3.1 () Specialist pall care along the trajectory of illness: early integration

Question 1

Name ONE time-based criteria for o/p pall care referral

Answer 1

◆ within 3 months of dx of incurable cancer where median survival is less than 12 months
◆ progressive dz after two standard lines of systemic anticancer therapy

Box 3.1.1

Question 2

Name THREE needs-based criteria for o/p pall care referral

Answer 2

◆ physical sym scores at least 7/10 on a numerical rating scale (NRS)
◆ psychological distress at least 7/10 on a NRS
◆ existential distress
◆ pt request for referral
◆ pt request for hastened death
◆ dz involving CNS (brain/leptomoingeal)
◆ spinal cord compression
◆ request for assistance wit ACP
◆ delirium

Box 3.1.1

Question 3

Name THREE levels of integrations of early palliative care to the acute healthcare systems

Answer 3

◆ linkage
◆ coordination
◆ full integration

Question 4

Name THREE domains of clinical indicators for integration for patients w/ advanced cancer in hospital.

Answer 4

◆ structures
◆ processes
◆ outcomes
◆ education