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The fundamental ethic principle of autonomy informs occupational therapy in the treatment of terminal patients. The World Health Organization recommends helping these people “to live as actively as possible until death.” Occupational therapists have thus a place of choice to optimize autonomy. With the help of the Canadian Occupational Performance Measure, therapists invite the terminal patient to share their needs and wishes concerning activities. This tool informs the patient’s care project and supports our objective to provide value to life for the remaining time.