Hospital Site |
Palliative Care Physician Lead |
|---|---|
Lakeridge Health Corporation |
Dr. Sinnarajah |
Oshawa |
Dr. Subhra Mohapartra |
Bowmanville |
Dr. Ed Osborne |
Ajax Pickering |
Dr. Michael Borchuk |
Port Perry |
Dr. Curtis Hadden |
Hospital Site |
Hospital Palliative Care Consult Team Activation |
Palliative Care Beds and/or Palliative Care Unit (PCU) |
|---|---|---|
Oshawa |
Family doctor would make a referral to Palliative Consult Team or Home and Community Care Support Service to access beds.4F –social worker would send consent to unit coordinator for wait list. |
18 PCU beds |
Bowmanville |
Complete Referral Form in EPIC |
Not Designated |
Ajax Pickering |
Complete Referral is in EPIC.Only inpatient physician can refer. |
3 beds |
Port Perry |
Fax Common Referral Form to905-697-4686 |
1 bed |
- If patient is currently admitted to hospital: enter EPIC referral to MAID Coordinator (paged through locating). Monday to Friday only.
- If patient is in community and interested in hospital provision: (page MAID Coordinator through locating), Monday to Friday only.
Hospital Site |
Home Visiting Teams |
Eligibility Criteria |
|---|---|---|
| Ajax/Pickering (servicing Ajax/Pickering) https://appct.ca/ | Refer to the outpatient team by Ocean e-referral or by faxing the common palliative care referral form to 905-231-3880
For more information: appct.ca
|
|
Oshawa (servicing Whitby, Oshawa, Brooklin) |
Refer by faxing Common Referral Form to DRCC Palliative Care Team: *On-Call Physician (CPOP) provides evening and weekend coverage |
TO BE COMPLETED |
Bowmanville (servicing Clarington) |
Form sent to LHB ext 21251 then assigned to Dr. Osborne for delegation Bowmanville Palliative Ocean page that provides phone number to call *Physician assigned follows patient one-on-one for ongoing evening and weekend care | Full service palliative care medical team; Referrals may be sent earlier in trajectory (no set PPS) Collaboration between Palliative Care Physician, Palliative Community Care Team (PCCT) and Primary Care Providers. |
| Port Perry (servicing Port Perry and North Durham) | Ocean Referral Common Referral FormFor more information: Port Perry Medical: portperrymedical.caNorth Durham Family Health Team: Palliative Care Program – NorthDurham (northdurhamfht.ca) |
|
Palliative care nurse practitioners serve our patients and families in a number of ways:
- Provide early diagnosis of hospice palliative care needs
- Provide direct clinical care in your home (within the scope of practice of a nurse practitioner)
- Help you identify the best possible place to spend your remaining days, whether that be home, hospital or hospice
- If you choose to remain at home, we support you to live comfortably in your own home for as long as possible
- Help improve pain and symptom management through medication and other interventions
- Support and coordinate access and referrals to specialist services
For more information: visit —-
Request Assessment Form
Oak Ridges Hospice (ORH) Admission Information.
For external Healthcare Providers: All health care providers can make a referral to Oak Ridges Hospice. All referrals require a referral from the Most Responsible Physician (MRP) such as Palliative/Family Physician to determine if a client is appropriate for hospice admission. All referrals must have a direct contact for MRP to MRP handover.
For more information: https://www.oakridgeshospice.com/forproviders
VON Durham Hospice Referral Form (Services Available: Palliative Care Community Team, Grief & Bereavement, Caregiver Support, Hospice Volunteer, Palliative Pain & Symptom Management Consultation)
Palliative Pain and Symptom Management Consultants (PPSMC):
The Palliative Pain and Symptom Management Consultant (PPSMC) is an RN with advanced knowledge in Hospice Palliative Care. PPSMCs provides consultation, education, support, and coaching/mentorship to health service providers in our community for the following target sectors:
- Primary Care
- Long Term Care (LTC)
- Retirement Homes
- Hospice Residences
- Home and Community Care Support Services – Central East
- Group Homes
The Palliative Pain and Symptom Management Consultant (PPSMC) advances expertise in the delivery of palliative care for all disciplines (regulated and unregulated) across the continuum of care, for all life-limiting diagnoses and all ages, from pediatric to elderly.
| Ontario Health Team | OHT Website/Contact: | Available Resources | Additional Information |
|---|---|---|---|
| Kawartha Lakes Haliburton | Website: www.klhoht.ca Email: info@klhoht.ca | Palliative Pain & Symptom Management Consultant (Peterborough) | Hospice Peterborough: https://hospicepeterborough.org/ |
| Palliative Community Care Team | Community Care City of Kawartha Lakes (CCCKL): https://ccckl.ca/ | ||
| Scarborough | Website: https://en.soht.ca/ Email: scarboroughoht@shn.ca | Palliative Pain & Symptom Management Consultant | Scarborough Centre for Healthy Communities: https://shcontario.ca/programs/health-services/palliative-system-navigation/ |
| Hospice Residence | Yee Hong Peter K. Kwok Hospice: https://www.yeehong.com/peter-k-kwok-hospice/home/ | ||
| Palliative Community Care Team | Scarborough Centre for Healthy Communities: https://shcontario.ca/programs/health-services/palliative-system-navigation/ | ||
| Durham (Uxbridge) | Website: www.doht.ca Email: submissions@doht.ca | *embed link to community resources page once posted to website* | |
| Eastern York Region North Durham | Website: https://www.eyrnd.ca/ | ||
| Peterborough | Website: https://peterboroughoht.ca/ | Palliative Pain & Symptom Management Consultant (Peterborough) | Hospice Peterborough https://www.hospicepeterborough.org/ |
| Hospice Residence | Hospice Peterborough https://www.hospicepeterborough.org/ | ||
| Palliative Community Care Team | Hospice Peterborough https://www.hospicepeterborough.org/ | ||
| Northumberland | Website: https://www.ohtnorthumberland.ca/ Email: info@ohtnorthumberland.ca |
Palliative Pain & Symptom Management Consultant (Peterborough) | Hospice Peterborough: https://www.hospicepeterborough.org/ |
| Hospice Residence x 2 | Ed’s House: https://edshouse.northumberlandhospice.ca/ The Bridge: https://thebridgehospice.com/ |
||
| Palliative Community Care Team | Community Care Northumberland: https://commcare.ca/ |
Provincial Direction
Ontario Palliative Care Network (OPCN)
The Ontario Palliative Care Network (OPCN) is a province-wide partnership dedicated to delivering on Ontario’s commitment to palliative care. The OPCN’s goal is a hospice palliative care system that puts patients and families at the centre of every decision. A system of care available to all Ontarians who need it, regardless of their age or illness. Our network is funded by the Ministry of Health.
Learn about the model of care to improve palliative care in the community in Ontario
Discover the knowledge, attributes and skills providers need to deliver high-quality palliative care in Ontario.
Find tools to help identify people who may benefit from palliative care.
These best-practice tools from around the world support primary care providers with palliative care delivery.
Step 1: Identify:
Identify if the patient would benefit from palliative care earlier in their illness trajectory. The Tools to Support Earlier Identification for Palliative Care recommends tools that can be used to determine when to introduce palliative care. Among these, the most commonly used tools in Ontario are listed and described.
Step 2: Assess:
Assess the person’s current and future needs and preferences across all domains of care. Include validated screening tools, an in-depth history, physical examination and relevant laboratory and imaging tests.
Screening Tools
Use validated screening tools to identify if the patient, their family or caregiver have any needs that require urgent intervention. Type and timeliness of screening will depend on the severity, urgency and complexity of the symptoms or needs identified.
Step 3: Plan and collaborate ongoing care to address needs identified during the assessment. This includes prompt management of symptoms and coordination with other care providers.
The guidelines and other documents available here provide recommendations relevant to healthcare providers and groups responsible for providing palliative care services in Ontario.
Hospice Palliative Care Ontario (HPCO)
Health Quality Ontario: Palliative Care: Care for Adults with a Progressive, Life-Limiting Illne
Palliative Education & Training
Advance Care Planning is a process of reflection and communication. It is a time for patients to reflect on their values and wishes, and to let others know what kind of health and personal care they would want in the future if they became incapable of consenting to or refusing treatment or other care.
Primary care providers are best positioned to have these discussions with patients because they often have a longstanding relationship and a better understanding of who they are as people.
Cancer Care Ontario believes discussions about advance care planning should take place early in the cancer care continuum.
For more information: https://www.advancecareplanning.ca/health-care-professionals/
The LEAP Course was developed by Pallium Canada to facilitate inter-professional collaboration and support individual and team practice change. Focusing on current best practices, LEAP provides a standardized, competency-based approach to enhancing palliative care services across Canada.
For more information: https://www.pallium.ca/
VON Durham is the lead organization for Interdisciplinary Palliative Education in the Durham Region.
This six-week practical course is for health-care aides, personal support workers or hospice volunteers working or volunteering in hospice palliative care.
FHPC is an introductory level program based on the 2002 A Model to Guide Hospice Palliative Care. Core content explores foundational concepts of effective communication, group function and change facilitation along with key definitions, values and guiding principles. This six-week course is open to volunteers, caregivers, community members or health-care providers.
EFHPC is designed to meet the learning aspirations and needs of support workers who care for persons and families living with life-threatening illness. The course draws on the current knowledge, skill and experience of the learner and challenges the support worker to deepen his or her understanding of concepts, develop new skills and apply new learning in practice. This two-week course is open to registered nurses (RNs), nurse practitioners (NPs) and registered practical nurses (RPNs) who have completed the Fundamentals training.
Through a variety of learning strategies participants are challenged to identify issues impacting persons and families living with progressive life-threatening illness and to engage in therapeutic encounters to assist in a change in the illness experience. This 18-week course is designed to develop nurses as leaders and experts in hospice palliative care. It is open to RNs, NPs or RPNs with experience in palliative care who have completed the Fundamentals and Enhanced Fundamentals courses.
General Resources
For more information Contact: 905-576-8711 ext. 2554 or visit: https://www.lakeridgehealth.on.ca/en/ourservices/Indigenous-Navigator.asp
In the Central East region, there is an Indigenous Patient Navigator who can help Indigenous patients navigate the cancer system, including accessing supportive and palliative care services.
The Central East Indigenous Cancer Plan, developed in collaborative partnership with Ontario Health – Cancer Care Ontario is designed to improve cancer services for First Nations, Inuit and Métis (FNIM) peoples.
- Ontario Caregiver Organization
- Ontario Caregiver’s Toolkit
- Ontario Caregiver Helpline
- Medical Assistance in Dying: Information for Patients (Government of Ontario)
- Understanding Medical Assistance in Dying (Lakeridge Health)
