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The Gold Standards Framework Proactive Identification Guidance (PIG)

The Gold Standards Framework Proactive Identification Guidance-GSF (PIG), is a guide for clinicians to assist with earlier recognition of decline for patients considered to be in their final year(s) of life. It is used within the Gold Standards Framework (GSF) Quality Improvements Training Programmes to support earlier identification of patients, for better assessment of needs and care planning care in line with their needs and wishes. The PIG can be used to clarify triggers that help to identify patients earlier, so that care can be better planned, more proactive, anticipate patients’ needs and take into account their own wishes following a discussion related to advance care planning.

© 2025 The Gold Standards Framework Centre CIO

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Related resources

External link
Palliative Care Quality Standards

View resource

External link
The Ontario Palliative Care Competency Framework: A Reference Guide for Health Professionals and Volunteers

View resource

External link
Hospice Palliative Care Ontario - Website

View resource

RNAO coaches can help

Through collaborations with LTC homes, our team of coaches work towards improving resident care and promoting positive workplaces by implementing RNAO’s clinical and healthy work environment best practice guidelines.

Contact a coach

Identify where you can improve

Use RNAO's gap (opportunity) analysis tool to help identify where evidence-based best practice recommendations can improve your organization's current practice.

Gap (opportunity) analysis
From: End-of-Life Care During the Last Days and Hours
Gap (opportunity) analysis
From: A Palliative Approach to Care in the Last 12 Months of Life
Registered Nurses Association of Ontario
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