Comfort Care: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
← Older edit
TOstryzniuk (talk | contribs)
CCMDB_legit, approved, Bureaucrats, Administrators
27,522 edits
No edit summary
mNo edit summary
 
(72 intermediate revisions by 7 users not shown)
Line 1: Line 1:
Hi everyone............would like to add this to TMP starting on Friday this week Nov 1.13.  Is everyone now undertanding how to use this TMP file and the new definition/clarification of when or when not to use code Palliative Care.  Let me know the plan is to get this rolling.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:28, 2013 October 30 (CDT)
{{Project
|ProjectActive=legacy
|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=


'''Not implemented yet'''. Coming to a laptop near you soon: TMP STUDY
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.


Comfort care, ACP C, palliation
== 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.


===Data Use and Purpose===
Pts for whom comfort care is ordered '''after admission do ''not'' qualify.'''
The purpose of adding this to TMP is allow the '''medicine program''' to identify those patients whom the '''initial intent of care AT the start of a ward admission''' is: comfort care, ACP C, palliation.


NOTE: Palliation does not mean consult to [[Palliative Care Service]], but can include it.
Pt '''does not require''' but could be receiving [[Palliative Service]]'''.


=== Collection Instructions ===
Pt ''could'' be receiving some medical treatments like treating an pneumonia or infection, pain, dehydration and anything else that would ease suffering.  
*Where: ccmdb TMP:
**PROJECT: Admit Intent (''current suggestion for project name'')
**ITEM: Comfort Care
#Ward admitting physician/resident's order/note is required to be present on the chart at the time of ward admission stating: that intent for this ward admission is for:  comfort care or ACP C or palliation. 
#Admit DX's would use the same process as we always do.  Most significant Medical problem in admit 1, 2, 3 etc.


Note: comfort care, ACP C, palliation all mean that the ''INTENT of care at the time of ward admission'' is for comfort care. This does not preclude having some medical treatments like treating an pneumonia or infection, pain, dehydration and anything else that would ease suffering.  
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


Shirley Kiesmans question: pt comes to CTU/S4 with a Dr.'s note/order stated intent of care is for comfort care/ACP C. Pt has Dx of CVA, CAP, cancer. 
{{Data Integrity Check List|}}
*Admit DX would be:  1. CVA 2. CAP, 3 CA  which ever one is the primary problem first.  Could be CAP because had CVA last week.
*TMP
**Project: Admit intent
**Item: Comfort Care
 
==Other==
*[http://www.wrha.mb.ca/professionals/acp/index.php WHRA ACP C]]
 


== 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:All Projects Medicine Only]]
[[Category:End-of-life related data]]
}}

Latest revision as of 20:06, 2022 February 17

Projects
Active?: legacy
Program: CC and Med
Requestor: Internal
Collection start: 2013-11-11
Collection end: 2019-08-26

Legacy Content

This page contains Legacy Content.

Click Expand to show legacy 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.

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

Pt does not require but could be receiving Palliative Service.

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

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 Checks (automatic list)

 AppStatus
Query s tmp comfort care gt oneCCMDB.accdbretired

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:
Retrieved from "https://ccmdb.kuality.ca/index.php?title=Comfort_Care&oldid=154809"