Download the PARIS Documentation Template from the IPACE Website under "Resources for Download", or from your shared drive at your respective teams.

All IPACE documentation follows PARIS Guidelines. Please refer to PARIS User Help or your local Clinical Resource Nurse if you have any PARIS related questions

See documentation information in the section 2.6.

See documentation information in the section 2.6.

The Advance Care Planning/Goals of Care (ACP/GOC) discussion record (form VCH.0109) is an interdisciplinary document that should be used to document the identification of patients who would benefit from a palliative approach to care and any goals of care conversations that take place with the patient/family/substitute decision maker. This form should be inside every chart and located either:

• A) Inside the green sleeve behind the MOST. Staff may wish to place a note in front of the MOST to alert others that the ACP/GOC discussion record has documentation on it, and is behind the MOST.
• OR B) Directly behind the green sleeve.

Documentation Guidance

• Document the reason patient would benefit from a palliative approach to care, including a Serious Illness/Goals of Care Conversation.
• List any screening tools used to identify the patient, such as the Surprise Question, the SPICT tool, or the Clinical Frailty Scale. The ACP/GOC discussion record (form VCH.0109).

In discipline specific notes, write "Please see the ACP/GOC discussion record for documentation of ____ (Serious Illness Conversation, GOC, discharge concerns, etc...)" No further documentation is required here.

Please refer to your clinical lead/ educator or contact the Regional Palliative Approach to Care Education Team listed under Resources.