Palliative Care

D7. Palliative Care
D7.1 Explain the modern model of palliative care as it applies to those living with life-threatening or lifelimiting illness (non-malignant or malignant)
D7.2 Explain to patients/families the concepts of Advance Care Planning, Goals of Care and DNR
D7.3 Identify early signs of the patient entering the last year of life
D7.4 Demonstrate an approach to assessing a patient at end of life including the use of the Edmonton Symptom Assessment Scale and Palliative Performance Scale
D7.5 Be aware of the challenges when discussing prognosis of chronic diseases
D7.6 Demonstrate basic principles in assessing two common symptoms in palliative care: pain control and dyspnea
D7.7 Address patent and families’ views around life sustaining therapies and nutritional care at end of life
D7.8 Identify local resources to support palliative patients and their families
D7.9 Accurately complete a death certificate


What Is Palliative Care

What Is Palliative Care? Canadian Virtual Hospice. Content Reviewed 2015. Available at:

Who Will Speak for You? Speak Up Ontario. 2016. Available at:

The GSF Prognostic Indicator Guidance

Thomas K: The GSF prognostic indicator guidance. End-of-life Care. 2011. The Gold Standards Framework Centre In End of Life Care. Available at:

ESASr English

Cancer Care Ontario. Edmonton Symptom Assessment System: (revised version) (ESAS-R). Revised Nov 2010. Available at

Palliative Performance Scale

Victoria Hospice Society. Palliative Performance Scale (PPSv2). Copyright 2001.

Prognosis in Chronic Disease

Kapo JM, Casarett D. Prognosis in Chronic Diseases. Annals of Long-Term Care. 2006; 14(2). Available at:

Palliative Care Clinical Card

Fauteux J, Keegan DA, Braun T. Palliative Care. Canadian Family Medicine Clinical Card. 2010. Available at:

Pharmacologic Pearls for End of Life Care

Clary PL, Lawson P. Pharmacologic pearls for end-of-life care. Am Fam Physician. 2009;79(12):1059-1065.

Symptom Guidelines Dehydration

Hospice Palliative Care Program: Symptom Guidelines: Dehydration. Fraser Health. 2006. Available at:

Government of Canada - Health Canada

Palliative Care Publications. Government of Canada – Health Canada. 2016. Available at

Improving the accuracy of death certification

Myers KA, Farquhar DR. Improving the accuracy of death certification. CMAJ: Canadian Medical Association Journal. 1998;158(10):1317-1323.