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COMMUNITY PALLIATIVE CARE TEAM REFERRAL FORMALLY NAME GIVEN NAME D.O.B. ___/___/___Fax: 02) 95533366 Email: SESLHDCalvaryCPCT@health.nsw.gov.auCOMPLETE ALL DETAILS OR AFFIX PATIENT LABEL HEREREFERRED
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How to fill out community palliative care team

01
First, gather all necessary information about the patient, such as medical history, current symptoms, and treatment plan.
02
Next, assess the patient's needs and goals for palliative care, including pain management, emotional support, and coordination of care.
03
Develop a care plan that meets the patient's needs and involves a multidisciplinary team of healthcare professionals, including doctors, nurses, social workers, and therapists.
04
Coordinate with the patient's primary care physician and specialists to ensure continuity of care and appropriate management of symptoms.
05
Regularly evaluate and adjust the care plan as needed based on the patient's condition and goals.

Who needs community palliative care team?

01
Individuals with advanced, chronic, or life-limiting illnesses who require comprehensive care that focuses on improving quality of life and managing symptoms.
02
Patients who wish to receive palliative care in the comfort of their own homes or in a community setting.
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Community palliative care team is a group of healthcare professionals who provide medical, emotional, and spiritual support to terminally ill patients and their families in their own homes or in community settings.
Healthcare providers, such as hospitals, hospices, and home health agencies, are required to file community palliative care team.
To fill out community palliative care team, healthcare providers must document the patient's medical condition, treatment plan, goals of care, and any other relevant information.
The purpose of community palliative care team is to improve the quality of life for patients with terminal illnesses by providing holistic care and support.
Information that must be reported on community palliative care team includes the patient's diagnosis, prognosis, symptoms, medications, and care plan.
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