Competencies – Domain 7 - Professional & ethical practice. When appropriate for role, engages in quality improvement, research and knowledge translation to advance practice of self and others, bringing a psychosocial perspective. Educates others (teams, learners, systems, community) regarding psychosocial palliative care (PC) and palliative approach. Takes leadership in policy, program development and delivery of psychosocial PC as appropriate for role. Identify “teachable moments” to educate (teams, learners, systems, community) and describe strategies to advocate for psychosocial PC and the palliative approach to advance practice of self and others. Describe opportunities to engage and bring a psychosocial perspective to quality improvement, research, and knowledge translation. Describe their role and responsibility in leadership in policy, program development and delivery of psychosocial PC 

Competencies – Domain 1 – Principles of PC & palliative approach. Promotes and supports the adaptation of palliative principles in all care settings through capacity building of other care providers/community partners as appropriate for role.  Domain 2 – Cultural safety & humility. Advocates for incorporation of the person’s and family’s cultural traditions, beliefs, expectations, and preferences into decision making, care planning and service delivery models. Advocates for changes in policy to facilitate incorporation of culture into care.  Domain 4 – Comfort & quality of life. Adapts care to address person’s fears and anxieties related to past trauma. Domain 7 – Professional & ethical practice. Participates in community awareness and engagement activities to build understanding, capacity, and inclusion. Addresses micro, meso, and macro factors that influence PC (e.g., internal and external barriers, social determinants of health).    Domain 8 – Self care. Identifies team and organizational barriers and issues and works collaboratively to address them. Promotes an organizational culture that is safe for expression of multiple perspectives and practicing within ambiguity. Become aware of own level of Racism profile through use of self-assessment tools and anti-racism growth chart. Become more comfortable with using anti-racism tools through application of ACTION tool to a case study. Describe how to respond competently to racial comments, behaviours, or policies in the workplace setting through a stance of cultural humility (compassionate, reflective, non-judgmental) in practice. Describe the barriers to responding to racism and identify how racism in the workplace impacts individual staff, clients, client service, and organizational culture 

Competencies – Domain 1 – Principles of PC & palliative approach. Utilizes a holistic approach to care with awareness of how illness, death and bereavement impacts all aspects of person’s and family’s functioning.  Domain 3 – Communication. Provides the person and family/caregiver bereavement counselling and psychosocial education through evidence-based frameworks, if within role and expertise.  Domain 6: Loss, grief, & bereavement. Expert consultant regarding loss, grief, and bereavement. Assesses complex grief reactions and situations, such as multiple loss, traumatic loss, and pre-existing vulnerabilities including mental illness and addiction, abuse, and neglect. Domain 8 – Self care. Understands and attends to the impact of death, dying and bereavement on caregivers (self, family, team, professionals). Identify and define Prolonged Grief and distinguish it from ‘normal’ grief Understand and describe the prevalence and psychosocial correlates of Prolonged Grief  Discuss and describe the theoretical orientations and basic interventions used in Complicated Grief Treatment (CGT) 

Competencies – Domain 2 – Cultural safety & humility. Advocates for incorporation of the person’s and family’s cultural traditions, beliefs, expectations, and preferences into decision making, care planning, and service delivery models. Facilitates expression and inclusion of the person’s and family’s values, beliefs, and wishes during declining health and bereavement. Advocates for changes in policy to facilitate incorporation of culture into care.  Domain 3 – Communication. Provides support, mediation, and advocacy in exploring and clarifying treatment goals and care planning.  Domain 4 – Comfort & quality of life. Adapts care to address persons fears and anxieties related to past trauma. Understands, educates, and works with the person/family and inter-professional team about the interplay of spiritual, emotional, social, cognitive, and physical aspects of the person’s past experiences on their current quality of life.  Domain 7 – Professional & ethical practice. Advocates at a system and community level Describe strategies and approaches people can use in their clinical practice to honour and value the stories of Indigenous peoples in a respectful way that builds trusting relationship and allyship, fosters connections, and allows Indigenous voices to be heard at all stages of life 

Competencies – Domain 2 – Cultural safety & humility. Advocates for incorporation of the person’s and family’s cultural traditions, beliefs, expectations, and preferences into decision making, care planning, and service delivery models. Facilitates expression and inclusion of the person’s and family’s values, beliefs, and wishes during declining health and bereavement. Advocates for changes in policy to facilitate incorporation of culture into care.  Domain 3 – Communication. Provides support, mediation, and advocacy in exploring and clarifying treatment goals and care planning.  Domain 4 – Comfort & quality of life. Adapts care to address persons fears and anxieties related to past trauma. Understands, educates, and works with the person/family and inter-professional team about the interplay of spiritual, emotional, social, cognitive, and physical aspects of the person’s past experiences on their current quality of life.  Describe strategies for persons in a helping role to assist them in reconciling working within a healthcare system that has and continues to do significant harm to Indigenous peoples and their way of being  Describe strategies and approaches people can use in their clinical practice to recognize and acknowledge both the devastating experiences of indigenous peoples both within and outside the healthcare system and the impact of these experiences on their decision-making around access to and receiving end of life care  Describe strategies and approaches people can use in their clinical practice to honour and value the stories of Indigenous peoples in a respectful way that builds trusting relationships and allyship, fosters connections, and allows Indigenous voices to be heard at all stages of life