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Canadian Hospice Palliative Care Association Performance Appraisal Form Revised March 2015Employee name:Position title:Supervisor\'s name:Date of hiring:Review period start date:Review period end
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How to fill out palliative approach to care

01
Start by assessing the patient's physical, emotional, social, and spiritual needs.
02
Ensure open and effective communication with the patient and their family members.
03
Develop an individualized care plan that focuses on managing symptoms and improving the patient's quality of life.
04
Involve a multidisciplinary team of healthcare professionals, including doctors, nurses, social workers, and psychologists.
05
Provide pain and symptom management using medications, therapies, and alternative interventions.
06
Offer emotional support and counseling to both the patient and their family members.
07
Coordinate specialized services such as physical therapy, occupational therapy, or spiritual guidance if needed.
08
Regularly evaluate and update the care plan to address changes in the patient's condition and goals of care.
09
Ensure continuity of care by facilitating smooth transitions between healthcare settings, such as hospitals, hospices, or home care.
10
Provide bereavement support and assistance to the patient's family after their passing.

Who needs palliative approach to care?

01
Patients with advanced or life-limiting illnesses, such as cancer, heart failure, or neurodegenerative diseases.
02
Those experiencing significant physical symptoms, including pain, nausea, or shortness of breath.
03
Individuals with a prognosis of less than one year to live.
04
Patients who require assistance in managing their complex medical conditions.
05
Families and caregivers who need guidance and support in caring for their loved ones.
06
Patients whose treatment goals shift from curative to palliative care to enhance their quality of life.
07
Individuals facing the end of life and seeking comfort, dignity, and emotional well-being.
08
Patients who prefer to receive care in the comfort of their own homes or in a specialized hospice facility.

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Palliative approach to care is a specialized medical care aimed at providing relief from pain and other distressing symptoms of serious illnesses. It focuses on improving the quality of life for patients and their families.
Healthcare providers and facilities that offer palliative care services are required to file documentation regarding their palliative approach to care.
To fill out palliative approach to care, providers should follow the specific guidelines provided by their governing health organization, ensuring all relevant patient information, treatment goals, and symptom management strategies are clearly documented.
The purpose of palliative approach to care is to enhance the quality of life for patients facing serious health issues by addressing physical, emotional, and spiritual needs, regardless of the stage of the disease.
Information that must be reported includes patient assessments, treatment goals, symptom management strategies, and any consultations or referrals made concerning the care plan.
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