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| {{DX tag | Palliative Care | PALLIATIVE CARE | 904-00 | '''Critical Care and/or Medicine''' | Currently Collected }}
| | See [[Palliative care]]. |
| '''[[Palliative care]]''' is care including pain and symptom management, social, psychological, cultural, emotional and spiritual support as well as caregiver and bereavement support that is given to a person with progressive, advanced, or chronic disease with little or no prospect of cure whose death is apparent however is not immediately imminent. ([http://www.hc-sc.gc.ca/hcs-sss/palliat/index_e.html Health Canada website])
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| Palliative care might be provided even if [[DC Treatment|disease treatment has been discontinued]] in an ICU patient.
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| == When to code Palliative Care == | | {{PreICD10 dx | NewDxArticle = Palliative care}} |
| The diagnosis '''Palliative care''' should be coded for patients where all of the following are true:
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| * Patient either on Medicine ward or in ICU
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| * care is given to a person with progressive, advanced underlying disease with little or no prospect of cure
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| * death is apparent however is not immediately imminent
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| NOTE: Trish is looking at this definition. I will add more detail and will review with Roberts.
| | {{DX tag | Other Medical | Medical Problem | Palliative Service | | 90400 | | |'''Critical Care and/or Medicine''' | Currently Collected | |}} |
| Need to inlclude a purpose as to why we are tagging these patients.
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| [[User:TOstryzniuk|TOstryzniuk]] 17:27, 24 June 2008 (CDT)
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| [[Category:Trish Pending]] | | A [[palliative patient]] will have a "diagnosis" of Palliative Service if the patient is either under the care of Palliative Service Team or that this Service has been consulted. We code '''Palliative Service''' as a diagnosis because we did not have a reasonable alternative way to code it when we started to collect it. |
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| == When '''not''' to code Palliative Care ==
| | See [[Comfort Care]] for collection instructions on that care goal. |
| For our purposes and the way we analyze the data, a patient whose death is '''immediately imminent''' should '''not''' be coded as Palliative care, but might be coded as [[DC Treatment]] if appropriate.
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| == Further info required to un-stub == | | == Coding Instruction for Palliative Care Service== |
| * Incorporated Laura's definition from Health Canada. However, will we code if only some of the aspects of palliative care (e.g. pain mgmt, but not emotional support) are provided? In the end, this is a coding guide, and the above makes is less clear when to code. The "when to code..." section should be updated to clarify which parts of definition are mandatory, or how to gather from chart. I suppose the main information is that the focus of care is for comfort rather than active treatment. LKolesar
| | Palliative Service code should only be used as follows: |
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| {{Discussion}}
| | *ADMIT slots: |
| == Discussion ==
| | **only if the patient is either under the care of Palliative Service Team or that this Service has been consulted, ''even if the patient was not accepted to that service'' |
| * I have a ? about pall care vs dc treatment | |
| Pts are transfered to D5 from the icus to die I put in my 1st admit pall care and I add d/c treatment, does icu put pall care in acquired as well as d/c treatment or do I put in my 1st admit the cause of their demise with d/c treatment. How do you wish these cases to be coded. (Pat Stein)
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| {{stub}}
| | *COMPLICATION slots: |
| [[Category:Diagnosis Coding]] | | **only if there is an actual '''consultation''' for Palliative Services '''''after''''' ward admission ''even if the patient was not accepted to that service'' |
| [[Category:Trish Pending]] | | |
| [[Category:Questions]] | | == Related data == |
| | The diagnosis code Palliative Service is related to, '''but not the same as''' a patient having [[ACP-C]] or [[Comfort Care]] orders, but you might be able to code [[Comfort Care]] in that circumstance. |
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| | ==See also== |
| | [[:Category:End-of-life related data]] |
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| | == Legacy info == |
| | see [[palliative patient]] |
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| | [[Category:End-of-life related data]] |