Choreographing a good death: Carers’ experiences and practices of enacting assisted dying

Author:

Lewis Sophie1ORCID,La Brooy Camille2,Kerridge Ian34,Holmes Alex5,Olver Ian6,Hudson Peter78,Dooley Michael910,Komesaroff Paul2

Affiliation:

1. Sydney School of Health Sciences The University of Sydney Sydney New South Wales Australia

2. Monash University Monash Victoria Australia

3. Sydney Health Ethics University of Sydney Sydney New South Wales Australia

4. Royal North Shore Hospital St Leonards New South Wales Australia

5. Department of Psychiatry University of Melbourne Royal Melbourne Hospital Parkville Victoria Australia

6. School of Psychology University of Adelaide Adelaide South Australia Australia

7. Centre for Palliative Care St Vincent’s Hospital Melbourne Melbourne Victoria Australia

8. School of Health Sciences The University of Melbourne Melbourne Victoria Australia

9. Alfred Health Prahran Victoria Australia

10. Centre for Medicine Use and Safety Monash University Parkville Victoria Australia

Abstract

AbstractThe proliferation of assisted dying legislative reforms globally is a significant change in the social and medico‐legal landscape of end‐of‐life care. Understanding the impacts of these legislative reforms on family members who care for a dying person is vital, yet under‐theorised in research. In this article, drawing on semi‐structured interviews with 42 carers for a person who has sought assisted dying in Australia, and extending ideas of ontological choreography we explore the new and complex choreographies enacted by carers in their endeavour to arrange a ‘good death’ for the dying person. We find that desires to fulfil the dying person’s wishes are often accompanied by normative pressures, affective tensions and complexities in bereavement. Enacting assisted dying requires carers to perform a repertoire of highly‐staged practices. Yet, institutional obstacles and normative cultural scripts of dying can constrain carer assisted dying practices. Understanding the nuances of carers’ experiences and how they navigate this new end‐of‐life landscape, we argue, provides critical insights about how assisted dying legislation is producing new cultural touchpoints for caring at the end of life. Moreover, we show how emerging cultural scripts of assisted dying are impacting in the lives of these carers.

Funder

National Health and Medical Research Council

Publisher

Wiley

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