Mardi, 18 octobre 2016
7 h 45 – 8 h 45
Chair: Robin Cohen, McGill University, Montréal, QC, Canada
Discussant: Sharon Kaasalainen, McMaster University, Hamilton, ON, Canada
How Empowering Is Hospital Care for Older Adults, and What Difference Does Palliative Care Make? A Cross-National Ethnography in England, Ireland and the USA

Lucy Ellen Selman1,Barbara Daveson1, Melinda Smith1, Bridget Johnston2, Karen Ryan3, R. Sean Morrison4, Katy Tobin4, Caty Pannell1, Regina McQuillan5, Taja Ferguson4, Anastasia Reison4, Steven Z. Pantilat6, Diane E. Meier4, Charles Normand2, Irene J. Higginson1

1. King's College London, London, United Kingdom
2. Centre of Health Policy and Management,Trinity College Dublin, Dublin, Ireland
3. Mater Misericordiae University Hospital, Dublin, Ireland
4. Icahn School of Medicine at Mount Sinai, New York, NY, United States
5. Beaumont Hospital, Dublin, Ireland

Experiences of Integrating Electronic Assessments Within Tertiary Palliative Care: Use of the Quality of Life Assessment and Practice Support System (QPSS)

Marian Krawczyk1,2, Kara Schick-Makaroff3, S. Robin Cohen4,5, Kelli Stajduhar6, Esther Laforest4, Sharon Wang2, Neil Hilliard7, Charlene Neufeld7, Judy Lett7, Carolyn Tayler7, James Voth8, Richard Sawatzky1,2

1. Centre for Health Evaluation and Outcome Sciences, Vancouver, BC, Canada
2. Trinity Western University, Langley, BC, Canada
3. University of Alberta, Edmonton, AB, Canada
4. McGill University, Montréal, QC, Canada
5. Lady Davis Institute, Jewish General Hospital, Montréal, QC, Canada
6. University of Victoria, Victoria, BC, Canada
7. Fraser Health, Surrey, BC, Canada
8. Intogrey Research and Development Inc., Abbotsford, BC, Canada

The Effectiveness of the Care Programme for the Last Days of Life (CAREFuL) to Improve Comfort and Quality of Care in Acute Geriatric Hospital Wards: A Cluster Randomized Controlled Trial

Kim Beernaert1, Tinne Smets1, Joachim Cohen1, Rebecca Verhofstede1, Massimo Costantini2, Kim Eecloo1, Nele Van Den Noortgate1,3, Luc Deliens1

1. Vrije Universiteit Brussel and Ghent University, Ghent, Belgium
2. RCCS Arcispedale S. Maria Nuova, Reggio Emilia, Italy
3. Ghent University Hospital, Ghent, Belgium

09:00 – 17:30
CHOIX DE SÉMINAIRES SIMULTANÉS D’UNE JOURNÉE (S1, S2, S3, S4 ou S5)
Organisatrices et co-présidentes :
Vasiliki Bitzas, Hôpital général juif, Montréal, QC, Canada,
Maryse Bouvette, Soins continus Bruyère, Ottawa, ON, Canada,
David Wright, Université d’Ottawa, Ottawa, ON, Canada

Avec l’évolution de nos sociétés et le vieillissement des populations, les systèmes de soins de santé sont appelés à réagir à des défis toujours renouvelés et toujours plus complexes. Les soins infirmiers palliatifs doivent changer pour relever ces défis, notamment en ce qui a trait aux soins à des patients et à des familles issus de contextes sociaux différents, et pour ce qui est de la satisfaction des besoins de larges groupes de personnes. Cette évolution passe par le développement des savoirs et par un appel à l’action centré sur le patient. La consolidation de l’implantation des soins infirmiers palliatifs ne pourra se faire sans reconnaître qu’il faut aborder la question du fardeau moral que constituent les soins aux mourants et qu’il faut élaborer des stratégies d’adaptation.

09:00 – 10:30

Les soins palliatifs dans les collectivités rurales

Barbara Pesut, Chaire de recherche du Canada sur la santé, l’éthique et la diversité, Université de Colombie-Britannique, Vancouver, C.-B., Canada

11:00 - 12:30

Théorie du capital intellectuel en matière de soins infirmiers

Christine Covell, Université d'Alberta, Edmonton, AB, Canada

14:00 – 15:30

La détresse morale

Cynda Rushton, Johns Hopkins University, Baltimore, MD, États-Unis

16:00 – 17:30

La pleine conscience

Ruth Richardson Collège Algonquin, Ottawa, ON, Canada

12 h 50 – 13 h 50

I’m Still Here: Young Adults Living Life with Recurrent Cancer

I'm Still Here suit six jeunes adultes en récidive de cancer durant une retraite Callanish de 3 jours. Après le film, nous aurons une discussion axée sur le travail créatif mené sur la peur, l’incertitude et l’espoir, animée par trois des protagonistes du film : une jeune adulte vivant avec une récidive de cancer, et deux des cofondatrices de la Callanish Society de Vancouver (C.-B.).

Organizers and Co-Chairs: Mary Ellen Macdonald, McGill University, Montréal, QC, Canada and Franco Carnevale, The Montreal Children’s Hospital, MUHC, Montréal, QC, Canada

This Pediatrics “Rethinking” Seminar will examine how the ‘voice of the child’ matters in our clinical and research work. How might our approaches stifle children's voices? In this seminar we will confront our assumptions and practices, with the goal of resolving tensions, uncovering gaps and imagining future directions together.

09:00 – 09:10

Welcome and Introduction

Mary Ellen Macdonald, McGill University, Montréal, QC, Canada


09:10 – 10:30

What is ‘the voice of a child’ and how does it matter?

Alan Prout, University of Leeds, Leeds, United Kingdom

Franco Carnevale, The Montreal Children's Hospital, McGill University Health Centre, Montréal, QC, Canada


Q&A with audience

11:00 - 12:30

How do we solicit, interpret, and understand voices that are difficult to hear?

Gail Teachman, Chris Feudtner, Children's Hospital of Philadelphia, Philadelphia, PA, United States Discussant: Manon Champagne, Université du Québec en Abitibi-Témiscamingue, Rouyn-Noranda, QC, Canada


Q&A with audience

14:00 – 15:30

Contextualizing voices: Family, Culture, Community

Sylvie Fortin,


Q&A with audience

16:00 – 17:30

Voices from beyond the grave

Mary Ellen Macdonald, McGill University, Montréal, QC, Canada

Betty Davies, University of Victoria, Victoria, BC, Canada


Q&A with audience


Wrap-Up

Mary Ellen Macdonald, McGill University, Montréal, QC, Canada

Franco Carnevale, The Montreal Children's Hospital, McGill University Health Centre, Montréal, QC, Canada


Q&A with audience

Chair: Tom Hutchinson

09:00 – 10:30

Ways of Viewing the World

We will describe Satir’s hierarchical and growth models and show the close association between these ways of seeing the world and the contrast between curing and healing in medicine and whole person care. Participants will be led in a process of recognizing their own ways of viewing the world as framework for their lives, the process of medical care, and the rest of the day.

11:00 - 12:30

Iceberg Metaphor

We will explain and explore the ice-berg metaphor and the communication stances as a way of getting to know our whole selves in more depth. This will include a didactic piece, a writing exercise, dyadic discussion, and role plays. We will attempt to uncover participants’ deep longings and yearnings as a source of energy for their work.

14:00 – 15:30

Parts Party

We will facilitate a parts party using one volunteer as the star and participants from the audience to play his/her parts. This will allow attendees to get in touch with and embrace parts of themselves that have been denied or rejected – a further step in discovering the whole person in whole person care.

16:00 – 17:30

Resilience and Whole Person Care

We will do a group exercise identifying the characteristics of an “ideal” healthcare worker and how this relates to resilience and burnout. We will explore the relationship of resilience to bringing our whole person to our work.

Given the framework of 4 levels of knowing (not knowing; knowing; realizing, actualizing) participants will be led in an exercise to review what they have learned during the day and begin to think of ways what they have learned can be actualized in their lives and work.

Organizers and Co-Chairs:David Henderson, Colchester-East Hants Palliative Care Program, Truro, NS, Canada and Leonie Herx, University of Calgary, Calgary, AB, Canada

En collaboration avec la Société canadienne des médecins de soins palliatifs  
avec l’appui du Partenariat canadien contre le cancer: 

We have focused on non-malignant conditions over the last two Master Classes. This year we are pleased to present a world-renowned list of speakers reviewing evidence based best practices to manage some common conditions in malignant diseases.

09:00 – 10:00

Newer Generation Palliative Treatments of Malignancies

Paul Daeninck, University of Manitoba, Winnipeg, MB

10:00 - 11:00

Palliative Rehabilitation

Thomas Jagoe, McGill University, Montreal, QC

11:30 – 12:30

What’s New in Palliative Care Pain Management?

Henrique A. Parsons, University of Ottawa, Elisabeth Bruyère Hospital, The Ottawa Hospital Research Institute, Ottawa, ON

14:00 – 15:30

Cachexia

Eduardo Bruera, University of Texas, M.D. Anderson Cancer Center, Houston, TX, USA

16:00 – 17:30

Malignant Bowel Obstruction

David Currow, Flinders University, Adelaide, SA, Australia

Co-Chairs: Robin Cohen, Sean Morrison

The purpose of this seminar is to give researchers an opportunity to learn from experts and each other about challenges/barriers/pitfalls and solutions to conducting palliative care research. There will be significant time for discussion. Clinicians are welcome to come and learn about challenges researchers face.

09:00 – 09:15

Introduction, Background

Robin Cohen, Sean Morrison


09:15 – 10:30

Participatory, Collaborative, and Qualitative Evaluation

Brad Cousins, University of Ottawa, Ottawa, ON, Canada

11:00 - 12:30

Palliative Care Issues in Randomized Control Trial Designs
    i) Cluster Randomization
    ii) Dealing with Missing Data: Modified Intention-to-Treat

David Currow, Flinders University, Adelaide, SA, Australia

14:00 – 15:30

Natural Experiments and Quasi-Experimental Studies

Melissa Aldridge, Mount Sinai School of Medicine, New York, NY, United States

16:00 – 16:30

Patient-Reported Outcome Measures (PROMs)

Richard Sawatzky, Trinity Western University, Vancouver, BC


16:30 - 17:20

Discussion

17:20 - 17:30

Closing Remarks

19:00

Little Stars: Accomplishing the Extraordinary in the Face of Serious Illness


Little Stars présente les surprenants récits de vie de jeunes gens atteints de maladies très graves. Contre toute attente, ces jeunes profitent au maximum de chaque instant qui leur est donné grâce à l’appui de leurs proches, en harmonie avec des équipes de soins palliatifs passionnées. Raconté par le grand acteur britannique David Suchet (CBE), Little Stars est un film que vous n’oublierez jamais! L’énergie naturelle, la lucidité et la franchise des sentiments de ce documentaire profondément humain marquent irrémédiablement les spectateurs. La projection du film sera suivie d’une période de discussion animée par Dr Hal Siden, professeur clinicien au Département de pédiatrie de l’Université de Colombie-Britannique, et directeur médical du Canuck Place Children's Hospice.

*Cette activité se déroulera en anglais.