Physician Referral Guide

TALBOT PALLIATIVE CARE is a community home-based  palliative care service. Palliative care is specialized medical care for individuals with chronic, serious illness and those who care for them.

Palliative Services Include

  • Consultative services and treatment recommendations for

o   Pain & Symptom Management
o   Medication Management & Education
o   Nausea/Vomiting, Loss of Appetite and constipation
o   Fatigue and sleep disorders

  • Pharmacological and non-pharmacological recommendations
  • Education related to symptom management and disease process
  • End-of-life discussions and advanced care planning
  • Social assessment and support
  •  Interdisciplinary team expertise for plan of care discussions and development that involves the patient, family and community practitioner

Target Population

  • Patients with Cancer, CHF, COPD, renal failure, liver disease, Alzheimer’s/Dementia, and other chronic conditions
  • Patients with a serious illness AND

o   Frequent ER visits or hospitalizations
o   Uncontrolled physical or emotional symptoms
o   Difficulty with accessing office-based care
o   Uncertainty about goals of care and/or caregiver distress
o   Inability or difficulty keeping office appointments
o   One or more complications from condition(s)

  • Patients residing in Assisted Living or Nursing Facilities

Talbot Palliative Care provides consultative services and clinical oversight of an individual’s care and works with community providers to manage symptoms and offer emotional support for caregivers. Palliative care can be provided in conjunction with home health services and other treatment plans regardless of the patient’s diagnosis, prognosis, or age.

Benefits of Referring to Talbot Palliative Care

  • Experts in palliative and symptom management
  • Collaborative recommendations with community provider – The patient remains your patient
  • Improved quality of life
  • Palliative consultations in the patient’s own home, including long-term care and assisted living facilities
  • Improved transitions and coordination of care with community services
  • Assess home hazards & social determinants of health
  • Appropriate at any age and at any stage of illness
  • Reduce hospital re-admissions and emergency room visits
  • Palliative care utilized with traditional or curative treatment
  • Support front line physicians by devoting time to intensive family meetings and patient/family counseling and education
  • Multidisciplinary approach to address symptoms

Physician Referral Guide