Talking Toward the End of Life: Language and Interaction in Advance Care Planning and Palliative Care

Elderly hospital patient holding hand of nurse
February 7, 2014
8:30AM - 4:15PM
Ohio Union, Senate Chamber

Date Range
2014-02-07 08:30:00 2014-02-07 16:15:00 Talking Toward the End of Life: Language and Interaction in Advance Care Planning and Palliative Care Co-sponsored by the College of Nursing Center of Excellence in Critical and Complex Care, the Division of General Internal Medicine, & the Institute for Collaborative Research and Public Humanities.End-of-life planning and practices, including Advance Care Planning (ACP), hospice, and palliative care, bring together a range of social actors. Patients, loved ones, doctors, nurses, social workers, clergy, and other engaged parties differ in their perspectives, relationship to the patient's care, and degrees of comfort with questions of death and dying. Institutional, cultural, and emotional divides can create conflicts of understanding or the simple lack of a vocabulary with which to address end-of-life planning. How can we ensure that patient wishes are voiced, heard, and respected?This one-day symposium presents new collaborative interdisciplinary research, bringing medical practitioners, caregivers, and patients together with ethnographers of language and social interaction. Together, we will work to imagine holistic approaches for talking toward and through the end of life.Register for lunch with Cristina Benedetti.Schedule of Events8:00-8:30amRegistration8:30-8:45amWelcome/ IntroductionDorothy Noyes, Director, OSU Center for Folklore Studies8:45-10:00amTalk in End-of-Life SettingsThe Use of Narrative for Patients and Families at End-of-LifeJanine Overcash, OSU College of NursingFace-Work at the End of Life: Why Palliative Care Differs from Other Sociolinguistic EncountersDavid Jennings Gramling, Department of German Studies, University of Arizona10:00-10:15amCoffee Break10:15-11:30amCollaboration in Research and PracticeEnd of life: Are We There Yet?Robert Gramling, Department of Family Medicine, University of RochesterSpeaking of Death: Reported Speech in ACP-Based NarrativesGabriella Modan, Department of English, OSUSeuli Bose Brill, Division of General Internal Medicine, OSU Wexner Medical Center11:30-12:30pmLunch12:30 – 2:30pmThe Patient Experience of Advance Care PlanningThe Process of Planning: Planning for Sickness in a Time of HeathLynda Goldberg, Program Director, Policies and Research, OSU Comprehensive Cancer Center/James Cancer HospitalAndrew Schamess, Division of General Internal Medicine, OSU Wexner Medical CenterThree Dads Facing Three Deaths: Meeting Their Needs, Acknowledging My Needs, and Finding PeaceSuzy Thorson, Telecommunications Consultant, Franklin Computer Services GroupIt's Hard to Give Up and Die: Barriers to Making Concrete End-of-Life Decisions in the Face of Serious IllnessJames Grant & Seuli Bose Brill, (Patient and Doctor Dyad) Internal Medicine and Pediatrics at Grandview, OSU Wexner Medical Center2:30-2:45pmCoffee break2:45-3:45pmRoundtable Discussion: Evidence and PracticeMegan Buller, Combined Internal Medicine/Pediatrics Residency Program, Nationwide Children's Hospital and OSU Wexner Medical CenterKavitha Norton, Division of Palliative Medicine, OSU Wexner Medical CenterDorothy Noyes, OSU Center for Folklore StudiesDana Schroeder, Director of the Department of Chaplaincy, OSU Wexner Medical Center3:45-4:15Wrap Up/ Future DirectionsImage courtesy of Getty Images #200150996-001 Ohio Union, Senate Chamber America/New_York public

Co-sponsored by the College of Nursing Center of Excellence in Critical and Complex Care, the Division of General Internal Medicine, & the Institute for Collaborative Research and Public Humanities.

End-of-life planning and practices, including Advance Care Planning (ACP), hospice, and palliative care, bring together a range of social actors. Patients, loved ones, doctors, nurses, social workers, clergy, and other engaged parties differ in their perspectives, relationship to the patient's care, and degrees of comfort with questions of death and dying. Institutional, cultural, and emotional divides can create conflicts of understanding or the simple lack of a vocabulary with which to address end-of-life planning. How can we ensure that patient wishes are voiced, heard, and respected?

This one-day symposium presents new collaborative interdisciplinary research, bringing medical practitioners, caregivers, and patients together with ethnographers of language and social interaction. Together, we will work to imagine holistic approaches for talking toward and through the end of life.

Register for lunch with Cristina Benedetti.

Schedule of Events

8:00-8:30am

Registration

8:30-8:45am

Welcome/ Introduction

  • Dorothy Noyes, Director, OSU Center for Folklore Studies

8:45-10:00am

Talk in End-of-Life Settings

  • The Use of Narrative for Patients and Families at End-of-Life
    Janine Overcash, OSU College of Nursing
  • Face-Work at the End of Life: Why Palliative Care Differs from Other Sociolinguistic Encounters
    David Jennings Gramling, Department of German Studies, University of Arizona

10:00-10:15am

Coffee Break

10:15-11:30am

Collaboration in Research and Practice

  • End of life: Are We There Yet?
    Robert Gramling, Department of Family Medicine, University of Rochester
  • Speaking of Death: Reported Speech in ACP-Based Narratives
    Gabriella Modan, Department of English, OSU
    Seuli Bose Brill, Division of General Internal Medicine, OSU Wexner Medical Center

11:30-12:30pm

Lunch

12:30 – 2:30pm

The Patient Experience of Advance Care Planning

  • The Process of Planning: Planning for Sickness in a Time of Heath
    Lynda Goldberg, Program Director, Policies and Research, OSU Comprehensive Cancer Center/James Cancer Hospital
    Andrew Schamess, Division of General Internal Medicine, OSU Wexner Medical Center
  • Three Dads Facing Three Deaths: Meeting Their Needs, Acknowledging My Needs, and Finding Peace
    Suzy Thorson, Telecommunications Consultant, Franklin Computer Services Group
  • It's Hard to Give Up and Die: Barriers to Making Concrete End-of-Life Decisions in the Face of Serious Illness
    James Grant & Seuli Bose Brill, (Patient and Doctor Dyad) Internal Medicine and Pediatrics at Grandview, OSU Wexner Medical Center

2:30-2:45pm

Coffee break

2:45-3:45pm

Roundtable Discussion: Evidence and Practice

  • Megan Buller, Combined Internal Medicine/Pediatrics Residency Program, Nationwide Children's Hospital and OSU Wexner Medical Center
  • Kavitha Norton, Division of Palliative Medicine, OSU Wexner Medical Center
  • Dorothy Noyes, OSU Center for Folklore Studies
  • Dana Schroeder, Director of the Department of Chaplaincy, OSU Wexner Medical Center

3:45-4:15

Wrap Up/ Future Directions


Image courtesy of Getty Images #200150996-001