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PALLIATIVE CARESERVICESCentral Health does not have a Palliative Care Unit.However, there are 16 dedicated palliative care bedsthroughout the region. A.M. Guy Memorial Health Centre (1 bed)Baie Verte Peninsula Health Centre (1 bed)Carmelite House (1 bed)Central Newfoundland Regional Health Centre (1 bed)Connaigre Peninsula Health Centre (1 bed)Dr. Hugh Twomey Health Centre (2 beds)Fogo Island Health Centre (1 bed)Green Bay Health Centre (1 bed)James Paton Regional Health Centre (3 beds)Lewisporte Health Centre (1 bed)Notre Dame Bay Health Centre (1 bed )Valley Vista Senior Citizens’ Home (1 bed)Y.K. Jeon Kittiwake Health Centre (1 bed)While not having a Palliative Care Unit,here are many Palliative Care resourcesavailable in the Central Health Region.PALLIATIVE ENDOF LIFE CARE TEAMPalliative Care Physician (Part-time)Regional – (709) 489-6192Palliative Care Nurse ConsultantsEast: (709) 571-3149Central: (709) 535-0926West: (709) 489-4703Grief and Bereavement ConsultantRegional: (709) 235-1412For general inquiries regarding palliative careservices or referral call:Clerical: (709) 884-4268LINK: PEOLCTEAMREFERRAL FORMhttps://docs.wixstatic.com/ugd/d55165 12c93ff7d0ea42efb4ba875c2df19bd3.pdfCENTRAL HEALTH

HOME & COMMUNITYNURSINGPROGRAMParamedics, Community Nurses andSocial Workers assist patients in receivingcare at home for as long as possible.The Community Supports Program providespalliative care services in both the home andcommunity clinic setting. Once eligible for palliativecare, the individual can access services at homefrom continuing care nurses and communitysupport social workers who can help provide relieffrom symptoms such as pain, nausea or stress andimprove quality of life. Home visits Symptom treatment Medical equipment and supplies Personal care for the client Household management needs Respite for main caregiver Medications including home oxygenWhen an individual has reached the final stagesof their life, the Continuing Care Program andPalliative End of Life Care Program offersadditional services to provide comfort and supportto the client and their family in their own home. Endof life care at home is available across the CentralHealth region and includes a number of services,such as: Grief and bereavement supportLINK: COMMUNITY SUPPORTS & NURSINGSERVICES 0First%20Referral.pdfCENTRAL HEALTH

LONGTERMCAREAll of Central Health’s Long Term Carefacilities provide palliative end of life careto their residents.Some facilities have a private palliative care bed/room while others do not. Long Term Care facilitiesin the Central region are: A.M. Guy Memorial Health Centre (Buchans)Baie Verte Peninsula Health Centre (Baie Verte)Bonnews Lodge (Badger’s Quay)Carmelite House (Grand Falls-Windsor)Connaigre Peninsula Health Centre(Harbour Breton)Dr. Hugh Twomey Health Centre (Botwood)Fogo Island Health Centre (Fogo)Lakeside Homes (Gander)Lewisporte Health Centre (Lewisporte)Notre Dame Bay Health Centre (Twillingate)Valley Vista Senior Citizens’ Home (Springdale)LINK: PEOLCTEAMREFERRAL FORMhttps://docs.wixstatic.com/ugd/d55165 12c93ff7d0ea42efb4ba875c2df19bd3.pdfCENTRAL HEALTH

WESTERNHEALTHREGIONAL INTEGRATED HEALTH AUTHORITYWestern Health believes in and supports an integratedapproach to palliative care. An approach that focuseson a person’s and familiy’s physical, psychosocial,and spiritual needs at all stages of a chronic illnessor frailty. Palliative care strives in promoting comfortrather than attempting to cure. It can be provided at asetting of one’s choice – home, hospital, personal carehome, or long termcare.

CANCER PATIENTNAVIGATORSCancer Patient Navigators are locatedacross the province. Their job is tosupport patients and families and helpthem access services.CANCER PATIENT NAVIGATORSABORIGINAL PATIENT NAVIGATORCancer Patient Navigators are located acrossthe province. Their job is to support patients andfamilies and help them access services.The Aboriginal Patient Navigator (APN) program hasbeen navigating cultural and geographical barriers,and supporting First Nations, Inuit and Metis people,as they make their way through the acute caresystem.To contact a Cancer Patient Navigator, please call1 (855) 848-3888 (toll free), or call your the localCancer Patient Navigator:Western Region: (709) 784-5010Contact: (709) 777-2199; (709) 777-2110;or (709) 777-8462Qalipu First Nation-NIHB Navigator:(709) 679-5743 or 1-855-675-5743WESTERN HEALTH

PALLIATIVE ANDENDOF LIFE CARERegional Palliative Care Services are partof the Rehabilitation, Continuing Care andPalliative Care Program of Western Health.OUTPATIENT SERVICESServices are available to anyone within the WesternHealth region who has obtained a referral to the specialistpalliative care team from their health-care provider.Services include pain and symptom management, goals ofcare discussions, and grief and bereavement.INPATIENT SERVICESThere is a Palliative Care Unit located at Western LongTerm Care Home. It has eight beds – six private roomsand one semi-private, a family room, a kitchenette and aprivate outdoor space. Bonne Bay Health Centre (1 bed) Calder Health Centre (1 bed) Charles Legrow Health Centre (1 bed)The specialist palliative care team also providesa consult service to inpatients of WesternMemorial Hospital, Western Health Long TermCare Home, Corner Brook Long Term Care, andthe regional Cancer Centre.Palliative Care Office:(709) 784-5414 or (709) 784-2700 ext. 2804There are also eight palliative care beds throughout theregion:Western Health Palliative Care Support Line:(709) 784-6415 or Toll Free: 1-833-873-8608 Sir Thomas Roddick Hospital (4 beds) Bay St. George Long Term Care (1 bed)Clinical Nurse Specialist:(709) 784-2700 ext. 2663WESTERN HEALTH

COMMUNITYBASEDSERVICESPalliative Care is provided to individuals of any agewho are house-bound, and have a life-limiting or lifethreatening illness. The focus of palliative care is toaddress symptoms, and concerns that impact the person’squality of life. It is delivered by a health care team and caninclude: Relief of pain and other symptoms causing discomfort Advance care planning/goals of care discussions Support for family and informal caregivers Support of cultural needs Support for emotional, social and spiritual needs Counselling and grief support.Palliative care is not only for the end stage orlast days of an illness. People can benefit froma palliative care approach at the diagnosis of alife limiting or life threatening illness.LINK: REGIONAL HOME ome/healthtopics-main/palliative-care/LINK: COMMUNITY SUPPORT REFERRALINTAKE DIRECTORY fWESTERN HEALTH

ENDOF LIFEAT HOMEIn the Western Region, palliative and endof life care services are also available forpeople who wish to stay at home.End of Life Care is the part of palliative care that is providedto clients in their last 8 weeks of life. It is an enhancedservice in which the health care teamworks togetherto manage the illness, improve comfort, and enable theperson to stay at home for as long as possible or to die athome if that is their wish. Services can include: Home support Equipment such as hospital bed, commode, andhome oxygen Coverage for the cost of approved medications Coordination of care by a nurse case manager Education and support for the individual and familythroughout the dying process.LINK: REGIONAL HOME home/health-topicsmain/palliative-care/WESTERN HEALTH

LONGTERMCAREThe Long Term Care Program of Western Healthprovides direct and indirect services that are aimedat meeting the diverse needs of residents/clients.The program strongly supports community/homeliving for as long as possible with the resources ofWestern Health.The Long Term Care Program provides comprehensiveand holistic care, while enhancing quality of life,taking into consideration the uniqueness of eachindividual and the available resources.Palliative care beds are located throughoutthe Western Region to support people beingclose to family and loved ones. Western Healthsupports a seamless transition through eachcare setting if or when that time is needed. Western Long Term Care Home(Corner Brook) Bonne Bay Health Centre (Norris Point) Calder Health Centre (Burgeo) Dr. Charles L. Legrow Health Center(Port Aux Basques) Rufus Guinchard Health Center(Port Saunders)There are dedicated palliative care beds located atthe following facilitates throughout the region:WESTERN HEALTH

SPIRITUAL ANDEMOTIONAL CAREBeyond providing medical and physicalsupport, spiritual and emotional supportis an essential part of patient care.PASTORAL CAREGRIEF ANDBEREAVEMENT SERVICESAt Western Health, Pastoral Care is offered as acomponent of the holistic and interdisciplinaryapproach to healthcare. It assists individualsto mobilize their spirituality, faith and religiousresources to enhance their health and quality of life.Regional Spiritual Health Manager:(709) 784-5224 or (709) 784-2700 ext. 2669Bereavement Support Group:(709) 634-4506The role of the Pastoral Care Department is tocoordinate the provision of spiritual and religioussupport to patients, their families and staff.Pastoral Care Services: (709)-784-5224WESTERN HEALTH

LABRADORGRENFELLHEALTHREGIONAL INTEGRATED HEALTH AUTHORITYPalliative care is a teamapproach aimed at improvingthe patient/family experience while facing lifethreatening illness. It involves a holistic approach andincludes the treatment, management and support forthe physical, psychosocial, and spiritual needs. Patientsand families are provided with a support systemto helpthemlive as actively as possible while supporting themduring the bereavement process.

CANCER PATIENTNAVIGATORSCancer Patient Navigators are locatedacross the province. Their job is tosupport patients and families and helpthem access services.CANCER PATIENT NAVIGATORSABORIGINAL PATIENT NAVIGATORCancer Patient Navigators are located acrossthe province. Their job is to support patients andfamilies and help them access services.The Aboriginal Patient Navigator (APN) program hasbeen navigating cultural and geographical barriers,and supporting First Nations, Inuit and Metis people,as they make their way through the acute caresystem.To contact a cancer patient navigator, please call:1 (855) 848-3888 (toll free), or call the local cancerpatient navigator: St. Anthony: (709) 454-3999 Happy Valley-Goose Bay: (709) 897-3115 Labrador City: (709) 285-8332Contact: (709) 777-2199; (709) 777-2110; or(709) 777-8462Qalipu First Nation-NIHB Navigator:(709) 679-5743 or 1-855-675-5743LABRADOR-GRENFELL HEALTH

COMMUNITY ANDHOME SERVICESServices can also be accessed through LabradorGrenfell Health facilities if support is required bypatients and families. To access services please call:Labrador-Grenfell Region: 1-833-284-4751Regional Palliative Care Coordinator:(709) 454-0665HOME ANDCOMMUNITY CAREPalliative and end of life care services areavailable within the community setting,supporting patients and families in theirhomes.OUTPATIENT SERVICESLabrador Health Centre (Happy Valley – Goose Bay):(709) 897-2296Labrador West Health Centre (Labrador City):(709) 285-8374Dr. Charles Curtis Memorial Hospital (St. Anthony):(709) 454-0316 or (709) 454-0324Home and Community Care includes various programssuch as: home care nursing; assessments for theinstitutional placement program; a home supportprogram; palliative care; and a special assistanceprogram which provides health care supplies, variousequipment and other health related services tofinancially eligible persons who have chronic healthconditions.LABRADOR-GRENFELL HEALTH

COMMUNITY & HOME SERVICES CONTINUEDCOMMUNITY SUPPORT REGIONAL SOCIALWORKERS:St. Anthony:(709) 454-3054 (Ext 4) or (Ext 1); Fax: 454-3386Roddickton:(709) 457-2284 (Ext 258 or 262); Fax: (709) 457-2293Flower’s Cove:(709) 456-2401 (Ext 6274); Fax: (709) 456-2115Port Hope Simpson:(709) 960-0271 (Ext 230); Fax: (709) 960-0350Happy Valley–Goose Bay:(709) 897-3127/3125/3122; Fax: 896-2725Labrador City: (709) 285-8171; Fax: (709) 944-3722CENTRALIZEDINTAKE LINE: 1- 833-284-4751INDIGENOUS CONTACTS:Nunatsiavut Dept. of Health & Social DevelopmentHOME SUPPORT PROGRAMCOORDINATOR(709) 896-5227NunatuKavut Community CouncilHEALTHANDSOCIAL SECTOR MANAGER(709) 896-0592 ext. 238Home and Community Care CoordinatorSHESHATSHIUINNUFIRST NATION(709) 497-3834LABRADOR-GRENFELL HEALTH

LONGTERMCARELabrador-Grenfell Health offers a range of longterm care services, including regional assessmentand placement, recreational therapy, planning anddirection for long term care beds in St. Anthony, HappyValley – Goose Bay, Labrador City and Forteau.Program responsibilities include the single point entryadmission process, and monitoring and licensing ofpersonal care homes operating within the region.In selected locations, social work and physiotherapyservices are offered through qualified professionals.Contact Information: (709) 896-2469LABRADOR-GRENFELLWESTERN HEALTH

ADDITIONAL SUPPORT SERVICESMAID- Medical Assistance in DyingMedical assistance in dying became legal in June2016 and is governed under federal law. It is theadministering by a doctor or nurse practitionerof a substance to a patient, at their request, thatcauses their death or, the prescribing or provisionby a doctor or nurse practitioner of a substance toa patient, at their request, so that they may selfadminister the substance and in doing so causetheir own death.Although MAIDis not offered by the palliative careteam, it can be part of end of life discussions. Apatient can request information about MAIDfromany member of their health care team. Areferral tothe palliative care team is not needed for a patientwho is interest in having a discussion surroundingMAID.LINK: MEDICAL ASSISTANCE /faq/pdf/medical assistance dying.pdfEASTERNHEALTH:Questions: (709) 777-2250Referrals: (Fax) 709-777-7774Email: maid@easternhealth.caCENTRAL HEALTH:Questions: (709) 533-2374Referrals: (Fax) (709) 292-2249Email: maid@centralhealth.nl.caWESTERNHEALTH:Questions: (709) 637-5000Referrals: (Fax) (709) 637-5159LABRADOR-GRENFELL HEALTH:Questions: (709) 897-2350Referrals: (Fax) (709) 896-4032Email: maid@lghealth.caADDITIONAL SUPPORT SERVICES FOR ALL RHA’S

ON-LINE RESOURCESCanadian Virtual Hospice - Contains informationand support on palliative and end-of-life care, lossand grief. There is information to support family andfriends providing care; discussion forums wherepatients and families can connect online with othersand find information, encouragement and support.LINK: http://virtualhospice.ca/en US/Main Site Navigation/Home.aspxCanadian Hospice Palliative Care Association The CHPCAis defined as the national voice forHospice Palliative Care in Canada. CHPCAadvancesand advocates for quality end-of-life/hospicepalliative care in Canada and has a volunteers Boardof Directors composed of hospice palliative careworkers and volunteers from the Canadian provincesas well as members-at -large. The website contains avariety of resources for family and caregivers, healthcare professionals and volunteers.LINK: http://www.chpca.net/Speak Up: Advance Care Planning Resources The Speak Up Campaign is part of a larger initiative –Advance Care Planning in Canada – and is overseenby a National Advance Care Planning Task Groupcomprised of individuals representing a spectrumof disciplines, including health care, law, ethics,research and national non-profit organizations. Thiswebsite has a variety of Advance Care Planningresources for health care professionals, patients andfamilies, educators and community organizations.LINK: http://www.advancecareplanning.ca/Dying with Dignity Canada- National not-for-profitorganization committed to improving quality ofdying, protecting end-of-life rights, and helpingCanadians avoid unwanted suffering. Informationon Medical Assistance in Dying is included, aswell as contacts for MAIDin all NL Regional HealthAuthorities.LINK: https://www.dyingwithdignity.ca/ADDITIONAL SUPPORT SERVICES FOR ALL RHA’S

Equipment and Medical SuppliesThere are a number of private equipment supplycompanies located across the province. TheCanadian Red Cross has a Health Equipment LoanProgram (HELP) at 3 sites across the province:Newfoundland and Labrador Provincial OfficeShort Term Loan Program: (709) 758-8400Central Service Centre Short Term Loan Program:(709) 489-5522Western NL Service Centre Short Term LoanProgram: (709) 634-4626ADDITIONAL SUPPORT SERVICES FOR ALL RHA’S

they wish, for as long as possible. The program is operational in the St. John's metro, with plans for expansion to other regions in 2021. Please call (709) 777-4605 for information. COMMUNITY SUPPORT PROGRAM The Community Support Program provides palliative care services in both the home and community clinic setting. Once eligible for palliative