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HOSPICEREFERRAL FORM×Name ___ DOB ___ Gender M F : ___ MM/DD/YYY Address ___ Phone _________ ___ Health Card# ___ Email:Palliative Care Community Team Grief/Bereavement Services Kawartha Lakes

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How to fill out palliative care community team

01

Identify the individuals in the community who require palliative care

02

Recruit a multidisciplinary team including doctors, nurses, social workers, and other professionals

03

Develop a care plan tailored to each individual's needs and preferences

04

Coordinate care and services with other healthcare providers and community resources

05

Provide ongoing support and communication for the individual and their family

Who needs palliative care community team?

01

Individuals with serious illnesses such as cancer, heart failure, or advanced dementia

02

People experiencing symptoms such as pain, shortness of breath, or nausea that require specialized palliative care

03

Patients who wish to receive care focused on improving quality of life and managing symptoms

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What is palliative care community team?

Palliative care community team is a group of healthcare professionals who work together to provide care and support for patients with life-limiting illnesses.

Who is required to file palliative care community team?

Healthcare facilities and providers who offer palliative care services are required to file palliative care community team.

How to fill out palliative care community team?

Palliative care community team is usually filled out by documenting the patient's medical history, current symptoms, and treatment plan.

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 serious illnesses and their families.

What information must be reported on palliative care community team?

Information such as patient demographics, medical history, symptom management, and treatment plan must be reported on palliative care community team.

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