Palliative Care Providers

• Adult Palliative Symptom Management - Hospital based
• Adult Palliative Symptom Management - Community Hospice Bed and Long-term Care
• Adult Palliative Sedation Therapy
• Adult Palliative Just in Case Symptom Management Kit Prescription Form
• Palliative Symptom Management PPOs 6 month review Webinar

Copies of any palliative PPOs can be accessed through the PPO web page on the InsideNet, for those who have access, or by contacting the IH Palliative Care Office.
 

Clinical Decision Support Tools

• Palliative Sedation Therapy Decision Algorithm
• Respiratory Distress Observation Scale - RDOS
• Pain Assessment in Advanced Dementia Scale - PAINAD
• Richmond Agitation Sedation Scale - Palliative Version (RASS-PAL)
• Palliative Sedation Therapy Monitoring Record
• Palliative Sedation Therapy (PST) Checklist
• RASS-PAL Self Learning Module (Bruyere)

Education - Public

• Palliative Sedation Patient and Family Information

Education - Staff

• Palliative Sedation Clinician Video

• Implantable Cardioverter Defibrillator Guide
• BCFN Heart Failure End of Life ICD Algorithm
• Deactivation of Implantable Cardiac Devices (ICD) Standardized Process
• ICD Deactivation Provider Form
• ICD Deactivation Patient Consent Form
• Deactivation for ICD Referral Form
   

• Palliative Just in Case Symptom Management Kits Webinar (video)
• Palliative Just in Case Medication Kit Supplies List
• Eligibility and Opioid Diversion Risk Screen
• Client/Family In-Home Medication Record
• In-Home Palliative Just in Case (JIC) Medication Log (821470)
• Palliative Just in Case Medication Kit (821471)
• Palliative Just in Case (JIC) Symptom Management Kit (SMK) Prescription Request (821472)
• Palliative Just in Case (JIC) Symptom Management Kits (SMK) Standardized Process (821473)
• Palliative Just in Case (JIC) Symptom Management Kit (SMK) Education Checklist (821474)
• Just in Case Palliative Symptom Management Kits Pharmacy Communication Sheet
   

• Palliative CPB Introduction
• Palliative CPB Issue 1 Palliative SBAR
   

• IH Palliative and End of Life Care  Public Page
• IH Palliative Journey Resource Guide
• IH Medical Orders for Scope of Treatment (MOST)
• A Model to Guide Hospice Palliative Care (CHPCA 2013)
   

• The Conversation Project COVID-19 Guide
• University of Calgary Guide for Talking about Wishes and Goals with COVID-19
• University of British Columbia Department of Medicine Coronavirus
• McMaster University Protocol: Management of Dyspnea for Patients with COVID-19
   

• Alzheimer Canada: Late Stage Dementia
• Alzheimer Canada: End of Life Dementia
• BC Inter-professional Symptom Management Guidelines (2019) 
• BC Cancer Agency Guidelines
• BC Palliative Care Guidelines
• BC Palliative Sedation Guidelines
• BC Psychosocial Guidelines: Nurturing Psychosocial and Spiritual Wellness
• BC Renal Network
• Canadian Respiratory Guidelines
• Cardiac BC: Heart Failure   
• Supportive and Palliative Care Indicators Tool
• Whole Community Palliative Rounds Guideline

• Learning Approaches to Palliative Care (LEAP)
• Serious Illness Conversations
• Palliative Symptom Assessment Webinar
   

• IH Palliative Journey Resource Guide
• IH Hospice Palliative Care Program Brochure
• BC Palliative Care Benefits (Patient Information Sheet)
• 10 Myths about Palliative Care (Canadian Virtual Providers)
   

• BC Centre for Palliative Care
• BC Hospice and Palliative Care Association
• Canadian Hospice Palliative Care Association
• Canadian Virtual Hospice
• Canuck Place Children's Hospice
• Hospice Societies within Interior Health
   

A culturally safe environment is the desired outcome and can only be defined by the Indigenous person receiving care in a manner that is safe and does not profile or discriminate against the person but is experienced as respectful, safe and allows meaningful communication and service. It is a physically, socially, emotionally and spiritually safe environment, without challenge, ignorance or denial of an individual’s identity.

To be culturally safe requires positive anti-racism stances, tools and approaches and the continuous practice of cultural humility.

Cultural humility is a life-long process of self-reflection and self-critique. It is foundational to achieving a culturally safe environment. While western models of medicine typically begin with an examination of the patient, cultural humility begins with an in-depth examination of the provider’s assumptions, beliefs and privilege embedded in their own understanding and practice, as well as the goals of the patient-provider relationship. Undertaking cultural humility allows for Indigenous voices to be front and centre and promotes patient/provider relationships based on respect, open and effective dialogue and mutual decision-making. This practice ensures Indigenous peoples are partners in the choices that impact them, and ensures they are party and present in their course of care.’ 

Learn more:
In Plain Sight: Addressing Indigenous-specific Racism and Discrimination in BC Health Care (2020)

Many health care providers are at different stages in their journey toward cultural safety and humility. Below are links to resources that support health care providers in gaining knowledge, humility, and developing culturally safe practices.
 

• Interior Health Aboriginal Health Page  
• Interior Health Aboriginal Cultural Safety: Physician video series​ (YouTube)
• Interior Health Aboriginal Cultural Safety & Humility Policy 
• Interior Health Anti-Racism Policy
• Interior Voices - Podcasts​
   

•  Aboriginal Cultural Safety: How to be an Ally
•  Indigenous Cultural Safety Collaborative Learning Series
•  Canadian Virtual Hospice – Cultural Safety Training
•  First Nations Health Authority – Advance Care Planning
•  Canadian Virtual Hospice: Living My Culture
•           o Coming Full Circle - Elders’ Circle, National Advisory Committee and Development Team
•           o Coming Full Circle - Planning for your care
•           o Coming Full Circle - Postcard
•           o Coming Full Circle - Communications product