The palliative care home
St. Raphael’s takes a holistic approach to care encompassing the physical, emotional, social, psychological and spiritual well-being of each patient while also supporting the informational and emotional needs of those closest to the patient.
This approach is based on creating a circle of care, which is provided through an interdisciplinary team that includes physicians, nurses, social workers, pharmacists, therapists (massage, art, music, physio), spiritual care providers, as well as many trained volunteers.
The focus of the health care team is to provide comfort to the patient, rather than placing emphasis on curing a life-limiting illness.
Patient care and services
- 12 private bedrooms for patients requiring in-house, end-of-life care.
- Specialized palliative care nurses providing care 24/7
- Psychological, social and spiritual support is provided to patients and their loves ones
- Customized care based on individual needs
- Care is provided with respect for the individual’s right to privacy, autonomy and beliefs
- Care decisions are made in partnership with the patient, his/her loved ones and the clinical team
In addition to the comfort-focused care provided by our interdisciplinary team, we have a 24-hour visiting policy (including pets), a family lounge area and the option of staying overnight with the patient.
Services for caregivers and loved ones
St. Raphael’s team of physicians, nurses, therapists, social workers and spiritual care providers as well as volunteers collaborate to address the emotional, social and spiritual needs of the patients’ loved ones.
Trained volunteers provide companionship and support while patients are being cared for at St. Raphael’s. Optional bereavement support is offered to caregivers and loved ones for up to one year following a death.
Our multidisciplinary team is composed of: physicians, nurses, social workers, pharmacists, art therapists, music therapists, massage therapists, physiotherapists, spiritual care providers and volunteers.
Admission criteria for the home*
- The patient and/or the primary caregiver must reside on the Island of Montreal
- Must have a medically supported life expectancy of three months or less
- Must be at least 18 years old and be registered with the Régie de l’assurance maladie du Québec (RAMQ)
- Must have a documented, progressive, life-limiting and incurable illness
- No longer be receiving any systemic treatment that requires monitoring
- Be willing to accept care from St. Raphael’s team
* Please contact us for the complete list of admission criteria
Process to request an admission to St. Raphael’s
St. Raphael’s provides comfort care to patients at the end of their lives. Since we are not a long-term care facility, we must carefully screen patients in order to admit only those best suited for the care we provide.
The care is specifically geared towards patients who are in the terminal phase of their illness and who require their symptoms to be managed by an interdisciplinary team of palliative care experts. All potential patients must agree with admission to St. Raphael’s home and sign the informed consent. If the patient is unable to sign the consent form, the patient’s next of kin must be informed of and agree with the goals of admission to palliative care, that is to improve the patient’s quality of life.
The admission process has been designed to transfer the burden away from patients and their families, and into the hands of the patient’s treating healthcare team.
1. As a first step, the patient, family member or primary caregiver must make a verbal request to the patient’s treating healthcare team (usually a nurse, social worker or physician). Letting someone on the health care team know that you are considering an admission to St. Raphael’s is your only responsibility.
The patient’s health care team is responsible for:
- Completing the information on the Request for services form;
- Ensuring the Request for services form is signed by the patient’s treating physician;
- Having a discussion with the patient (and their family or surrogate decision maker) so that the patient understands and signs the consent to admission form.
- Ensuring that both the Consent to admission and Request for services forms are signed and sent to St. Raphael’s along with the necessary medical documentation, for review.
All requests will be reviewed within 72 hours and a response will be provided to the patient’s healthcare team shortly thereafter.
2. Depending on the information provided on the access to service form, the patient or their next of kin may also receive a call from a member of the admission review team at St. Raphael’s.
3. Once a patient is accepted for transfer to St. Raphael’s, the delay for admission may vary from a few days to a few weeks, depending on the care requirements, prognosis, presence of symptoms and current bed availability.
- All care is free for patients.
- Before admission, patients are informed that payment for all prescribed medication is the responsibility of the patient or their family.
- The cost of medication is generally assumed by RAMQ or the patient’s private insurance company.
Palliative care home
6005 Deacon Road
Montreal QC H3S 2P4
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