Joanna Glover

Document Type

Honors Thesis


Some older Americans, especially minorities, will either choose not to receive hospice care or will choose to receive hospice when all other treatment options have been eliminated. Some key points that are possible reasons for underutilization include: late referrals, negative associations of hospice, and cultural or religious beliefs. Qualitative interviews were conducted with 8 primary caregivers who have a loved one receiving hospice care who were either African American or Latinx. Guiding questions were asked to confirm suspected reasons or determine possible additional reasons for underutilization. The common pattern that each primary caregiver presented as a problem is the lack of education and communication about the hospice philosophy and what services are included with hospice. Other problems for underutilization included; generational differences, physicians not discussing hospice with families, and the stigma of dying soon after hospice enrollment.

Publication Date






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