Palliative Care Resources

 

Palliative Care Prescribing Guidelines

End-of-Life prescribing guideline (from SA Health)

 

 

Providing End-of-life care

Top tips for providing care in the last days of life

Communication skills for effective care planning at the end of life

 

 

Clinical Decision Tools

CriSTAL (Criteria for Screening and Triaging to Appropriate aLternative care) tool

The CrisTAL is a screening tool that identifies older patients at end-of-life and quantifies the risk of death in hospital or soon after discharge.  This tool intends to minimise potentially harmful and non-beneficial treatment, and identify older patients who may benefit from care pathways that do not involve hospitalisation.

 2 checklists:

  • to identify end-of-life status before hospital admission
  • to identify end-of-life status after a rapid response call where a do-not-resuscitate order is not in place

 

SPICT (Supportive and Palliative Care Indicators Tool)

A guide describing clinical signs that can help identify patients who are at risk of deteriorating and dying from one or more advanced condition. SPICT combines indicators of advanced conditions with general indicators of deteriorating health.

SPICT is a useful guide for clinicians, to:

  1. prompt consistent recognition of patients who are at risk of dying within 12 months.
  2. trigger a review of patients with advanced conditions, multiple comorbidities or general frailty, especially if they have had multiple hospital admissions
  3. trigger a conversation with patients and their families about goals of care, their priorities and values at this time of life, and to assess and plan supportive and palliative care needs
  4. identify patients for whom decisions about the treatment of an acute illness with limited reversibility are required, and whose medical treatments might be limited to ‘ward measures’
  5. identify patients for whom a cardiopulmonary resuscitation (CPR) attempt would not be beneficial, and who require a Resuscitation Plan- 7 Step Pathway
  6. identify patients who have complex needs and require extra supports in the community, including specialist palliative care assessment.

 

Statements and Policies on End-of Life Care

ACSQHC Consensus Statement on End of Life Care

ACEM Policy on End-of-Life and Palliative Care in the ED