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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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| == Current obstacles to consistent coding practices== | | {{PreICD10 dx | NewDxArticle = Palliative care}} |
| Current collection problems with Palliative care code:
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| ●Hospitals in the city, not all sites code the ACP status. Only write “palliative care”. (thought this was a regional requirement for every admission?
| | {{DX tag | Other Medical | Medical Problem | Palliative Service | | 90400 | | |'''Critical Care and/or Medicine''' | Currently Collected | |}} |
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| ●Collectors suggest it would be better collect the ACP status instead, though I am told this could change with every new admission to hospital ??
| | 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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| ●collectors want to know the purpose of collecting that status of “palliative care” and how this information is being used.
| | See [[Comfort Care]] for collection instructions on that care goal. |
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| ●What is a time line for immediately imminent vs. not immediately imminent? (example; patients DC TX in ICU, did not die immediately, not until 1-2 weeks after ward admission. Should ward call this DC TX or palliative?
| | == Coding Instruction for Palliative Care Service== |
| | Palliative Service code should only be used as follows: |
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| == When to code Palliative Care ==
| | *ADMIT slots: |
| The diagnosis '''Palliative care''' should be coded for patients where all of the following are true:
| | **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'' |
| * Patient either on Medicine ward or in ICU | |
| * 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.
| | *COMPLICATION slots: |
| Need to inlclude a purpose as to why we are tagging these patients.
| | **only if there is an actual '''consultation''' for Palliative Services '''''after''''' ward admission ''even if the patient was not accepted to that service'' |
| [[User:TOstryzniuk|TOstryzniuk]] 17:27, 24 June 2008 (CDT)
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| [[Category:Trish Pending]] | | == 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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| == When '''not''' to code Palliative Care == | | ==See also== |
| 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.
| | [[:Category:End-of-life related data]] |
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| == Further info required to un-stub == | | == Legacy info == |
| * 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
| | see [[palliative patient]] |
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| {{Discussion}}
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| == Discussion ==
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| * I have a ? about pall care vs dc treatment
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| 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}}
| | [[Category:End-of-life related data]] |
| [[Category:Diagnosis Coding]] | |
| [[Category:Trish Pending]]
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| [[Category:Questions]]
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