Table 1

General indicators of deteriorating health based on Supportive and Palliative Indicators Tool (March 2014 version) (content reproduced with permission of the developers)

Persistent symptomsPersistent troublesome symptoms despite optimal treatment of any underlying condition(s)
Poor functionPerformance status poor or deteriorating with limited reversibility (needs help with personal care, in bed or chair for 50% or more of the day)
Dependent on othersDependent on others for most care needs (living in residential care or receiving high level of care at home)
Multiple admissionsTwo or more unplanned admissions in the previous 6 months
Weight lossWeight loss (5%–10%) over the past 3–6 months and/or body mass index<20
Requesting palliative carePatient requests supportive and palliative care or treatment withdrawal