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Organize a Public Forum (sample)

Goal:

To organize a local Public Forum to improve end-of-life care in your community.

Suggested Timing:

October or November

Title:

Finding Our Way: Living with Dying in _____(Cleveland, Tucson, Atlanta, etc.)
It's time to confront the issues of pain, loss of dignity, and a sense of helplessness near the end-of-life. Let’s discuss needs and plan resources in order to help our citizens.

Invite:

For the panel, invite a prominent community physician, palliative and hospice care community leaders, a social worker, a member of the clergy (non-denominational, or a different faith for each meeting), and your Congressman or another local legislator. For the audience, invite local legislators, representatives from the Area Office on Aging and/or Human Services, elder law attorneys, business leaders, other community leaders, hospice representatives, physicians, social workers, local foundations, reporters from newspapers, radio and TV shows and the public.

Discussion Facilitator:

First, find a good facilitator! Next, look for experience. A well-respected and well-spoken physician with palliative care experience or community leader in hospice palliative care is a good choice. The same is true for other panel members. Often, a local radio or TV show host can capably facilitate discussion.

Set up:

Panel members should be seated in the front of the room and rows of chairs available for the audience; provide a lectern for moderator with microphone; several microphones at the head table; standing microphones in each of the aisles; print-outs of Finding Our Way articles that have run so far; print multiple copies of the Palliative Care article and place copies on each chair or hand out to each attendee. Place an easel-backed Finding Our Way poster next to the lectern. These will be available after August 15, by e-mailing your request to findingourway123@aol.com

Suggested Format:

Discussion should be tailored to the needs and questions of your community. The following is a general guideline only. Be sure to address issues that require local action.

Facilitator Talking Points:
When facing advanced illness, far too many of us encounter unrelenting pain; too many of us suffer the indignity of restraints in hospital or nursing home beds; we have unanswered questions about what is happening to our bodies; we don’t know to whom to talk and we hardly know the questions to ask.
Introduce palliative care practitioners, social worker and clergy (each should be prepared to give a brief -no more than 5 minutes- talk to help stimulate questions from the audience).
We are here to help begin the conversation.
Without talking, without planning, we will not have a peaceful death; we will not have a “good ending” to our lives.
What specific action steps can we take in our community to improve end-of-life care.

Open the floor to questions. Please tell us your story and let’s talk about it. You might encourage the audience to ask the panelists about:

When is the right time to start talking about end-of-life issues?
What local and statewide legislative agendas can be developed?
What is palliative care and where can I get it here?
How can I be sure my concerns about pain management are addressed?
How I can get the doctor to answer my questions such as…?
What should/can I tell young children about dying?
How can we handle suicide, car accidents that result in death, other violent death in our community?
How can I bring up the subject with my family?

If the discussion is slow to begin, one of the facilitators can open with the story of a real life circumstance, preferably one he or she knows personally, and use it as an example that raises questions and topics for discussion.

Possible Action Steps Include:

Ask your local hospitals about their pain management practices - are they committed to helping their dying patients be pain-free?
Make a list of the hospitals in your area that offer palliative care services. What does each include?
How can they be improved?
Find out who is -or could be- organizing training programs for family caregivers. How would such a program be funded? Promoted?
Create “support” groups to help people learn to discuss the issues with their families.

Related Media Activities:

Write a news release announcing the public meeting(s) for your local newspapers and broadcasters.
Write a Public Service Announcement with the time and place of the public meeting(s) for your local radio stations.
Contact your local TV and radio shows about interviews with the moderator and other facilitators, either announcing the public meeting or summarizing what happened afterward.

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