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- District general hospital within Cornwall, offering services including ED, medical admissions, and outpatients.
- There are also outpatient services in oncology, and inpatient palliative care
- To identify deteriorating patients within general medicine (specifically eldercare), and planning to use it within the outpatient setting. It has yet to be trialled within the hospital, but our advanced care planning steering group would like to trial its usage within eldercare first, with an aim to then branch out into other medical specialities and surgery.
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
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.
Health PEI (HPEI) is a crown corporation established under the Health Services Act and is responsibile for the delivery of publicly funded health services in Prince Edward Island. This corporation is govered by a Board of Directors who works on behalf of all Islanders to ensure the management and delivery of safe, quality health care. The board oversees the work of the Chief Executive Officer and is accountable to the Provincial Minister of Health and Wellness.
The Provincial Integrated Palliative Care Program (P-IPCP) is one of many health services provided by HPEI. Established in 2004 as an integrated approach to palliative care, this program is managed by a Provincial Integrated Palliative Care Team and provides a combination of active & compassionate therapies intended to comfort & support individuals living with or dying from a progressive life threatening illness, their families & the bereaved.
In the spring of 2018, the P-IPCP received funding support from the Canadian Partnership Against Cancer (CPAC) to build upon the foundation of P-IPCP to provide earlier integration and better access to quality palliative and EOL care in many care settings across the province including Home Care, Long-term Care, Acute Care and the Provincial Cancer Treatment Centres, Primary Care, Emergency Medical Services and First Nations Communities (a total of 40 health care sites).
One of the main outcomes of the project is to build provider competency in palliative care by adopting provider algorithms, assessment tools/resources including care pathways and guidelines for qulity palliative care. The SPICT tool has been identified by the Project Management Team as a potential tool that would be helpful to identify people with general indicators of poor or deteriorating health and clinical signs of life-limiting conditions for assessment and care planning. All providers will receive training on how to use this tool (in addition to Edmonton Symptom Assessment System, Eastern Cooperative Oncology Group Scale, Palliative Performance Scale) to build provider competency in palliative care. Once trained, providers will determine what data will be collected surrounding the implementation of this tool to support the Project and the work of our CPAC partnership.
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.
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.
We look forward to connecting with others in the SPICT community.
Please feel free to reach out to us!
Life and Death Matters
Our Aged Care Facilities offer person-centred care in a supportive and comfortable home-like environment.
We respect each person’s story and show people the dignity they deserve. We provide a wide range of services including chaplaincy and dementia care.
The Bethanie Group plans to use the SPICT as an electronic tool to evaluate care plans. The SPICT guides a more targeted approach to individualised care plan evaluation. It focusses on what it is that the customer needs to be able to live the best quality of life possible. This approach facilities an opportunity for crucial conversations about advance care planning in a sensitive and timely manner.
Founded in 1987, Antea is an association that provides free home and hospice care to cancer and non cancer patients with advanced disease. Every day Antea assists 140 outpatients and 25 inpatients. Antea works on educational, training and research projects since 2000.
Antea is using the SPICT to develop projects aimed to implement educational and research initiatives for the spreading of early palliative care approach in primary and secondary care.
Antea is working to provide the SPICT italian version. Beaton's guidelines for the process of translation and cultural adaption have been used. The pre-final version is going to be analyzed through content and face validity examination.
NHS Grampian is one of the fourteen regional health boards of NHS Scotland. It is responsible for providing health and social care services to the population of over 500,000 people living in Aberdeen City, Aberdeenshire and Moray. NHS Grampian consists of acute services, corporate services and works with the three Integrated Joint Boards in the North-East of Scotland.
SPICT is part of our National Early Warning Scoring Chart to empower staff to have conversations with patients and colleagues on person centred care.
Adult in-patient chart: (opens in new window)
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