Comfort Care: Difference between revisions

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==~~Coming to a laptop near you soon: TMP STUDY for primary admit DX of: comfort/end of life care~~==

{{Project

|ProjectActive=legacy

~~needs~~ a ~~project & item name in TMP - Collectors any '''suggestions''' for '''Project name''' in TMP that would be intuitive to all? We can change article name if better idea comes forward~~.[[~~User:TOstryzniuk|Trish Ostryzniuk~~]] ~~19:55, 2013 October 23 (CDT)~~

|ProjectProgram=CC and Med

|ProjectRequestor=Internal

|ProjectCollectionStartDate=2013-11-11

|ProjectCollectionStopDate=2019-08-26

|Project={{PAGENAME}}

}}

{{LegacyContent

|explanation=This concept is now essentially a twin of [[Palliative care]], so collection no longer needed.

|successor=[[Palliative care]]

|content=

This article is about collecting the "Comfort care" ([[ACP C]], [[Palliative care]]) temp entry. Collection has stopped, see [[Palliative care]] for a related thing we collect.

== Data Use and Purpose ==

=== Which patients qualify ===

The purpose is to specifically identify and tag '''only''' those ICU and Medicine patients for whom the '''initial goal''' of care right from the start of a unit admission is comfort care, [[ACP C]], palliation.

~~===Other questions===~~

Pts for whom comfort care is ordered '''after admission do ''not'' qualify.'''

~~Need to clarify if~~ comfort care is the only reason admitted to hospital. Can the patient have any other issues that are being treated? (ie. pneumonia or wound infection, etc.)?? --[[User:LKolesar|LKolesar]] 09:13, 2013 October 24 (CDT)

*Comfort/end of life care is only to be recorded in TMP if a physician documents in the chart that the PRIMARY reason for this ward admission ~~is for this reason only. If physician does~~ not ~~record this in the chart then comfort/end of life care should not be recorded in TMP as primary reason for ward admit~~.~~[[User:TOstryzniuk|Trish Ostryzniuk]] 16:05, 2013 October 24 (CDT)~~

~~==Instructions==~~

Pt '''does not require''' but could be receiving [[Palliative Service]]'''.

*In TMP: Collectors to enter “Admit for: comfort/end of life care” if and only if:

**The initial ward admission note written by the ward resident or attending physician documents explicitly that the patient’s primary reason for admission to that ward is for the purpose of providing, comfort care or end-of-life or clearly similar concepts.

**Do not ~~enter this into TMP if the decision is made by the physician later on during the ward admission~~.

~~===Data Use and Purpose===~~

Pt ''could'' be receiving some medical treatments like treating an pneumonia or infection, pain, dehydration and anything else that would ease suffering.

~~The purpose of adding this to TMP is allow~~ '''~~medicine program~~'~~'' to identify those patients whom the '''primary plan upon ward admission is comfort/end of life care only~~.~~'''~~

~~Thank you~~ [[~~Tina Tenbergen | Tina~~ ]] & [[~~Dr. Allan Garland | Allan~~]] ~~and~~ [[~~:Category:Critical Care Review Group | Critical Care Review Group~~]] ~~& staff all feedback for this one~~. [[~~User~~:~~TOstryzniuk|Trish Ostryzniuk~~]] ~~19:36, 2013 October 23 (CDT)~~

Select Comfort Care only if '''any''' of the following are true:

*(a) the patient had an ACP-C ''prior to'' admission to that unit/ward

*(b) the patient had an ACP-C order implemented as ''part of'' the admission orders to that unit/ward

*(c) the ''initial admission note'' of the unit/ward attending physician and/or the H&P written by the house officer identifies that the patient was admitted for any of:

**(i) comfort care,

**(ii) palliation

**(iii) palliative care

**(iv) or end-of-life care

***Note that none of items (ii)-(iv) require that the patient was ACP-C or that the Palliative Care Service be involved in care.

=== Coding Instructions ===

If the patient meets the above criteria then code as:

*In [[CCMDB.accdb]] '''TMP''' tab add:

**PROJECT: Comfort Care

**ITEM: Comfort Care

**Checkbox, dates, numbers: Don't need to fill, not used for this project

== Data use / Reporting and Analysis ==

The data is used to exclude patients in the analysis of the [[ALERT Scale]] in the [[Directors Quarterly and Annual Report (Medicine)]].

== Related articles ==

[[Category:End-of-life related data]]

}}

@@ Line 1: / Line 1: @@
-==Coming to a laptop near you soon: TMP STUDY for primary admit DX of: comfort/end of life care==
+{{Project
-{{Discussion}}
+|ProjectActive=legacy
-needs a project & item name in TMP - Collectors any '''suggestions''' for '''Project name''' in TMP that would be intuitive to all? We can change article name if better idea comes forward.[[User:TOstryzniuk|Trish Ostryzniuk]] 19:55, 2013 October 23 (CDT)
+|ProjectProgram=CC and Med
+|ProjectRequestor=Internal
+|ProjectCollectionStartDate=2013-11-11
+|ProjectCollectionStopDate=2019-08-26
+|Project={{PAGENAME}}
+}}
+{{LegacyContent
+|explanation=This concept is now essentially a twin of [[Palliative care]], so collection no longer needed.
+|successor=[[Palliative care]]
+|content=
+This article is about collecting the "Comfort care" ([[ACP C]], [[Palliative care]]) temp entry. Collection has stopped, see [[Palliative care]] for a related thing we collect.
+== Data Use and Purpose ==
+=== Which patients qualify ===
+The purpose is to specifically identify and tag '''only''' those ICU and Medicine patients for whom the '''initial goal''' of care right from the start of a unit admission is comfort care, [[ACP C]], palliation.
-===Other questions===
+Pts for whom comfort care is ordered '''after admission do ''not'' qualify.'''
-Need to clarify if comfort care is the only reason admitted to hospital.  Can the patient have any other issues that are being treated? (ie. pneumonia or wound infection, etc.)?? --[[User:LKolesar|LKolesar]] 09:13, 2013 October 24 (CDT)
-*Comfort/end of life care is only to be recorded in TMP if a physician documents in the chart that the PRIMARY reason for this ward admission is for this reason only.    If physician does not record this in the chart then comfort/end of life care should not be recorded in TMP as primary reason for ward admit.[[User:TOstryzniuk|Trish Ostryzniuk]] 16:05, 2013 October 24 (CDT)
-==Instructions==
+Pt '''does not require''' but could be receiving [[Palliative Service]]'''.
-*In TMP: Collectors to enter “Admit for: comfort/end of life care” if and only if:
-**The initial ward admission note written by the ward resident or attending physician documents explicitly that the patient’s primary reason for admission to that ward is for the purpose of providing, comfort care or end-of-life or clearly similar concepts.
-**Do not enter this into TMP if the decision is made by the physician later on during the ward admission.
-===Data Use and Purpose===
+Pt ''could'' be receiving some medical treatments like treating an pneumonia or infection, pain, dehydration and anything else that would ease suffering.
-The purpose of adding this to TMP is allow '''medicine program''' to identify those patients whom the '''primary plan upon ward admission is comfort/end of life care only.'''
-Thank you [[Tina Tenbergen | Tina ]] & [[Dr. Allan Garland | Allan]] and [[:Category:Critical Care Review Group | Critical Care Review Group]] & staff all feedback for this one. [[User:TOstryzniuk|Trish Ostryzniuk]] 19:36, 2013 October 23 (CDT)
+Select Comfort Care only if '''any''' of the following are true:
+*(a) the patient had an ACP-C ''prior to'' admission to that unit/ward
+*(b) the patient had an ACP-C order implemented as ''part of'' the admission orders to that unit/ward
+*(c) the ''initial admission note'' of the unit/ward attending physician and/or the H&P written by the house officer identifies that the patient was admitted for any of:
+**(i) comfort care,
+**(ii) palliation
+**(iii) palliative care
+**(iv) or end-of-life care
+***Note that none of items (ii)-(iv) require that the patient was ACP-C or that the Palliative Care Service be involved in care.
+=== Coding Instructions ===
+If the patient meets the above criteria then code as:
+*In [[CCMDB.accdb]] '''TMP''' tab add:
+**PROJECT: Comfort Care
+**ITEM: Comfort Care
+**Checkbox, dates, numbers: Don't need to fill, not used for this project
+{{Data Integrity Check List|}}
+== Data use / Reporting and Analysis ==
+The data is used to exclude patients in the analysis of the [[ALERT Scale]] in the [[Directors Quarterly and Annual Report (Medicine)]].
+== Related articles ==
+{{Related Articles}}
+[[Category:End-of-life related data]]
+}}