Transitions Palliative Care Program

What is Palliative Care?

Palliative care is specialized medical care for people with life-limiting illness. Care plans focus on providing relief from related symptoms, pain and stress.  Palliative care can be provided at any stage of a serious illness, even while pursuing curative care.

GOALS of the Transitions Palliative Care Program

  • Improve overall quality of life
  • Proactive patient and whole family participation for the healthcare decision making process
  • Patient/Family driven goals of care
  • Facilitated life goals and advance healthcare planning
  • Symptom management
  • Education specific to the illness/disease and its expected progression
  • Prevention of unnecessary emergency room visits and hospitalizations
  • Referrals to community resources
  • Provide emotional support
  • Early access to expanded services

BENEFITS of Admissiontransition bf1

When you are admitted into the Transitions Palliative Care Program for home-based palliative care, our experienced team of professionals become your healthcare advocates. We aim to reduce unwanted hospitalizations, make patient care easier, and provide a better quality of life.  Additional benefits include:

  • Partnership with the patient’s attending physician for all health care decisions
  • Personalized medical care plan supervised by a nurse practitioner case manager
  • Knowledge and expertise provided by a licensed clinical social worker
  • Proactive pain management
  • Referrals to a large array of community programs such as Meals on Wheels, support groups, housing grants, veterans support groups, and paratransit services
  • Access to case management 24 hours a day, seven days a week

When is the right time to call the Transitions Palliative Care Program?

Call for help if someone you know is dealing with a life-limiting illness and:

  • needs help obtaining information and understanding the illness and its challenges
  • is having trouble managing the activities of daily life

Who pays for the Transitions Palliative Care Program?

Program services will be billed through the patients’ insurance. The patient may be responsible for co-pays.

Who qualifies for the Transitions Palliative Care Program?

Criterion for admission into the Transitions Palliative Care Program is the diagnosis of a life-limiting illness with prognosis of one year or less. Referrals for the program can be made by a community based physician (including hospitalists), a patient or family member, or by Hospice of the Foothills’ Medical Director.  If you have questions about eligibility or obtaining a referral, please call 530.272.5011.

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