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Oceanic Palliative Care Conference 2023
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Conversations among friends: end-of-life discussions that count

Poster Presentation

ePoster

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Presentation Description

Institution: Stillpoint Strategy - New South Wales , Australia

Background: This presentation discusses findings from two pilot projects exploring how people make sense of life, death and suffering.  The projects arose from a recognition that many people find it difficult to talk about the end of life, even while acknowledging that it is important to do so. 

Aim: To explore the barriers and enablers to end of life planning for people who are not facing imminent death, in order to normalise the place of death in life. 

Methods: Our methodology was two-fold:
  1. In the first pilot, 29 participants were recruited through snowball sampling; interviews were conducted with 1 to 4 people in a domestic and relaxed setting, usually over a meal. Six months later we followed up with participants in 1:1 semi-structured interviews, to explore the following topics:
•       What action, if any, they had taken since the original conversation  
•       Why they took this action or why they didn’t take any action
•       What, if any, further conversations with family or friends resulted from participating in the original conversation
•       Whether their perspectives about end of life had changed since participating in the initial discussion 
•       What could be improved in conducting end of life conversations

2. We conducted a second pilot with a further cohort of participants, using a refined interview guide based on the feedback from previous participants.  

Results/Purpose: 
The first pilot was well received by participants, who appreciated the opportunity to discuss end of life planning sensitively and safely. The initial results were also well received by NSW providers when presented in 2022. This presentation will add findings from the second pilot to contribute to the knowledge base regarding how best to facilitate early conversations about end of life and suffering. 

Presenters

Authors

Authors

Managing Director Linda Kurti Dr - Stillpoint Strategy , Head of Health and Healing Harpreet Kalsi-Smith Ms - Cox Inall Ridgeway

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