Supportive Palliative Care

Patients referred for palliative care are those suffering from incurable and/or life-limiting illnesses of a malignant and or non-malignant nature. 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.

Service Area

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.

Palliative Medicine Physicians:

Dr. Amit Arya
Dr. Martin Chasen
Dr. Joyce Cheung
Dr. John Davey
Dr. Sukhjeet Dhillon
Dr. Naheed Dosani
Dr. Shruti Gupta 
Dr. Jennifer Kagan
Dr. Tracy Luk
Dr. Vincent Maida
Dr. Jose Pereira
Dr. Adrienne Selbie
Dr. Shayda Ziai 

Inpatient units

Our acute palliative care inpatient units at Brampton Civic Hospital and at Etobicoke General Hospital provide:

  • Complex and acute pain and symptom management
  • Psychological 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 discharge home or other facilities
  • Culturally sensitive care that respects the patient’s beliefs, values and preferences
BRAMPTON CIVIC

Unit Location:
5th floor, North Building, Entrance A, take the ROSE elevators
Tel: 905-494-2120 ext. 56418

ETOBICOKE GENERAL

Unit Location:
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
  • 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)

Community services

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, thoracentesis 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 care 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.

Brampton Civic
Clinic Location and Hours:

Monday-Friday 8:30am - 4:30pm
1st floor, room N.1.015
North Building, Entrance A, turn right just before the ROSE elevators
Tel: 905-494-2120 ext. 50801
Fax: 905-494-6758 
Etobicoke General
Clinic Locations and Hours
Monday 8:30am - 11:30pm
10th floor, rooms 1058 & 1059
Thursday 12:30pm - 3:30pm
Rooms 6080 & 6081, turn right when exiting the elevators
Tel: 416-494-2120 ext. 50801
Fax: 905-494-6758

Who to refer/when to refer

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. Our referral form for our external partners is available here.

When there is presence of a serious illness (including, but not limited to):

  • Any cancer (new diagnosis or locally advanced or metastatic)
  • NYHA Class III-IV Heart Failure
  • Stage 4-5 Chronic Kidney Disease
  • Progressive neurological disease (such as Dementia and ALS)
  • End-stage COPD or other progressive respiratory illness
  • End-stage Liver Cirrhosis

AND/OR When one or more of the following apply:

  • Physician/Nurse Practitioner answer of “NO” to the ‘Surprise Question’: “Would you be surprised if this patient died within the next 12 months?”
  • 2 or more hospitalizations for the same illness within 3 months
  • New diagnosis of life-limiting illness for symptom control
  • Recent admission(s) for difficult-to-control physical or psychological symptoms
  • Patient and physician uncertainty regarding appropriateness of treatment options and/or prognosis
  • Uncertainty or conflicts regarding the use of:
      • Non-oral feeding/hydration in cognitively impaired, seriously ill, or dying patients
      • Initiation of renal replacement therapy (e.g. dialysis, transplant)
      • Left Ventricular Assist Device (LVAD) or Automatic Implantable Cardioverter Defibrillator (AICD) placement

Related Information

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