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CAPC Palliative Care Discussion Forum
Hospital and Hospice Partnerships

Next Reply: Re:transitions between sites of care
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Post transitions between sites of care
Author: clevine
Date: Sep 17, 2009 1:57 pm
The presentations today (9/17) did not go into this aspect of partnerships. What are the best ways to advise families and patients about these changed or changing relationships, which may involve new providers and changes in sites of care? At the United Hospital Fund we are considering a new family caregiver guide to add to our website (www.nextstepincare.org) about these transitions.
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Re:transitions between sites of care (by AmberBJones on 09/17/2009)
Candid communication with patients and families about changed or changing relationships between providers and sites of care is central to good palliative care and is a core component of professional consultation etiquette.

In most circumstances, the patient's primary physician - or in the case of some hospitals, the hospitalist - will call for a palliative care or hospice consultation. We would expect both the referring clinician and the pallilative care and/or hospice consultant to speak with the patient and family about; 1) who is making the consultation request and 2) why that request is being made. Furthur, we would expect that the consultant would communicate her/his findings/recommendations to the referring clinician and would docoument those findings/recommendations in the medical record.

Should the palliative care consultant be invited to assume responsibility for management of some aspect of the patient's on-going care, that invitation and the specific scope of responsibility of the palliative care provider would also be clarified and discussed with the patient and family.

Amber Jones
CAPC Consultant

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