Date of Graduation


Degree Type

Capstone (Entry-Level OTD)

Degree Name

Doctorate of Occupational Therapy (OTD)


Despite purporting to serve the entire lifespan from birth until death, occupational therapy continues to search for its identity related to end-of-life services. Research exploring the role of occupational therapy in end-of-life care continues to be limited based on a small number of therapists practicing in the field and a misperceived role interpreted by other health professionals. This paper explores the expansion of occupational therapy’s role in a hospice setting through the identification of occupational roles and meaningful occupation using reminiscence and storytelling at end-of-life. The Role Checklist, a modified version of the Role Checklist, and a semi-structured interview were used to assess four case study subjects. Interventions were implemented based on identified occupational roles and meaningful occupations at end-of-life. Three themes emerged including: reminiscing as assessment and intervention, the occupation of participation, and reminiscence, client-centeredness, and planting seeds. Findings suggest that reminiscence and storytelling can be used to identify occupational roles and occupation at end-of-life, enabling individuals to form deeper connections to the things they find most meaningful. Findings also suggest that reminiscence and storytelling can be used as occupation and can also build client-rapport throughout the assessment and intervention processes.