Vendredi le 21 octobre 2016
07:00 – 08:00
Activités autothérapeutiques
07:45 – 08:45
Chair: Robin Cohen, McGill University, Montréal, QC, Canada
Discussant: Jennifer Philip, Centre for Palliative Care, Fitzroy, VIC, Australia
A) Impact of Treatment Subsidies and Cash Pay-Outs on Treatment Choices at the End of Life
Eric Finkelstein1, Chetna Malhotra1, Junxing Chay1, Semra Ozdemir1, Akhil Chopra3, Ravindran Kanesvaran2
1. Duke-NUS Medical School, Singapore
2. National Cancer Centre, Singapore
3. Tan Tock Seng Hospital, Singapore
B) Barriers and Enablers to Advance Care Planning with Patients in Primary Care: A Survey of Clinicians
Michelle Howard1, Carrie Bernard1, 2, Doug Klein3, Amy Tan3, Marissa Slaven1, Doris Barwich4, John J. You1, Gabriel Asselin3, Jessica Simon3, , Daren K. Heyland5, 6
1. McMaster University, Hamilton, ON, Canada
2. University of Toronto, Toronto, ON, Canada
3. University of Alberta, Edmonton, AB, Canada
4. University of British Columbia, Vancouver, BC, Canada
5. Kingston General Hospital, Kingston, ON, Canada
6. Queen’s University, Kingston, ON, Canada
C) Development of a Complex Intervention to Support the Initiation of Advance Care Planning by General Practitioners in Patients at Risk of Deteriorating or Dying: A Phase 0-1 Study
Aline De Vleminck1, 2, Dirk Houttekier1, 2, Luc Deliens1, 2, Robert Vander Stichele2, Koen Pardon1, 2
1. Vrije Universiteit Brussel, Brussels, Belgium
2. University of Ghent, Ghent, Belgium

CE QU'IL FAUT CHOISIR:


À 9 h, les participants peuvent assister soit au Séminaire spécial « Aide médicale à mourir » (F01, G01) qui se poursuit jusqu’à 12h30; ou choisir parmi plusieurs ateliers à 9h (F02-F12), et à 11h (G02-G13).

09:00 – 12:30
Perspectives et réflexions sur un sujet controversé mais incontournable pour les professionnels de la santé qui vont devoir s’adapter à la nouvelle réalité de la légalisation de l’aide médicale à mourir dans un nombre croissant de pays et d’instances.

9:00 – 10:30

F01
PRÉSENTATIONS COURTES – AIDE MÉDICALE À MOURIR
Trois exposés de 20 minutes, chacun suivi d’une période de questions de 10 minutes

A) Prévalence dans la population de directives préalables sur l’euthanasie et discussion sur les souhaits de fin de vie : un sondage national [Belgique]

Aline De Vleminck1,2, Koen Pardon1,2, Dirk Houttekier1,2, Lieve Van den Block1,2, Robert Vander Stichele2, Luc Deliens1,2

  1. Vrije Universiteit Brussel, Brussels, Belgium
  2. Ghent University, Ghent, Belgium

B) Les expériences de professionnels en établissements de soins palliatifs en matière de suicide et de décès accéléré dans l’État de Washington

Sheri Gerson, Anne Grinyer, Amanda Bingley, Katherine Froggatt, Lancaster University, Division of Health Research, Lancaster, United Kingdom

C) Légalisation de l’aide médicale à mourir et accès aux soins palliatifs : lier les données, les droits de la personne et les stratégies des prestataires de soins de santé afin d’améliorer les soins de fin de vie au Canada

Isabelle Marcoux1, Mary Shariff2, Sharon Baxter3

  1. University of Ottawa, Ottawa, ON, Canada
  2. University of Manitoba, Winnipeg, MB, Canada
  3. Canadian Hospice Palliative Care Association, Ottawa, ON, Canada

11:00 – 12:30

G01
ATELIER / PRÉSENTATION COURTE
Un atelier de 45 minutes et un exposé de 20 minutes suivi d’une période de questions de 10 minutes, et 15 minutes de discussion.

A) Quel sont les impacts du recours au suicide assisté sur les soins palliatifs?

Gian Domenico Borasio, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland

On décrit souvent le suicide assisté et les soins palliatifs comme inconciliables. L’expérience clinique et les données scientifiques provenant de pays où le suicide assisté est légal (p. ex. Suisse et Orégon) laissent entendre le contraire.

B) Étude qualitative sur le rôle des médecins en soins palliatifs dans le processus décisionnel sur l’euthanasie

Emmanuelle Bélanger1, Anna Towers2, Golda Tradounsky2,3, Roger Ghoche2,3, David Wright4, Mary Ellen Macdonald2

  1. Université de Montréal, Montréal, QC, Canada
  2. McGill University, Montréal, QC, Canada
  3. Mount Sinai Hospital, Montréal, QC, Canada
  4. University of Ottawa, Ottawa, ON, Canada

09:00 - 10:30
CHOIX ENTRE LE SÉMINAIRE SPÉCIAL (F01) OU LES ATELIERS SIMULTANÉS (F02 – F12)
F01
E=>F
SÉMINAIRE SPÉCIAL

« AIDE MÉDICALE À MOURIR »

(Part 1)

F02

A) Anesthetic Techniques for Complex Cancer Pain Management

Jordi Perez, McGill University, Montréal, QC, Canada

Nerve blocks, neurolytic procedures, cement augmentation and intraspinal drug delivery techniques are interventional procedures that can help achieving satisfactory analgesia in complex cases resistant to conventional medical management.

B) A Multidisciplinary Conference for the Effective Use of Imaging Guided Procedures in Improving Pain Control

Arnold Radu1, Kevin Pennycooke1, Tyler M.Coupal1, Paul I. Mallinson1, Pippa Hawley1,2, Peter L. Munk1

  1. University of British Columbia, Vancouver, BC, Canada
  2. British Columbia Cancer Agency, Vancouver, BC, Canada

Outlines of a conference attended by palliative care physicians, radiation oncologists and interventional radiologists discussing pain management options of cancer patients with chronic pain illustrated through successfully treated cases

F03
WORKSHOP/PROFFERED PAPERS – PEDIATRIC PALLIATIVE CARE

Pediatric Palliative Care

A 45-minute workshop, and two 15-minute presentations, each followed by a 5-minute question period

A) At Home Hospice and Palliative Care - A Country's, a State's, and a Province's Approach to Serving Children Far from the Medical Center

Ken Pituch1,2, Hal Siden3,4,5,6, Pat Carragher7

  1. CS Mott Children's Hospital, University of Michigan, Ann Arbor, MI, United States
  2. Hospice of Michigan, Detroit, MI, United States
  3. Child and Family Research Institute, Vancouver, BC, Canada
  4. BC Children's Hospital, Vancouver, BC, Canada
  5. University of British Columbia, Vancouver, BC, Canada
  6. Canuck Place Children’s Hospice, Vancouver, BC, Canada
  7. Children’s Hospice Association Scotland, Edinburgh, Scotland, United Kingdom

Medical Directors from pediatric hospice organizations in Scotland, Michigan, and British Columbia will both review and lead group discussion regarding challenges and strategies for serving children with life limiting conditions

B) Children in Scotland Requiring Palliative Care: Identifying Numbers and Needs (The ChiSP Study) – Where Next for a National Hospice Organisation, and More Particularly for the Potential Target Population?

Patrick Carragher1, Lorna Fraser2

  1. Children's Hospice Association Scotland, Edinburgh, Scotland, United Kingdom
  2. University of York, York, United Kingdom

C) Not There Yet: Pediatric Palliative Care in Canada 2002 – 2012

Kimberley Widger1, Dawn Davies2, Lysanne Dauost3, Stephen Liben4, Adam Rapoport1, Marie-Claude Gregoire5, Christina Vadeboncoeur6, Simone Stenekes7, Claude Cyr8, Amrita Sarpal9, Helene Roy10, Heather Hodgson-Viden11, Marli Robertson12, Harold Siden13

  1. Hospital for Sick Children and University of Toronto, Toronto, ON, Canada
  2. Stollery Children’s Hospital, Edmonton, AB, Canada
  3. CHU Sainte-Justine, Montréal, QC, Canada
  4. The Montreal Children’s Hospital, McGill University Health Center, Montréal, QC, Canada
  5. IWK Health Centre, Halifax, NS, Canada
  6. Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada
  7. Winnipeg Regional Health Authority, Winnipeg, MB, Canada
  8. Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada
  9. Children’s Hospital: London Health Sciences Centre, London, ON, Canada
  10. Centre Hospitalier Universitaire de Québec, Québec, QC, Canada
  11. Royal University Hospital, Saskatoon, SK, Canada
  12. Alberta Children’s Hospital, Calgary, AB, Canada
  13. Canuck Place Children's Hospice, Vancouver, BC, Canada

F04

A) A Methodological Approach to Ethical Analysis at the Bedside

Angelique Wong, Donna S. Zhukovsky, Colleen M. Gallagher, The University of Texas MD Anderson Cancer Center, Houston, TX, United States

Participants will become familiar with a practical approach to bedside analysis of common ethical issues in end-of-life care to enhance problem-solving skills using a patient-centered, family-oriented care approach.

B) Reframing Dying in the Intensive Care Unit: The 3 Wishes Interprofessional Demonstration Project

Deborah Cook1,2, Anne Boyle1,2, Marilyn Swinton1, Feli Toledo2, France Clarke1,2

  1. McMaster University, Hamilton, ON, Canada
  2. St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada

The Wishes Project involves eliciting and implementing a set of 3 wishes to facilitate a peaceful dying process in the ICU. We will share our experiences with development and implementation.

F05

A) Improving Communication about Goals of Care with Hospitalized Patients Who Have Serious Illness: A Canadian, Multi-Centre Program of Research

John You1, Jessica Simon2, Dev Jayaraman3, Nishan Sharma2, Alannah Smrke1, Rebecca Sudore4, Peter Allatt5, Susan Block6, Marilyn Swinton1, Daren Heyland7

  1. McMaster University, Hamilton, ON, Canada
  2. University of Calgary, Calgary, AB, Canada
  3. McGill University, Montréal, QC, Canada
  4. University of California San Francisco, San Francisco, CA, United States
  5. Bridgepoint Health, Toronto, ON, Canada
  6. Dana-Farber Cancer Institute, Boston, MA, United States
  7. Queen's University, Kingston, ON, Canada

In this interactive workshop, participants will review a multi-faceted suite of tools and create a plan to improve patient and clinician communication about goals of care within their own hospital.

B) Difficult Conversations - Tools, Tips and Strategies

Ramona Joshi, Jo Forbell, Michael Garron Hospital, Toronto, ON, Canada

Interactive case-based workshop focused on enhancing communication skills during difficult conversations. Topics include barriers to initiating advanced care planning, discussing artificial feeding/hydration and identifying and correcting communication pitfalls

F06
PROFFERED PAPERS – CLINICAL ISSUES

Clinical Issues

Three 20-minute presentations, each followed by a 10-minute question period

A) Conservative Management of End-Stage Kidney Disease

Joy Percy1, 2, 3, Curtis Walker1, Norman  Panlilio1, Simon Allan1, 2

  1. Palmerston Nth Hospital, Palmerston Nth, New Zealand
  2. Arohanui Hospice, Palmerston Nth, New Zealand
  3. University of Otago, Dunedin, New Zealand

B) Management of Cardiac Devices in Palliative Care and Hospice Patients

Jatin Dave, Harvard Medical School, Boston, MA, United States

C) Early Integration of the Palliative Approach in HIV Management: Description of HIV+ Young Men Who Have Sex with Men Attending 2 Inner City Clinics Where the Palliative Approach Is Introduced to Improve Retention in Care

Carla S Alexander1, Victoria Raveis2, Daniel Karus2, Monique Carrero-Tagle2, Monique Wilson1, Rebecca Brotemarkle1, Gregory Pappas3, Debra Wiegand1, Kashelle Lockman1, Peter Memiah4, Christopher Welsh1, Vicki Tepper1, Mian B Hossain5, Anthony Amoroso1, Peter Selwyn6

  1. University of Maryland, Baltimore, Baltimore, MD, United States
  2. New York University, New York, NY, United States
  3. Food and Drug Administration, Rockville, MD, United States
  4. University of West Florida, Pensacola, FL,United States
  5. Morgan State University, Baltimore, MD, United States
  6. Montefiore Medical Center, New York, NY, United States

F07

A) Organization-Level Promising Practices to Support the Delivery of HighQuality Spiritual Care

Paul Holyoke1, Barry Stephenson2

  1. Saint Elizabeth Research Centre, Markham, ON, Canada
  2. Memorial University of Newfoundland, St. John's, NL, Canada

This workshop will discuss nine organizational-level practices identified in North American hospices with religious/spiritual foundations, and identify how secular healthcare organizations can integrate them to improve end-of-life spiritual care

B) Spiritual Care in the Trenches: Raising the Bar for Our Daily Work

Marvin O. Delgado Guay, Andrea O. Ferguson, Donna S. Zhukovsky, The University of Texas MD Anderson Cancer Center, Houston, TX, United States

Spiritual care is increasingly recognized as an important part of care throughout the health spectrum and particularly so at the end of life. In this session, designed for participants of diverse background and experience, we will describe the often unrecognized ways in which clinicians provide spiritual care in their daily work and how health care professionals may raise the bar by systematically incorporating spiritualbased inquiry into their practice.

F08
PROFFERED PAPERS

VOLUNTEERS

A series of 15-minute presentations, each followed by a 5-minute question period

A) Hospice/Palliative Care: The Heart of a Rural Community

Karen Wagner, Lisa Hubers, Dawn Cruchet, Jason Malinowski, Madawaska Valley Hospice Palliative Care, Barry's Bay, ON, Canada

B) I Am the Nurse, You Are Just the Volunteer

Sandra Watson, Leslie Mitchell, West Island Palliative Care Residence, Kirkland, QC, Canada

C) Creating the Ordinary in Extraordinary Circumstances: The Role of the Volunteer in End-of-Life Care

Bridget Johnston1, Anne Patterson1, Lydia Bird1, Alison Bravington1, Kathryn Almack1, Jane Seymour1, Beth Hardy2

  1. University of Nottingham, Nottingham, United Kingdom
  2. University of York, York, United Kingdom

D) Training Volunteers to Be Effective Listeners as Bereavement Companion Visitors

Maria Kliavkoff, Hospice Society of the Columbia Valley, Invermere, BC, Canada

F09
PROFFERED PAPERS

EDUCATIONAL ISSUES

A series of 15-minute presentations, each followed by a 5-minute question period

A) Empowering Family Medicine Clinics to Provide Palliative Care: The Ottawa Academic Family Health Team Project

Christopher Klinger1,2, José Pereira1,3,4, Debbie Gravelle3, Maryse Bouvette3, Frances Kilbertus5, Jay Mercer1, 3, Dave Davidson1, 6, Tammy Tsang4, Joseph Burns4, Jill Rice1, 3

  1. University of Ottawa, Ottawa, ON, Canada
  2. Ottawa Hospital Research Institute, Ottawa, ON, Canada
  3. Bruyère Continuing Care, Ottawa, ON, Canada
  4. Bruyère Research Institute, Ottawa, ON, Canada
  5. Northern Ontario School of Medicine, Thunder Bay, ON, Canada
  6. The Ottawa Hospital, Ottawa, ON, Canada

B) Evaluation of an International Palliative Care Collaboration: Engaging Scholars and Communities to Support Best Practices

Alison-Kate Lillie1, Kathryn Pfaff2, Linda Patrick2, Sue Read1, Laurie Freeman-Gibb2

  1. Keele University, Keele, Staffordshire, United Kingdom
  2. University of Windsor, Windsor, ON, Canada

C) Supporting and Improving Community Health Services - A Prospective Evaluation of ECHO Technology in Community Palliative Care Nursing Teams

Clare White1, Sonja McIlfatrick2, Lynn Dunwoody2, Max Watson1,2

  1. Northern Ireland Hospice, Belfast, Northern Ireland, United Kingdom
  2. University of Ulster, Northern Ireland, United Kingdom

D) Embedding Cultural Competencies in Palliative Care Education and Training

Lori Teeple1,2, Maryse Bouvette3, Audrey Logan4, Kathryn Downer1

  1. Pallium Canada, Ottawa, ON, Canada
  2. Western Universtiy, London, ON, Canada
  3. Bruyere Continuing Care, Ottawa, ON, Canada
  4. Erie St. Clair Regional Cancer Program, Windsor, ON, Canada

F10
PROFFERED PAPERS

ELDERLY AND LONG-TERM CARE

Three 20-minute presentations, each followed by a 10-minute question period

A) Sharing the Burden: Schwartz Rounds® as a Compassionate Collaborative Practice Model in Long-Term Care

Lisa Hamilton, Shereen Jonathan, Kathryn Pfaff, Jean Echlin, University of Windsor, Windsor, ON, Canada

B) What Makes Nurses “Expert” in Caring For Those Dying With Dementia in Nursing Homes?

Genevieve Thompson1,2, Susan McClement1,2

  1. University of Manitoba, Winnipeg, MB, Canada
  2. CancerCare Manitoba, Winnipeg, MB, Canada

C) Launching Namaste Care in Canada: Evaluation of a Facility-Wide Education Program to Improve End-of-Life Care in Advanced Dementia

Sharon Kaasalainen1, Paulette Hunter2, Vanina Dal Bello Haas1, Lisa Dolovich1, Maureen Markle-Reid1, Jenny Ploeg1, Lehana Thabane1, Katherine Froggatt3, Thomas Hadjistavropoulos4, Joyce Simard7, Jenny van der Steen5, Ladislav Volicer6

  1. McMaster University, Hamilton, ON, Canada
  2. St. Moores College, University of Saskachewan, Saskatoon, SK, Canada
  3. Lancaster University, Lancaster, United Kingdom
  4. University of Regina, Regina, SK, Canada
  5. VU University Medical Center, Amsterdam, The Netherlands
  6. University of South Florida, Tampa, FL,United States
  7. Consultant, Tampa, FL, United States

F11
PROFFERED PAPERS

NURSING ISSUES

Three 20-minute presentations, each followed by a 10-minute question period

A) Experience of the Patient-Family Caregiver Dyad in Palliative Care

Gloria Mabel Carrillo González1,2,3,4, Rocio López Rangel1,4, Mauricio Arias1,3,5

  1. Universidad Nacional de Colombia, Bogotá, Colombia
  2. Asociación Latinoamericana de cuidado paliativo, Buenos Aires, Argentina
  3. IAHPC, Houston, TX, United States
  4. Sigma Theta Tau capítulo Upsilon Nu, Bogotá Colombia
  5. Instituto Nacional de Cancerología, Bogotá, Colombia

B) Factors Associated with Burnout Among Chinese Oncology Nurses

Qiaohong Guo, Susan McClement, Manitoba Palliative Care Research Unit, Winnipeg, MB, Canada

C) Nurses’ Clinical Judgment in Palliative Care

Mahvash Salsali1, Jamal Seidi2, Fatemeh Alhani3

  1. Tehran University of Medical Sciences, Tehran, Iran
  2. Sanandage University of Medical Sciences, Sanandage, Iran
  3. Tarbiat Modares University of Medical Sciences, Tehran, Iran

F12
ATELIER ET PRÉSENTATIONS COURTES

CONSIDÉRATIONS EN MATIÈRE DE FIN DE VIE

Un atelier de 45 minutes, et deux exposés de 15 minutes, chacun suivi d’une période de questions de 5 minutes.

A) L'éthique et la spiritualité chez les soignants

Louise La Fontaine, Maison Desjardins de soins palliatifs du KRTB, Notre-Dame du Portage, QC, Canada

15 soignants reconnus ont été rencontrés dans le cadre d’une recherche doctorale. Ceux-ci ont partagé leurs visions des soins palliatifs et « comment » ils vivent leur rôle. La connaissance pratique mise à jour fait une place à l’éthique et à la spiritualité. L’atelier présente une schématisation de ce savoir et propose des pistes de soutien et de formation.

B) Représentations sociales de la mort des proches aidants en contexte de soins palliatifs

Sabrina Lessard1, Bernard-Simon Leclerc1-2

  1. Centre de recherche et de partage des savoirs InterActions CIUSSS-NIM, Montréal, QC, Canada
  2. Université de Montréal, Montréal, QC, Canada

C) Sédation continue maintenue jusqu’au décès : quelle communication dans les unités de soins palliatifs françaises et polonaises ?

Martyna Tomczyk1, Sadek Beloucif1,2, Maciej Sopata3, Marcel-Louis Viallard1,4

  1. Université Paris Descartes, Sorbonne Paris Cité, France
  2. Hôpital Universitaire Avicenne, Paris, APHP, France
  3. Université des sciences médicales K. Marcinkowski, Poznan, Pologne
  4. Hôpital Universitaire Necker Enfants Malades, Paris APHP. France

10:30 – 11:00 – BREAK / PAUSE

11:00 – 12:30
CHOIX ENTRE LE SÉMINAIRE SPÉCIAL (G01) OU LES ATELIERS SIMULTANÉS (G02 – G13)
G01
SÉMINAIRE SPÉCIAL

« AIDE MÉDICALE À MOURIR »

G02

PROFFERED PAPERS – PALLIATIVE CARE IN RESOURCECONSTRAINED SETTINGS

A series of 15-minute presentations, each followed by a 5-minute question period

A) Palliative Care Need in the Medical Wards of a Tanzanian Tertiary Referral Hospital - A Mixed Methods Study.

Emma Grace Lewis1, Ashanti Duinmaijer2, Aisa Shayo1, Simon Megiroo3, Bathlomew Bakari4, Lloyd Oats5, Keith Gray5, Felicity Dewhurst6, Richard Walker5, Sarah Urasa1

  1. Kilimanjaro Christian Medical Centre, Moshi, Tanzania
  2. Haydom Lutheran Hospital, Manyara, Mbulu, Tanzania
  3. Selian Hospice, Evangelical Lutheran Church in Tanzania, Tanzania
  4. Nkoaranga Lutheran Hospital, Arusha, Tanzania
  5. Northumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, North Shields, United Kingdom
  6. Health Education North East, Newcastle upon Tyne, United Kingdom

B) The Six Main Components for Developing Palliative Care in Mongolia

Odontuya Davaasuren, Mongolian National University of Medical Sciences and Mongolian Palliative Care Society, Ulaanbaatar, Mongolia

C) Livingstone Central Hospital Experiences of Integrating Palliative Care

Mwate Joseph Chaila, Zambart, Lusaka, Lusaka Province, Zambia; Livingstone Central Hospital, Livingstone, Southern Province, Zambia; St Joseph's Hospice, Livingstone, Southern Province, Zambia

D) Educational Preparedness of Palliative and End-of-Life Care Professionals in India

Elizabeth Tharappel, Prakashi Rajaram, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India

G03
PROFFERED PAPERS – PEDIATRIC PALLIATIVE CARE

A series of 15-minute presentations, each followed by a 5-minute question period

A) “Scared of palliative”: Perspectives on Palliative Care from Pediatric Nurses Caring for Children with Progressive Life Shortening Illnesses on Acute Care Units

Shelagh McConnell, , Shelley Raffin Bouchal, Nancy Moules, Lillian Rallison , University of Calgary, Calgary, AB, Canada

B) How Can Nursing Education Better Prepare Students for Interactions with Patients and Families?

Rose Steele1, Betty Davies2

  1. York University, Toronto, ON, Canada
  2. University of Victoria, Victoria, BC, Canada

C) Deconstructing the Agenda: Maternal Perspectives on Antenatal Consultations for Preterm labor

Nathalie Gaucher1, Sophie Nadeau2, Alexandre Barbier3, Annie Janvier1, Antoine Payot1

  1. University of Montréal, Montréal, QC, Canada
  2. Centre Hospitalier Universitaire de Québec, Centre Mère Enfant Soleil, Québec, QC, Canada
  3. McGill University Health Center, McGill University, Montréal, QC, Canada

D) Survival and Surgical Interventions for Children with Trisomy 13 and 18: A Population-Based Study

Katherine E. Nelson1,2, Laura C. Rosella3,4, Sanjay Mahant1,2,5, Astrid Guttmann1,2,4

  1. Hospital for Sick Children, Toronto, ON, Canada
  2. Institute for Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
  3. Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
  4. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada
  5. CanChild Centre for Childhood Disability Research, Hamilton, ON, Canada

G04

A) Serotonin Toxicity: Considerations for Palliative Providers

Amber D. Hartman1,2, Robert M. Taylor1,2

  1. The Arthur G. James Cancer Hospital and Richard M. Solove Research Institute, Columbus, OH, United States
  2. The Ohio State University Wexner Medical Center, Columbus, OH, United States

This session will review the diagnosis of serotonin toxicity, a discussion of medication and disease-related factors that contribute, and an advanced application of these principles to patient cases

B) Prolonged QT Interval in Palliative Care. Should We Care?

Ahmed al-Awamer1,2, Bahar Nemati1,2

  1. University Health Network, Toronto, ON, Canada
  2. University of Toronto, Toronto, ON, Canada

An overview of drug-induced long QT syndrome (LQTS) and its implications for palliative care patients from clinical, ethical and legal perspectives including a framework for approaching LQTS risk in palliative care.

G05

A) Who Gets My iTunes When I Die? Opportunities and Challenges of Social Media for Patient Care, Research and Professional Development in Palliative Care

Mary Ellen Macdonald1,2, Hal Siden4,5,6, Susan Cadell3

  1. McGill University, Montréal, QC, Canada
  2. Montreal Children's Hospital, McGill University Health Centre, Montréal, QC, Canada
  3. Renison University College, University of Waterloo, Waterloo, ON, Canada
  4. Canuck Place Children's Hospice, Vancouver, BC, Canada
  5. BC Children's Hospital, Vancouver, BC, Canada
  6. University of British Columbia, Vancouver, BC, Canada

This interprofessional workshop explores the potential of social media to enhance clinical and research practice. Areas of learning focus on professional development, patient & family care and research practice.

B) New Tools: What Improv Has to Teach Palliative Care Teams!

Anna Kate Westmoreland1, Brad Fortier2

  1. Legacy Health, Portland, OR, United States
  2. Portland State University, Portland, OR, United States

Come learn a few simple games that you can use to unlock teamwork at home! No experience required, you don't have to be a funny person, and guarantee no role play!

G06

PROFFERED PAPERS – COMMUNICATION / EARLY PALLIATIVE CARE

Three 20-minute presentations, each followed by a 10-minute question period

A) Early Palliative Care: Attitudes and Opinions of Canadian Palliative Care Physicians

Anna Sorensen1,4, Kirsten Wentlandt 1,3, Monika Krzyzanowska1,3, Lisa W. Le1, Gary Rodin1,2,3, Camilla Zimmermann1,2,3

  1. Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada
  2. Campbell Family Research Institute, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada
  3. University of Toronto, Toronto, ON, Canada
  4. Institute of Medical Science, Dept of Medicine, University of Toronto, Toronto, ON, Canada

B) Oncologist-Patient Decision-Making Discussions in Advanced Cancer Encounters in Singapore

Chetna Malhotra1, Ravindran Kanesvaran1,2, Lalit Krishna1,2, Sing Huang Tan3, Nesaretnam Kumarakulasinghe3, Kathryn Pollak4

  1. Duke-NUS Medical School, Singapore
  2. National Cancer Centre, Singapore
  3. National University Hospital, Singapore
  4. Duke University, Durham, NC, United States

C) Changing Oncologist Behavior to Refer to Home Hospice Care

Charles von Gunten, OhioHealth, Columbus, OH, United States

G07

PROFFERED PAPERS – MUSIC THERAPY

A series of 15-minute presentations, each followed by a 5-minute question period

A) Saying Goodbye with Song

Amy Clements-Cortes, University of Toronto and Baycrest Centre, Toronto, ON, Canada; Wilfrid Laurier University, Waterloo, ON, Canada

B) Grief Journeys and Musical Moments: Exploring the Connections Between Music Therapy and Bereavement Work

SarahRose Black1,2,3, Debbie Emmerson1

  1. Kensington Health, Toronto, ON, Canada
  2. Princess Margaret Cancer Centre, Toronto, ON, Canada
  3. University of Toronto, Toronto, ON, Canada

C) Development and Efficacy of Music Therapy Techniques Within Palliative Care

Amy Clements-Cortes, University of Toronto and Baycrest Centre, Toronto, ON, Canada; Wilfrid Laurier University, Waterloo, ON, Canada

D) Surveys of Families of Hospice and Palliative Medicine Patients who Experienced Music Therapy

Lisa Gallagher1,2, Ruth Lagman2

  1. Cleveland Clinic Arts and Medicine Institute, Cleveland, OH, United States
  2. Cleveland Clinic Taussig Cancer Institute, Cleveland, OH, United States

G08

PROFFERED PAPERS – BEREAVEMENT

A series of 15-minute presentations, each followed by a 5-minute question period

A) What Do They Know? Lessons Learned from Facilitating a Children's Bereavement Group

Sarah Tevyaw, Maeve Blake, West Island Palliative Care Residence, Montréal, QC, Canada

B) Impact of Intrapartum Death on Midwives

Orla O'Connell1, Karen McNamara1, Sarah Meaney1,2, Richard Greene2, Keelin O'Donoghue1

  1. Cork University Maternity Hospital, Cork, Ireland
  2. University College Cork, Cork, Ireland

C) Preparation and Support to View the Body: What Can Palliative Care Learn from People Bereaved by Violent and Sudden Death?

Jane Mowll1, Elisabeth Lobb1,2

  1. University of Notre Dame, Kogarah, NSW, Australia
  2. Calvary Health Care, Kogarah, NSW, Australia

D) From Freud to Hashtags: The Convergence of Grief Theory and Online Memorialization

Jenni Aitken, Kelli Stajduhar, University of Victoria, Victoria, BC, Canada

G09

PROFFERED PAPERS – SELF-CARE

A series of 15-minute presentations, each followed by a 5-minute question period

A) Taking Mindfulness One Step Further: Cultivating a Contemplative Community for Palliative Care Providers

Laurie Lemieux1,2, Alison Potter1

  1. Hospice Calgary, Calgary, AB, Canada
  2. Cumming School of Medicine, University of Calgary, Calgary, AB, Canada

B) Sustainable Compassion – Promoting Resilience and Self-Care Amongst Palliative Care Health Professionals

Jacqueline Duc, Lady Cilento Children's Hospital, Brisbane, QLD, Australia

C) Reducing the Cost of Caring Among Cancer Program Staff: Results of a Compassion Fatigue Resiliency Programe

Rita Di Biase, Linda Patrick, Kathryn Pfaff, Laurie Freeman-Gibb, Olivia Moretti, University of Windsor, Windsor, ON, Canada

D) Burnout in Palliative Care - 'I Can't Go On Like This Anymore': Identifying Burnout and Learning Coping Strategies

Mervyn Koh, Tan Tock Seng Hospital, Singapore

G10

Hypnotic Approaches: Reframing Hope, Healing the Feelings, Feeling the Healing

Sylvain Néron1,2, Daniel Handel3,4

  1. Jewish General Hospital - Segal Cancer Centre, Montréal, QC, Canada
  2. McGill University, Montréal, QC, Canada
  3. Denver Health Medical Center, Denver, CO, United States
  4. University of Colorado, Denver, CO, United States

This workshop will focus on clinical demonstrations of hypnotic approaches for selfregulation improvements and amelioration of hope in the face of advanced or progressive illness.

G11

PROFFERED PAPERS / WORKSHOP – PEDIATRIC PALLIATIVE CARE

Two 15-minute presentations, each followed by a 5-minute question period, and a 45-minute workshop.

A) Bridging the Gap: Developing a Palliative Approach to Care for Young Adults

Karen Cook1, Kimberly Widger2, Helen Kerr3, Lynn Straatman4

  1. Athabasca University, Athabasca, AB, Canada
  2. University of Toronto, Toronto, ON, Canada
  3. Queen's University Belfast, Belfast, Ireland, United Kingdom
  4. University of British Columbia, Vancouver, BC, Canada

B) “Hospice Scares the Life Out of Me”: Breaking Down Barriers to Communication with Young Adults with Terminal Cancer

Nothando Ngwenya1, Charlotte Kenten1, Louise Jones1, Faith Gibson2,3, Susie Pearce1, Caroline Stirling4, Rachel Taylor1, Jeremy Whelan1

  1. University College Hospital, London, United Kingdom
  2. Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom
  3. London South Bank University, London, United Kingdom
  4. Central and North West London NHS Trust, London, United Kingdom

C) Advance Care Planning in Pediatrics

Monika Führer1, Julia Desirée Lotz1

  1. Coordination Center for Pediatric Palliative Care, University Children’s Hospital Munich, Munich, Germany

Interest in pediatric advance care planning (pACP) is increasing. It has clear benefits, but is associated with uncertainties and apprehensions on all sides (children, parents, professionals). Different needs and expectations may lead to conflicts or hinder effective pACP. In this workshop developed for practitioners from different professions (e.g. physicians, nurses, social workers) and researchers who work with severely ill children/adolescents, participants will be encouraged to take on different perspectives and reflect on differing interests in pACP. This will increase their sensibility for and understanding of different views, reactions and difficulties within pACP. Participants will develop strategies to overcome identified barriers.

Note: The workshop " The Mindful Navigation of Future Thinking in Adolescents Coping With A Progressive Life-Threatening Illness: Reflections from Research and Practice" originally scheduled in this session has been cancelled.

G12

PRÉSENTATIONS COURTES – ENSEIGNEMENT, FORMATION, SUPERVISION, TRAVAIL D'ÉQUIPE INTERPROFESSIONNEL

Une série d’exposés de 15 minutes suivis d’une période de questions de 5 minutes.

A) Naissance d'un stage de soins palliatifs au premier cycle

Andréanne Côté1,2, Serge Daneault1,2, Mélanie Vincent2,3, Éric Drouin2,3

  1. Centre hospitalier de l'Université de Montréal - Hôpital Notre-Dame, Montréal, QC, Canada
  2. Université de Montréal, Montréal, QC, Canada
  3. CHU Ste-Justine - Montréal, QC, Canada

B) Parcours pédagogique des internes en structures de soins palliatifs

Nathalie Denis-Delpierre1,2, Caroline Galle-Gaudin3, Godefroy Hirsh4, Donatien Mallet3

  1. CHU de Nantes, Nantes, France
  2. Centre de Recherche en Education Nantais, Nantes, France
  3. Luynes, CHU de Tours, Tours, France
  4. Réseau de Soins Palliatifs de Blois, Blois, France

C) Décider en équipe interprofessionnelle pour le transfert vers des soins palliatifs spécialisés : qui, comment, quand ?

Pierre-Alain Charmillot1, Sophie Pautex2, Emilie Morgan de Paula1, Marianne Waelti-Bolliger1

  1. Haute école Arc santé, Delémont, Jura, Switzerland
  2. Hôpitaux Universitaires de Genève, Genève, Switzerland

D) Coordination Ville/Hôpital, Hôpital/Vill

Joel Mercier, Gilles Tribault, Pauline Sorton, Karine Rifflard, Marion Boutte, Réseau Cécilia, Coordination en soins palliatifs, Soissons, France

G13
PROFFERED PAPERS – NON-CANCER CARE

Two 20-minute presentations, each followed by a 10-minute question period

A) Canadian Critical Care Society National Guidelines for Withdrawal of Life Support

James Downar, University of Toronto, Toronto, ON, Canada B) A

B) A Scoping Review of Palliative Care for Those with Severe Persistent Mental Illness

Erin E. Donald, Kelli Stajduhar, University of Victoria, Victoria, BC, Canada

12:30 – 14:00
LUNCH BREAK
DÎNER DE RÉSEAUTAGE OPTIONNEL
12:50 – 13:50

Récit théâtral : Cicely! The Life and Work of Dame Cicely Saunders. Présenté en anglais


Margaret Murphy and Wendy Potter, Nanaimo Community Hospice Society, Nanaimo, BC, Canada

Un fascinant récit théâtral de 60 minutes. La conteuse professionnelle Margaret Murphy et la Dre Wendy Potter nous font découvrir l’histoire de cette femme remarquable dont la vision de la mort et des mourants a façonné notre époque.

12:30 – 14:00

Douleurs chroniques associées au continuum du cancer en soins primaires


Howard Burke, MD, CCFP, FCFP, Médecin de famille, professeur adjoint, Department of Family and Community Medicine,       
University of Toronto and Queen’s University
                                                                 

Nous avons soumis une demande de crédits au bureau de Développement professionnel continu (DPC) de l’Université McGill, qui organise la formation médicale continue des médecins. Le bureau du DPC de l’Université McGill est agréé par le Comité d’agrément pour l’éducation médicale continue (CAÉMC).

After completing this educational activity, participants will be better able to:

  • Describe the causes of chronic pain related to the continuum of cancer and its effects on patient function and quality of life
  • Explain the principles of chronic pain management in cancer patients without active disease and who are not undergoing active chemotherapy or palliative therapy
  • Use assessment and patient education tools to help manage chronic pain related to long-term or late effects of cancer treatment
  • Work with patients to create individualized pain control plans
  • Assess and manage cancer pain effectively and responsibly, including, where appropriate, pharmacological therapy

Nous aimerions remercier Purdue pour leur appui généreux et accordé sans restrictions pour cette activité de formation.

14:00 – 15:30

LES SOINS… D’HIER À DEMAIN

Co-Présidents : Vasiliki (Bessy) Bitzas, SMBD-Jewish General Hospital, Montréal, QC, Canada, and Christopher MacKinnon, McGill University Health Centre, Montréal, QC, Canada

LA COMPASSION

M.R. Rajagopal, président, Pallium India; Director, Trivandrum Institute of Palliative Sciences Trivandrum, Kerala, India

Dans le domaine relativement nouveau des soins palliatifs dans les pays en développement, administrer des soins nous entraîne en eau profonde sur les plans émotionnel, social et juridique. Globalement, soulageons-nous bien des souffrances liées à la santé – notamment pour ce qui est de la maladie mentale, de la toxicomanie et de la douleur chronique? Réfléchir à ces questions pourrait conduire à une autre révolution dans les soins de santé.

L’AVENIR DES SOINS PALLIATIFS DANS UNE PERSPECTIVE MONDIALE

David Praill, directeur, ehospice et président sortant, Worldwide Hospice Palliative Care Alliance, London, United Kingdom

Dans cette présentation consacrée à la diversité des défis des années à venir, on se demandera si nous sommes préparés à un futur incertain. Nous avons fait du chemin depuis l’ouverture du St Christopher's Hospice, il y a près d’un demi-siècle, pourtant la majorité de ceux qui ont besoin de soins palliatifs ne sont pas en mesure d’en recevoir. Qu’est-ce que cela nous apprend sur l’avenir et que pouvons-nous faire pour changer vraiment les choses?