{"id":1397,"date":"2018-04-22T12:07:36","date_gmt":"2018-04-22T06:07:36","guid":{"rendered":"http:\/\/bdpallcare.com\/new\/?p=1397"},"modified":"2018-04-22T12:07:36","modified_gmt":"2018-04-22T06:07:36","slug":"patient-assessment-topic-guide","status":"publish","type":"post","link":"http:\/\/bdpallcare.com\/new\/2018\/04\/22\/patient-assessment-topic-guide\/","title":{"rendered":"Patient Assessment topic guide"},"content":{"rendered":"

Patient Assessment<\/u><\/strong><\/p>\n

\"\"<\/p>\n

1) Identifying palliative care needs<\/p>\n

-patient with life-limiting illness (metastatic cancer, end-stage organ failure with decreasing benefit from treatment, degenerative neurological condition..)<\/p>\n

2) Palliative approach-holistic assessment<\/p>\n

-nursing assessment includes \u2013therapeutic relationship, communication skill,collection information and physical examination<\/p>\n

3) Advanced care planning conversation<\/p>\n

-discuss concern, values, wishes, goals of care, place of care, decision maker, unfinished business<\/p>\n

-ongoing conversation- important documentated and reviewed<\/p>\n

4) Assessing Prognosis \u2013 affect decision on treatment<\/p>\n

5) Assessment tools<\/p>\n

Examples: ESAS (Edmonton Symptom Assessment System)<\/p>\n

SAS (Symptom Assessment Scale), pain diary<\/p>\n

ECOG performance status (Eastern Cooperative Oncology Group)<\/p>\n

An Australian-modified Karnofsky Performance Scale (AKPS)<\/p>\n

6) Case study<\/p>\n

-demonstrating\u00a0 comprehensive assessment<\/p>\n

-learning points, take-home message<\/p>\n

Physical\u00a0\u00a0\u00a0\u00a0 <\/u><\/strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 -Assess problem could be reversible or irreversible causes<\/p>\n

-Discuss and review goals of care of current problem, investigation, and treatment<\/p>\n

-nursing role \u2013 assess nursing care oral problem (halitosis, xerostomia (dry mouth), stomatitis, candidiasis, ulcers) skin problem (malignant wound, pressure sore, about the wound-? exudate,malodour,bleeding,infected,about the patient- ? is it painful? How does it affect daily living? How patient cope? If pressure sore, assessing Pressure Ulcer Staging, Stage 1,2,3,4. Assessing oedema ?hypoalbuminemia,? related to CCF or renal failure<\/p>\n

Psychological\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/u><\/strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 -assessing depression \u2013\u2018have you been depressed most of the time for the past 2 weeks?\u2019 or \u2018Are you depressed?\u2019 , assess others worried,\u00a0fear, concern, sense of being burden.<\/p>\n

Psychosocial\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/u><\/strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 -assessing family and caregivers, family distress, financial burden\u2026<\/p>\n

Spiritual\u00a0\u00a0\u00a0 <\/u><\/strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 -spiritual distress \u2013suffering, anger \u2018why me?\u2019, guilt, exploration meaning in life<\/p>\n

-concept of life and death from different religion<\/p>\n

 <\/p>\n

 <\/p>\n

References<\/u><\/strong><\/p>\n

Potter PJ, Frish\u00a0N 2007. Holistic assessment and care: presence in the process.Nurs Clin North Am.42(2):213-28<\/p>\n

Hui D et al 2017.The Edmonton Symptom Assessment System 25 years later: past, present and future Developments.J Pain Symptom Management.Mar;53(3):630-643.<\/p>\n

www.caresearch.com.au<\/a> \u2013Patient Assessment<\/p>\n

Richard B.L.lim, Diana Katiman. April 2015. Handbook Palliative Medicine in Malaysia.<\/p>\n

Hanks G, Cherny N.I, Christakis N.A, Fallon M, Kassa S, Portenoy R.K (2010). Oxford textbook of palliative medicine,4th ed.Oxford University Press:\u00a0Oxford :\u00a0UK<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Patient Assessment 1) Identifying palliative care needs -patient with life-limiting illness (metastatic cancer, end-stage organ failure with decreasing benefit from treatment, degenerative neurological condition..) 2) Palliative approach-holistic assessment -nursing assessment includes \u2013therapeutic relationship, communication skill,collection information and physical examination 3) Advanced care planning conversation -discuss concern, values, wishes, goals of care, place of care, decision …<\/p>\n

Patient Assessment topic guide<\/span> Read More »<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-1397","post","type-post","status-publish","format-standard","hentry","category-education"],"_links":{"self":[{"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/posts\/1397","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/comments?post=1397"}],"version-history":[{"count":1,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/posts\/1397\/revisions"}],"predecessor-version":[{"id":1399,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/posts\/1397\/revisions\/1399"}],"wp:attachment":[{"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/media?parent=1397"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/categories?post=1397"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/tags?post=1397"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}