Resources For Physicians

Who may benefit from a palliative care referral?

Based on physician assessment, any patient with an advanced and/or life-limiting illness may benefit including, but not limited to:

  • Advanced cancer (metastatic/recurring)
  • Advanced COPD
  • Stroke (with decreased function of at least 50%)
  • End stage renal failure
  • ESCHF or other heart disease
  • Advanced dementia
  • AIDS
  • Advanced liver disease
  • ALS or other degenerative neurological disease.
  • Debility patients with multiple ER visits/admissions for UTI/dehydration/malnutrition/decubitus.
  • Patient in the ICU setting with documented poor progress.
  • Patient has prolonged stay in ICU and/or transferred from ICU to ICU setting without evidence of progress.
  • Team/patient/family needs help with complex decision-making and determination of goals of care.
  • Patient has frequent visits to ED (>1/month) for the same thing.
  • Patient has prolonged stay (>5 days) without evidence of progress.
  • Patient has unacceptable level of pain or other symptom of distress for over 24 hours.

What types of services are employed to assist patients?

  • Assistance with advanced directives/identification of health care proxy
  • Symptom management
  • Assistance with clarification of legal and ethical considerations
  • Coordination of family conferences to enhance communication with the healthcare team concerning treatment options, prognosis and goals of care.
  • Education and preparation for time of death
  • Emotional adjustment, grief and bereavement support
  • Clarification of goals of care
  • Adjustment to advanced disease diagnosis and prognosis
  • Assistance with decisions about life sustaining treatments
  • Spiritual and cultural support
  • Life completion goals and tasks
  • Education and preparation for time of death

How do I make a referral?

  • The need for a palliative consult can be identified by many sources: attending physicians, residents, nurses, family members, patients or social workers.
  • A palliative care consult requires a physician’s order. If the referral need is recognized by the healthcare team, patient or family member, the unit-based nurse on duty notifies the attending physician of the need and requests an order for the consult.
  • If the attending physician agrees to a palliative care referral, a consult order needs to be entered into EPIC.
Explore Clinical Trials

Over 1,000 clinical trials
being conducted at Ochsner.

Donate to Ochsner

We change and save lives every day.
Your support makes it possible.

MyOchsner Login

Get exclusive access to more appointment times, message your care team 24/7, view your test results and request refills.

Access Care 24/7

Enhance your Anywhere Care Virtual Visit with Health Kit

Find an Urgent Care Location Near You

Get seen today and start feeling better