University of St Andrews

Supportive and Palliative Care Indicators Tool

SPICT 5 Partners 5 Canada
Partners: Canada

CAMPP (Calgary's Allied Mobile Palliative Program) - Calgary

Services Offered

Mobile outreach palliative program to homeless and vulnerably housed individuals in downtown Calgary.

SPICT Uses

It is being used to bring awareness on who would be appropriate for our program. There is considerable education needed in non-medical staff to alert staff to those people needing early interventation.

Wesbite: campp.ca
Contact: Simon Colgan
Email: [email protected]

Life and Death Matters Canada Victoria - British Columbia

Services Offered

The mission of Life and Death Matters is to improve care of the dying person and their family through “delicious and digestible”, engaging and user-friendly, palliative care education and resources for nurses, health care workers, and educators.

The text, ‘Essentials in Hospice and Palliative Care: A Practical Resource for Every Nurse, and companion workbook, online resources and instructor resources are designed for nurses and nursing students. The content addresses competencies for all nurses who care for the dying.

The text, ‘Integrating a Palliative Approach: Essentials for Personal Support Workers, the companion workbook, online resources and instructor resources are designed for front-line caregivers, those will less than a year of formal health care education. These caregivers are often with the person and family more than any other team members, and yet are often provided the least education and support.

In 2019 the nursing text was adapted and translated into Spanish for use in Mexico and Latin America.

SPICT Uses

The SPICT is included in the chapter on TOOLS in both the English and Spanish version of the nursing text.

The text is being used in core curriculum for nurses, including Registered Nurse, Bachelor of Science in Nursing, and Practical Nurse programs.

In the workplace the text is used for orientation and ongoing education in long term care, hospice and palliative care, community care and acute care settings.

Website: www.lifeanddeathmatters.ca
Contact: Katherine Murray
Email: [email protected]

Ottawa Inner City Health

Services Offered

OICH aims to improve the health and access to health care for people who are chronically homeless . Our main function is to coordinate and integrate health care services so that homeless individuals can receive the same quality of health care as other Canadians. Health issues while homeless are often complicated by the lack of housing, family support and care. In response, OICH has special health care units which are located within local homeless shelters creating a safe environment where health care can be provided. These special units are staffed by personal support workers and supported by visiting nurses and doctors. They are operated through a partnership between the shelters. This model has been well accepted by homeless clients and supports health outcomes which are comparable to the Canadian standard. These services, every extent possible, embrace harm reduction principles, which is a public health approach that emphasizes reducing the harmful effects of drug and alcohol use among people who are currently unable to stop using.

SPICT Uses

The tool is being used within a pilot to enhance the capacity of Ottawa Inner City Health to provide palliation of suffering and troubling symptoms to homeless people who are frail, living with chronic disease and those at risk of developing life threatening illnesses. The intent in implementing this strategy is to compliment active treatment and restorative care while minimizing the suffering of those living with complex health needs. This approach will be appropriate for any client considered to be “frail” and not limited by a diagnosis, prognosis , age or willingness to accept palliative care. To measure the prevalence of need among our client group, a baseline measure will be established using the SPICT tool by engaging different clinical providers within our organization.

The results of this pilot will be used to develop an implementation plan and, to identify key interventions. The interventions will include physical illness, mental illness, substance use, spiritual and social needs and will be subject to measure of impact to determine whether or not they are effective with our population.

Website: ottawainnercityhealth.ca
Contact: Jamie Muckle Msc
Email: [email protected]

Province of British Columbia, Ministry of Heatlh

Services Offered

BC Palliative Care Benefits support individuals of any age at the end stage of a life-threatening disease or illness and want to receive medically appropriate palliative care at home.

Through this program, B.C. residents who are eligible to receive palliative care services at home can:
• receive PharmaCare assistance with the cost of palliative medications
• access certain palliative medical supplies and equipment from their health authority

SPICT Uses

Palliative Care Benefits are available to all B.C. residents with active MSP coverage who:
• are living at home
• have been diagnosed with a life-threatening illness or condition
• have a life expectancy of up to six months, and
• consent to the focus of care being palliative rather than treatment aimed at cure.

The Supportive and Palliative Care Indicators Tool helps guide the medical/nurse practitioners in determining a patient’s medical eligibility

Website: gov.bc.ca/home-community-care
Email: [email protected]

Winnipeg Regional Health Authority - Manitoba

Services Offered

The Winnipeg Regional Health Authority Palliative Care program provides palliative and end of life care to all ages of patients within the Winnipeg area. We provide in-hospital consultation, hospice services, inpatient palliative tertiary care facilities and palliative home care.

SPICT Uses

SPICT will be used to identify patients who would benefit from enrollment on a palliative care program or from a palliative approach to care.

WRHA-Modified-SPICT-January-2021

Website: wrha.mb.ca/palliative-care/
Contact: Dr. Jana Pilkey
Email: [email protected]

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