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Niagara Palliative Care Outreach Team Referral Form Patient Name ___ HAN ___ VC ___ DOB ___ Address ___ City ___ Province ___ Postal Code ___ Patient Phone # ___ Preferred Language ___ Patient Aware

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How to fill out palliative care community team

01

Identify the patients who require palliative care services in the community.

02

Coordinate with the interdisciplinary team to assess the patient's needs and develop a care plan.

03

Assign roles and responsibilities to the team members based on their expertise and qualifications.

04

Provide training and support to the team members on palliative care practices.

05

Monitor the progress of the care plan and make adjustments as needed to ensure the patient's comfort and well-being.

Who needs palliative care community team?

01

Patients with serious illnesses such as cancer, heart failure, COPD, or ALS who require symptom management and end-of-life care.

02

Patients who wish to receive care at home or in a community setting rather than in a hospital or hospice facility.

03

Patients who have complex medical needs that require coordination between healthcare providers, caregivers, and support services.

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What is palliative care community team?

Palliative care community team is a multidisciplinary team that provides support and care for patients with life-limiting illnesses.

Who is required to file palliative care community team?

Healthcare providers, hospitals, and hospices are required to file a palliative care community team.

How to fill out palliative care community team?

To fill out a palliative care community team, healthcare providers must report information about the services provided and the patients served.

What is the purpose of palliative care community team?

The purpose of palliative care community team is to improve the quality of life for patients with life-limiting illnesses and provide support for their families.

What information must be reported on palliative care community team?

Information such as services provided, patient demographics, outcomes, and challenges faced must be reported on a palliative care community team.

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