The West Island Palliative Care Residence provides comfort care to patients at the end of their lives. We offer services intended to increase the patient’s quality of life by providing pain and symptom management while responding to the patient’s physical, psychological, social and spiritual needs.
Since the Residence is not a long-term care facility, we must screen patients in order to admit only those best suited for the care we provide. The care is specifically geared towards patients who are in the terminal phase of their illness and who require their symptoms to be managed by an interdisciplinary team of palliative experts. All potential patients must agree with transfer to the Residence. No one is admitted to the Residence by coercion or by withholding of information; all patients are informed of and agree with the goals of a palliative admission.
Initiating the admission process
Our admission process has been designed to transfer the burden away from the patients and their families, and into the hands of the patient’s treating healthcare team.
- As a first step, the patient, family member, or primary caregiver must make a verbal request to the patient’s treating healthcare team (this is usually a nurse, social worker or physician). Letting someone know that you are considering a transfer to the West Island Palliative Care Residence is your only responsibility.
- Everything else will be taken over by the patient’s treating healthcare team. The patient’s health care team is responsible for:
- Completing the information on the ‘request for admission’ form;
- Ensuring the form is signed by the patient’s treating physician; having a discussion with the patient (and family, or surrogate decision maker) about the ‘conditions for admission’ and ‘consent’ forms, signed by the patient (or his legal designate).
- Faxing the signed forms along with the necessary medical documentation to the Residence’s admission assessment team for review.
All requests will be reviewed within 48 hours and a response will be provided back to the patient’s healthcare team shortly thereafter.
Admission criteria and information about admission
- In addition to having a life limiting illness, the Residence admission criteria includes the following:
- A medically-supported estimated life expectancy of less than six (6) months;
- An adult patient, regardless of age or type of terminal illness;
- Residence in the territory, or has been treated by, one of the health care facilities of the CIUSSS West Island (health care network);
- Depending on their family and health situation, patients who live as far east as Lachine, LaSalle and as far west as the Ontario border, may be admissible to the Residence.
- The Residence will give special consideration to admitting patients whose primary caregiver resides in the CIUSSS territory.
- Once a patient is accepted for transfer to the Residence, the delay for admission may vary between a few days to a few weeks, depending on the urgency, care requirements, prognosis, presence of symptoms and current bed availability.
- All care is free to the patients. Before admission, patients are informed that payment is required for medications prescribed to them by our palliative care physicians, for the duration of their stay at the Residence.