Engaging Staff in Conversations About
Palliative and End-of-Life Care:
The Square of Care Game
Valerie Fiset
Chair, Nursing Studies
Algonquin College
Thursday, May 12, 2016
The views expressed in this publication are the
views of the author(s)/presenter(s) and do not
necessarily reflect those of the funder(s).
Ontario Centres for Learning, Research and Innovation in LTC
Supported with funding from the Government of Ontario through the Bruyère Centre
for Learning, Research and Innovation in Long-Term Care.
The views expressed in this presentation are the views of the author(s)/presenter(s)
and do not necessarily reflect those of the Province.
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Overview of Your Initiative or Efforts
Developed 4 bilingual learning modules and a facilitator’s
guide to support the development of communication skills
at the end of life for PSWs and others working in LTC
• What is Hospice Palliative Care
• Reflections on Grief and Loss
• Therapeutic relationships
• Communication skills
Overview of Your Initiative or Efforts
• Piloted the workshop
three times
• Delivered train-thetrainer session
• Created bilingual
educational resources
for LTC homes to use
http://clri-ltc.ca/resourcecategory/educationdelivery/
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Hospice palliative care in LTC
When is it appropriate?
Aims to address
• Anyone living with or at risk
of developing a life –
threatening situation
• Physical, psychological,
social, spiritual and practical
expectations and needs
• Loss, grief and bereavement
• Preparation for, and
management of self–
determined life closure and
the dying process.
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Due to any diagnosis
With any prognosis
Regardless of age
At any time that they have
unmet expectations or needs
and are prepared to accept
care
Canadian Hospice Palliative Care Association (2013). A Model to Guide Hospice
Palliative Care. Ottawa, ON: Canadian Hospice Palliative Care Association.
http://www.chpca.net/media/319547/norms-of-practice-eng-web.pdf
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Meet Betty – Domain Game
The residents in our care play with the cards they are dealt…
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Supporting Culture Change
• Emphasis on holistic care needs, recognizes a humane and
life-affirming approach, meeting the person’s needs where
they are at.
• Education initiative overall emphasizes re-examination of
values, beliefs and attitudes, especially as they relate to
hospice palliative care in the context of LTC.
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Sharing Your Top 3 Recommendations
– Recognize that different people will assimilate
information related to hospice palliative care approach in
different ways (variety of approaches to learning needed)
– Consider integrating a palliative approach in your LTC
setting…don’t save it for the end-of-life!
– Support staff in relation to the losses they experience in
their work.
For more information, contact:
Valerie Fiset RN, MScN, PhD(c)
Chair, Nursing Studies, Algonquin College
1385 Woodroffe Avenue
Ottawa, Ontario, K2G 1V8
Room C230f
phone: 613-727-4723 ext 6011
[email protected]
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