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Palliative Care Nurse Navigator 
Once patients have been referred by their physician or nurse practitioner, the palliative care nurse navigator will contact them to schedule an appointment. The navigator will provide patients with a brief overview of what to expect at this appointment. The navigator is available for patients to call if they have any questions concerning their medications, symptoms, or navigating the system. The navigator will also assist patients in connecting with community health.
Palliative Care Consult Service
The palliative care consult service is located at the Palliative Care Inpatient Unit at the Dr. L. A. Miller Centre. Team members may include nurses, nurse practitioners, doctors, volunteers, and other health-care providers depending on the patient’s individual needs. 
This team of doctors and nurses provide support, education, advice and guidance for patients, their families, health-care providers, and those who care for patients living with serious illness. They are skilled in providing pain and symptom control to maintain the comfort and dignity of the patient in the safest possible manner. The team provides assistance during patients’ illness and end-of-life-care and support. 
Specialty Staff
In addition to clinical staff, the team at the Palliative Care Inpatient Unit includes employees in the following specialty areas:
  • Social work: The social worker can be available to provide an orientation about the unit, the program and the type of care provided. Patients and families on the unit may be seen by the unit social worker for support and counselling through the end-of-life transition. Follow-up bereavement care is also offered to families and friends of patients. 
  • Pastoral care: Pastoral care services are available. Patients can advise their nurse if they wish to be seen by clergy. A quiet sacred space is available on the unit. There is also a chapel on the main floor of the Dr. L. A. Miller Centre.
For patients requiring social work or pastoral care services on an outpatient basis, palliative care will arrange for a community social worker or the grief and bereavement coordinator to see you in a home or community setting. 
Regional Palliative and End-of-Life Care Team 
This team is responsible for the delivery of palliative, end-of-life services, and grief and bereavement services in the Eastern Health region. Patients can meet with the end-of-life care team in any of the St. John’s outpatient clinics, or in their home if they are too unwell to come to hospital. The services can be made available to patients from outside the region if they are able to travel to an outpatient clinic in St. John’s. For more information on where to access end-of-life care, see Locations
For information on who to contact in your area regarding the delivery of palliative and end-of-life services, please contact:
  • Palliative Care Nurse Navigator at 709-777-7303 or toll-free at 1-855-690-7303.
For information on Grief and Bereavement Services, please contact 709-777-2167.


Updated Sep 28, 2017