On April 15, 2018 it was reported by a source close to the Bush family that Barbara was in "failing health". She decided to have only "comfort care", which is placing end-of life patients under comfort care until they die. She chose to be at home with her family rather than go back to the hospital for treatment. She suffered from chronic obstructive pulmonary disease, congestive heart failure (COPD) and Grave's disease. Bush died on April 17, 2018 in Houston of complications from COPD and congestive heart failure at the age of 92. She was buried at the George Bush Presidential Library in College Station, Texas on April 21, 2018.