Palliative care is the care offered to a person whose disease is no longer curable. It is not offered with the intent to speed up or delay death. Its purpose is to provide comfort to the patient and family by addressing physical, emotional, social, spiritual and information needs. The Northern Health Palliative Care Program offers support to the health care team to give patients the best possible quality of life until death.
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The following forms are mandatory to complete registration. Fill out and forward to the appropriate fax numbers on the forms (HIBC and local home nursing office, including our team at 250-565-5596).
- EI compassionate benefits form
- Expected death in the home form (PDF)
- Home nursing referral form (PDF)
- Home oxygen program application (PDF)
- Medical Order for Scope of Treatment (MOST) form (PDF)
- NH palliative care consult request form (PDF)
- No CPR form (PDF)
- NH Adult Palliative Care Order Sets
- NH Adult Palliative Care Crisis Event Order Sets
If you require copies of the Order Sets contact Palliative.Care.Consult.Team@northernhealth.ca
If you have any questions, concerns, or would like to be added to our monthly distribution list, please contact our team at Palliative.Care.Consult.Team@northernhealth.ca