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It brings together the experiences and learnings from 10 teams across nine provinces and territories who have successfully implemented this approach to home care services.",{"type":15,"attrs":493,"content":494},{"textAlign":339},[495],{"text":496,"type":306},"The change package includes examples of how teams participating in the Paramedics and Palliative Care program  implemented a palliative approach to care for paramedics in their jurisdiction. It also includes tips from program coaches and project team members, and recommendations for engaging patients, family members and essential care partners.","image-text-colored",{"_uid":499,"content":500,"component":641},"65b1e972-1a91-468b-9296-805d78f009de",[501,527,535,549],{"_uid":502,"content":503,"component":526},"5629b43b-70fb-43b1-8640-7e24c68adb3e",{"type":12,"content":504},[505,511,516,521],{"type":326,"attrs":506,"content":508},{"level":507,"textAlign":53},2,[509],{"text":510,"type":306},"Teams",{"type":15,"attrs":512,"content":513},{"textAlign":53},[514],{"text":515,"type":306},"Ten teams across nine provinces participated in the Paramedics Providing Palliative Care: Bringing Vital Services to Canadians program.",{"type":15,"attrs":517,"content":518},{"textAlign":53},[519],{"text":520,"type":306},"The original innovator sites in Nova Scotia, Prince Edward Island and Alberta formed three of the teams. They participated as coaching jurisdictions and worked with HEC and the Partnership to spread and scale the Paramedics and Palliative care program to other areas of Canada.",{"type":15,"attrs":522,"content":523},{"textAlign":53},[524],{"text":525,"type":306},"Newfoundland and Labrador, New Brunswick, Ontario, Manitoba, Saskatchewan, and British Columbia participated as implementation teams. They were supported to successfully implement the program.","simple-richtext",{"_uid":528,"image":529,"component":534},"4bf058cd-cd5e-4fd0-b40a-fbaafec24d78",{"id":530,"alt":531,"name":16,"focus":16,"title":16,"source":16,"filename":532,"copyright":16,"fieldtype":294,"meta_data":533,"is_external_url":296},134004171048050,"Participating and coaching jurisdictions located on a map of Canada. British Columbia Emergency Health Services is in Vancouver, British Columbia. It is a participating jurisdiction. Alberta Health Services Emergency Medical Services and Alberta Health is shown in Calgary, Alberta. It is a coaching jurisdiction. Saskatchewan Health Authority, Regina Area is in Regina, Saskatchewan. It is a participating jurisdiction. Interlake-Eastern Regional Health Authority is shown in Winnipeg, Manitoba. It is a participating jurisdiction. York Region Paramedic Services is in the Regional Municipality of York, Ontario. It is a participating jurisdiction. The Ottawa Hospital Research Institute is shown in Ottawa, Ontario. It is a participating jurisdiction. Ambulance New Brunswick/Extra Mural Program is in Moncton, New Brunswick. It is a participating jurisdiction. Nova Scotia Emergency Health Services and Nova Scotia Health Authority is a coaching team. It is shown in Halifax, Nova Scotia. Island Emergency Medical Services and Health PEI is another coaching jurisdiction. On the map it is shown in Charlottetown, Prince Edward Island. Finally, is the participating jurisdiction of Eastern Health. It is in St John’s, Newfoundland and Labrador.","https://a-ca.storyblok.com/f/850807391887861/1800x1390/938eedc406/map.webp",{"alt":531,"title":16,"source":16,"copyright":16},"simple-image",{"_uid":536,"content":537,"component":526},"b896054a-284a-4f4d-89cf-cc2f9890def8",{"type":12,"content":538},[539,544],{"type":326,"attrs":540,"content":541},{"level":507,"textAlign":53},[542],{"text":543,"type":306},"Advisors",{"type":15,"attrs":545,"content":546},{"textAlign":53},[547],{"text":548,"type":306},"The Paramedics and Palliative Care: Bringing Vital Services to Canadians program was supported by several advisors, subject matter experts, patient and family advisors and coaches. Advisors shared their experiences either as individuals and families who had lived experiences of receiving palliative care, or as professionals who had expertise in palliative approaches to care as well as healthcare improvement. For a full list of contributors, see the Paramedics and Palliative Care change package.",{"_uid":550,"content":551,"component":526},"695052f7-0b48-4d9f-a399-e2ea8556d70a",{"type":12,"content":552},[553,558,563,568,574,583,588,604,609,618,623,639],{"type":326,"attrs":554,"content":555},{"level":507,"textAlign":53},[556],{"text":557,"type":306},"Paramedics and Palliative Care Program Outcomes",{"type":15,"attrs":559,"content":560},{"textAlign":53},[561],{"text":562,"type":306},"The Paramedics and Palliative Care program equipped paramedics and other healthcare providers to provide appropriate, patient-centred palliative care closer to home and community, resulting in improved efficiencies in the healthcare system.",{"type":326,"attrs":564,"content":565},{"level":328,"textAlign":53},[566],{"text":567,"type":306},"How Paramedics and Palliative Care contributed to better healthcare in 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home",{"type":326,"attrs":640},{"level":570,"textAlign":53},"wysiwyg-program",{"id":16,"_uid":643,"items":644,"component":700},"d5674615-ba59-46c4-aaec-46af4dd38e62",[645,659,672,685],{"_uid":646,"image":647,"quote":649,"author":656,"component":657,"author_title":658},"61a55367-9d5e-46e4-9b3e-d1f7e5938554",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":294,"meta_data":648},{},{"type":12,"content":650},[651],{"type":15,"attrs":652,"content":653},{"textAlign":53},[654],{"text":655,"type":306},"\"Paramedics feel this is some of the most rewarding work they do, and patients and families describe the relief they feel being more able to remain home with the support of this new program.\"","Alix Carter, MD","quote-item","Medical Director of Research at EHS Nova Scotia and member of the Paramedics Providing Palliative Care at Home Program team in Nova Scotia and Prince Edward Island (2019)",{"_uid":660,"image":661,"quote":663,"author":670,"component":657,"author_title":671},"b7ebaedd-96eb-45c0-9bf2-938bdf4a099a",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":294,"meta_data":662},{},{"type":12,"content":664},[665],{"type":15,"attrs":666,"content":667},{"textAlign":53},[668],{"text":669,"type":306},"“I will be forever grateful for the Paramedics and Palliative Care program for the very diligent patient-centred way in which they were willing to accommodate my unique request because it enabled my father-in-law to get a good night’s sleep, it enabled me to do what I needed to do as a family member in providing comfort, and it enabled my mother-in-law to have the necessary medication... and it was as simple as a phone call.”","Family member","Newfoundland and Labrador",{"_uid":673,"image":674,"quote":676,"author":683,"component":657,"author_title":684},"1ead6a86-5874-4df3-aeb2-8f3ff40730a0",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":294,"meta_data":675},{},{"type":12,"content":677},[678],{"type":15,"attrs":679,"content":680},{"textAlign":53},[681],{"text":682,"type":306},"“Yes, we responded to this call for an Extra-Mural palliative patient; the family was concerned about their loved one who was having difficulty breathing. We were able to provide the patient some comfort with supplemental oxygen decreasing his accessory muscle use. It was nice as we were able to reassure the family, provide some help during this difficult time by answering some questions they had and also prepare them for some difficult decisions that they possibly may have to make.”","Paramedic","New Brunswick",{"_uid":686,"image":687,"quote":689,"author":698,"component":657,"author_title":699},"02dc2f28-17af-4efc-a9d2-a1887b155f75",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":294,"meta_data":688},{},{"type":12,"content":690},[691,696],{"type":15,"attrs":692,"content":693},{"textAlign":53},[694],{"text":695,"type":306},"“Patients often express their wish to have end of life care at home. They want to die peacefully in their own home surrounded by their loved ones. However, if they experience acute symptoms such as shortness of breath or delirium, their caregivers may panic and call 911. In the past, this has led to patients being transferred to the emergency room sometimes in the final hours or days of life. The paramedics and palliative care program allow paramedics to treat those acute symptom needs, avoid transfer to the hospital and ensure continuity of care with the community team. It is an example of interprofessional collaboration where the patient’s needs are at the centre. It allows the patient to get the right care, in the right place at the right time. Ultimately, it honours the patient’s wishes for a peaceful death at home.”",{"type":15,"attrs":697},{"textAlign":53},"Palliative Care Physician","Ontario","quote",{"id":16,"_uid":702,"link":703,"image":704,"title":16,"video_id":16,"component":706,"media_type":707,"description":708,"video_title":16},"05e2e618-5b26-48c3-8258-32d7df0db1ab",[],{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":294,"meta_data":705},{},"info-block-program","none",{"type":12,"content":709},[710,718,723],{"type":326,"attrs":711,"content":712},{"level":328,"textAlign":53},[713],{"text":714,"type":306,"marks":715},"Suggested Citation",[716],{"type":717},"bold",{"type":15,"attrs":719,"content":720},{"textAlign":53},[721],{"text":722,"type":306},"These outcomes are informed by data collected by HEC, the Partnership, and the seven teams in six provinces, representing 31 paramedic services, that participated in the program. When citing this information, we ask that you use the following reference:",{"type":402,"content":724},[725],{"type":405,"content":726},[727],{"type":15,"attrs":728,"content":729},{"textAlign":53},[730],{"text":731,"type":306},"Healthcare Excellence Canada, the Canadian Partnership Against Cancer, and Paramedics and Palliative Care teams. How Paramedics and Palliative Care contributed to better healthcare in Canada. 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It has really changed my mind and opened my eyes to the difference paramedics providing palliative care can make.”",{"_uid":747,"image":748,"quote":750,"author":698,"component":657,"author_title":699},"925674c3-ec61-4d1e-a157-fef306db9c01",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":294,"meta_data":749},{},{"type":12,"content":751},[752,757],{"type":15,"attrs":753,"content":754},{"textAlign":53},[755],{"text":756,"type":306},"“The paramedics were able to give several different medications to comfortably settle the patient.  I had ordered for urgent delivery of a symptom relief kit but knew it wouldn't arrive until sometime the next morning. The paramedics had to go back at 7 a.m. the next morning to administer more meds.  The patient died that next morning (before the symptom relief kit had even arrived).  I feel like this patient would have likely ended up in the ER and died there if it had not been for the paramedics.”",{"type":15,"attrs":758},{"textAlign":53},{"_uid":760,"image":761,"quote":763,"author":683,"component":657,"author_title":16},"e131a9d9-ff5a-4da8-8a49-29aa48efc43e",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":294,"meta_data":762},{},{"type":12,"content":764},[765],{"type":15,"attrs":766,"content":767},{"textAlign":53},[768],{"text":769,"type":306},"“It left me with a good feeling being able to respect this patient’s wishes to be left at home and yet still be able to provide some care to keep her comfortable in her time of need. For myself, I felt connected to the patient and her family even having just met them. I left there feeling comforted by the fact that I was able to make a difference in this patient’s life.”",{"_uid":771,"image":772,"quote":774,"author":781,"component":657,"author_title":16},"50e81621-f9ef-46a5-b3b1-e493fc2aac76",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":294,"meta_data":773},{},{"type":12,"content":775},[776],{"type":15,"attrs":777,"content":778},{"textAlign":53},[779],{"text":780,"type":306},"“Caregivers hold their breath and hope an unexpected crisis won’t occur. But it does and it usually happens after hours on a weekend, or on a holiday. This is precisely when help is not easily accessible, but our experience tells us that if you call the paramedics, they will come. You aren’t waiting for a callback on the phone. 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