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CAPC Palliative Care Discussion Forum
General Operational Topics

In Reply To: documentation to prevent pain and symptoms

Post Re:documentation to prevent pain and symptoms
Author: mrabow [CAPC/PCLC Faculty]
Date: Dec 6, 2007 6:55 pm
CAPC has a great document called "Crosswalk of JCAHO Standards & Palliative Care"

It's at http://www.capc.org/
tools-for-palliative-care-programs/guidelines

You can use this as a guide for documenting a comprehensive program of assessment, intervention, and quality improvement around pain management. Routine palliative care goes a long way towards meeting JC standards. Although prevention of pain is not emphasized by Medicare or JC, Medicare's Physician Quality Reporting Initiative and JCAHO's pain requirements would be generally supportive of documentation of symptom prevention... eg routine laxatives ordered and administered to prevent opioid-induced constipation.
Best,
Michael Rabow, MD, Assoc Director, UCSF Palliative Care Leadership Center
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