Identification of patients with noncancer diseases for palliative care services

Identification of patients with noncancer diseases for palliative care services

Grbich C; Maddocks I; Parker D; Brown M; Willis E; Piller N; Hofmeyer A

Palliative & Supportive Care

2005

Humans; Australia; Palliative Care/utilization; Critical Illness/nursing; Eligibility Determination/utilization; Health Services Needs and Demand/statistics & numerical data; Hospice Care/utilization; Needs Assessment/statistics & numerical data

OBJECTIVE: To identify criteria for measuring the eligibility of patients with end-stage noncancer diseases for palliative care services in Australian residential aged care facilities. METHODS: No validated set if guidelines were available so five instruments were used: an adaptation of the American National Hospice Association Guidelines; a recent adaptation of the Karnofsky Performance Scale; the Modified Barthel Index; the Abbey Pain Score for assessment of people who are nonverbal and a Verbal Descriptor Scale, also for pain measurement. In addition, nutritional status and the presence of other problematic symptoms and their severity were also sought. RESULTS: The adapted American National Hospice Association Guidelines provided an initial indicative framework and the other instruments were useful in providing confirmatory data for service eligibility and delivery.

2005

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