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Hamilton Palliative Care Outreach Team (PCOT) Referral Form
The Hamilton Palliative Care Outreach Team (PCOT) is a group of specialist providers from multiple organizations who practice as an interprofessional team.
Eligibility Criteria:
Patients, along with their families/caregivers, are eligible for the Palliative Care Outreach Team services if they meet most of the following criteria:
• Live in the Greater Hamilton area
• Diagnosed with a life-limiting progressive disease
• Complex symptoms
• Meets the Gold Standard Framework “surprise” question:
o Would you be surprised if this person were to die within the next 12 months?
o Are there general signs of decline?
• Complex needs (e.g., social determinants of health)
• Challenges with goals of care discussions/care planning
• Declining functional status
• Complex or potentially complex psychosocial/spiritual needs for the patient and/or family/caregiver