Last Updated: 2022/09/23 Page 1 of 1 Palliative Patient Status UpdateNAME: ADDRESS: CASELOAD: HCN/BRN: DATE d/m/ y : ATTENTION: PPS %:_ Pain scale : /10 Current Pain Regime: Areas of Concern: Suggestion of Treatment Orders: Additional Information: SIGNATURE: DESIGNATION: AGENCY PHONE NUMBER: RESPONSE OR ORDERS Response Required: YES NOSouth West Home and Community […]
Last Updated: 2022/09/23 Page 1 of 1 Palliative Patient Status UpdateNAME: ADDRESS: CASELOAD: HCN/BRN: DATE d/m/ y : ATTENTION: PPS %:_ Pain scale : /10 Current Pain Regime: Areas of Concern: Suggestion of Treatment Orders: Additional Information: SIGNATURE: DESIGNATION: AGENCY PHONE NUMBER: RESPONSE OR ORDERS Response Required: YES NOSouth West Home and Community […]
Last Updated: 2022/09/23 Page 1 of 1 Palliative Patient Status UpdateNAME: ADDRESS: CASELOAD: HCN/BRN: DATE d/m/ y : ATTENTION: PPS %:_ Pain scale : /10 Current Pain Regime: Areas of Concern: Suggestion of Treatment Orders: Additional Information: SIGNATURE: DESIGNATION: AGENCY PHONE NUMBER: RESPONSE OR ORDERS Response Required: YES NOSouth West Home and Community […]
Last Updated: 2022/09/23 Page 1 of 1 Palliative Patient Status UpdateNAME: ADDRESS: CASELOAD: HCN/BRN: DATE d/m/ y : ATTENTION: PPS %:_ Pain scale : /10 Current Pain Regime: Areas of Concern: Suggestion of Treatment Orders: Additional Information: SIGNATURE: DESIGNATION: AGENCY PHONE NUMBER: RESPONSE OR ORDERS Response Required: YES NOSouth West Home and Community […]
Adult Day Programs provide fun, engaging activities in the community for people with physical or cognitive challenges, as well as those with Alzheimer’s disease and related dementias. There are 10 Adult Day Programs at 17 locations in the Home and Community Care Support Services Mississauga Halton region. Check out our brochure to see a […]
Last Updated: 2018 02 01 Page 1 Palliative Patient Status Update NAME: ADDRESS: CASELOAD: HCN/BRN: DATE d/m/ y : ATTENTION: PPS %:_ Pain scale : /10 Current Pain Regime: Areas of Concern: Suggestion of Treatment Orders: Additional Information: SIGNATURE: DESIGNATION: AGENCY PHONE NUMBER: RESPONSE OR ORDERS Response Required: YES NO South West LHIN […]
Last Updated: 2020 -01 -13 Page 1 Enteral Feed Order Form Section 1: Patient Demographics Name: Address: City: Postal Code: Date: BRN: Phone: Section 2: Tube Details Type of Tube: â¡ Nasogastric â¡ Percutaneous Endoscopic Gastrostomy (PEG) â¡ Percutaneous Endoscopic Gastrojejunostomy (PEG-J) â Jejunostomy Date of Insertion: Physician who inserted the Tube: Plan for Tube […]
Patient Name: D.O.B.: Address: Allergies: Phone # Health Card # Delivery or Pick Up MD or NP NOTIFIED DATE KIT INITIATED: SIGNATURE: DATE: Acetaminophen 650mg Supp. Refill x 2Mitte: 5 Suppositories Sig: Insert 1 suppository rectally Q4H PRN for temperature over 101 F (38.5 C) Metoclopramide 10mg/2ml LU481 ( pseudo DIN 09857224) Refill x 2Mitte: […]
[…] offer you an app ointment with a regulated health care professional (Assessor). What do I need to do before my appointment? Plan to spend about one hour in the clinic. To optimize your time with your Assessor, please ensure you have: A valid health card; Access to your x-rays (e.g., on a […]
[…] Services Request/Referral for Consultation Palliativ e Pain and Sympto m Management Co nsu ltants (PPSMCs) pro v ide su ppo rt to serv ice pro v iders in ho me care agencies, lo ng -term care homes, community support services, and primary care. T hey pro v ide co nsu ltatio n, edu catio […]
[…] doctor or nurse practitioner. We’ll match your information with doctors or nurse practitioners accepting new patients in your area. To register, call 1-800-445-1822 or visit www.ontario.ca/healthcareconnect for online information. Patient Bill of Rights As a patient, family member, substitute decision maker or caregiver, you have the right to expect that every Home and Community […]
[…] improvement building blocks. Click here to access Ontario Health’s COVID@Home Resource Toolkit. Mainpro+ Certified Video Primary Care for COVID in the Community This 1 -credit -per -hour online Group Learning program certified for up to 1 Mainpro+ Ⓡ credit. To receive your certificate, contact the FMS team at fms@ocfp.on.ca after watching the session. Click […]
