Page 14 - Chatham-Kent Hospice
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Hospice Admission Guidelines
1. The resident must be approved by the Erie St. Clair LHIN Care Coordinator for eligibility*, based on a comprehensive assessment.
2. Chatham-Kent Hospice will review all resident applications for admission and determine the ability to safely meet the care needs of each potential resident prior to accepting them onto the admission waitlist.
3. The resident is eligible for admission regardless of gender, age, race, religion or sexual orientation.
4. The resident must be living with a life-threatening illness and have an anticipated life expectancy of less than three months.
5. Goals of care have been established that reflect symptom management at end of life, rather than curative care.These must be understood and accepted by the resident and their Substitute Decision Maker (SDM) prior to admission. Symptomatic, psychosocial and spiritual distress will be addressed but no resuscitative measures will be initiated.Treatment of acute complications may still be undertaken for symptom management.
6. All residents will be required to designate a SDM in accordance with the hierarchy found in the Health Care Consent Act or through a Power of Attorney for Personal Care.
7. All residents or their SDM will agree to and sign the Chatham-Kent Hospice Resident Care Agreement.
8. The resident will have access to Supportive Care services for consultation and treatment in accordance with their care plan needs, managed as if the resident were in their own home. This includes:
• Physiotherapy, Occupational Therapy, Respiratory Therapy
•Volunteer Support and Services • Social Work Services
• Pharmacy Services
*Eligibility criteria includes:
• Valid OHIP number
• Palliative Performance Scale (PPS) - 50% or less and eligible for either ESC LHIN nursing services and/or PSW services NOTE - discussion may begin with PPS of 50%, however Chatham-Kent Hospice will be looking at offering admission when PPS 40% or lower.
• Completed DNR Confirmation Form (accompanies resident to hospice)
• Name of funeral home selected by resident/family
• Expected prognosis less than three months
• Home Pronouncement Plan (HPP) initiated or completed
• Discussion has taken place to turn off Implantable Cardioverting Defibrillator (ICD) if applicable
• Does not require a secure unit or physical restraints
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