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CAPCE e-Learning

Fundamentals e-Learning
Forms
   Palliative Common Referral Form
   Update CRF Form
   FAQ
   Expected Death in The Home Form
   LTCH Referral Form

  Palliative Symptom Relief Kit (SRK) Prescription Hospice Palliative Care Teams for Central LHIN
          Electronic version - complete on screen, printed and fax
          Printable version - print, complete and fax
          Symptom Management Kit Form for Temmy Latner Centre for Palliative Care Only

  Stronach Regional Cancer Centre (for internal use at Southlake Regional Health Centre/SRCC)
          HPC Teams for Central LHIN Referral Form

  Do Not Resuscitate Confirmation
          DNRC Form
          DNRC Ordering Information

Guidelines
   EDITH Protocol Guidelines For Implementation
   Symptom Relief Kit Guidelines For Implementation
   Central LHIN Early Identification and Prognostic Indicator Guide

Assessment Tools
   Edmonton Symptom Assessment System (ESAS) - Tool
   Description of Use of ESAS Tool

   Edmonton Symptom Assessment System (ESAS) - Albanian
   Edmonton Symptom Assessment System (ESAS) - Algonquin
   Edmonton Symptom Assessment System (ESAS) - Arabic
   Edmonton Symptom Assessment System (ESAS) - Armenian
   Edmonton Symptom Assessment System (ESAS) - Chinese
   Edmonton Symptom Assessment System (ESAS) - Cree
   Edmonton Symptom Assessment System (ESAS) - Estonian
   Edmonton Symptom Assessment System (ESAS) - Farsi
   Edmonton Symptom Assessment System (ESAS) - Finnish
   Edmonton Symptom Assessment System (ESAS) - German
   Edmonton Symptom Assessment System (ESAS) - Greek
   Edmonton Symptom Assessment System (ESAS) - Hindi
   Edmonton Symptom Assessment System (ESAS) - Hungarian
   Edmonton Symptom Assessment System (ESAS) - Inuktitut (Eastern Arctic Dialect)
   Edmonton Symptom Assessment System (ESAS) - Italian
   Edmonton Symptom Assessment System (ESAS) - Japanese
   Edmonton Symptom Assessment System (ESAS) - Korean
   Edmonton Symptom Assessment System (ESAS) - Oji Cree
   Edmonton Symptom Assessment System (ESAS) - Polish
   Edmonton Symptom Assessment System (ESAS) - Portuguese
   Edmonton Symptom Assessment System (ESAS) - Punjabi
   Edmonton Symptom Assessment System (ESAS) - Russian
   Edmonton Symptom Assessment System (ESAS) - Serbo/Croatian
   Edmonton Symptom Assessment System (ESAS) - Somali
   Edmonton Symptom Assessment System (ESAS) - Spanish
   Edmonton Symptom Assessment System (ESAS) - Tagalog
   Edmonton Symptom Assessment System (ESAS) - Turkish
   Edmonton Symptom Assessment System (ESAS) - Ukrainian
   Edmonton Symptom Assessment System (ESAS) - Urdu
   Edmonton Symptom Assessment System (ESAS) - Vietnamese

   Palliative Performance Scale (PPS) - Tool
   Description of Use of PPS Tool

   Palliative Performance Scale (PPS) - French
   Palliative Performance Scale (PPS) - Japanese
   Palliative Performance Scale (PPS) - Thai

Cancer Care Ontario (CCO)
 Collaborative Care Plans (October 2009)
   Collaborative Care Plan - Stable
   Collaborative Care Plan - Transitional
   Collaborative Care Plan - End of Life
   Collaborative Care Plan - Pain
   Collaborative Care Plan - Dyspnea
   Collaborative Care Plan - Fatigue
   Collaborative Care Plan - Condensed
   Collaborative Care Plan - Resource Manual

Symptom Management Guides (Jan 2013)

   Guide to Practice - Loss of Appetite
   Pocket Guide - Loss of Appetite
   Algorithm - Loss of Appetite

   Guide to Practice - Bowel Care
   Pocket Guide - Bowel Care
   Algorithm - Constipation
   Algorithm - Diarrhea

   Guide to Practice - Depression Anxiety
   Algorithm - Anxiety

   Algorithm - Depression

   Guide to Practice - Fatigue

   Guide to Practice - Oral Care
   Pocket Guide - Oral Care
   Algorithm - Dysgeusi
   Algorithm - Infections
   Algorithm - Mucositis
   Algorithm - Xerostomia

   Guide to Practice - Pain
   Pocket Guide - Pain
   Algorithm - Pain

   Guide to Practice - Dyspnea
   Pocket Guide - Dyspnea
   Algorithm - Dyspnea

   Guide to Practice - Nausea & Vomiting
   Pocket Guide - Nausea & Vomiting
   Algorithm - Nausea & Vomiting

   Guide to Practice - Delirium
   Pocket Guide - Delirium
   Algorithm - Delirium

   Combined Delirium, Dyspnea, Nausea & Vomiting and Pain - Pocket Guide

   Algorithm - Sleep Disturbances

Reference
   A Caregivers Guide - End of Life Care
   Financial Assistance for Funerals, Burials, and Cremations
   The Last Hours or Days of Life
   Methadone For Cancer Pain

   Square of Care
   SBAR - template
   SBAR - Directions for Use


 
     
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