Comfort Care: Difference between revisions
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'''Not implemented yet'''. Coming to a laptop near you soon: TMP STUDY | '''Not implemented yet'''. Coming to a laptop near you soon: TMP STUDY | ||
Comfort care, ACP C, palliation | Comfort care, ACP C, palliation | ||
===Data Use and Purpose=== | ===Data Use and Purpose=== | ||
The purpose | *ICU and Medicine Program | ||
*The purpose is to specifically identify and tag those patients whom the '''initial goal of care right from the start of a unit admission''' is: comfort care, ACP C, palliation. | |||
NOTE: Palliation does not mean consult to [[Palliative Care Service]], but can include it. | NOTE: Palliation does not mean consult to [[Palliative Care Service]], but can include it. | ||
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=== Collection Instructions === | === Collection Instructions === | ||
*Where: ccmdb TMP: | *Where: ccmdb TMP: | ||
**PROJECT: | **PROJECT: Comfort Care | ||
**ITEM: Comfort Care | **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. | #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. | ||
| Line 18: | Line 17: | ||
#Admit DX's would use the same process as we always do. Most significant Medical problem in admit 1, 2, 3 etc. | #Admit DX's would use the same process as we always do. Most significant Medical problem in admit 1, 2, 3 etc. | ||
Note | Note ''INTENT of care at the time of ward admission'' is for comfort care, ACP C, palliation. This does not preclude having some medical treatments like treating an pneumonia or infection, pain, dehydration and anything else that would ease suffering. | ||
| Line 24: | Line 23: | ||
*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. | *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 | *TMP | ||
**Project: | **Project: Comfort Care | ||
**Item: Comfort Care | **Item: Comfort Care | ||
==Other== | ==Other== | ||
*[http://www.wrha.mb.ca/professionals/acp/index.php WHRA ACP C] | *[http://www.wrha.mb.ca/professionals/acp/index.php WHRA ACP C] | ||
Revision as of 14:09, 2013 November 7
Not implemented yet. Coming to a laptop near you soon: TMP STUDY
Comfort care, ACP C, palliation
Data Use and Purpose
- ICU and Medicine Program
- The purpose is to specifically identify and tag those patients whom the initial goal of care right from the start of a unit admission is: comfort care, ACP C, palliation.
NOTE: Palliation does not mean consult to Palliative Care Service, but can include it.
Collection Instructions
- Where: ccmdb TMP:
- PROJECT: Comfort Care
- 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.
- feedback from a number of staff is that we should not be relying on Doc notes because the collector see the reality that a note this specific is not often there.
- Admit DX's would use the same process as we always do. Most significant Medical problem in admit 1, 2, 3 etc.
Note INTENT of care at the time of ward admission is for comfort care, ACP C, palliation. This does not preclude having some medical treatments like treating an pneumonia or infection, pain, dehydration and anything else that would ease suffering.
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.
- 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: Comfort Care
- Item: Comfort Care