ID

16608

Descrição

https://www.hope-clara.de/ The HOPE Hospice and Palliative Care Recording standard documentation is used for documentation of palliative care and as an instrument for quality assurance in pallatiave wards, hospices and oncological wards as well as in ambulatory services and palliative teams. The questionnaire for grief counseling belongs to documentation of the Gernan Grief Institute (Deutsches Trauerinstitut) [Paul 2003]. The questionnaire allows to evaluate the grief counseling retrospectively. With respect to the major documention the questionnaire is offered as a module. Paul, C. (2003). Dokumentationsbögen für ehrenamtliche Trauerbegleitung im Rahmen von Hospizdiensten. Bonn, Pallia Med Verlag.

Link

https://www.hope-clara.de/

Palavras-chave

  1. 26/07/2016 26/07/2016 -
  2. 26/07/2016 26/07/2016 -
  3. 26/07/2016 26/07/2016 -
  4. 26/07/2016 26/07/2016 -
Transferido a

26 de julho de 2016

DOI

Para um pedido faça login.

Licença

Creative Commons BY-NC 3.0

Comentários do modelo :

Aqui pode comentar o modelo. Pode comentá-lo especificamente através dos balões de texto nos grupos de itens e itens.

Comentários do grupo de itens para :

Comentários do item para :

Para descarregar formulários, precisa de ter uma sessão iniciada. Por favor faça login ou registe-se gratuitamente.

Palliative and Hospice Care Grief Counseling Retrospective View

Palliative and Hospice Care Grief Counseling Retrospective View

Adminstrative data
Descrição

Adminstrative data

13. Datum
Descrição

date of interview

Tipo de dados

date

Alias
UMLS CUI [1]
C0011008
1. IDNR
Descrição

id

Tipo de dados

text

Alias
UMLS CUI [1]
C1300638
TR1. Counseling
Descrição

TR1. Counseling

counseling person
Descrição

counseling person

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0027361
UMLS CUI [1,2]
C0474161
duration of counseling
Descrição

duration of counseling

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0474161
UMLS CUI [1,2]
C0449238
place of conversations
Descrição

place of conversations

Tipo de dados

text

Alias
UMLS CUI [1]
C0442504
frequency of encounter
Descrição

frequency of encounter

Tipo de dados

text

Alias
UMLS CUI [1]
C0422341
TR2. Other contacts
Descrição

TR2. Other contacts

phone calls
Descrição

phone calls

Tipo de dados

text

Alias
UMLS CUI [1]
C0302186
letters
Descrição

letters

Tipo de dados

text

Alias
UMLS CUI [1]
C1096774
emails
Descrição

emails

Tipo de dados

text

Alias
UMLS CUI [1]
C0013849
phone calls counseling person
Descrição

phone calls counseling person

Tipo de dados

text

Alias
UMLS CUI [1]
C0302186
letter counseling person
Descrição

letter counseling person

Tipo de dados

text

Alias
UMLS CUI [1]
C1096774
emails counseling person
Descrição

emails counseling person

Tipo de dados

text

Alias
UMLS CUI [1]
C0013849
TR3. Activities
Descrição

TR3. Activities

activities
Descrição

activities

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0441655
UMLS CUI [1,2]
C0474161
TR4. Conversations about emotions
Descrição

TR4. Conversations about emotions

conversations about emotions
Descrição

conversations about emotions

Tipo de dados

text

Alias
UMLS CUI [1]
C0515993
other topic of conversation
Descrição

other topic of conversation

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0515993
UMLS CUI [1,2]
C0205394
TR5. Conversations about the deceased
Descrição

TR5. Conversations about the deceased

conversations about deceased
Descrição

conversations about deceased

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0582166
UMLS CUI [1,2]
C0425043
other topic of conversation about the deceased
Descrição

other topic of conversation about the deceased

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0582166
UMLS CUI [1,2]
C0425043
UMLS CUI [1,3]
C0205394
TR7. Conversations about problems
Descrição

TR7. Conversations about problems

talk about problems
Descrição

talk about problems

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0037431
other person to talk to
Descrição

other person to talk to

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0037431
UMLS CUI [1,3]
C0205394
TR9. Conversations about religious and spiritual topics
Descrição

TR9. Conversations about religious and spiritual topics

talk about religious and spiritual topics
Descrição

talk about religious and spiritual topics

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0035039
other religious topic
Descrição

other religious topic

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0035039
UMLS CUI [1,3]
C0205394
TR10. Conversations about other topics of life
Descrição

TR10. Conversations about other topics of life

talk about other topics of life
Descrição

talk about other topics of life

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0376558
other life topic
Descrição

other life topic

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0376558
UMLS CUI [1,3]
C0205394
TR.11 Conversations about changes
Descrição

TR.11 Conversations about changes

talk about changes
Descrição

talk about changes

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0392747
other topic of change
Descrição

other topic of change

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0392747
UMLS CUI [1,3]
C0205394
TR12. Termination of grief counseling process
Descrição

TR12. Termination of grief counseling process

determination of grief counseling
Descrição

determination of grief counseling

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1148554
UMLS CUI [1,2]
C0474161
other determination
Descrição

other determination

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1148554
UMLS CUI [1,2]
C0474161
UMLS CUI [1,3]
C0205394
TR13. Remarks
Descrição

TR13. Remarks

remarks
Descrição

remarks

Tipo de dados

text

Alias
UMLS CUI [1]
C0947611

Similar models

Palliative and Hospice Care Grief Counseling Retrospective View

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
date of interview
Item
13. Datum
date
C0011008 (UMLS CUI [1])
id
Item
1. IDNR
text
C1300638 (UMLS CUI [1])
counseling person
Item
text
C0027361 (UMLS CUI [1,1])
C0474161 (UMLS CUI [1,2])
duration of counseling
Item
text
C0474161 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
place of conversations
Item
text
C0442504 (UMLS CUI [1])
Item
text
C0422341 (UMLS CUI [1])
Code List
frequency of encounter
CL Item
 (Weekly)
CL Item
 (Monthly)
CL Item
 (Other)
Item
text
C0302186 (UMLS CUI [1])
Code List
phone calls
CL Item
 (Often)
CL Item
 (Occasionally)
CL Item
 (Not at all)
Item
text
C1096774 (UMLS CUI [1])
Code List
letters
CL Item
 (Often)
CL Item
 (Occasionally)
CL Item
 (Not at all)
Item
text
C0013849 (UMLS CUI [1])
Code List
emails
CL Item
 (Often)
CL Item
 (Occasionally)
CL Item
 (Not at all)
Item
text
C0302186 (UMLS CUI [1])
Code List
phone calls counseling person
CL Item
 (Often)
CL Item
 (Occasionally)
CL Item
 (Not at all)
Item
text
C1096774 (UMLS CUI [1])
Code List
letter counseling person
CL Item
 (Often)
CL Item
 (Occasionally)
CL Item
 (Not at all)
Item
text
C0013849 (UMLS CUI [1])
Code List
emails counseling person
CL Item
 (Often)
CL Item
 (Occasionally)
CL Item
 (Not at all)
Item
text
C0441655 (UMLS CUI [1,1])
C0474161 (UMLS CUI [1,2])
Code List
activities
CL Item
 (Help to care for grave)
CL Item
 (Support in bureaucratic affairs)
CL Item
 (Organization of one's leisure time)
CL Item
 (Management of inheritage)
CL Item
 (Go for a walk)
CL Item
 (Other)
Item
text
C0515993 (UMLS CUI [1])
Code List
conversations about emotions
CL Item
 (Loneliness)
CL Item
 (Anger)
CL Item
 (Fear)
CL Item
 (Recrimination against others)
CL Item
 (Gratefulness)
CL Item
 (Desire)
CL Item
 (Hopelessness)
CL Item
 (Feelings of guilt)
CL Item
 (Relief)
CL Item
 (Brokenness)
CL Item
 (Other)
other topic of conversation
Item
text
C0515993 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item
text
C0582166 (UMLS CUI [1,1])
C0425043 (UMLS CUI [1,2])
Code List
conversations about deceased
CL Item
 (the relationship)
CL Item
 (bad memories)
CL Item
 (prehistory of dying)
CL Item
 (role of deceased person in life)
CL Item
 (wondering how the deceased person is now)
CL Item
 (good memories)
CL Item
 (things that remain unresolved)
CL Item
 (the suffering of the dying person)
CL Item
 (the dying)
CL Item
 (other)
other topic of conversation about the deceased
Item
text
C0582166 (UMLS CUI [1,1])
C0425043 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item
text
C0871703 (UMLS CUI [1,1])
C0037431 (UMLS CUI [1,2])
Code List
talk about problems
CL Item
 (Family members)
CL Item
 (Neighbors)
CL Item
 (Friends)
CL Item
 (Employer/peers)
CL Item
 (Other)
other person to talk to
Item
text
C0871703 (UMLS CUI [1,1])
C0037431 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item
text
C0871703 (UMLS CUI [1,1])
C0035039 (UMLS CUI [1,2])
Code List
talk about religious and spiritual topics
CL Item
 (Meaning of life)
CL Item
 (Dreams of the deceased person)
CL Item
 (Feelings of presence of the deceased person or signs and messages)
CL Item
 (Questions of faith)
CL Item
 (Imaginations of life after death)
CL Item
 (Other)
other religious topic
Item
text
C0871703 (UMLS CUI [1,1])
C0035039 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item
text
C0871703 (UMLS CUI [1,1])
C0376558 (UMLS CUI [1,2])
Code List
talk about other topics of life
CL Item
 (Early loss)
CL Item
 (Sense of archievement)
CL Item
 (Other problems or injuries)
CL Item
 (Fortune and pleasure)
CL Item
 (Other)
other life topic
Item
text
C0871703 (UMLS CUI [1,1])
C0376558 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item
text
C0871703 (UMLS CUI [1,1])
C0392747 (UMLS CUI [1,2])
Code List
talk about changes
CL Item
 (Change in attitude towards life)
CL Item
 (Changed relationships within the family or friends)
CL Item
 (Moving or rearrangement of the home)
CL Item
 (New activities)
CL Item
 (New friends)
CL Item
 (New partners)
CL Item
 (Other)
other topic of change
Item
text
C0871703 (UMLS CUI [1,1])
C0392747 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item
text
C1148554 (UMLS CUI [1,1])
C0474161 (UMLS CUI [1,2])
Code List
determination of grief counseling
CL Item
 (Came from grieving person)
CL Item
 (Came from counseling person)
CL Item
 (Resistance from grieving person)
CL Item
 (Unexpected for the counseling person)
CL Item
 (Consensually)
CL Item
 (Along with arrangement to stay in contact)
CL Item
 (Other)
other determination
Item
text
C1148554 (UMLS CUI [1,1])
C0474161 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item Group
remarks
Item
text
C0947611 (UMLS CUI [1])

Use este formulário para feedback, perguntas e sugestões de aperfeiçoamento.

Campos marcados com * são obrigatórios.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial