{ "schema_version": "uw.editorial_geo.v1", "article_index": "AGE-136", "catalog_id": "AGE-136", "language": "en", "headline": "Where to receive care near the end of life: wishes and actual conditions", "description": "Discussing end-of-life care settings while retaining the person’s preferences and distinguishing confirmed conditions, resources and transitions.", "master_filename": "ARTICLE_EN.md", "master_revision": "staging-r1-20261019", "master_sha256": "8354bdf3e076529a8b300ed06b9e5f41381adfd5473d2c27b54ab70072eceb5b", "short_answer": "Clarify the preferred place and what matters there, then discuss needs and actual conditions separately with competent participants. A wish, service contact, request, confirmation and care begun are different events. Family capacity does not measure love; home, hospital and hospice do not define dignity. This article selects no setting and authorises no independent transfer or prescription change. Do not withhold care, food or relief to preserve an address. Current urgent help does not await an ideal place, paperwork or family unanimity.", "claims": [ { "id": "C01", "type": "author_preference_clarification", "text": "Clarifying a preferred place preserves both a literal wish and the person’s concrete priorities.", "source_ids": [ "L1" ], "article_sections": [ "I. What does the preferred place mean?" ], "limitations": "Fictional Sophia/Ilya, no individualassessment/substitutionwithpsychologicalinterpretation or promise of everywishfulfilled." }, { "id": "C02", "type": "author_actual_plan_distinctions", "text": "A preference, proposed option, request and assistance actually secured differ.", "source_ids": [ "L1", "L2" ], "article_sections": [ "II. A preference, proposal and secured plan differ", "III. Assistance depends on conditions as well as a name" ], "limitations": "No homeassessment/form/validdirective/allservices/nightteam/access/freecare guarantee; equipment nottraining, NHSUKcontext not worldwide." }, { "id": "C03", "type": "author_family_and_setting_reasoning", "text": "Family limits and resources are not measures of love or human worth; an address alone establishes no care quality.", "source_ids": [ "L1", "L2" ], "article_sections": [ "IV. Family capacity is no measure of love", "V. Hospital and hospice are not verdicts on a family" ], "limitations": "No endlessduty/dangerousgap permission/settingchoice/familypressure or food/care/treatment/relief withdrawal for convenientagreement." }, { "id": "C04", "type": "author_transition_boundary", "text": "Clarify a transition and readiness to receive professionally; current urgent help does not await an ideal address.", "source_ids": [ "L1", "L2" ], "article_sections": [ "VI. A transition is more than one message" ], "limitations": "No independenttransport/travelassessment/selfprescriptionchange/safepause/homeurgencysigns/authority from kinship, payment, age or diagnosis; information not allaccess/absolute secrecy." }, { "id": "C05", "type": "author_changed_preferences_and_limits", "text": "A changed preference does not prove inability; editing a note alone does not change a formal plan.", "source_ids": [ "L1", "L2" ], "article_sections": [ "VII. Preferences can change without a consistency examination", "IX. A constrained decision remains human" ], "limitations": "No householdcapacitytest/votereplacingperson/guaranteed reversibility, interpreter or mediator; constraints neitherautomaticblame nor exoneration, actualerrors requirefacts." }, { "id": "C06", "type": "bounded_religious_philosophical_comparison", "text": "The Samaritan parable and Marcus Aurelius retain different grounds while prompting resistance to deriving human worth from an address.", "source_ids": [ "L3", "L4" ], "article_sections": [ "VIII. Place in a parable and in Stoic reflection" ], "limitations": "No unifieddoctrine/ancienthospice/clinicalprotocol/oilwineprocedure/financialcontract/allsettingsclinicallyequal/rationalitydignitytest/endurance of inadequatecare." } ], "questions": [ { "question": "Does wanting home make another setting a betrayal?", "answer": "The article draws no such conclusion. Clarify the wish and actual conditions without judging love through an address. An unavailable preference remains significant; no setting is chosen here.", "claim_ids": [ "C01", "C03" ], "article_sections": [ "I. What does the preferred place mean?", "IV. Family capacity is no measure of love", "V. Hospital and hospice are not verdicts on a family" ] }, { "question": "Is a referral or service number enough?", "answer": "Contact, request, confirmation and assistance begun differ. Clarify what is actually accepted and what remains open without promising every service.", "claim_ids": [ "C02" ], "article_sections": [ "II. A preference, proposal and secured plan differ", "III. Assistance depends on conditions as well as a name" ] }, { "question": "Can urgent help wait for the ideal place?", "answer": "Current urgent help does not await an ideal address, documents or family unanimity. The article prescribes no safe pause, authorises no independent move and replaces no professional plan.", "claim_ids": [ "C04" ], "article_sections": [ "VI. A transition is more than one message" ] } ], "sources": [ { "id": "L1", "title": "NHS — End of life care at home", "url": "https://www.nhs.uk/tests-and-treatments/end-of-life-care/where-you-can-have-care/care-at-home/", "edition": "Reviewed2024-08-22,next2027-08-22", "read_scope": "Fullmain14–49/version53–54 actuallyread after combinedoutputtruncation; linkedphysicalcare/assessmentguides notread/applied", "role": "Home versus actually available support, not UKGP/globalaccess/wholeteam/nightservice/freecare/clinicalhomechecklist or transferinstructions", "rights_status": "UNKNOWN", "read_date": "2026-10-19", "search_executor": "Codex web.run / branch F author", "rights_notes": "Minimal attributed quotes/original commentary, ownRU/THhistoricaltranslations; no wholetext/form/image copying or globalpermission; RESEARCH.md" }, { "id": "L2", "title": "NHS — Hospice care", "url": "https://www.nhs.uk/tests-and-treatments/end-of-life-care/where-you-can-have-care/hospice-care/", "edition": "Reviewed2026-02-26,next2029-02-26", "read_scope": "Fullmain14–59/version63–64 read after combinedoutputtruncation; selected22–28/32/46/49, linkedguides notapplied", "role": "Care not limited to a building, formats/services/access vary; no globalfunding/allservices/admissionguarantee/clinicaleligibility or treatmentcessation rule", "rights_status": "UNKNOWN", "read_date": "2026-10-19", "search_executor": "Codex web.run / branch F author", "rights_notes": "Minimal attributed quotes/original commentary, ownRU/THhistoricaltranslations; no wholetext/form/image copying or globalpermission; RESEARCH.md" }, { "id": "L3", "title": "Luke10:25–37 — King James Version", "url": "https://www.biblegateway.com/passage/?search=Luke+10%3A25-37&version=KJV", "edition": "KJV, hostPD not worldwidefinding", "read_scope": "Entireselected13verses49–70/header45,76/PD78 read, main33–35; notwholechapter/Greek, eBible inaccessible", "role": "Religiousneighbourliness/mercy and continuedhelp throughinnkeeper, no ancienthospiceproof/medicaltransport/oilwineprocedure/unlimitedfinancialduty or bypassingagreement", "rights_status": "HOST_PD_NOT_GLOBAL_RIGHTS_FINDING", "read_date": "2026-10-19", "search_executor": "Codex web.run / branch F author", "rights_notes": "Minimal attributed quotes/original commentary, ownRU/THhistoricaltranslations; no wholetext/form/image copying or globalpermission; RESEARCH.md" }, { "id": "L4", "title": "Marcus Aurelius — Meditations, Book Five, George Long", "url": "https://classics.mit.edu/Antoninus/meditations.5.five.html", "edition": "HeaderLong18–24; exactprint/digitalupdatedate unknown, sitecopyright not editiondate", "read_scope": "Entire displayedBookV26–93read, selected63–65 beginningSuchasarethyhabitualthoughts, conventionalV16 buthostunnumbered; notwholework/Greek or Casaubonversion", "role": "Ethicallivingwell distinct from clinicalsuitability/allsettingsequal/patientblame/fateendurance/capacitydignitytest; V1exhaustion/V8fate/V29departure not advice", "rights_status": "GLOBAL_AND_DIGITAL_EDITION_STATUS_NOT_ASSESSED", "read_date": "2026-10-19", "search_executor": "Codex web.run / branch F author", "rights_notes": "Minimal attributed quotes/original commentary, ownRU/THhistoricaltranslations; no wholetext/form/image copying or globalpermission; RESEARCH.md" } ], "retrieval_limits": [ "Fictional scene, no individual clinical/housing/legal assessment or setting selection.", "Preference/discussion/referral/confirmation/assistanceactuallybegun are different states.", "No household safetychecklist/transport/method/timing/feeding/dosing/independent prescriptionchange.", "Current urgent help does not await idealplace/paperwork/family; no safe pause prescribed.", "No food/care/treatment/relief withdrawal for an address, convenientagreement or proof of love.", "NHSUKcontext is no worldwideentitlement/payment/access; no guarantee of place, nightservice, equipment, skills, allservices or reversibletransfer.", "Age/diagnosis/disagreement/payment/kinship grant no universal authority; no householdcapacitytest/absolute secrecy/allaccess todata.", "Helperlimit neithererasesneed nor clinicalverdict/endlessduty/dangerousgap permission; resources do not define worth.", "A changed preference/note establishes no automatic formaldecision change; no guaranteed interpreter/mediator/unanimity.", "Luke provides no transport/oilwine/fundingprotocol; MarcusVLong does not establish allsettingsclinicallyequal/patientblame/exhaustion/fatalism/selfharm or dignity through rationality." ], "schema_org": { "@context": "https://schema.org", "@type": "Article", "identifier": "UW:AGE-136:en", "headline": "Where to receive care near the end of life: wishes and actual conditions", "inLanguage": "en", "author": [ { "@type": "Person", "name": "Andrey Zarinsh" }, { "@type": "Person", "name": "Maria Evilkut" } ] }, "production_acceptance": "NOT_RUN", "production_machine_publisher_compatibility": "NOT_RUN" }