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Program Information
Forms and Reference
Physician Information
Upcoming Education Sessions
CAPCE e-Learning
Fundamentals e-Learning
• Palliative Care Billing Update for Physicians
• Complex Vulnerable Patient Fee
• Ontario Public Drug Programs - Telephone Request Service For Exceptional Access Program
Forms
• Palliative Common Referral Form
• Expected Death in The Home Form
• Calea Narcotic Infusion Prescription Form
Palliative Symptom Relief Kit (SRK) Prescription Hospice Palliative Care Teams for Central LHIN
• Electronic version - complete on screen, printed and fax
• Symptom Management Kit Form for Temmy Latner Centre for Palliative Care Only
• EAP Request Form
• Exceptional Access Program Telephone Service Form
Do Not Resuscitate Confirmation
• DNRC Form
• DNRC Ordering Information
Guidelines
• EDITH Protocol Guidelines For Implementation
• Symptom Relief Kit Guidelines For Implementation
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 (August 2010)
• 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
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