That's what I am finding out. No, we can't tie up those end of life issues without also attending to impression management. Yes, it is possible to get kicked out the nursing home for developing a lousy image. That could be the new version of homelessness.
A former neighbor who had been a true gentleman and a non-whiner has proved to a burden to his family. Already he has been shipped out of one nursing home for handling himself badly with staff. The powers that be in the second one warned the family that unless he comports himself differently they have to terminate his stay there too. Among other things he uses foul language and refuses to comply with the rules.
As we Baby Boomers age, we should get it that unless we maintain high EI (Emotional Intelligence) we aren't going to go gently into the night in a clean, well-lighted place.