The Palliative Outreach and Consult Team (POCT) and the Heart Function Team created a process to transfer end-stage heart failure patients on isotope therapy to the palliative care unit. No other palliative care unit in Canada has done this. With the renal program, POCT has assisted in the formation of the renal end-of-life initiative. From this relationship, and as part of the initiative, a unique palliative educational program was developed to augment palliative care knowledge and skills for nurses working on the renal unit. A review of medication use for pain and symptom relief in residential care has shown a tripling of the amount of opioid analgesics since consultation to residential care began in 2005. A decrease in hazardous nonsteroidal anti-inflammatory drug use occurred and an increase in appropriate terminal care orders was noted.

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