Home, identity, and purpose: End of life narratives from older adults experiencing homelessness

Nanjiba, N., Echavarria, J. P. R., Walsh, J., Mahmood, A., & Canham, S. L. (2026, June). Home, identity, and purpose: End-of-life narratives from older adults experiencing homelessness [virtual poster presentation]. Canadian Psychological Association's 87th Annual National Convention. Montreal, QC, June 4 - 6th, 2026.

Abstract

Older people experiencing homelessness have unique care needs experiencing accelerated ageing, poor health and wellbeing outcomes which is underexplored in the literature. Hence, "end-of-life care in the right place" emphasizes the importance of providing appropriate housing that aligns with individuals' unique needs and lifestyles as they approach the end of their life. This paper aims to understand how the supportive nature of their environment allows participants to navigate identity and purpose in the face of impending death. This study draws on five semi-structured life course and photovoice interviews with older adults experiencing homelessness residing in hospice setting in Vancouver. Using Reflexive Thematic Analysis, three key themes were identified: (1) retaining sense of identity, 2) purpose by giving back, 3) supportive nature of the hospice. The findings highlight the importance of retaining their individuality and sense of self even as their physical conditions declined. Rather than withdrawing or resigning to passivity, many participants gave back to others reflecting Erik Erickson's theory of generativity. By fulfilling Abraham Maslow's hierarchy of needs, the hospice not only creates a space of care but also of identity preservation, legacy creation, and social contribution. The findings challenge common narratives of dying as a time of disconnection.