Palliative Care Order Set - Stratis Health
Palliative Care Order Set - Stratis Health
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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