Who we are
Aux trois sentiers positions itself as an essential link in the end-of-life journey. The organization offers concrete alternatives to hospitalization through an innovative approach to specialized care, both at home and eventually in an end-of-life residence.
Through a model structured around three complementary components, Aux trois sentiers helps ensure that each person is in the right place, at the right time, with care tailored to their own reality. This approach aims to foster a death marked by humanity and dignity, in accordance with each person’s wishes, while providing meaningful support to their loved ones.
Our approach is:
- Rooted in the real needs of patients and their loved ones
- Guided by a commitment to humanizing end-of-life care
- Driven by specialized interdisciplinary expertise
- Focused on complementarity with the healthcare network
Vision
Living the end of life on your own terms, with the right support, in the right place.
Aux trois sentiers works to ensure that people at end of life and their loved ones have access to a range of options that allow them to live through this stage according to their own choices, in the setting that suits them best, with support that is tailored to and respectful of what matters most to them.
Mission
Aux trois sentiers is a non-profit organization that supports people at end of life and their loved ones who wish to receive specialized palliative care outside of a hospital setting. It acts as an expert and learning centre to develop complementary alternatives to existing services, thereby contributing to the enrichment of palliative care and services offered in Quebec.
Valeurs
Innovation
Doing things differently, challenging the status quo to improve end-of-life care.
Compassion
Placing the patient and their loved ones first, respecting and adapting to their choices and individuality.
Sense of community
Building genuine human connections between patients, loved ones, caregivers and network partners, where everyone can rely on bonds of solidarity and collaboration.
Serenity
Embracing moments of crisis and providing support with stability, calm and clarity in the most critical moments.
Current needs: the numbers
Given the aging population, the number of deaths is increasing every year. Alors qu’une forte proportion de personnes veut passer ses derniers moments de vie à domicile avec ses proches, les ressources en fin de vie sont largement insuffisantes.
The percentage of Quebecers who prefer to die at home*
cible de décès à domicile fixée par le ministère de la Santé et des Services sociaux (MSSS) pour 2020
Percentage of deaths that occur at home in Québec**
taux d’administration de l’Aide médicale à mourir à domicile***
L’intensification des symptômes
et des besoins des patients en fin de vie
exige une AUGMENTATION des ressources à domicile.
* Rapport annuel d’activités du 1er avril 2019 au 31 mars 2020, Commission sur les soins de fin de vie
** Indicateurs de soins palliatifs : mise à jour des résultats pour la population adulte du Québec, INSPQ, décembre 2020
*** Rapport annuel d’activités du 1er avril 2022 au 31 mars 2023, Commission sur les soins de fin de vie
Our Positioning
Aux trois sentiers intervenes at a particularly critical moment in the end-of-life journey: when needs intensify in the final weeks, often during the agony phase.
Our role is to offer, at home, a specialized alternative to hospitalization, through personalized care pathways built with the person and their loved ones, in accordance with their wishes.
Each care plan is adapted to the rapidly evolving situation in order to enable informed decisions, anticipate possible scenarios, and avoid, when desired and possible, returns to the hospital.
Our approach complements the existing services of the healthcare network and other palliative and end-of-life care organizations. We work closely with clinical partners to pilot, in Montreal, an innovative model of specialized care that is freely accessible to eligible patients.
What makes us different
Aux trois sentiers’ niche lies in transposing to the home setting the specialized care typically reserved for hospitals, in order to make it more accessible, more humane and better suited to the reality of people at end of life and their loved ones.
This expertise allows for rapid intervention in complex or evolving situations, particularly regarding pain, refractory symptoms and advanced end-of-life accompaniment.
Among the specialized interventions offered at home:
- telemedicine
- ultrasound-guided peripheral intravenous line insertion
- management of acute and complex symptoms
- intermittent intravenous sedation
- continuous palliative sedation, subcutaneous or intravenous
- complex pain management using medications typically reserved for certain hospital settings
- medical assistance in dying
What sets us apart is our ability to combine specialized medicine, clinical agility and humanity, to allow people to go through this stage as peacefully as possible, in the right place, at the right time.
Palliactive care
Coined by Aux trois sentiers, this word represents the innovative approach of dedicated professionals who wish to provide specialized end-of-life care where the patient, their needs, their wishes and their own reality are at the heart of the process.
We bring care and services to patients, rather than asking people at end of life to travel to hospitals.
Une équipe multidisciplinaire
Aux trois sentiers est constitué d’une équipe de professionnels animés par le désir commun de tracer de nouveaux sentiers pour faire une différence dans les soins de fin de vie.
Want to get involved?
Be part of the change!
Let’s work together to help Quebecers who want a dignified end-of-life experience. Let’s have the courage to offer them beauty at the end of life.