Skip to main content
SpringerLink
Log in

Blurring Boundaries at the End of Life in Home Care: A Look at Germany, Switzerland and the United Kingdom in the Light of Care Ethics

  • Chapter
  • First Online:
Ethical Challenges for Healthcare Practices at the End of Life: Interdisciplinary Perspectives

Part of the book series: Philosophy and Medicine ((PHME,volume 141))

  • 245 Accesses

Abstract

This chapter discusses blurred boundaries in home care at the end of life. Firstly, an overview of support structures for informal caregivers, i.e. family and friends, in Germany, Switzerland and the United Kingdom is provided. From the perspective of Care Ethics, three blurred boundaries are identified: 1. between being an informal caregiver and a non-caregiving close person, 2. between formal/professional and informal caregivers, and 3. between caring for others and self-care. The first blurred boundary relating to the role of the informal caregiver is especially crucial in dementia. With a slow progression, the line between being primarily a relative and being an informal caregiver becomes blurred. Formal and informal care in the Swiss case is blurred due to the employment of informal caregivers. The last blurred boundary lies within the informal caregivers themselves: being continuous caregivers, they are sometimes in need of care themselves. Based on that, a discussion of possible modes of support is provided: awareness promotion, supportive structures and an attitude of Care Ethics, which includes trust and responsiveness in relationships. The change from dyadic care relationships to care networks is encouraged.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 79.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Notes

  1. 1.

    See also Dunger et al. and Seidlein et al. in this volume.

  2. 2.

    E.g. https://www.wegweiser-demenz.de/allianz-fuer-menschen-mit-demenz/die-allianz/nationale-demenzstrategie.html (accessed 18 July 2019).

  3. 3.

    For the political controversies in the Swiss town of Uster, see https://www.sp-uster.ch/vorstoesse-details/189.html (accessed 27 September 2019).

  4. 4.

    The foundation of the first German day care hospice was laid on 1 November 2018: https://www.presseportal.de/pm/103154/4100872 (accessed 27 September 2019).

References

  • Asadi-Lari, Mohsen, Chris Packham, and David Gray. 2003. Need for redefining needs. Health and Quality of Life Outcomes 1: 34.

    Article  Google Scholar 

  • Barbosa, Fatima, Gina Voss, and Alice Delerue Matos. 2020. Health impact of providing informal care in Portugal. BMC Geriatrics 20: 440.

    Article  Google Scholar 

  • Blaser, C. Jean. 2001. The case against paid family caregivers: Ethical and practical issues. In Ethics in community-based elder care, ed. Martha B. Holstein and Phyllis B. Mitzen, 278–285. New York: Springer.

    Google Scholar 

  • Bruker, Christine, and Thomas Klie. 2017. Mixturen der Sorge. Engagement und Subsidiarität in Palliative Care. Praxis PalliativeCare 36: 22–27.

    Google Scholar 

  • Bundesrat. 2014. Unterstützung für betreuende und pflegende Angehörige. Situationsanalyse und Handlungsbedarf für die Schweiz. Bericht des Bundesrates. Bern. https://www.bag.admin.ch/dam/bag/de/dokumente/nat-gesundheitspolitik/aktionsplan_pfleg_angehoerige/bericht_des_br_angehoerige.pdf.download.pdf/bericht_des_br_zur_angehoerigenpflege_de.pdf. Accessed 27 Sept 2019.

  • Calzada, Ines, and Clem Brooks. 2013. The myth of Mediterranean Familism: Family values, family structure and public preferences for state intervention in care. European Societies 15 (4): 514–534.

    Article  Google Scholar 

  • Carers UK. 2018. State of caring 2018. https://www.carersuk.org/for-professionals/policy/policy-library?task=download&file=policy_file&id=6503. Accessed 27 Sept 2019.

  • COFACE Disability. 2017. European charter for family carers. http://www.coface-eu.org/wp-content/uploads/2016/12/European-Charter-for-Family-Carers.pdf. Accessed 26 Sept 2019.

  • Colombo, Francesca, Ana Llena-Nozal, Jérôme Mercier, and Frits Tjadens. 2011. Help wanted? Providing and paying for long-term care, OECD Health Policy Studies. Paris: OECD Publishing.

    Book  Google Scholar 

  • Crotty, Bradley H., Jan Walker, Meghan Dierks, Lewis Lipsitz, Jacqueline O’Brien, Shira Fischer, Warner V. Slack, and Charles Safran. 2015. Information sharing preferences of older patients and their families. JAMA Internal Medicine 175: 1492–1497.

    Article  Google Scholar 

  • Daatland, Svein O., and Katharina Herlofson. 2003. ‘Lost solidarity’ or ‘changed solidarity’: A comparative European view of normative family solidarity. Ageing and Society 23: 537–560.

    Article  Google Scholar 

  • Destatis. 2018. Datenreport 2018 – Kapitel 8: Gesundheit und soziale Sicherung. https://www.destatis.de/DE/Service/Statistik-Campus/Datenreport/Downloads/datenreport-2018-kap-8.html. Accessed 24 July 2019.

  • Deutsche Alzheimer Gesellschaft e. V. 2016. Zahlen zu Häufigkeit, Pflegebedarf und Versorgung Demenzkranker in Deutschland. https://www.deutsche-alzheimer.de/uploads/media/infoblatt1_haeufigkeit_demenzerkrankungen_dalzg_01.pdf. Accessed 27 Sept 2019.

  • DGPPN, & DGN. 2016. S3-Leitlinie “Demenzen”. Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (DGPPN), Deutsche Gesellschaft für Neurologie (DGN) and Deutsche Alzheimer Gesellschaft e.V.—Selbsthilfe Demenz. https://www.awmf.org/uploads/tx_szleitlinien/038-013l_S3-Demenzen-2016-07.pdf. Accessed 26 Sept 2019.

  • DHSC. 2009. Living well with dementia – A national dementia strategy. Department of Health and Social Care. https://www.gov.uk/government/publications/living-well-with-dementia-a-national-dementia-strategy. Accessed 27 Sept 2019.

  • DZA. 2019. Nationale Demenzstrategie. Deutsches Zentrum für Altersfragen. https://www.nationale-demenzstrategie.de/. Accessed 27 Sept 2019.

  • Eichner, Maxine. 2015. The supportive state. In Care ethics and political theory, ed. Daniel Engster and Maurice Hamington, 86–107. Oxford: Oxford University Press.

    Chapter  Google Scholar 

  • Engel, Sabine. 2007. Belastungserleben bei Angehörigen Demenzkranker aufgrund von Kommunikationsstörungen. Erlanger Beiträge zur Gerontologie. Berlin: Lit Verlag.

    Google Scholar 

  • Engster, Daniel, and Maurice Hamington. 2015. Introduction. In Care ethics and political theory, ed. Daniel Engster and Maurice Hamington, 1–16. Oxford: Oxford University Press.

    Chapter  Google Scholar 

  • Esping-Andersen, Gøsta. 1990. The three worlds of welfare capitalism. Princeton, NJ: Princeton University Press.

    Google Scholar 

  • Feinberg, Lynn, Susan C. Reinhard, Ari Houser, and Rita Choula. 2011. Valuing the invaluable: 2011 update, the growing contributions and costs of family caregiving. Washington, DC: AARP Public Policy Institute.

    Google Scholar 

  • Genet, Nadine, Wienke Boerma, Madelon Kroneman, Allen Hutchinson, and Richard B. Saltman. 2012. Home care across Europe. Current structure and future challenges (Observatory studies series No. 27). WHO Europe.

    Google Scholar 

  • Gräβel, Elmar, and Raffaela Addabo. 2012. Belastung pflegender Angehöriger. In Expertisen zum Achten Familienbericht “Zeit für Familie”, ed. Fabienne Becker-Stoll, Hans-Peter Klös, Helmut Rainer, and Gregor Thüsing, 283–311. München: ifo Inst.

    Google Scholar 

  • Heller, Andreas, and Patrick Schuchter. 2018. Sorge im Alltag. Eine Vielfalt von Beziehungen schaffen ein Sorge-Netz, das den Alltag sichert. Praxis PalliativeCare 38: 22–25.

    Google Scholar 

  • Hetue Hill, Sarah E. 2019. Care of the family and social aspects of care. In Palliative care and catholic health care, ed. Peter J. Cataldo and Dan O’Brien, 119–137. Cham: Springer.

    Chapter  Google Scholar 

  • Higginson, Irene. 1993. Palliative care: A review of past changes and future trends. Journal of Public Health Medicine 15: 3–8.

    Article  Google Scholar 

  • Hochschild, Arlie R. 2013. So how’s the family? Berkeley: University of California Press.

    Book  Google Scholar 

  • Houses of Parliament. 2018. Unpaid care. Postnote Number 582, July 2018. https://researchbriefings.parliament.uk/ResearchBriefing/Summary/POST-PN-0582. Accessed 12 Feb 2020.

  • Ismail, Z., H. Elbayoumi, C.E. Fischer, D.B. Hogan, C.P. Millikin, T. Schweizer, M.E. Mortby, E.E. Smith, S.B. Patten, and K.M. Fiest. 2017. Prevalence of depression in patients with mild cognitive impairment: A systematic review and meta-analysis. JAMA Psychiatry 74: 58–67.

    Article  Google Scholar 

  • Jacobs, Marianne T., Marjolein I. van Broese Groenou, Alice H. de Boer, and Dorly J.H. Deeg. 2014. Individual determinants of task division in older adults’ mixed care networks. Health & Social Care in the Community 22: 57–66.

    Article  Google Scholar 

  • Kaiser, Mara, Helen Kohlen, and Vera Caine. 2019. Explorations of disgust: A narrative inquiry into the experiences of nurses working in palliative care. Nursing Inquiry: e12290. https://doi.org/10.1111/nin.12290.

  • Kittay, Eva F. 2001. When caring is just and justice is caring: Justice and mental retardation. Public Culture 13: 557–579.

    Article  Google Scholar 

  • Klie, Thomas. 2017. Pflegereport 2017. Gutes Leben mit Demenz: Daten, Erfahrungen und Praxis. Heidelberg: Medhochzwei Verlag GmbH.

    Google Scholar 

  • Kohlen, Helen. 2016. Sorge als Arbeit und Ethik der Sorge. Verbindungslinien zwischen beiden wissenschaftlichen Diskursen. In Praxis der Achtsamkeit. Schlüsselbegriffe der Care-Ethik, ed. Elisabeth Conradi and Frans Vosman, 193–225. Frankfurt/New York: Campus.

    Google Scholar 

  • ———. 2018. Geschlechtergerechte Sorgearbeit im Horizont der Care-Ethik. In Geschlecht und Gesundheit. Gesundheitsforschung. Interdisziplinäre Perspektiven, ed. Ann K. Augst, Ulrich M. Gassner, Julia Hayek, Alexandra Manzei, and Florian Steger, 1st ed., 253–284. Baden-Baden: Nomos.

    Google Scholar 

  • Koukouli, Sofia, Argyroula E. Kalaitzaki, Symeon Panagiotakis, Georgios Markakis, Perla Werner, and Chariklia Tziraki. 2020. Factors associated with the perception of services by dementia informal caregivers in Greece: The role of familism. Aging & Mental Health. https://doi.org/10.1080/13607863.2020.1857694.

  • Kruse, Andreas. 2016. Selbst und Selbstaktualisierung. In Demenz und Palliative Geriatrie in der Praxis. Heilsame Betreuung unheilbar demenzkranker Menschen, ed. Marina Kojer and Martina Schmidl, 2nd ed., 263–274. Wien: Springer.

    Chapter  Google Scholar 

  • ———. 2017. Lebensphase hohes Alter: Verletzlichkeit und Reife. Berlin: Springer.

    Book  Google Scholar 

  • Künemund, Harald, and Martin Rein. 1999. There is more to receiving than needing: Theoretical arguments and empirical explorations of crowding in and crowding out. Ageing and Society 19: 93–121.

    Article  Google Scholar 

  • Kurz, Alexander, Hans-Jürgen Freter, Susanna Saxl, and Ellen Nickel. 2017. Demenz. Das Wichtigste: Ein kompakter Ratgeber. Ratgeber für Angehörige und Profis. https://www.deutsche-alzheimer.de/fileadmin/alz/broschueren/das_wichtigste_ueber_alzheimer_und_demenzen.pdf. Accessed 26 Sept 2019.

  • LaVela, Sherri L., Stephanie Turcios, Alex Malhiot, Bella Etingen, Jennifer N. Hill, and Scott Miskevics. 2016. Do perceptions of family-centered care differ in older and younger family/caregivers of U.S. veterans? Families, Systems & Health 34: 136–149.

    Article  Google Scholar 

  • Lawson, Ian R. 1987. Elderly dependency and systems failure: Obstacles to a prosthetic society. In Ethical dimensions of geriatric care, ed. Stuart F. Spicker, Stanley R. Ingman, and Ian R. Lawson, 273–290. Dordrecht: Springer.

    Chapter  Google Scholar 

  • Lawton, Julia. 1998. Contemporary hospice care: The sequestration of the unbounded body and ‘dirty dying’. Sociology of Health & Illness 20 (2): 121–143. https://doi.org/10.1111/1467-9566.00094.

  • Leget, Carlo, and Helen Kohlen. 2020. End of life: Care ethical perspectives. In Contemporary European perspectives on the ethics of end of life care, ed. Nathan Emmerich, Bert Gordijn, Pierre Mallia, and Francesca Pistoia. Cham: Springer.

    Google Scholar 

  • Lund, Dale A., Rebecca L. Utz, Michael S. Caserta, Scott D. Wright, Sarah M. Llanque, Chris Lindfelt, Herb Shon, Carol J. Whitlatch, and Julian Montoro-Rodriguez. 2014. Time for living and caring: an intervention to make respite more effective for caregivers. International Journal of Aging & Human Development 79: 157–178.

    Article  Google Scholar 

  • Martin-Matthews, Anne, and Judith E. Phillips, eds. 2008. Aging and caring at the intersection of work and home life. Blurring the boundaries. New York/London: Taylor & Francis Group.

    Google Scholar 

  • McDonald, Janet, Eileen McKinlay, Sally Keeling, and William Levack. 2017. Complex home care: Challenges arising from the blurring of boundaries between family and professional care. Kōtuitui: New Zealand Journal of Social Sciences Online 12: 246–255.

    Google Scholar 

  • McParland, Particia, Fiona Kelly, and Anthea Innes. 2017. Dichotomising dementia: Is there another way? Sociology of Health & Illness 39: 258–269.

    Article  Google Scholar 

  • Meier, Denise, Doris Ermini-Fünfschilling, Andreas U. Monsch, and Hannes B. Strähelin. 1999. Pflegende Familienangehörige von Demenzpatienten. Ihre Belastungen und ihre Bedürfnisse. Zeitschrift für Gerontopsychologie & -Psychiatrie 12: 85–96.

    Article  Google Scholar 

  • Meyer, Martha 2005. Pflegende Angehörige in Deutschland: Überblick über den derzeitigen Stand und zukünftige Entwicklungen. Institut für Medizin-Soziologie im Universitätsklinikum Hamburg-Eppendorf. http://www.uke.de/extern/eurofamcare/documents/nabares/nabare_germany_de_final_a4.pdf. Accessed 26 Sept 2019.

  • Michoń, Piotr. 2008. Familisation and defamilisation policy in 22 European countries. Poznan University of Economics Review 8 (1).

    Google Scholar 

  • Miller, Benjamin. 2016. Theorizing legal needs: Towards a caring legal system. Dissertation, Université d’Ottawa/University of Ottawa, Canada. https://www.researchgate.net/publication/308593953_Theorizing_Legal_Needs_Towards_a_Caring_Legal_System. Accessed 12 Feb 2020.

  • Motel-Klingebiel, Andreas, and Clemens Tesch-Römer. 2006. Familie im Wohlfahrtsstaat-zwischen Verdrängung und gemischter Verantwortung. Zeitschrift für Familienforschung 18: 290–314.

    Google Scholar 

  • Motel-Klingebiel, Andreas, Clemens Tesch-Römer, and Hans-Joachim Kondratowitz. 2005. Welfare states do not crowd out of the family: Evidence for mixed responsibility from comparative analyses. Ageing and Society 25: 863–882.

    Article  Google Scholar 

  • Müller, Irene, Mertin Matthias, J. Beier, and C. Them. 2008. Die häusliche Betreuung demenzkranker Menschen und ihre Auswirkungen auf pflegende Angehörige—eine Literaturübersicht. Österreichische Pflege-Zeitschrift 61: 8–12.

    Google Scholar 

  • OECD. 2017. Informal carers. In Health at a glance 2017, ed. Organisation for Economic Co-operation and Development, 208–209. Paris: OECD.

    Chapter  Google Scholar 

  • Pinquart, Martin, and Silvia Sörensen. 2002. Interventionseffekte auf Pflegende Dementer und andere informelle Helfer: Eine Metaanalyse. Zeitschrift für Gerontopsychologie & –psychiatrie 15: 85–100.

    Article  Google Scholar 

  • Plöthner, Marika, K. Schmidt, Lea de Jong, Jan Zeidler, and Kathrin Damm. 2019. Needs and preferences of informal caregivers regarding outpatient care for the elderly: A systematic literature review. BMC Geriatrics 19: 82.

    Article  Google Scholar 

  • Prince, Martin, Martin Knapp, Maëlenn Guerchet, Paul McCrone, Matthew Prina, Adelina Comas-Herrera, Raphael Wittenberg et al. 2014. Dementia UK. Second Edition—Overview. Alzheimer’s Society. http://eprints.lse.ac.uk/59437/1/Dementia_UK_Second_edition_-_Overview.pdf. Accessed 27 Sept 2019.

  • Sander-Staudt, Maureen. 2019. Care ethics. Internet Encyclopedia of Philosophy. https://www.iep.utm.edu/care-eth/#H2. Accessed 26 September 2019.

  • Schäufele, Martina, L. Köhler, S. Lode, and S. Weyerer. 2007. Welche Faktoren sind mit subjektiver Belastung und Depressivität bei Pflegepersonen kognitiv beeinträchtigter älterer Menschen assoziiert? Ergebnisse einer repräsentativen Studie in Deutschland. Zeitschrift für Gerontopsychologie & -Psychiatrie 4: 197–210.

    Article  Google Scholar 

  • Schwarzenbach, Sibyl A. 1996. On civic friendship. Ethics 107: 97–128.

    Article  Google Scholar 

  • Schwenk, Gertrud. 2017. Pflegeheim und Hospizdienst: Kooperation in Spannungsfeldern. Zusammenwirken zweier Organisationstypen—eine qualitative Studie. Esslingen: der hospiz verlag.

    Google Scholar 

  • Seidl, Elisabeth, and Sigrid Labenbacher. 2007. Pflegende Angehörige im Mittelpunkt. Wien: Böhlau.

    Google Scholar 

  • Sévigny, Andrée, Serge Dumont, Robin S. Cohen, and Annie Frappier. 2010. Helping them live until they die: Volunteer practices in palliative home care. Nonprofit and Voluntary Sector Quarterly 39: 734–752.

    Article  Google Scholar 

  • Stacey, Clare L., and L.L. Ayers. 2012. Caught between love and money: The experiences of paid family caregivers. Qualitative Sociology 35: 47–64.

    Article  Google Scholar 

  • Statista. 2019. Statistiken zum Thema Demenz weltweit. https://de.statista.com/themen/2032/demenzerkrankungen-weltweit/. Accessed 4 Sept 2019.

  • Stensöta, Helena O. 2010. The conditions of care: Reframing the debate about public sector ethic. Public Administration Review 70: 295–303.

    Article  Google Scholar 

  • Stolee, Paul, C. Christine Zaza, and Michael T. Sharratt. 2014. Later life care planning conversations for older adults and families. Journal of Applied Gerontology 33: 710–736.

    Article  Google Scholar 

  • Szelewa, Dorota, and Michael P. Polakowski. 2008. Who cares? Changing patterns of childcare in Central and Eastern Europe. Journal of European Social Policy 18 (2): 115–131.

    Article  Google Scholar 

  • ter Meulen, Ruud, and Jan van der Made. 2000. The extent and limits of solidarity in Dutch health care. International Journal of Social Welfare 9: 250–260.

    Article  Google Scholar 

  • Tronto, Joan. 2010. Creating caring institutions: Politics, plurality, and purpose. Ethics and Social Welfare 4: 158–171.

    Article  Google Scholar 

  • Twigg, Julia. 1989. Models of carers: how do social care agencies conceptualise their relationship with informal carers? Journal of Social Policy 18: 53–66.

    Article  Google Scholar 

  • United Nations. 2019. World population prospects 2019: Ten key findings. https://population.un.org/wpp/Publications/Files/WPP2019_10KeyFindings.pdf. Accessed 10 Dec 2019.

  • van Kempen, Janneke A.L., Sarah H.M. Robben, Sytse U. Zuidema, Marcel G.M. Olde Rikkert, René J.F. Melis, and Henk J. Schers. 2012. Home visits for frail older people: A qualitative study on the needs and preferences of frail older people and their informal caregivers. British Journal of General Practice 62: 554–560.

    Article  Google Scholar 

  • Varik, Merel, Marju Medar, and Kai Saks. 2020. Informal caregivers’ experiences of caring for persons with dementia in Estonia: A narrative study. Health and Social Care in the Community 28 (2): 448–455.

    Article  Google Scholar 

  • Vasileiou, Konstantina, Julie Barnett, Manuela Barreto, John Vines, Mark Atkinson, Shaun Lawson, and Michael Wilson. 2017. Experiences of loneliness associated with being an informal caregiver: A qualitative investigation. Frontiers in Psychology 8: 585.

    Article  Google Scholar 

  • Von Ballmoos, Christoph, and B. Despland. 2010. Pflegende Angehörige und Krankenversicherung (KVG): Voraussetzung und Modalitäten der Vergütung von Pflegeleistungen. Wissenschaftlicher Bericht.

    Google Scholar 

  • Ward-Griffin, Catherine, Judith B. Brown, Oona St-Amant, Nisha Sutherland, Anne Martin-Matthews, Janice Keefe, and Mickey Kerr. 2015. Nurses negotiating professional-familial care boundaries: Striving for balance within double duty caregiving. Journal of Family Nursing 21: 57–85.

    Article  Google Scholar 

  • Werhane, Patricia H. 2003. Business ethics, organization ethics and systems ethics for health care. In Institutional integrity in health care, ed. A.S. Iltis, 73–98. Dordrecht: Springer.

    Chapter  Google Scholar 

  • Wilz, Gabriele, C. Adler, T. Gunzelmann, and E. Brähler. 1999. Auswirkungen chronischer Belastungen auf die physische und psychische Befindlichkeit. Zeitschrift für Gerontologie und Geriatrie 32: 255–265.

    Article  Google Scholar 

  • Wilz, Gabriele, C. Adler, and T. Gunzelmann. 2001. Gruppenarbeit mit Angehörigen von Demenzkranken: Therapeutische Praxis. Göttingen: Hogrefe.

    Google Scholar 

  • Work and Pensions Committee. 2018. Employment support for carers. Thirteenth report of session 2017–19. House of Commons. https://publications.parliament.uk/pa/cm201719/cmselect/cmworpen/581/581.pdf. Accessed 27 Sept 2019.

  • Wright, John, Rhys Williams, and John R. Wilkinson. 1998. Development and importance of health needs assessment. BMJ 316: 1310–1313.

    Article  Google Scholar 

  • Wulff, Joseba, Agneta Malmgren Fänge, Connie Lethin, and Carlos Chiatti. 2020. Self-reported symptoms of depression and anxiety among informal caregivers of persons with dementia: A cross-sectional comparative study between Sweden and Italy. BMC Health Services Research 20: 1114.

    Article  Google Scholar 

  • Zigante, Valentina. 2018. Informal care in Europe. Exploring formalisation, availability and quality. Luxembourg: European Commission.

    Google Scholar 

Download references

Author information

Author notes

  1. Mara Kaiser, Eva Kuhn, Christopher Poppe and Henrike Voss contributed equally to this chapter.

Authors and Affiliations

  1. Philosophical-Theological University of Vallendar (PTHV), Vallendar, Germany

    Mara Kaiser

  2. Section Global Health, Institute for Hygiene and Public Health, University Hospital Bonn, Bonn, Germany

    Eva Kuhn

  3. Institute for Biomedical Ethics, University of Basel, Basel, Switzerland

    Christopher Poppe

  4. Institute of Gerontology, Heidelberg University, Heidelberg, Germany

    Henrike Voß

Authors
  1. Mara Kaiser
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Eva Kuhn
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Christopher Poppe
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Henrike Voß
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Christopher Poppe .

Editor information

Editors and Affiliations

  1. Institute of Ethics and History of Medicine, University Medicine Greifswald, Greifswald, Germany

    Anna-Henrikje Seidlein

  2. Institute of Ethics, History and Philosophy of Medicine, Hannover Medical School, Hannover, Germany

    Sabine Salloch

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Kaiser, M., Kuhn, E., Poppe, C., Voß, H. (2022). Blurring Boundaries at the End of Life in Home Care: A Look at Germany, Switzerland and the United Kingdom in the Light of Care Ethics. In: Seidlein, AH., Salloch, S. (eds) Ethical Challenges for Healthcare Practices at the End of Life: Interdisciplinary Perspectives. Philosophy and Medicine, vol 141. Springer, Cham. https://doi.org/10.1007/978-3-030-83186-8_9

Download citation

Publish with us

Policies and ethics

Search

Navigation