Center to Advance Palliative Care

For Patients and Families

Partner

Clinical Tools

Consult Triggers

Palliative Care Eligibility Screening Tool

Palliative Care Pathway Screening Assessment

Pediatric Palliative Care Referral Criteria

Patient Assessment

Palliative Care Initial Consultation Template (Hospice of the Bluegrass)

Palliative Care Initial Consultation (Fairview)

Social Work Consultation Note (Central Baptist)

Palliative Care Progess Note (Mt. Sinai)

Family Conference Progress Note (Fairview)

Family Conference Progress Note (Froedtert Hospital)

Family Conference Progress Note (Central Baptist)

Psychosocial Spiritual Assessment (Mt. Carmel)

Psychospiritual Assessment

Spiritual Care Assessment

Institutional (Local) Policies and Treatment Guidelines

Pain Assessment and Management

Pain Management - Clinician/Caregiver - Controlled Analgesia

Use of Analgesics: Selection, Route, PCA

Medication Guidelines

Palliative Algorithms

Guidelines for Nutrition and Environmental Services

Non-oral Hydration and Feeding in Advanced Dementia

Removal of Mechanical Ventilation in the Dying Patient

Use of Pentobarbital

Managing Conflict

Tube Feeding in Catholic Health Care (2008)

UCSF Policy on End of Life Care

Templated Order Forms

Physician Orders for Life-Sustaining Treatment (POLST)

Care of the Imminently Dying Patient (UCSF)

Levels of End-of-Life Care (Baptist Hospital of Miami)

Documentation of Physician Examination: Withdrawal of Life Sustaining Procedures for Incapacitated Patients (Baptist Hospital of Miami)

Clarification of End of Life Care Orders Prior to Anesthesia, Surgical, or Other Procedures (Baptist Hospital of Miami)

Deactivation of Cardiac Device (Baptist Hospital of Miami)

Levels of End-of-Life Care Policy (Baptist Hospital of Miami)

National Treatment Guidelines

ACP Clinical Guidelines

ACC/AHA 2005 Guideline Update for CHF