Dying At Home In Chiang Mai in Chiang Mai Forum Posted December 23, 2018 On February 21, 2018 at 4:32 AM, NancyL said: End-of-life care is available at McKean Rehabilitation Center in Chiang Mai. They don't call what they do "hospice" since that has a specific meaning. Instead, they work with the patient, the family and the attending physician of the patient to fulfill the patient's desires about end-of-life care. This is why it's important to have an Advance Directive, i.e. Living Will that spells out what decisions you'd like to be made on your behalf about care and medical procedures if you can't make decisions yourself. In general, Thai hospitals will do everything possible to keep a patient alive as long as possible (regardless of ability to pay). This includes elderly people, stroke victims, people with dementia, etc. They use CPR, ventilators, drugs to fight infection, drugs to raise falling blood pressure, feeding tubes, kidney dialysis, etc to keep someone alive even when it's evident they will never again enjoy life, or actually even have a clue they're alive. Meanwhile, the person is in an ICU unit that's like being inside a pinball machine, surrounding by whirling, noisy, pinging machines in a well-lit room, with people talking and moving around. At McKean, a dying person is in quiet private room, with minimal intrusion, no invasive medical treatment and kept comfortable with medications to control pain and anxiety. Their mouth is kept moist with gentle swabs, but at end-of-life, it's not appropriate to use a feeding tube or IV with someone whose internal organs are shutting down. The staff knows how to read the body language of someone to keep them in a comfortable position and certainly, they're kept clean and in a room that is cheery and at an appropriate temperature. I don't want to die inside or with others around. Is it possible to state in the will to be at Mckean and in the final days be left in the forest at a specific spot selected beforehand?