Palliative Care Screening How do you identify patients appropriate for palliative care? Welcome to the Palliative Care Screening tool. Answer the following three questions by selecting all responses that apply to identify patients appropriate for palliative care. Select next to begin screening. 1. Basic Disease Process Select all that apply. Cancer: metastatic/recurrent | 2 points Advanced COPD | 2 points Stroke with decreased function of 50% or > | 2 points End stage renal or liver disease | 2 points Advanced cardiac disease; CHF, CAD, cardiomyopathy | 2 points Other life-limiting illness (ex: ALS, dementia) | 2 points 1 out of 3 2. Functional Status (Using ECOG Performance Status) Please choose one.Deselect Answer Fully active, able to carry on all activities without restriction. | 0 points Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature i.e., light housekeeping. | 0 points Ambulatory and capable of self-care but not work activities. Up more than 50% of waking hours. | 1 point Capable of limited self-care; confined to bed or chair more than 50% of waking hours. | 2 points Completely disabled. Not able to do self-care. Totally confined to bed or chair. | 3 points None 2 out of 3 3. The Patient Select all that apply. Is not a candidate for curative therapy. | 1 point Has a life-limiting illness and has chosen not to have life-prolonging therapy. | 1 point Has unacceptable pain > 24 hours. | 1 point Has uncontrolled symptoms (i.e., nausea, vomiting). | 1 point Has uncontrolled psychosocial or spiritual issues. | 1 point Has frequent visits to the ER (> 1 x month for same diagnosis). | 1 point Has more than one hospital admission for the same diagnosis in last 30 days. | 1 point Has prolonged length of stay without evidence of progress. | 1 point Is in an ICU with documented poor or futile prognosis. | 1 point Has family support needs or communication challenges. | 1 point 3 out of 3 Please click submit to see your quiz results. Phone Time's up By Nakesha Volk|2023-03-02T11:33:57-05:00February 28, 2023|0 Comments Share This Story, Choose Your Platform! FacebookXRedditLinkedInWhatsAppTelegramTumblrPinterestVkXingEmail About the Author: Nakesha Volk Leave A Comment Cancel replyComment Save my name, email, and website in this browser for the next time I comment.
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