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Whether working in solo practice, in a Family Health Team, a Community Health Centre or other group practice, family doctors and other primary care providers form the basis of quality palliative care care.
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CPMA is a group of family physicians and general practitioners with a focused practice in adult palliative medicine outside the hospital setting. The group provides consultations, ongoing symptom management and end of life care for those with progressive life threatening illness. The group welcomes various forms of shared care with family physicians when appropriate.
Services are available 24hours / day 7 days a week.
To reach us:
General Inquiry Line: 613-801-0035
Admin Assistant - ext 200
Dr Louise Coulombe (full-time) and her colleague Dr William Splinter (limited part-time) offer a comfort measures approach in end of life care to enable patients in the final phase of a terminal illness to be supported in a home setting (private dwelling, retirement residence and/or Hospice) where feasible until their natural end of life. Once accepted, such patients and their caregivers are assured 24/7 MD coverage.
CPCN physicians can provide primary end of life palliative care or assist the patient’s family physician if s/he does palliative home visits, in a shared care arrangement.
To be considered, the patient’s referral must come from another physician active in the patient’s care: either the patient’s family doctor or a treating specialist/consultant with the family physician’s agreement. It is understood by CPCN that when referred, the patient and his/her caregiver(s) comprehend the terminal juncture of the disease progression and are reconciled to a comfort measures approach. At the time of referral, CPCN expects that the patient will have supports and services in place to ensure the patient’s safe care in the home setting.
CPCN will use discretion in assessing all referrals. A referring physician will be notified in a timely manner if a patient is deemed inappropriate at any point in CPCN’s admissions process: on initial assessment of documentation, as a consequence of the first Intake triage telecall with the patient and/or family, or subsequent to the CPCN MD’s initial home visit assessment. The patient remains the responsibility of the referring physician until CPCN confirms transfer of active or shared care.
For palliative patient’s discharging from hospital: contact CPCN Intake 613-656-3170
to discuss care options well before the patient’s planned return home or transfer from hospital to Hospice. Messages are picked up weekdays from 8:00 to 13:30 hrs from the CPCN confidential Intake line.
A patient whose focus is management of ongoing acute symptoms, further investigations and/or treatments or who has been told to return to hospital if there is any acute deterioration, would not be a good match with CPCN’s home-based comfort measures approach. However, there are certain aggressive cancers, blood/renal disorders, and degenerative diseases such as ALS, where an “early” referral enables the CPCN team to begin to build a relationship with the patient/care giver(s) for a future oriented closer link when appropriate for the patient.
Routinely, the CPCN physician delivers care for patients residing in areas with the following postal codes: K1G, K1H, K1T, K1V, K2E north of Colonnade Rd bordering Prince of Wales, Merivale to Baseline Rds, and K2C east of Merivale Rd, bordering Baseline Rd, Prince of Wales, Rideau Canal and Rideau River. They also accept “special requests” for the care of patients living outside the designated catchment area in some instances. We ask that the referring doctor identify any known relationship between CPCN and the patient or his/her family (i.e., prior care, community/church or work link) when submitting a special request.
Dr Louise Coulombe is CPCN’s primary physician
Dr William Splinter accommodates a limited number of patients through CPCN
Patient Intake Manager is Bonnie Coulombe
Tel 613-656-3170; Fax 613-224-8508
CPCN’s Referral form is downloadable from http://www.cpcnweb.com
Current supporting data must be submitted with the physician completed referral form
If you do not have a family physician or do not belong to a family medicine team, you may find a family physician through the Health Care Connect Program at 1-800-445-1822 or visit www.ontario.ca/healthcareconnect . You may also speak to your CCAC Case Manager.
When symptoms are difficult to control or when issues are complex, a family physician or other primary care provider can contact the Regional Palliative Consultation Team at 1-800-651-1139 or click here to upload a brochure. This service is available 24 hours a day, seven days a week.
When in-patient specialised care is required for complex situations, a person may be referred by a physician, to Bruyère Continuing Care in Ottawa. For more information about the specialty unit and referrals click Bruyère Palliative Care Unit.
To obtain more information about hospice services click here.
Hospice Care Ottawa is a community-based charitable organization. It offers services for clients and their loved ones to experience palliative and end-of-life care in a supportive and peaceful setting, with pain and symptom management, surrounded by caring that reflects a comfortable home environment.
Providing dignity and comfort is the focus of its care. Delivery of these services is made possible through the support of a small dedicated staff and many volunteers from the Ottawa community. All of its services meet the highest care standards in a comfortable setting. It provides palliative and end-of-life support through its Residential Care, In-Home Support, Transportation, Day Hospice, and Family Support programs.
It currently has three hospice sites to serve the Ottawa region: Central West Hospice (1400 Carling Avenue), May Court Hospice (114 Cameron Avenue) and Ruddy/Shenkman Hospice ( 110 McCurdy Drive)
For more information click Hospice Care Ottawa to consult its website for details about services and referral information.
The Ottawa Hospital is the largest acute care hospital in the Champlain area and is located at the General, Civic and Riverside campuses. Specialist and supportive palliative care services are offered by a specialist team of palliative care physicians, nurses, and social workers at the General and Civic campus.
The team provides specialist support to the doctors and nurses working in the various units of the hospital. The Palliative Care Specialists do not take over your care but rather work closely with your health care teams to provide advice and support. The patient's attending doctors will refer the patient to the palliative care team. The patient and family may also ask for an assessment. The specialist physicians in the team are members of the Division of Palliative Medicine at the University of Ottawa.
The Montfort Hospital has a specialist palliative care team that provides consultation services to other specialists, hospitalists and family physicians in the hospital. Referrals to the team are through the attending physician and nurses on the units.
The team consists of a specialist palliative care physician and advance practice nurse specialized in palliative care. The specialist physician is a member of the Division of Palliative Medicine at the University of Ottawa.
The Queensway Carleton Hospital provides a consultation specialist palliative care service that consists of a nurse practitioner who serves as an advance practice nurse and a specialist palliative care physician. The specialist physician on the team is a member of the Division of Palliative Medicine at the University of Ottawa.
The team provides consultation services to other specialists, hospitalists and family physicians in the hospital. Referrals to the team are through the attending physician and nurses on the units.
The Children's Hospital of Eastern Ontario (CHEO) has a pediatric palliative care team that works closely with other CHEO services and community partners, including Roger's House (a pediatric hospice), located on the hospital grounds
The LTCHs in Ottawa also provide support and care to their palliative residents.
For contact information about the Homes, click on the following link to visit the Champlain Healthline website for Ottawa.
Click here for more information about the type of services available.
Check the Champlain Healthline here, for contact information in Ottawa.
The Champlain Healthline provides information about other agencies able to help people who are living with life-limiting illnesseses and conditions.
Click on the Champlain Healthline Ottawa for more information about these agencies in Ottawa.
The Ottawa Community Support Coalition web site also links you to these services and many more in the City of Ottawa.
Hospitals, Long Term Care Homes, Retirement Residences and other health agencies that do not have palliative care services can contact the Regional Palliative Consultation Team at 1-800-651-1139 for support in caring for people with palliative needs. This service is available 24 hours a day, 7 days a week.