Comfort Care: Difference between revisions
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**PROJECT: Comfort Care | **PROJECT: Comfort Care | ||
**ITEM: Comfort Care | **ITEM: Comfort Care | ||
#coded as | #coded as "yes" if '''any''' of the following are true: | ||
#*(a) the patient had an ACP-C ''prior to'' admission to that unit/ward | #*(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 | #*(b) the patient had an ACP-C order implemented as ''part of'' the admission orders to that unit/ward | ||
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#**(iv) or end-of-life care | #**(iv) or end-of-life care | ||
#***Note that none of items (i)-(iii) require that the patient was ACP-C or that the Palliative Care Service be involved in care. | #***Note that none of items (i)-(iii) require that the patient was ACP-C or that the Palliative Care Service be involved in care. | ||
Admit DX's would use the same process as we always do. Most significant Medical problem in admit 1, 2, 3 etc. | |||
''INTENT of care is clear right '''from the beginning''' of a ward admission'' that it is for comfort care, ACP C, palliation, end of life care. This does not preclude having some medical treatments like treating an pneumonia or infection, pain, dehydration and anything else that would ease suffering. | |||
Example | ====Example==== | ||
patient 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. | *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 | ||