Champlain LHIN Protocols & Resources
Regional Palliative Consultation Team
An inter-professional team (including nurse practitioners, nurse specialists and physicians with expertise in palliative care) who support palliative care delivery in the community by providing consultation in palliative pain and symptom management, palliative care education and coaching/mentoring. This integrated team of palliative experts is here to help 24 hours a day, 7 days a week. Use the referral form. If urgent call: 1-800-651-1139
Pain & Symptom Management Kit Order Form
The PSM includes enough medications and related medical supplies to help manage pain and symptoms for a 24 to 72 hour period for people receiving palliative care in the home. Order form (attached). For Physicians requesting more information about the SMK, please visit the Home and Community Care, Champlain LHIN website.
EDITH supports end of life care in the home and an individual's expressed wishes for no resuscitation when their heart stops beating or they stop breathing. Expected death is the natural and inevitable end to an irreversible illness. Death is recognized as an expected outcome. If someone has a completed EDITH, it should be available in the Chart In the Home (CITH)
Palliative Sedation Guidelines
PST is to be considered as a last resort option when all other treatments have failed. It should not be confused with sedation that results as an adverse side-effect from treatment of a symptom. PST begins when the intention or goal of treatment is to achieve sedation in a patient who is at the end of life and has a symptom(s) that cannot be controlled.
CMAJ: Pandemic Care: Beyond Ventilators and Saving Lives (Article)
End-of-life care in the Emergency Department for the patient imminently dying of a highly transmissible acute respiratory infection (such as COVID-19) (Article)
Free Palliative Education
McMaster University Free Online CPD Program
MacMaster University is offering free access to its online courses for healthcare providers. They have a broad range of course offerings, including palliative care, fluids and electrolytes and older adults (among others).
Access to 6 Learning Essential Approaches to Palliative Care (LEAP) Modules
For the next 3 months, Pallium, in collaboration with the Canadian Medical Association (CMA), is providing free access to 6 LEAP modules. These modules are self-directed and completed online at the learner’s own pace.
HPCO's HCC ACP and GOC E-Learning Modules
Hospice Palliative Care Ontario has re-launched their Health Care Consent Advance Care Planning and Goals of Care E-Learning Modules. Importantly, they are currently offering these at NO COST to participant.
HPCO's Emotional, Spiritual & Compassionate Care during the COVID – 19 Pandemic
To provide support and education on how to provide excellent and compassionate care to clients, family members and coworkers that are dealing with the suffering from the COVID-19 pandemic. Each session will start with 20 minutes of information pertaining to a useful skill in providing care. The remainder of the time will be used for participants to debrief and receive mutual support during this crisis.
The University of Toronto: Primer
The University of Toronto has put together A primer of palliative medicine during the COVID 19 pandemic which includes information on End-of-Life care, advance care planning and symptom management, as well suggested resources.
Click for MacHealth.ca (McMaster's CPD Portal)
Click for HPCO ACP and GOC E-Modules Information
Click for HPCO Webinar Series Information
Advance Care Planning
Speak-Up Ontario Workbook
Substitute Decision Maker Heirarchy
The Hierarchy of Substitute Decision Makers (SDMs) is to help people determine who their SDM is in Ontario if they don’t have a Power of Attorney (POA) for Personal Care.
Serious Illness Conversation Guide (BC)
The Serious Illness Conversation Guide offers clinicians language to ask patients about their goals, values, and wishes. The program’s goal is for every seriously ill patient to have more, better, and earlier conversations with their clinicians about their goals, values, and priorities that will inform their future care. The Serious Illness Conversation Guide card is included here. For more information visit the website.
Goals of Care Discussions
Goals of Care Discussions are meant to help coach, guide and facilitate a person and/or their substitute decision maker (SDM) through a conversation to propose/offer treatments or care. This is to help to prepare a person or SDMs for upcoming decisions, ensure illness or event is understood, provide information about current illness, (including trajectory and what to expect in the future) or decision and options (preparation for informed consent), explore and identify the person’s goals and determine together the treatment and care that best fits with the person’s goals.
The Ontario Caregiver Organization COVID-19 Resources
Canadian Virtual Hospice
Grief and Bereavement Support and Information
Kids Grief and Bereavement Support and Information