Palliative Care serves predominantly older adults experiencing the end stage symptoms of a terminal illness and life expectancy of greater than 30 days. These individuals typically cannot be managed effectively in a less acute setting, requires active symptom management and the intensity of nursing and physician resources offered in this setting.
The interprofessional team includes a Physician, Registered Nurses, Registered Practical Nurses, Health Care Aides, Social Worker, Therapeutic Recreationist, Registered Dietician, Pharmacist and a representative from Spiritual and Religious Care. Speech language pathology, physiotherapy and occupational therapy are provided on a consultation basis only, to ensure safety, positioning, pain control, and to support current function. Our focus is on optimizing patient comfort, supporting independence and participation in leisure and self-care activities. When possible, the team will assist patients to return to community palliative support. Involvement of families and friends is an important part of the care.
Referral for this service requires the use of the Common Referral Form for Palliative Care including life expectancy information. Patients and families must be aware of and consent to admission to a palliative program. Advance Care Planning information should be included with the application. Referrals can include back up applications that allow the patient to remain in the community until admission is required.
Co-payment is not required for the first 90 days.
- 19 years of age and older
- Requires pain and symptom management and support
- Diagnosis of a terminal illness – no longer requiring active medical investigation or treatment, e.g.: IV therapy has been discontinued (if need is determined post admission, it will be on a case by case basis); IV chemotherapy has been discontinued
- Acceptance of a palliative plan of care, including Do Not Resuscitate (DNR)
- Continuous oxygen can be provided for comfort
- Does not require behaviour management or management of wandering
- No uncontrolled psychiatric illness
- A limited number of non-ventilated tracheostomy or G-fed patients are accepted
- Stage 3 and 4 ulcers accepted
- Variety of ostomies accepted