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CAPC Palliative Care Discussion Forum
Palliative Care Out-Patient Services

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Post Out-Patient Guidelines
Author: Christine
Date: Sep 23, 2009 10:37 am
We are a consult service with a 1/2 day out-patient clinic. Because our clinic is small, we get people scheduled quickly. Because it's easier to get into our clinic than the pain clinic, we are getting referrals for chronic pain patients who do not have a potentially life-limiting illness. Does anyone have guidelines as to who is accepted into their clinic? Thanks!
Replies: order by [Date] [Author] [Subject]
+ Re:Out-Patient Guidelines (by jbcassel on 09/25/2009)
Good question. I hope to see responses from several of the established outpatient PC services around the country.
Regarding our own program, I asked Dr. Leanne Yanni, the attending physician for our PC outpatient clinic in our ambulatory cancer center, to share what they do there. She says, "Right now, I'm handling this by accepting to see chronic pain ONLY if there is trouble in managing it not due to prescription drug misuse issues AND as a consultant for up to 3 visits to evaluate and stabalize. We do not offer ongoing chronic pain management for typical noncancer pain. However, we will take several very unique cases such as complex regional pain syndrome or cases that need advanced management over an extended period of time."
Let us know what you think.
- Brian Cassel, VCU PCLC

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