title: Lessons in living and dying from my first patient: an autoethnography.
abstract: BACKGROUND
  This study examines the challenges and rewards of a fieldwork student's first encounter with death in a clinical setting and describes occupational interventions that affirm the life of a client preparing for death.
  
  
  OBJECTIVE
  To explore meanings, challenges, and lessons of end-of-life care for an occupational therapy fieldwork student.
  
  
  METHODS
  A qualitative format, autoethnography, was used to develop a narrative that reveals the lived experience of a fieldwork student. FINDINGS. Findings include a description of what a fieldwork student was and was not able to accomplish in end-of-life care. The paper describes using self-care activities to normalize and cede control of end-of-life care to the client and developing a vision of how to help clients find closure.
  
  
  CONCLUSIONS
  The study carries implications for students and therapists working in end-of-life care. Therapists and educators can draw from this study to better understand and support new therapists when patients die.
authors.affiliation: Acute Rehabilitation Services, St. John Medical Center, Tulsa, OK 74104, USA.
authors.forename: Katie E
authors.initials: KE
authors.lastname: Warne
authors.forename: Steve
authors.initials: S
authors.lastname: Hoppes
mesh_terms: D001291:Attitude of Health Personnel; D001293:Attitude to Death; D006801:Humans; D009788:Occupational Therapy; D036301:Qualitative Research; D013336:Students, Health Occupations / Q000523:psychology*