In this paper, I develop a new Japanese end-of-life care culture, based on the relationships among dying people, their families, and caregivers. In the 1980s, public criticism of large-type facilities for elderly people led to the development of "Aging in Place." This concept endeavored to change elderly people from passive into active agents and alleviate the stress caused by relocation and changing caregivers. I examined activities of care workers in Guruntobi, a small-type facility, located in Fujisawa City, Kanagawa Prefecture, Japan, using an ethnographic approach. Guruntobi has adopted room-sharing to help elders cope with dementia. I considered three aspects of elderly people sharing a room during end-of-life care: ambiguity of care, final place choice for end of life, and the significance of place. I utilize the concept of "placeness" insisted by Edward Relph, in designing a new end-of-life care culture in a local urban community in Japan.
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