PSP End of Life Care Algorithm - GPSC
PSP End of Life Care Algorithm - GPSC
PSP End of Life Care Algorithm - GPSC
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<strong>End</strong> <strong>of</strong> <strong>Life</strong><strong>PSP</strong> ModuleTransition 4Decline and Last DaysKey indicator(s) into the Transition: Decline and terminal phaseMaterial provided in package for transition:• Information on what to expect prior to death and bereavement supports (written materials may begiven by H&CC)MOAGP• Ensure regular contact with family (designated decision maker)• Provide list <strong>of</strong> local bereavement supports for family• Expedite calls to physician for dying clients.• Ensure <strong>of</strong>fice has documents for deployment <strong>of</strong> palliative medication kit used in your area,including pharmacy contact• Assess, manage pain and symptoms; provide prognosis, ongoing review/planning. Ensure MOAsput calls through from H&CC Nursing.• Assess abnormal grief, family support (Counselling fee 0120)• Discuss medications required in home with Home <strong>Care</strong> nurse; may involve a medication kit (Homevisit 0103 plus Community Conf Fee 14016)• Assess whether client & family are comfortable with their decision re planned location <strong>of</strong> death;support a change in plan if necessary (Home visit 0103)• Consider others that can extend your medical team to form a full healthcare team. Thesemembers can include social workers and family.Specialist/Consultant• Specialists: Provide urgent access if needed For urgent phone advice from specialist (including GPspecialist) 14018Other Health <strong>Care</strong> Pr<strong>of</strong>essionals*<strong>Care</strong> Coordinator/Case Coordinator or Home <strong>Care</strong> Nurse• H&CC - Nursing: Provide on-going assessment <strong>of</strong> symptoms; Arrange for palliative medication kitor "emergency" medications in the home• H&CC Nursing: Provide information on what can be expected prior to death and what to do after adeath e.g. booklets such as Preparing for the Death <strong>of</strong> a Love One and When Someone Dies• H&CC - Nursing: Assess whether client & family are comfortable with their decision re plannedlocation <strong>of</strong> death; support a change in plan if necessary• Provide client and family with information on relevant community resourcesOther Relevant Documentation/Tools• "When death is close at hand" (Health authority specific)• Community Healthcare Resource Directory (CHARD)75_EOL_<strong>PSP</strong>_Transition_4_V2.1 1 <strong>of</strong> 1
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