MY PURPOSE: creating effective communication to grow understanding and identification of hospice palliative care in order to encourage citizen engagement with the sustainability and development of hospice palliative care options as well as increase early integration of hospice palliative care for patients and their family

Perceptions of Palliative Hospice Care

stigma associated with palliative care

Heirchical language # Foucault 🏁

hospice/palliative/hospice-palliative care has many definitions, - WHO org def out of date. Medical community lacks clarity and agreement on meaning

Culture Shift - as an opportunity

social, political, culture supports that this is the time to reframe

Changing health care needs

death cafe

death doulas

Bill C14 -Dying with dignity #

Bill C-41 politicizing

People living longer

more medicalization

Seniors issue

People not living near family

aging population

it is the entry into death

it is for pain management

placed in context or practical, psychiatric and medical

hospice palliative relatively new phenomenon (1980's in NA)

= lack of choice

age-ism

Not relevant to me

Dissonance

death denial # #

taboo subject

it's a medical issue #

medical language separates medical from community #

social media

Palliative Hospice as a public health issue

Healthy communities

collaboration/partnership with other health, social science org

not just a service for the dying, supporting the bereaved #

compassionate communies movement model, dying matters model

increased health literacy

leads to community empowerment and participation, com engagement leads to new understanding

narratives in health care education to break down the barriers, and increase identification and frame hospice as a public health issue - Fischer's narrative paradigm & Theory of Social Constructivism and stories 🏁

Barriers #

bereaved carer as educator, sharing stories in medical schools

stories of bereaved carer are more relatable that those of the ppl dying # **Burkes theory of identification 🏁

culture, dying is private

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Elaboration Likelihood Model and Social Judgement Theory - (the personal relevance of a story will impact an individuals motivation to make make meaning of the info presented.) 🏁