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IDA Vol 40 Issue 4 - ASID (Dec 2019)

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END OF LIFE AND<br />

INTELLECTUAL DISABILITY<br />

Michelle Weiss<br />

Seminar held on Wednesday 26th June <strong>2019</strong>– Australasian Society for Intellectual Disability, Victoria<br />

It was a great pleasure to have Michelle Weiss as our guest for the <strong>ASID</strong> VIC Seminar on Wednesday<br />

26th June <strong>2019</strong> at Onemda. Dr Michelle Weiss is Senior Lecturer in Applied Psychology at Western<br />

Sydney University, Australia. Michelle is a psychologist and educator who has worked in the disability<br />

sector for over 30 years. Michelle provided an interactive seminar on the topic “End of life and<br />

intellectual disability”. The seminar focussed on why and how to support people with intellectual<br />

disability to talk about their end of life preferences.<br />

Michelle introduced us to a framework for understanding end-of-life care for people with intellectual<br />

disability. A pivotal aspect of this framework is the importance of developing a knowledge about dying<br />

throughout life. Michelle highlighted that opportunities to develop this knowledge is restricted for people<br />

with intellectual disability. This restricted knowledge impacts on the experiences people with intellectual<br />

disability have at the end of life.<br />

Michelle provided us with examples of how people with intellectual disability can participate in end<br />

of life decision-making with support by expressing their preferences regarding topics such as funeral<br />

arrangements, place of death, and palliative care. She facilitated an excellent discussion around the<br />

barriers to this participation, including avoidance and protection by caregivers.<br />

Michelle shared practical tips for those supporting people with intellectual disability to develop<br />

knowledge about death and dying. These included using language that is clear and direct, expanding<br />

the topic a bit more each time, and asking questions to check for understanding. Michelle directed<br />

the audience to “Talking End of Life (TEL)”, an online resource designed for disability support<br />

professionals about how to teach people with intellectual disability about end of life.<br />

To conclude the workshop, Michelle shared her experiences supporting people with intellectual<br />

disability in loss and grief by encouraging participation in collective mourning.<br />

In conclusion, Michelle shared some words of wisdom from a disability support worker:<br />

“It’s okay to talk about death… talking about it won’t make it happen any sooner.”<br />

For further information:<br />

https://www.westernsydney.edu.au/ssap/ssap/research/ongoing_research_projects/end_of_life_and_<br />

intellectual_disability<br />

Hille Voss (Netherlands Institute for Health Research)<br />

Dr Jo Watson (Deakin University)<br />

<strong>Vol</strong> <strong>40</strong>, <strong>Issue</strong> 4, <strong>Dec</strong>ember <strong>2019</strong><br />

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