Assessment and Intervention

Question 1

What is the basis for the development of an individualized patient and family hospice or PC care plan?

Answer 1

Comprehensive assessment

Question 2

What is included in comprehensive assessment?

Answer 2

Conversation with family, patient, clinicians, others according to Pt’s preference
Pt /family understanding illness, goals of care, tx preferences, signed advance directives

Determination of decision-making capacity and ID person with DPOA

Physical exam
review EMR
ID comorbid medical/psychiatric, cognitive disorders
medical reconciliation
Social determinants of health (financial, housing, nutrition, safety vulnerabilities)
Social and cultural factors and caregiving support/willingness/capacity to meet Pt needs
Pt and Family emotional/spiritual concerns, previous exposure to trauma
Ability of Pt family care providers to communicate effectively with one another
Pt and family needs related to anticipatory grief loss bereavement, assessment family risk of prolong grief disorder
Military service

Question 3

What is the purpose of screening?

Answer 3

Identify patients and caregivers need to take priority for assessment

Question 4

Well known distress screen for cancer patients

Answer 4

NCCN Distress Thermometer and problem list for patients

Question 5

Well known symptom assessment tool

Answer 5

Edmonton symptom assessment system (rsas-r)
Body diagram + symptom scale

Question 6

Which are important to complete for assessment?
A assess strengths and challenges
B differentiate objective snd subjective content with behaviorally descriptions
C. Focus on risk and protective factors
D. Consider using validated assessment tools
E. All the above

Answer 6

E

Question 7

How do PC social workers determine how soon and how often an inpatient needs to be seen?

Answer 7

Social work
Acuity scale

Critical—within 24 hours or daily
Level 2 —every 48-78 hours
level 3 —-chart monitoring, staff report, or pc rounds

Question 8

3 areas medical crises counseling focuses on

Answer 8

The disease, patients emotional response, the familys response

Question 9

3 additional assessment tools recommended in stdy guide

Answer 9

Problem solving interventions :target psychsocial distress of categivers
ENABLE.
COPE.