| CONSULT REQUEST GUIDELINES
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Palliative Care
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| Suggested Pre-Referral Evaluation and Management Guidelines |
Chronic Progressive Illness
Limited prognosis
Age over 18
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| Suggested Additional Test/Management Prior to Specialty Visit |
It is helpful to discuss the rationale behind the palliative care consult, so patient and family are aware of the prognosis
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| Patient Education/Information (includes preps) |
Interdisciplinary Assessment
Pain Control
Symptom Management
Caregiver support
Goals of Care
Referrals to hospice |
| Appointment Timeframe |
2 weeks
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| How to Get Results to Consultant |
UMHS Patients: See MiChart
External Patients: Patients hand carry outside records to visit |
| Clinic Contact Information |
Physician: 800-962-3555
Patient: 734-764-6831 |
| Clinic Location Sites |
East Ann Arbor Health and Geriatrics Center |
| UM Consulting Physician |
Caroline Anne Vitale, M.D.
Geriatrics Faculty
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| Revised on: |
09/06/2012 |
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