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Aetna Better Health of California 10260 Meanley Drive San Diego, CA 92131 18557729076Adult & Pediatric Palliative Care Provider Referral Form Fax to: 19598884049; Telephone: 18557729076A determination
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01
Gather necessary medical information about the patient.
02
Identify the patient's primary diagnosis and prognosis.
03
Assess the patient's current symptoms and level of suffering.
04
Discuss the patient's goals of care with them and their family.
05
Complete the palliative care assessment form, detailing physical, emotional, and spiritual needs.
06
Involve interdisciplinary team members as needed (e.g., nurses, social workers, chaplains).
07
Schedule regular follow-up assessments to update the care plan.

Who needs adult amp pediatric palliative?

01
Patients with serious, life-limiting illnesses.
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Individuals experiencing chronic pain or severe symptoms.
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Patients requiring support for emotional and psychological distress.
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Families needing guidance and assistance in caregiving.
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Children with complex medical conditions requiring specialized palliative care.
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Adult and pediatric palliative care is a specialized medical approach that focuses on providing relief from the symptoms and stress of serious illnesses for both adults and children. It aims to improve quality of life for patients and their families.
Healthcare providers who administer adult and pediatric palliative care services are required to file documentation related to palliative care provided to patients.
To fill out adult and pediatric palliative forms, healthcare providers must accurately complete sections detailing patient demographics, diagnosis, care plans, treatment goals, and any other relevant medical information.
The purpose of adult and pediatric palliative care is to enhance the quality of life for patients with serious illnesses, provide support to their families, and ensure that care aligns with the patients' goals and preferences.
Information that must be reported includes patient identification details, medical history, symptoms, treatment interventions, and outcomes of palliative care provided.
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