Article Text

End-of-life needs of lesbian, gay and bisexual older people
  1. Kathryn Almack, Research Fellow
  1. School of Nursing, Sue Ryder Care Centre for Palliative and End of Life Studies, University of Nottingham, Queen’s Medical Centre, Nottingham. Email: k.almack{at}


The experiences and concerns of lesbians, gay and bisexual (LGB) people relating to ageing and palliative and end-of-life care have received scant attention in research literature. There is increasing recognition that health-related policy and practice should address the needs of minority, hard-to-reach and marginalised groups of people. LGB and heterosexual individuals share many concerns relating to end-of-life care, but there are also separate issues specifically related to sexual orientation that need to be addressed. These include experience of discrimination and the lack of care provision that is sensitive to the needs of the LGB community. Recent developments in policy and legislation highlight the need for more widespread recognition of these issues. This article provides a contextual background of the key issues via a review of research and practice-based literature, highlighting the challenges posed for healthcare provision at the end of life. Conflicts of interest: none

  • Discrimination
  • End-of-life care
  • Good practice guidance
  • Heterosexual assumption
  • Lesbian, gay and bisexual elders

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