Comfort Care Order Set

Comfort care end of life ms 749 front rev.

Comfort care order set. 11 2013 page 1 of 3 1. D c all previously ordered lab work except. Doctor s order and signature medical interventions.

There are few published comfort care order sets for end of life symptom management contributing to variability in treatment of common symptoms. This endeavor represents a substantial interdisciplinary collaboration at penn medicine. The comfort care order set allows nurses to titrate medication based on routine assessment and monitoring facilitating more rapid symptom control 3.

Some snf nf residents patients and or their representatives are reluctant to enroll in hospice but would like a comfort care plan. The examples of comfort care orders below may be helpful for these residents patients who will not have hospice order sets. Comfort care orders adult v19 11 07 12.

At our academic medical centers we have observed that rapid titration of opioid infusions using our original comfort care order set s titration algorithm causes increased discomfort from opioid toxicity. Peggy delmastro boyd sterling v sjo ordersets order sets medical infectious dx hospice haloperidol haldol liquid 2 mg ml 1 mg subl q 4 hrs prn delirium. When do i give an iv opioid bolus.

Comfort care interventions examples. Last hours of life pocket card subject the last hours of life pocket card suggests orders appropriate for patient comfort and family support. If pt unable to take subl may.

Comfort care order set ccos has been developed to improve the processes of care for veterans at end of life or dying both in the acute care wards and clcs nursing homes of va medical centers. The comfort measures order set cmos a standardized framework for assessing imminently dying patients symptoms and needs was implemented at a tertiary academic hospital. Please see reverse for additional information regarding end of life symptom management.