SubmissionId 60867

Accepted Type
Facilitated and Dedicated Poster

Code
LP8 - 02

Acceptance Declaration
Accept

Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.

Was this work accepted for CCME 2020?
yes

Category
General Call (Workshop, Oral Presentation, Poster Presentation)

Type
Oral

Sub Type
Education Research

Will the presenter be a:
Fellow

Affiliation

Considered for Poster
yes

Title
Quality of life in hospice: Interactions among temporal, occupational, and relational dimensions

Length of Presentation

Background/Purpose
Temporality, occupation, and relationships are identified as discrete factors impacting quality of life for individuals at the end of life (EoL) and families; however, educators and practitioners require insight regarding whether their interaction shapes quality of life for these people. This study is framed by an understanding that meaning is negotiated between people through social interaction and occupational engagement in temporal contexts.

Methods
We conducted in-depth interviews with 9 patients and 10 family members followed by an iterative analysis process involving open, axial and selective coding.

Results
The data highlights variants on temporality related to participants' occupational and relational experiences, and ways that temporality impacts relational and occupational experiences. We explore this within three main processes: 1) experiencing temporal rupture, 2) diminishing significance of clock time, and 3) shifting occupational priorities.

Conclusion
This session provides insight into complex interactions between temporal, occupational, and relational aspects of dying in hospice from patient/family perspectives. Educators, scholars, learners, and practitioners require patient/family insights in order to foster enriching and meaningful EoL experiences. It is important that we are attentive to patient priorities at EoL. By focusing on individuals' reoriented priorities - occupations focused on being, becoming, and belonging - we can address what individuals find to be most meaningful. With these insights in mind, educators may be able to better prepare future and current healthcare professionals to be attuned to the temporal, relational and occupational needs of patients and families at EoL, based not only on our own "expertise" but also that of the people we care for.

Keyword 1
Palliative Care

Keyword 2
Patient Perspectives

Keyword 3
Hospice

Level of Training
General

Abstract Themes
Curriculum

Curriculum
  • Integrated
  • Quality improvement

Additional Theme (First choice)
Patient Safety

Additional Theme (Second Choice)
Continuing Medical Education

Additional Theme (Third Choice)
Inter-professional Education

Authors
Presenter
    Laura Yvonne Bulk

Term 1
Yes

Term 2
Yes

Term 3
Yes

Term 4
Yes

Term 5
Yes
x

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