cpmaottawa.ca

Community Palliative Medicine Associates

REVISED CPMA REFERRAL FORM IS NOW AVAILABLE. The Community Palliative Medicine Associates is a partnership of family physicians dedicated to delivering quality in-home palliative care to patients with a life-limiting illness. Our mission is to provide holistic patient-centered medical care and symptom management support in an effort to relieve suffering and enhance the quality of life for our patients and their families. K1Y, K1Z, K2A, K2B,. K2C west of Merivale,. K2E south of Colonnade,.

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Community Palliative Medicine Associates | cpmaottawa.ca Reviews

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REVISED CPMA REFERRAL FORM IS NOW AVAILABLE. The Community Palliative Medicine Associates is a partnership of family physicians dedicated to delivering quality in-home palliative care to patients with a life-limiting illness. Our mission is to provide holistic patient-centered medical care and symptom management support in an effort to relieve suffering and enhance the quality of life for our patients and their families. K1Y, K1Z, K2A, K2B,. K2C west of Merivale,. K2E south of Colonnade,.

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2 care criteria

3 important notes

4 referral form

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Community Palliative Medicine Associates | cpmaottawa.ca Reviews

https://cpmaottawa.ca

REVISED CPMA REFERRAL FORM IS NOW AVAILABLE. The Community Palliative Medicine Associates is a partnership of family physicians dedicated to delivering quality in-home palliative care to patients with a life-limiting illness. Our mission is to provide holistic patient-centered medical care and symptom management support in an effort to relieve suffering and enhance the quality of life for our patients and their families. K1Y, K1Z, K2A, K2B,. K2C west of Merivale,. K2E south of Colonnade,.

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cpmaottawa.ca

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Important Notes – Community Palliative Medicine Associates

http://www.cpmaottawa.ca/important-notes

IMPORTANT NOTES FOR REFERRALS OF HOSPITAL INPATIENTS:. Consider phone contact between attending physician or palliative care physician and CPMA early in the discharge planning process. Inpatient palliative care consultation is strongly recommended. Prior to discharge, ensure that patient has adequate supplies in place at home:. Injectable medications (fax Rx to Medical Pharmacies, 613-244-4695, not retail pharmacy). Supplies for subcutaneous drug administration, urinary catheter, wounds, etc.

2

For Health Care Professionals – Community Palliative Medicine Associates

http://www.cpmaottawa.ca/for-health-care-professionals

For Health Care Professionals. IMPORTANT NOTES FOR REFERRALS OF HOSPITAL INPATIENTS:. Consider phone contact between attending physician or palliative care physician and CPMA early in the discharge planning process. Inpatient palliative care consultation is strongly recommended. Prior to discharge, ensure that patient has adequate supplies in place at home:. Injectable medications (fax Rx to Medical Pharmacies, 613-244-4695, not retail pharmacy). Equipment such as hospital bed, commode, wheelchair. Must ...

3

Referral Form – Community Palliative Medicine Associates

http://www.cpmaottawa.ca/referral-form-2

Please ensure the following are completed BEFORE faxing referral to 613-801-0036 (incomplete referrals will be returned without review):. All four sections of referral form are completed. If referring MD is unable to complete all sections, consider contacting CCAC Care Coordinator to provide details. Family Physician must be notified regarding referral and agree to referral to CPMA. Please ensure a direct fax number is provided so we can notify you regarding acceptance of this referral.

4

Criteria For Care – Community Palliative Medicine Associates

http://www.cpmaottawa.ca/criteria-for-care

Criteria for care by our group:. Must have a life-limiting illness which is actively progressing and requires symptom management and /or end of life care. Prognosis has been discussed with patient/POA. PPS (Palliative Performance Scale). Must have a CCAC Palliative Care Coordinator and a chart in the home. Must have adequate support to be maintained at home, at least initially. Must have a signed MD referral with accessible return contact information.

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cpmaottawa.ca

Community Palliative Medicine Associates

REVISED CPMA REFERRAL FORM IS NOW AVAILABLE. The Community Palliative Medicine Associates is a partnership of family physicians dedicated to delivering quality in-home palliative care to patients with a life-limiting illness. Our mission is to provide holistic patient-centered medical care and symptom management support in an effort to relieve suffering and enhance the quality of life for our patients and their families. K1Y, K1Z, K2A, K2B,. K2C west of Merivale,. K2E south of Colonnade,.

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