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Palliative Care Order Set - Stratis Health

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Foreword<br />

<strong>Palliative</strong> <strong>Care</strong><br />

Committee on Evidence-Based Practice/May 6, 2008<br />

Scope and Target Population<br />

The primary and specialty care clinicians can use this order set to create or complement a palliative plan of care<br />

for adult patients with a potentially life-limiting, life-threatening or chronic, progressive illness throughout<br />

the continuum of care. The order set is appropriate for patients who still desire curative or life-prolonging<br />

treatments, those needing active symptom management, or patients who are imminently dying.<br />

This order set pertains to those orders for palliative care in adults in either the inpatient, extended care<br />

or home care setting. This order set will not include admission, discharge or other orders specific to the<br />

patient's condition outside of palliative care. These orders exclude patients in a hospice program as hospice<br />

agencies have their own orders.<br />

Clinical Highlights and Recommendations<br />

• The goal of palliative care is to improve the comfort of the patient. <strong>Palliative</strong> care should neither hasten<br />

or prolong death.<br />

• Patients undergoing life-prolonging therapies may, in fact, have better clinical outcomes when distressing<br />

symptoms are aggressively identified and treated.<br />

Priority Aims<br />

1. Improve the management of pain symptoms in adult patients with a potentially life-threatening or<br />

chronic, progressive illness in a specifically defined disease population.<br />

2. Improve the management of distressing symptoms such as, but not limited to, shortness of breath, seizures<br />

and constipation in adult patients with a potentially life-threatening or chronic, progressive illness in a<br />

specifically defined disease population.<br />

3. Improve patient/family satisfaction with regards to control of distressing symptoms in adult patients<br />

with a potentially life-threatening or chronic, progressive illness in a specifically defined disease population.<br />

Related ICSI Scientific Documents<br />

Related Guidelines<br />

• Assessment and Management of Acute Pain<br />

• Assessment and Management of Chronic Pain<br />

• Major Depression in Adults in Primary <strong>Care</strong><br />

• <strong>Palliative</strong> <strong>Care</strong><br />

Patient and Family Guidelines<br />

• <strong>Palliative</strong> <strong>Care</strong> for Patients and Families<br />

<strong>Order</strong> <strong>Set</strong>s<br />

• Skin Safety <strong>Order</strong> <strong>Set</strong>: Risk Assessment and Prevention of Pressure Ulcers<br />

Institute for Clinical Systems Improvement<br />

www.icsi.org

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