University of Pennsylvania School of Nursing/Genesis Eldercare: Identification of Palliative Care Customer
A formal assessment of patients identified as appropriate for palliative care.
Organizational Tool — Enrollment Criteria/Patient Identification
University of Pennsylvania
School of Nursing
Hartford Center of Geriatrics
420 Guardian Drive
Philadelphia, PA 19104-6096
Neville Strumpf, PhD,RN
How the grantee used this instrument:
This in-depth assessment was administered to a resident and family after the initial screen had identified the probable need for palliative care. It includes more details on the resident's wishes, on the presence of decision-making capacity, and some of the disease conditions present.
nursing home, patient selection, patient identification, long-term care
To use this tool:
You may print and copy this tool for your own use from the website. Please credit source.
Developed by the University of Pennsylvania School of Nursing and the Genesis Palliative Care Center for this project.
To view this tool:
Left click on the download link to view the PDF document in your Web browser. Right-click on the download link to save the document to your computer.
PDF 60 KB / 2 pages (Viewing PDF files requires downloading and installation of the free Adobe Acrobat Reader.)
Posted October 2004
University of Pennsylvania overview page
# UP05a, type:enrollment_criteria
Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying people and their families. Visit PromotingExcellence.org for more resources.