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Overview
Once you make the decision to seek hospice palliative care, make your search easier by using this checklist to find out about different programs. Add to it as you think of items that are important to you, and cross off those items that are not useful.
Make a copy of this checklist for each program that you plan to consider. Have the list in front of you as you ask questions of the hospice palliative care program staff, and make notes next to each item on your list.
Name of hospice palliative care program: |
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Address: |
City |
Province or Territory |
Zip |
Phone number: |
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Where are services provided? |
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What services are provided? |
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What is the plan of care? |
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Does the hospice palliative care program develop a care plan with you and your family? |
Yes / No |
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The care plan should include specific duties, who will perform them and how often, and the name and phone number of the supervisor. A good program will develop a care plan by providing a health professional (not a clerk or administrative assistant) who will: |
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Who provides care? |
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References |
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Get the names of doctors who refer patients to this program. |
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Identify families who have used this program. If possible, talk with the families. Ask about their experience and whether they would recommend the program to others. |
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After your visit |
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Does this program provide the services you want? |
Yes / No |
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Is this program covered by your insurance? |
Yes / No |
Credits
Current as of: March 27, 2023
Author: Healthwise Staff
Medical Review:
Anne C. Poinier MD - Internal Medicine
Adam Husney MD - Family Medicine
Shelly R. Garone MD, FACP - Palliative Medicine
Current as of: March 27, 2023
Author: Healthwise Staff
Medical Review:Anne C. Poinier MD - Internal Medicine & Adam Husney MD - Family Medicine & Shelly R. Garone MD, FACP - Palliative Medicine
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