Palliative Care Assessment Checklist

Comprehensive palliative care assessment including symptom management, goals of care discussion, and psychosocial support.

  • Industry: Healthcare
  • Frequency: Initial/Ongoing
  • Estimated Time: 30-45 minutes
  • Role: Palliative Care Team
  • Total Items: 30
  • Compliance: NCP Clinical Practice Guidelines, Joint Commission Palliative Care, NHPCO Standards

Symptom Assessment

Physical symptoms

  • Pain assessed and managed?
  • Dyspnea assessed?
  • Nausea/vomiting assessed?
  • Fatigue assessed?
  • Other symptoms addressed?

Goals of Care

Care planning

  • Prognosis discussed?
  • Patient/family goals explored?
  • Treatment options reviewed?
  • Advance directives discussed?

Psychosocial Support

Emotional and social needs

  • Coping and adjustment assessed?
  • Spiritual needs assessed?
  • Family support assessed?
  • Social work referral if needed?

Care Coordination

Interdisciplinary care

  • Palliative care team communication?
  • Primary team updated?
  • Hospice discussed if appropriate?

Pre-Assessment Information

Initial assessment documentation and patient/facility identification

  • Assessor Name / Credentials
  • Assessment Date
  • Department / Unit
  • Assessment Type (Routine/Annual/Complaint)
  • Previous assessment findings reviewed?

Infection Prevention & Control

Verify infection control practices per CDC and Joint Commission standards

  • Hand hygiene compliance observed?
  • Appropriate PPE available and properly used?
  • Isolation precautions properly implemented?
  • Sharps containers available and not overfilled?
  • High-touch surfaces properly disinfected?

Patient Safety & Identification

Verify patient safety protocols and identification procedures

  • Two patient identifiers used before procedures?
  • Fall risk assessment completed?
  • Call light within patient reach?
  • Bed in lowest position with brakes locked?

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