title: Promoting health and well-being at the end of life through client-centered care.
abstract: BACKGROUND
  Client-centered care is the cornerstone of the hospice and includes family members and significant others as the client unit. There needs to be a conceptual shift away from "medicalizing" patients at the end of life to promoting their health and considering their well-being a shared responsibility. Using the hospice philosophy of client-centered care can inform and expand health-promotion occupational therapy practice, particularly for people at the end of life.
  
  
  OBJECTIVE
  This paper examines client-centered care at the end of life as that which enables engagement in meaningful occupation and promotes health and well-being until one dies.
  
  
  METHODS
  Constant comparison and thematic analysis is used for 12 interviews of hospice professionals. One of the themes, client-centered care, is discussed relative to the promotion of health and well-being at the end of life.
  
  
  RESULTS
  Client-centered care is deemed to be an important approach at the end of life.
  
  
  CONCLUSIONS
  It is determined that client-centered care at the end of life is vital to promote quality of life, health, and well-being. Further research is indicated.
authors: a Department of Occupational Therapy, School of Health Professions, Long Island University , Brooklyn, NY, USA.
authors: Michael A
authors: MA
authors: Pizzi
mesh_terms: D000328:Adult; D000488:Allied Health Personnel; D005190:Family; D005260:Female; D006293:Health Promotion; D006738:Hospices; D006801:Humans; D008875:Middle Aged; D009788:Occupational Therapy; D018802:Patient-Centered Care / Q000379:methods*; D013727:Terminal Care
keywords: End-of-life care; health promotion; hospice; occupational therapy practice; palliative care; quality of life; wellness