All authors: Dr. Kelli Stajduhar, School of Nursing and Institute on Aging & Lifelong Health, University of Victoria, Canada
Ms. Ashley Mollison, Institute on Aging & Lifelong Health, University of Victoria, Canada
Ms. Shelley Tysick, Palliative & End of Life Care Program, Island Health, Canada
Presenting author: Dr Kelli Stajduhar
Building palliative approaches to care in the inner city: Learnings from an action research project with inner city workers
Background and Aims: Despite Canada’s commitment to high quality health care, health inequities remain a pressing concern. In particular, people impacted by structural inequities such as inadequate housing, racialization, classism, stigmatization of substance use and mental illness continue to experience persistent health and health care inequities and challenges accessing health care services. Access to health care services at the end of life (EOL) is especially problematic for those who are “structurally vulnerable”. Higher incidences of substance use, severe mental illness, and homelessness and unstable housing, contribute to barriers accessing the health services needed to ensure quality EOL care. Building on a three-year ethnographic study to make visible the challenges faced by those who are structurally vulnerable, this workshop will share learnings and preliminary findings from an ongoing participatory action research project aimed at integrating palliative approaches to care in the inner city.
Interactivity: Framed within a model of primary health care, and informed by health equity and social justice perspectives, we will show how engagement with inner city workers (including housing, outreach and harm reduction workers) is a necessary component toward models of equity informed palliative care. The workshop will include a presentation that synthesizes key applicable research. Participants will then break into groups and engage interactive and mixed medium case studies that encourage the application of palliative care principles in inner city settings.
Learning outcomes: We will offer participants: 1) synthesized research on integration of palliative care approaches in inner city settings; and 2) “real world” case studies on strategies and interventions developed in partnership with inner city workers to integrate palliative approaches to care in their settings.
Conclusions and application to PHPC: Participants will hear first-hand accounts from inner city workers about process challenges and successes in reorienting their work toward palliative approaches and what the palliative care community needs to do to fully embrace equity-informed palliative care.