Relatives’ Lived Experience of Caring for the Terminal Stage of Older Patients to Achieve a Peaceful Death


  • Paungpayom Jullapan Udon Thani Hospital, Thailand
  • Pornpun Manastachakun Boromarajonani College of Nursing Chiang Mai Faculty of nursing, Praboromarajchanok Institute, Thailand
  • Supannee Sudsa Udon Thani Hospital, Thailand


caring, older patient, peaceful death, relative, terminal stage


     Presently, most of Thai older people are suffering from chronic diseases with many health problems associated with aging. This ill-health influences their quality of life which proportionally inverse to the longer average life expectancy, especially in those who face with serious health condition in the last part of their lives.  The families of older patients need to prepare to deal with the dying process. Therefore, healthcare providers should understand the relatives about the care of older patients in the terminal stage of palliative care. This study aimed to describe relatives’ lived experience of caring for the terminal stages of life among older patients to achieve a peaceful death. A phenomenology with Heidegger’s hermeneutic approach was used . A purposive sampling technique was used to recruit 12 relatives who provided care for older patients with serious disease or in an incurable state and received home palliative care.   Data were analyzed using van Manen’s method.  Four structural experiences of the relatives’ lived experience of caring for the terminal stages of older patients to achieve a peaceful death were emerged including 1) Being compensated: rewarding things which are valuable to older patients; 2) Encountering obstacles and solving problem: overcoming the fears; 3) Appreciation of existence: spending quality time together in the last part of life; and 4) Transcending guilt: dealing with loss.  Findings may be useful to develop caring system or guideline for older people in achieving peaceful death at the terminate stage of their life.  Findings should be used to support family members for improving older patients’ quality of life when encountering the terminal stage.


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How to Cite

Jullapan P, Manastachakun P, Sudsa S. Relatives’ Lived Experience of Caring for the Terminal Stage of Older Patients to Achieve a Peaceful Death. JHNR [Internet]. 2020 Nov. 28 [cited 2022 Dec. 5];36(3):33-44. Available from:



Research articles