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First Nations communities can develop culturally relevant palliative care programs by integrating Indigenous models of care with Western medicine. This approach supports end-of-life care within family, community, and cultural contexts.

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Area of Science:

  • Indigenous Health
  • Palliative Care
  • Community Health Programs

Background:

  • First Nations communities possess traditional knowledge and community-based practices for end-of-life care, viewing death as a social experience.
  • Western healthcare systems often conflict with Indigenous end-of-life practices, causing stress and misunderstanding.
  • Integrating Indigenous and Western approaches is crucial for effective palliative care in First Nations settings.

Purpose of the Study:

  • To describe a community capacity development process for establishing palliative care programs in First Nations communities.
  • To share experiences of two First Nations communities in developing culturally grounded palliative care.
  • To present a model for integrating Indigenous values with medical palliative care services.

Main Methods:

  • Community capacity development approach focused on Indigenous models of care.
  • Partnership with four First Nations communities in Canada (EOLFN project, 2010-2015).
  • Workshop format sharing community experiences and an underlying development model.

Main Results:

  • Successful development of palliative care programs rooted in community values and principles.
  • Enhanced medical palliative care services integrated with community cultural practices.
  • Celebration of cultural capacity within participating First Nations communities.

Conclusions:

  • Community-driven capacity development is effective for creating culturally safe palliative care.
  • Integrating Indigenous values and Western medicine enhances end-of-life care for First Nations.
  • The EOLFN project provides a replicable model for Indigenous palliative care development.