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Palliative care / Palliative sedation / Liverpool Care Pathway for the dying patient / Medicine / Hospice / Palliative medicine


PALLIATIVE CARE WORKSHEET (TOOL #O-1)
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Document Date: 2009-11-09 19:40:28


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Facility

Terminal Events Pain Alert Agitated Weakness/lethargy Anorexia Nausea Short / Terminal Events During Last Two Months / /

MedicalCondition

Infection / Pain / Urinary incontinence / pneumonia / Depression / /

MedicalTreatment

catheter / antibiotics / /

Organization

X-ray____ Lab / /

Position

studies____ Physician / /

Product

IV / /

Technology

X-ray / /

SocialTag