: An Ethnographic Study of Three European Intensive Care Units

Omega (Westport). 2020 May;81(1):66-79. doi: 10.1177/0030222818756555. Epub 2018 Feb 5.

Abstract

The article is based on ethnographic observation and semistructured interviews with personnel in three European adult intensive care units. Intensive care is a domain of contemporary biomedicine centered on invasive and intense efforts to save lives in acute, critical conditions. It echoes our culture's values of longevity. Nevertheless, mortality rates are elevated. Many deaths follow from nontreatment decisions. Medicalized dying in technological medical settings are often presented as unnatural, impersonal, and undesirable ways of dying. How does this affect the way in which death is experienced by intensive care professionals? What might the enactment of dying in intensive care reveal about our cultural values of good and bad dying?

Keywords: attitudes; caregivers; culture; death; hospitals.

MeSH terms

  • Anthropology, Cultural
  • Attitude to Death / ethnology*
  • Europe
  • Humans
  • Intensive Care Units
  • Terminal Care*