Supportive Palliative Care
Patients referred for palliative care are those suffering from incurable and/or life-limiting illnesses of a cancerous and/or non-cancerous nature. These include but are not limited to end-stage Lung Disease, Heart Disease, Chronic Kidney Disease, Neurological Disease (such as Dementia and ALS), and Liver Disease. Palliative Care is appropriate for patients in all disease stages, from those undergoing active medical treatment to those who are nearing the end of life. The goal is to provide pain and symptom management thereby improving quality of life.
The Supportive Palliative Care Program serves those people who reside within the Central West LHIN.
In addition, the Supportive Palliative Care Program serves those people who reside in the western part of York Region including Kleinburg and Vaughan and the eastern part of Halton Region including Georgetown. The Supportive Palliative Care Program is equally pleased to serve patients who reside on the periphery of our boundaries should they wish to receive care from our palliative team.
Our acute palliative care inpatient units at Brampton Civic Hospital and at Etobicoke General Hospital provide:
- Complex and acute pain and symptom management
- Psychosocial support to patients, caregivers and families
- Care and comfort at the end of life
- Admission direct from home to the inpatient unit for patients with advanced illness who are already registered with one of our palliative care physicians
- Support with discharge planning, including follow-up in our outpatient clinic or home visit service (as needed)
- Culturally sensitive care that respects the patient’s beliefs, values and preferences
5th floor, North Building, Entrance A, take the ROSE elevators
Tel: 905-494-2120 ext. 56418
9th floor, turn right when exiting the elevators, turn right again
Tel: 905-494-2120 ext. 33450
Inpatient consultation service
Our inpatient consult service is available to patients admitted to hospital and their families. Our team can provide:
- Recommendations to optimize pain and other symptoms
- Advanced care planning and Goals of Care discussions
- Follow up in our outpatient clinic or home visits when indicated
- Information around what to expect, discussions regarding options, and establishing goals of care
- Establishment and discussion of appropriate goals of care at all phases of treatment
- Regular open discussions regarding end of life planning
- Transfer to the acute palliative care unit for management of complex symptoms or end of life care (when indicated)
- Support with planning for palliative care at home such as referral to CCAC, community hospice supports, and other palliative care community resources
- Follow up in our outpatient clinic or home visiting service (as needed)
Osler’s Palliative Care outpatient clinics offer the following:
- Complex pain and symptom management
- Support with establishing goals of care, goal setting, and advanced care planning
- Support with addressing one’s physical, spiritual, emotional, social and informational needs
- Support for patients and families facing difficult end of life decisions such as withdrawal of treatment
- Procedures such as paracentesis (drain fluid from the abdomen), thoracentesis (drain fluid from the lungs), and blood transfusions on an outpatient basis
- Seamless transition from inpatient care and direct admission wherever possible
Osler’s Home Visiting Service offers the following:
- Many of the support and services that are provided to patients in the inpatient unit and the outpatient clinic (in partnership with CCAC and other palliative community services)
- Criteria for home visits:
- Patients who now require 2-person assist or mechanical lift for transfers
- Patients who have become bed bound
Osler Health Services maintains ongoing communication with family physicians who prefer to adopt the palliative care approach and treat their own patients.
Clinic Location and Hours:
Monday-Friday 8:30 a.m. - 4:30 p.m.
1st floor, room N.1.015
North Building, Entrance A,
Turn right just before the ROSE elevators
Tel: 905-494-2120 ext. 50801
Etobicoke General Clinic Locations and Hours
Monday and Thursday 12:30 a.m. - 3:30 p.m.
Tel: 416-494-2120 ext. 50801
Patients may be referred from community, Emergency Department, other hospitals, primary care, and long-term care nursing homes. Please note that we require a Physician/Nurse Practitioner to Physician referral.
Patients who wish to be referred:
- Do NOT have to have a Do Not Resuscitate (DNR) code status
- Do NOT have to stop dialysis
- Do NOT have to stop chemotherapy
- Do NOT have to stop active medical treatment
- Are asked to discuss referral to our service with their primary care physician/nurse practitioner