Tools & Resources
Printing specifications for EOL binder: This catalogue lists all of the documents in the binder from beginning to end, specifyiing the document name and which section the document is listed under below. Page numbers and printing instructions are also included.
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"Due to unexpected high demand, the Ministry and health authorities regret they cannot fulfill requests for hard copies of the new My Voice Expressing My Wishes for Future Health Care Treatment advance care planning guide at this time. We regret any inconvenience this may cause, and are looking into options to make bulk ordering a possibility in future. Please watch the Seniors BC 'Making Future Health Care Decisions" web page for more information, at: http://www.seniorsbc.ca/news/advancedirective.html "
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Forms
- Provincial My Voice: Expressing My Wishes for Future Health Care Treatment - Advance Care Planning Guide- NEW
- BC Palliative Care Benefits Program Application Form
- Death Certificate
- Employment Insurance Compassionate Care Benefits Form (Medical Certificate)
- End of Life Care Plan Template (GP) - REVISED
- End of Life Care Plan Template (MOA) - REVISED
- No CPR Form
- Notification of Expected Death in the Home
Assessment Tools
- Edmonton Symptom Assessment Scale (ESAS-r) - REVISED September 2010
- Pain and Symptom Diary
- Seniors Assessment Tool
- Palliative Performance Scale
- Symptom Assessment OPQRSTUV - NEW
Clinical Tools
- PSP EOL ALGORITHM - REVISED June 4 2012
- PSP EOL ALGORITHM - NORTHERN HEALTH - REVISED February 8 2013
- PSP EOL ALGORITHM - INTERIOR HEALTH - REVISED June 4 2012
- PSP EOL ALGORITHM - KAMLOOPS - NEW
- PSP EOL ALGORITHM - Cover Page
- PSP EOL Transition 1 - NEW
- PSP EOL Transition 2 - NEW
- PSP EOL Transition 3 - NEW
- PSP EOL Transition 4 - NEW
- PSP EOL Transition 5 - NEW
- Self-Audit: Palliative Approach for Life-limiting Illness
- Patient Death Self-Audit
- Gold Standard Framework - Prognostic Indicator Guidance
- ACP Conversation Guide
- ACP Communication and Follow-up
- ACP Scripted Questions
- Employment Insurance Compassionate Care Benefits Pamphlet
- Joint Protocol for Expected/Planned Home Deaths in BC
- GP Services Committee Palliative Care Incentives (Revised Oct. 2011)
- GP Services Committee Complex Care Incentives (Revised Oct. 2011)
- Office Team Planning Sheet (Huddle Sheet)
- ESAS Guidelines - REVISED September 2010
- Placeholder page for local resources
- MOA Role
- MOA Script for ESAS
- MOA Script for Pain and Symptom Diary
- Palliative Care/End of Life Related Fees - Revised July 2012
- Actively Dying Care Checklist
- BC Palliative Care Benefits Program - Physician Guide REVISED May 2012
- BC Palliative Care Drug Plan (Plan P) Formulary
- Dying at Home Handout
- Sentinel Events - NEW
- Hospice Palliative Care Symptom Guidelines
- Sample Action Plan - NEW
- Completing Medical Death Certificate - NEW
- Care Team Communication Record - NEW
- Advance Care Planning Cover Letter - NEW
- Three Triggers for Identifying Palliative Patients - NEW
- GPAC Palliative Care Part 1,2, and 3 - NEW
Handouts
- My Voice Advance Care Planning Guide Quick Tips
- Case Study: Mr. James Lee
- Team Model for End of Life Care
- Hospice Palliative Care (HPC) Service (letter to GP that patient was referred)
- "When Death is Close at Hand" (example document)
- Funding options for burial
- Physician Health Program Brochure
- Online Resource Guide - REVISED March 15 2012
- BCMJ Article: It's up to us to begin the conversation, ACP Communication and Follow-up
- JAMA Article: Self-care of Physicians
- New Yorker Article: "Letting Go"
- LA Times Article: 100 things
- Preparing for Death (English) - NEW
- Preparing for Death (Chinese) - NEW
- Preparing for Death (Punjabi) - NEW
- When Someone Dies - NEW
- Take Care Handbook - NEW
- Dealing with Different Situations in Groups - NEW
- Domains of Care - NEW
- How to Use the new BC Advance Care Planning Guide 2012
- NY Times Article: "When Doctors Grieve"
RST Tools
- PSP EOL Steering Committee - NEW
- PSP EOL Data Collection Tool - REVISED
- PSP EOL Action Period 1 Reporting Template - NEW
- PSP EOL Action Period 2 Reporting Template - NEW
- Disclaimer of Copyright
- Office Team Planning Sheet (Huddle Sheet)
- Action Plan - Learning Session 1 - NEW
- Action Plan - Learning Session 2 - NEW
- Video – EOL forms in an EMR
- PSP Regional Outline - NEW
- EOL PSP Charter - NEW
- EOL Collaborative Plan - NEW
- Curriculum Pearls
References
- ASCO Article: Evidence-Based Recommendations for Infromation and Care Planning in Cancer Care - NEW
- Journal of Palliative Medicine Article: Improving Care Through the End of Life: Launching a Primary Care Clinic-Based Program - NEW
- Speak Up - AdvanceCarePlanning.ca - NEW
- Bereavement Care in Primary Care - NEW
- Advance Care Planning & Advance Directives - NEW
- Health Care Providers Guide to Consent to Health Care - NEW
- CFPC Position Statement Palliative Care (April 2011) - NEW
- Advance Directive Primer Booklet - NEW
- BC PCBP Key Message FINAL - NEW
- Ministry of Health Advance Care Planning: Making Your Future Health Care Decisions - NEW
- Ministry of Health Incapacity Planning: Representation Agreements - NEW
- Advance Care Planning FAQs
- Palliative Care - Beyond Cancer
- Managing an Expected Home Death
