To be referred there are three important documents a health care provider will send to the hospice: A Request for Assessment (.pdf), A Hospice Admission Agreement (.pdf) and a Goals of Care (.pdf) (or similar) document.
The process to have these completed is:
A physician or nurse practitioner will determine if a person meets the eligibility criteria for Hospice.
- If a physician or nurse practitioner believes a person is eligible to be admitted and the patient/delegate is in agreement, they can submit a Request for Assessment form (.pdf) to the Hospice.
- The Nova Scotia Health policy and procedure for Hospice Assessment Requests is also available for your information here. It includes the eligibility criteria as well as roles and responsibilities related to admission to Hospice.
- The patient/delegate must sign the Hospice Agreement (.pdf) at the time the Request for Assessment is faxed to the Hospice to ensure there is an informed understanding of the care offered.
- A Goals of Care (.pdf) (or similar) document that reflects that the goal is for comfort directed care without resuscitative efforts must be signed and accompany the Request for Assessment.
Patients who wish to be considered for admission to Hospice Cape Breton can be referred to the Palliative Care service in Cape Breton by their physician or nurse practitioner. For more information, please contact 902-567-7846.
To determine if a person is eligible for admission to Hospice Cape Breton, the following criteria must be met:
- life expectancy of three months or less
- the goal of care is comfort