Communication

Communication

Reporting Assessment/Observation Tools

• Palliative Performance Scale (PPS v2) – Victoria Hospice
  • Instructions & Definitions
  • PPS (Instructional Video .mp4) – Waterloo Wellington
• SBAR
• SBORS – for use by PSWs

Therapeutic Communication Tools

• Serious Illness Conversation Guide – Ariadne Labs
• Spikes and Class Protocols
• Goals of Care Discussion:  Divergent Views – Video (2012, 12m42s)

Care Plan Tools

• Collaborative Care Plans – Condensed Version – CCO
  • End of Life Stage
  • Stable Stage
  • Transitional Stage

Forms

• Waterloo Wellington Integrated Hospice Palliative Care Referral and Intake Process
  • Request for Hospice Palliative Care Services
• Do Not Resuscitate (DNR) Confirmation Form
• Expected Death in The Home (EDITH) Guideline (March 2018) – Waterloo Wellington
  • Edith Form – Waterloo Wellington
• Symptom Response Kit (SRK) Guideline (Updated for COVID-19) – Waterloo Wellington
  • WW SRK Order Form
  • WW SRK Vial Count
  • SRK Patient/Family Information Sheet
• Pediatrics
  • Pediatric HPC Referral
    • Pediatric Palliative Communication Tool
  • Pediatric Advance Care Kit

Other Tools

• COVID-19 Guide for Inclusive Language for Written and Digital Content
• BCCDC COVID-19 Guide for Inclusive Language for Written and Digital Content