Medical
Palliative Care Assessment Tool
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Palliative Care Assessment Tool

1
Determine patient's health status
2
Collect patient's medical history
3
Assessment of patient's physical health
4
Evaluating emotional state of the patient
5
Evaluate social support system
6
Assessment of nutritional needs
7
Examine patient's medication usage
8
Check patient's previous and current treatment plans
9
Assess patient's level of comfort
10
Approval: Patient’s Health Status
11
Consult with multi-disciplinary team
12
Develop individualized care plan
13
Discuss the plan with the patient and their family
14
Obtain patient and family input
15
Approval: Individualized Care Plan
16
Implement patient's care plan
17
Monitor patient's response to the care plan
18
Regularly update the care plan as necessary
19
Communicate regularly with patient and family
20
Ensure that the patient's wishes are being respected