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Palliative Care Tools for Providers
Comfort Care/ DNR Order Verification
Protocol
Developed by the Massachusetts Department of Public Health
This Comfort Care / DNR ("CC/DNR") Order Verification
Protocol is designed to allow EMS personnel to honor a DNR
order in an
out-of-hospital
setting. To date, there are no standardized documents by which
EMS personnel can verify a DNR order in the field, under emergency
conditions. This protocol provides for a state-wide, uniform
DNR order verification, approved by the Department of Public
Health (DPH), that EMS personnel can instantly recognize as
an acceptable verification of an existing DNR order; thus,
allowing EMS personnel to honor the patient's request for
no resuscitation and to provide the patient with palliative
care in conformance with the Comfort Care protocol. The protocol
explains:
Purpose - to enable EMS personnel to
honor DNR orders in out-of-hospital setting
Authority - to recognize an individual's right
to refuse medical treatment in an out-of-hospital setting,
where the authenticity of the documentation can be validated.
Implementation Procedures
- Eligibility | Validity
| Content | Expiration | Access | Patient Care | Documentation
| Revocation
End of Life / Palliative Education Resource Center
(EPERC) www.eperc.mcw.edu/
The purpose of EPERC is to assist physicians and
other educators involved in all aspects of physician end
of life (EOL) education through:
Fast Facts
Educational materials, by format, to download
Suggested articles
Links to clinical and educational Web resource centers
Upcoming Meetings
Starter Kits
Pediatric Pain and Symptom Management Algorithms
for Palliative Care
The handy pocket-sized book reflects the treatment protocols
developed at Providence Hospice of Yakima. Each topic includes
a detailed section on assessment, as well as non-pharmacologic
and pharmacologic treatment algorithms for each distressing
symptom. An appendix includes:
Pain assessment tools
The Karnofsky and ECOG scales
Tables of adjuvant medications, plus more.
This book was designed by by Wrede-Seaman, L.to be an
educational tool as well as handy reference tool for physicians
and nurses who deal with palliative medicine. To order
this book, please visit www.intelli-card.com/hospicekids.html
Pediatric Pain Profile
The Pediatric Pain Profile (PPP) is a behavior rating
scale for assessing pain in children with severe physical
and learning impairments. Developed by researchers at the
Royal College of Nursing Institute, Oxford and the Institute
of Child Health, London.
From this Web
site you can:
Find out about the development of the Pediatric
Pain Profile.
Download the Pediatric Pain Profile with instructions
for its use.
Order bound paper copies of the Pediatric Pain Profile.
Find links to other Web sites relevant to health care
and to children's pain.
National Alliance for Children With Life Threatening
Conditions (NACWLTC)
NACWLTC is dedicated to improving palliative, end of life
and bereavement services for children with life-threatening
conditions and the loved ones who care for them. Their Web
site offers a variety of Pediatric Palliative Care Tools,
Program Development Forms, and Educational Materials for:
Clinical Care
Evaluation
Organization
Education
You can learn more about these tools on the NACWLTC Web
site. (This site is currently being updated - please
check back soon).
Last Updated
December 28, 2005
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