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2. Discuss how to access these initiatives for fur-ther information.

This interactivepresentationwill offer participantsan overview of several recent Canadian hospicepalliative care initiatives. Topics to be includedare: (1) theCanadianNorms of Practicedamodelto guide hospice palliative care (along with the ad-aptationof themodel for pediatric palliative care);(2) the Quality of End-of-Life Care Coalition ofCanada (an advocacy coalition comprised ofa spectrum of national disease-specific, care-fo-cused, and consumer groups); (3) Canadian Vir-tual Hospice (a multi-user website that facilitatesinformation translation for patients, families,and health professionals); (4) rural palliativecare initiatives; (5) Compassionate Care BenefitsProgram (a federal program that provides finan-cial benefits to individuals caring for dying ‘‘fam-ily’’); (6) international partnerships (twinningand mentoring activities).

DomainStructure and Processes of Care

2:45e3:45 pm

Concurrent Sessions

Intoxicated by My Illness: ArtisticExpressions of Terminal Illnessand Grief (323)Mellar Davis, MD, Cleveland Clinic TaussigCancer Institute, Cleveland, OH. Amy Bauer,LISW, Cleveland Clinic, Cleveland, OH.(All speakers for this session have disclosed norelevant financial relationships.)

Objectives1. Compare and contrast the artists’ ideal pa-

tient-doctor relationship at the end of life.2. Discuss how the terminally ill person can use

illness to reform and energize the self andcommunity with artistic expressions.

3. Discuss how suffering is both personal anduniversal.

Three artists have captured the experience of dy-ing and grief with their artistic expressions.Goethe has stated ‘‘seeds for the planting mustnot be grounded.’’ This became a revelation toKathe Kollwitz with the loss of her son in WorldWar I. Her grief provided important purposeand energy to her lithographs woodcuttingsand sculptures. She said, ‘‘I do not want to gountil I have faithfully made the most of my talent

and cultivated the seed that was placed in me un-til the last twig has grown.’’Anatole Broyard, a literary critic, recorded his ill-ness over course. His prose ‘‘Intoxicated by MyIllness’’ expresses the creative force of terminalillness. ‘‘A critical illness is like a great permis-sion and authorization or absolving. It’s all rightfor a threatened man to be romantic even crazyif he feels like it. All your life you think you haveto hold back your craziness but when you aresick you can let it out in all its garish colors.’’Robert Pope died at age 35 from side effects ofchemotherapy. He recorded his experience inpainting. ‘‘Onepositive quality of cancer or any se-rious illness is theway it causes us to focus and con-sider priorities perhaps even for the first time.’’This workshop will compare and contrast the art-ists’ ideal patient-doctor relationship at the endof life.Wewill discuss how the terminally ill personcan use illness to reform and energize the self andcommunity with artistic expressions. We will ex-plorehow suffering is bothpersonal anduniversal.The prose of Broyard suggests psychological isola-tion fromhis support network. Broyard alsomakesstrong recommendations about how caregiversshould interact withpatients.Wewill explore theserecommendations as myth or reality. Finally, wewill discuss the visual arts in grief and loss.

DomainPsychological and Psychiatric Aspects of Care;Spiritual, Religious, and Existential Aspects ofCare; Cultural Aspects of Care

Integrative Palliative Care: CombiningConventional and AlternativeEvidence-Based Medicine (324)Lucille Marchand, MD BSN, University ofWisconsin Carbone Comprehensive Cancer Cen-ter, Madison, WI.(Marchand has disclosed no relevant financialrelationships.)

Objectives1. Review the evidence based literature on com-

plementary and alternative medicine (CAM)in integrative palliative care.

2. Describe the barriers to incorporating CAMtherapies into palliative medicine and learnhow to overcome those barriers.

3. Identify how combining CAM with conven-tional medicine can expand options of hopeand healing for patients especially at end oflife.

Vol. 41 No. 1 January 2011 207Schedule with Abstracts

Integrative palliative care encompasses wholeperson relationship-centered care using evi-dence-based conventional, complementary, andalternative approaches with an emphasis onhealth and healing. Goals of care include opti-mizing well-being and quality of life, relief ofdistressing symptoms, empowered decision mak-ing, support of caregivers, and effective life clo-sure for a peaceful and meaningful dying anddeath. Integrative palliative medicine calls usto be creative and innovative in the care of dyingpatients expanding options to enhance healingmaintain hope and improve well-being ina unique way for each individual. In one surveyof complementary and alternative medicine(CAM) services provided by hospices, 60% ofresponding hospices offered such therapies.Constraints to providing complementary ser-vices were lack of funding, lack of staff time,lack of qualified complementary therapists, in-adequate knowledge about theses services, andpatient and staff resistance to complementarytherapies. One hospice found innovative waysto overcome barriers to incorporating CAM ther-apies into their hospice care. Another studyfound that patients who received complemen-tary therapies were more satisfied with theirhospice services. Many cultural groups incor-porate integrative practices into their care es-pecially at end of life. This presentation willaddress cutting-edge evidence-based CAM ther-apies for palliative care and review the barriersto incorporating CAM therapies into palliativecare, as well as ways to overcome these barriersin creative ways. It will also review the promo-tion of health healing and expanding optionsof whole person care in palliative medicine.Modalities reviewed will include massage move-ment, music, life story and reminiscing, acu-puncture, botanicals, supplements, mind/body therapies, breath work, guided imagery,etc. How these modalities augment conven-tional therapies will be reviewed.

DomainAll domains

Palliative Care in Health Emergencies:Tools for Planning (325)Phillip Rodgers, MD FAAHPM, University ofMichigan, Ann Arbor, MI. Porter Storey, MDFACP FAAHPM, Colorado Permanente Medical

Group, Boulder, CO. Marianne Matzo, PhDFAAN FPCN, University of Oklahoma, Oklaho-ma City, OK. Maria Gatto.(All speakers for this session have disclosed norelevant financial relationships.)

Objectives1. Describe the key elements of health emer-

gency response planning for disasters andmass casualty events (MCEs).

2. Recognize existing guidelines for scarce re-source allocation and crisis standards ofcare, and their implications for hospice andpalliative care providers.

3. Identify opportunities within your organiza-tion to improve disaster and MCE prepared-ness to care for patients with advanced,serious illness.

Recent international crises have heightenedawareness of the need for swift and effectivehealth emergency response to natural disasterspandemics and other catastrophic mass casualtyevents. Although significant planning effortshave addressed standards of care and scarce re-source allocation during crisis response, substan-tial gaps in preparedness exist at all levels.Advanced illness and end-of-life care pose partic-ular challenges during health emergences givencomplex care needs and the often competingdemands for trained providers material andspace. This session will present and compare ex-isting national guidelines for health emergencyresponse in the United States and Canada, fo-cusing on issues related to palliative and end-of-life care. Special attention will be given tothe planning needs of hospice and palliativecare providers and to providing tools for leverag-ing their expertise to maximize care for patientswith serious advanced illness.

DomainStructure and Processes of Care

The 2010 AAHPM PhysicianCompensation Survey (326)Parag Bharadwaj, MD, Cedars-Sinai Medical Cen-ter, Los Angeles, CA. Charles Wellman, MDFAAHPM, Hospice of the Western Reserve, Cleve-land, OH. Edward Martin, MD MPH, Home andHospice Care of Rhode Island, Providence, RI.(All speakers for this session have disclosed norelevant financial relationships.)