Explore Identification

Holistic
Individual suitable
assesment
needs intervention
 Integral part
Holistic A continual of care end
assesment process of life care
pathway
End of life Strategy
Palliative Care Needs Assessment Algorithm
HOLISTIC ASSESMENT
Physical
Background
information & Enviroment Psycological
assessment
preferences
Patient & Family

Spiritual Social

Cultural
ASSESSMENT PROCESS
❑Sensitive issues, e.g. dying, prognosis, treatment changes along the disease
trajectory
❑Barriers to communication in patient, family and self
❑Ensuring continuity within a multiprofessional team
SKILL REQUIRED
• Communication skills
• Enabling therapeutic relationship
• Systematic questioning and processing
• Accurate recording
• Appropriate sharing
Physical Assessment
PAIN
BARRIERS TO OPTIMAL PAIN ASSESSMENT
Pain Desription
PAIN ASSESSMENT GUIDE
 FATIGUE

subjective feeling
of tiredness,
weakness or lack
of energy
FATIGUE TOOLS
 BREATHLESSNESS
A DISTRESSING SYMPTOM WHICH IS COMMON IN A NUMBER
OF LIFE-LIMITING CONDITIONS ALBEIT FOR DIFFERENT REASONS

an indicator of a poor prognosis

70% of patients
in the last few weeks of life.
NAUSEA AND VOMITING
CONSTIPATION
FUNCTIONAL ABILITY ASSESSMENT