Care Plan for the Dying Person
The Care Plan for the Dying Person (CPDP) is a clinical tool that supports high-quality care for people in the terminal phase of dying.
It guides health professionals caring for a person in the last days and hours of life.
Available as a paper-based clinical form and in ieMR as a PowerForm with a specialised observation chart, the care plan has been endorsed in Queensland Health hospitals since 2010. It is based on the International Collaborative for Best Care for the Dying Person 10/40 Model Care Plan.
The Care Plan for the Dying Person is for adults aged 18 years and over. A separate Care Plan for the Dying Child is available for children and young people aged under 18 years.
An eLearning module has been developed to support the new changes and introduce the Care Plan for the Dying Person.
Access the education package or search ‘Care Plan for the Dying Person’ in your local Learning Management System.
For non-ieMR enabled sites
Care Plan for the Dying Person (Version 9) (PDF 1426 kB) – example only. The paper-based CPDP can be ordered through WINC, using the WINC code: 1NY31713
For ieMR enabled sites
Step 1. Order the CPDP Terminal Adult PowerPlan. Refer to the quick reference guide (PDF 567 kB) for step-by-step instructions.
Step 2. Complete the CPDP PowerForm. Refer to the quick reference guide (PDF 520 kB).
Step 3. Change to 'Palliative Care Comfort Observation and Symptom Assessment (COSA) Adult' in 'Managing Deterioration'.
For clinical support, contact your local specialist palliative care service or PallConsult on 1300 725 527 (1300 PALLCR)
The CPDP may be discontinued only where it has been determined that it is no longer clinically appropriate. Refer to the quick reference guide (PDF 261 kB) for more information.
Comfort observation and symptom assessment and management
The new Palliative Care Comfort Observation and Symptom Assessment (COSA) Specialty Chart is designed to support safe, consistent and coordinated care during the end of life.
The chart:
- integrates with Managing Deterioration workflows
- includes a structured symptom rating system (Absent, Mild, Moderate, Severe) to help clinicians assess and document symptoms
- allows clinicians to document symptoms in the Palliative Care COSA Specialty Chart PowerForm.
Once selected, the chart can reduce medical emergency team calls and further escalation and observations based on Early Warning Scores.
Quick reference guides
Use these quick reference guides with the Palliative Care COSA Specialty Chart:
- COSA Additional Criteria Adult (PDF 736 kB)
- COSA Chart Adult – Nursing (PDF 406 kB)
- COSA Specialty Chart Adult – Authorised Health Practitioner (PDF 454 kB)
Fact sheets
Read these evidence-based fact sheets on comfort care and symptom management:
- Agitation and restlessness in the last days of life (PDF 189 kB)
- Bladder care in the last days of life (PDF 200 kB)
- Bowel care in the last days of life (PDF 185 kB)
- Breathlessness in the last days of life (PDF 201 kB)
- Care after death (PDF 202 kB)
- Care environment in the last days of life (PDF 179 kB)
- Family and carer distress in the last days of life (PDF 206 kB)
- Mouth care in the last days of life (PDF 196 kB)
- Nausea and vomiting in the last days of life (PDF 205 kB)
- Nutrition and hydration in the last days of life (PDF 202 kB)
- Pain in the last days of life (PDF 205 kB)
- Respiratory tract and secretions in the last days of life (PDF 206 kB)
- Skin hygiene in the last days of life (PDF 196 kB)
- Spiritual and cultural needs in the last days of life (PDF 189 kB)