Identification of patients with noncancer diseases for palliative care services

Palliat Support Care. 2005 Mar;3(1):5-14. doi: 10.1017/s1478951505050029.

Abstract

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.

MeSH terms

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