University of Pennsylvania School of Nursing/Genesis Eldercare: Palliative Care Worksheet
Used to determine circumstances surrounding last month of life including presence of symptoms, interventions used, and resources utilized for patients enrolled in ElderCare.
Evaluation Tools — Clinical Quality
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:
Completed by staff 24 - 48 hours after the death of each nursing home resident enrolled in ElderCare.
palliative care, care plan review, chart audit, chart review, post death review
To use this tool:
You may print and copy this tool for your own use from the website. Please credit source.
Developed by the project team 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 22 KB / 2 pages (Viewing PDF files requires downloading and installation of the free Adobe Acrobat Reader.)
Posted October 2004
University of Pennsylvania overview page
# UP08, type:clinical_quality
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.