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CAPC Palliative Care Discussion Forum
Designing a Program

Next Reply: Re:Building a Program in a Skilled Nursing Facility
Previous Message: Hospice (home care) based Palliative Care
Next Message: Building a Program in a Skilled Nursing Facility

Post Building a Program in a Skilled Nursing Facility
Author: karenbrokenleg
Date: Mar 20, 2008 3:05 pm
I am wondering if a Palliative Care Brogram can be started in a skilled nursing facility (SNF). I realize that most residents in a SNF are receiving palliative care, but not always, or there may be changes that need to be addressed. It can be a way of giving support to family or significant others, too. Please give me your feedback.

Thank you,

Karen
Replies: order by [Date] [Author] [Subject]
+ Re:Building a Program in a Skilled Nursing Facility (by Davie on 03/24/2008)
Hi Karen...it is most appropriate that a palliative care initiative can be implemented in a SNF. We have foure LTC's in southern OH with robust palliative care programs that collect outcomes around unwanted readmissions to hospitals with palliative care plan in place for "no transfer". We have an entire care process set up around how we identify, care for and communicate these resident wishes. Most care in the LTC is not so much palliative as it is rehabilitative (because that is how it is best reimbursed) so there is a great need to develop your care systems so that the resident's needs are met as they progress in medical or natural functional decline. Let me know if you would like to talk more about specifics. Best regards, Mary
Re:Building a Program in a Skilled Nursing Facility (by ashelton on 07/23/2008)
Karen, I am in agreement with "Mary" in the implementation of a PC program in a SNF. I am the DON of a facility and am working on such a program. The "POLST" form will be a very important part of our program. If you are not familiar with POLST you can check it out at POLST.org. I would love to hear from anyone else that has a palliative care program in their buildings. Angie

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