Goals of Care

For GOALS OF CARE - PLEASE USE THE TEMPLATE ON THE EMR -" ADVANCES CARE PLANNING (ACP) / Goals of CARE (GOC) - Please use parts of below to inform/add to the designated paragraphs in the TEMPLATE on the Institution EMR.

COMFORT CARE - FOR SYMPTOM MANAGEMENT
NO to CPR, NO to INTUBATION, NO to ICU CARE, NO to ARTIFICIAL LIFE SUSTAINING MEASURES (as defined in the SHSC resuscitation status form)
The substitute decision-maker is identified as:
The patient's resuscitation status was discussed with the patient's substitute decision-maker (SDM/SDMs as applicable).
The SDM expressed, on behalf of the patient, that their philosophy of care would be compatible with NO CPR (cardiopulmonary compressions), NO to intubation, NO to intensive care unit admission, and NO to other Artificial Life Sustaining measures. The focus will be on provision of comfort.
The order set to provide comfort care - including medications as needed for symptom management, as per Sunnybrook Health sciences order set, has been filled out and completed.
All discussions occurred using plain terms, clear terminology, opportunity was provided for the substitute decision-maker/family members present to ask questions, and their questions were answered and they were satisfied with the answers provided.

MEDICAL CARE - the patient is for Full Medical Care.
However - NO to CPR, NO to INTUBATION, NO to ICU CARE, NO to ARTIFICIAL LIFE SUSTAINING MEASURES (as defined in the SHSC resuscitation status form)
The substitute decision-maker is identified as:
The patient's resuscitation status was discussed with the patient's substitute decision-maker (SDM/SDMs as applicable).
The SDM expressed, on behalf of the patient, that their philosophy of care would be compatible with NO CPR (cardiopulmonary compressions), NO to intubation, NO to intensive care unit admission, and NO to other Artificial Life Sustaining measures.
All discussions occurred using plain terms, clear terminology, opportunity was provided for the substitute decision-maker/family members present to ask questions, and their questions were answered and they were satisfied with the answers provided.

NO CPR, BUT ACCEPTING OF OTHER ICU CARE
NO to CPR, YES to INTUBATION, YES to ICU CARE, YES to ARTIFICIAL LIFE SUSTAINING MEASURES (as defined in the SHSC resuscitation status form)
The substitute decision-maker is identified as:
The patient's resuscitation status was discussed with the patient's substitute decision-maker (SDM/SDMs as applicable).
The SDM expressed, on behalf of the patient, that their philosophy of care would be compatible with NO CPR (cardiopulmonary compressions).
However, YES to intubation, YES to intensive care unit admission, and YES to other Artificial Life Sustaining measures.
All discussions occurred using plain terms, clear terminology, opportunity was provided for the substitute decision-maker/family members present to ask questions, and their questions were answered and they were satisfied with the answers provided.

FULL CODE - YES to CPR, YES to INTUBATION, YES to ICU CARE, YES to other ARTIFICIAL LIFE SUSTAINING MEASURES (as defined in the SHSC resuscitation status form)
The substitute decision-maker is identified as:
The patient's resuscitation status was discussed with the patient's substitute decision-maker (SDM/SDMs as applicable).
The SDM expressed, on behalf of the patient, that their philosophy of care would be compatible with YES to CPR (cardiopulmonary compressions).
In addition, YES to intubation, YES to intensive care unit admission, and YES to other Artificial Life Sustaining measures.
All discussions occurred using plain terms, clear terminology, opportunity was provided for the substitute decision-maker/family members present to ask questions, and their questions were answered and they were satisfied with the answers provided.