ParaMed Individual Forms – Page 3 – Extendicare Print Shop

Palliative Performance Scale (PPSv2)

Palliative Performance Scale (PPSv2)

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Edmonton Symptom Assessment System ESAS-R

Edmonton Symptom Assessment System ESAS-R

Regular price $23.14 CAD

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Palliative Care and Teaching Progress Plan - Early Stage

Palliative Care and Teaching Progress Plan - Early Stage

Regular price $5.79 CAD

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Palliative Care and Teaching Progress Plan - Transitional Stage

Palliative Care and Teaching Progress Plan - Transitional Stage

Regular price $5.79 CAD

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Palliative Care and Teaching Progress Plan - End of Life Stage

Palliative Care and Teaching Progress Plan - End of Life Stage

Regular price $5.79 CAD

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Palliative Care Plan Flow Sheet - Early Stage

Palliative Care Plan Flow Sheet - Early Stage

Regular price $5.79 CAD

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Palliative Care Plan Flow Sheet - Transitional Stage

Palliative Care Plan Flow Sheet - Transitional Stage

Regular price $5.79 CAD

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Palliative Care Plan Flow Sheet - End of Life Stage

Palliative Care Plan Flow Sheet - End of Life Stage

Regular price $5.79 CAD

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Pain Assessment Form

Pain Assessment Form

Regular price $5.79 CAD

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Safety Assessment of the Patient Environment

Safety Assessment of the Patient Environment

Regular price $19.14 CAD

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Authorization for Provision of Patient’s Key/Combination/Code

Authorization for Provision of Patient’s Key/Combination/Code

Regular price $30.03 CAD

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How to Prevent Falls: Patient Interventions (English)

How to Prevent Falls: Patient Interventions (English)

Regular price $30.03 CAD

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How to Prevent Falls: Patient Interventions (French)

How to Prevent Falls: Patient Interventions (French)

Regular price $30.03 CAD

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MAHC 10 Fall Risk Assessment

MAHC 10 Fall Risk Assessment

Regular price $11.57 CAD

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Patient Teaching Progress Plan

Patient Teaching Progress Plan

Regular price $23.14 CAD

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General Wound Teaching Progress Plan

General Wound Teaching Progress Plan

Regular price $15.14 CAD

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Authorization for Consent (Treatment, Care and Service)

Authorization for Consent (Treatment, Care and Service)

Regular price $15.14 CAD

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Patient Information Transfer Form

Patient Information Transfer Form

Regular price $23.14 CAD

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Telephone Advice Form

Telephone Advice Form

Regular price $15.14 CAD

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Patient's Responsibility for In-Home Chart

Patient's Responsibility for In-Home Chart

Regular price $7.57 CAD

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Clinical Notes

Clinical Notes

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In-Home Chart Label Stickers

In-Home Chart Label Stickers

Regular price $18.00 CAD

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Care Plan: Nursing & Allied Health

Care Plan: Nursing & Allied Health

Regular price $23.14 CAD

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General Wound Care Plan

General Wound Care Plan

Regular price $7.57 CAD

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