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

Administrative data
Descrição

Administrative 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 (From - To)
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

By mourners - Phone calls
Descrição

phone calls

Tipo de dados

text

Alias
UMLS CUI [1]
C0302186
By mourners - letters
Descrição

letters

Tipo de dados

text

Alias
UMLS CUI [1]
C1096774
By mourners - email
Descrição

emails

Tipo de dados

text

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

phone calls counseling person

Tipo de dados

text

Alias
UMLS CUI [1]
C0302186
By counseling person - letter
Descrição

letter counseling person

Tipo de dados

text

Alias
UMLS CUI [1]
C1096774
By counseling person - emails
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

Conversation about feelings
Descrição

conversations about emotions

Tipo de dados

text

Alias
UMLS CUI [1]
C0515993
Other:
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
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 with
Descrição

talk about problems

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0037431
Other:
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:
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:
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:
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
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
Item Group
Administrative data
date of interview
Item
13. Datum
date
C0011008 (UMLS CUI [1])
id
Item
1. IDNR
text
C1300638 (UMLS CUI [1])
Item Group
TR1. Counseling
counseling person
Item
Counseling person
text
C0027361 (UMLS CUI [1,1])
C0474161 (UMLS CUI [1,2])
duration of counseling
Item
Duration of counseling (From - To)
text
C0474161 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
place of conversations
Item
Place of conversations
text
C0442504 (UMLS CUI [1])
Item
Frequency of encounter
text
C0422341 (UMLS CUI [1])
Code List
Frequency of encounter
CL Item
Weekly (Weekly)
CL Item
Monthly (Monthly)
CL Item
Other (Other)
Item Group
TR2. Other contacts
Item
By mourners - Phone calls
text
C0302186 (UMLS CUI [1])
Code List
By mourners - Phone calls
CL Item
Often (Often)
CL Item
Occasionally (Occasionally)
CL Item
Not at all (Not at all)
Item
By mourners - letters
text
C1096774 (UMLS CUI [1])
Code List
By mourners - letters
CL Item
Often (Often)
CL Item
Occasionally (Occasionally)
CL Item
Not at all (Not at all)
Item
By mourners - email
text
C0013849 (UMLS CUI [1])
Code List
By mourners - email
CL Item
Often (Often)
CL Item
Occasionally (Occasionally)
CL Item
Not at all (Not at all)
Item
By counseling person - phone calls
text
C0302186 (UMLS CUI [1])
Code List
By counseling person - phone calls
CL Item
Often (Often)
CL Item
Occasionally (Occasionally)
CL Item
Not at all (Not at all)
Item
By counseling person - letter
text
C1096774 (UMLS CUI [1])
Code List
By counseling person - letter
CL Item
Often (Often)
CL Item
Occasionally (Occasionally)
CL Item
Not at all (Not at all)
Item
By counseling person - emails
text
C0013849 (UMLS CUI [1])
Code List
By counseling person - emails
CL Item
Often (Often)
CL Item
Occasionally (Occasionally)
CL Item
Not at all (Not at all)
Item Group
TR3. Activities
Item
Activities
text
C0441655 (UMLS CUI [1,1])
C0474161 (UMLS CUI [1,2])
Code List
Activities
CL Item
Help to care for grave (Help to care for grave)
CL Item
Support in bureaucratic affairs (Support in bureaucratic affairs)
CL Item
Organization of one's leisure time (Organization of one's leisure time)
CL Item
Management of inheritage (Management of inheritage)
CL Item
Go for a walk (Go for a walk)
CL Item
Other (Other)
Item Group
TR4. Conversations about emotions
Item
Conversation about feelings
text
C0515993 (UMLS CUI [1])
Code List
Conversation about feelings
CL Item
Loneliness (Loneliness)
CL Item
Anger (Anger)
CL Item
Fear (Fear)
CL Item
Recrimination against others (Recrimination against others)
CL Item
Gratefulness (Gratefulness)
CL Item
Desire (Desire)
CL Item
Hopelessness (Hopelessness)
CL Item
Feelings of guilt (Feelings of guilt)
CL Item
Relief (Relief)
CL Item
Brokenness (Brokenness)
CL Item
Other (Other)
other topic of conversation
Item
Other:
text
C0515993 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Item Group
TR5. Conversations about the deceased
Item
Conversations about deceased
text
C0582166 (UMLS CUI [1,1])
C0425043 (UMLS CUI [1,2])
Code List
Conversations about deceased
CL Item
the relationship (the relationship)
CL Item
bad memories (bad memories)
CL Item
prehistory of dying (prehistory of dying)
CL Item
role of deceased person in life (role of deceased person in life)
CL Item
wondering how the deceased person is now (wondering how the deceased person is now)
CL Item
good memories (good memories)
CL Item
things that remain unresolved (things that remain unresolved)
CL Item
the suffering of the dying person (the suffering of the dying person)
CL Item
the dying (the dying)
CL Item
other (other)
other topic of conversation about the deceased
Item
Other
text
C0582166 (UMLS CUI [1,1])
C0425043 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item Group
TR7. Conversations about problems
Item
Talk about problems with
text
C0871703 (UMLS CUI [1,1])
C0037431 (UMLS CUI [1,2])
Code List
Talk about problems with
CL Item
Family members (Family members)
CL Item
Neighbors (Neighbors)
CL Item
Friends (Friends)
CL Item
Employer/peers (Employer/peers)
CL Item
Other (Other)
other person to talk to
Item
Other:
text
C0871703 (UMLS CUI [1,1])
C0037431 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item Group
TR9. Conversations about religious and spiritual topics
Item
Talk about religious and spiritual topics
text
C0871703 (UMLS CUI [1,1])
C0035039 (UMLS CUI [1,2])
Code List
Talk about religious and spiritual topics
CL Item
Meaning of life (Meaning of life)
CL Item
Dreams of the deceased person (Dreams of the deceased person)
CL Item
Feelings of presence of the deceased person or signs and messages (Feelings of presence of the deceased person or signs and messages)
CL Item
Questions of faith (Questions of faith)
CL Item
Imaginations of life after death (Imaginations of life after death)
CL Item
Other (Other)
other religious topic
Item
Other:
text
C0871703 (UMLS CUI [1,1])
C0035039 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item Group
TR10. Conversations about other topics of life
Item
Talk about other topics of life
text
C0871703 (UMLS CUI [1,1])
C0376558 (UMLS CUI [1,2])
Code List
Talk about other topics of life
CL Item
Early loss (Early loss)
CL Item
Sense of archievement (Sense of archievement)
CL Item
Other problems or injuries (Other problems or injuries)
CL Item
Fortune and pleasure (Fortune and pleasure)
CL Item
Other (Other)
other life topic
Item
Other:
text
C0871703 (UMLS CUI [1,1])
C0376558 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item Group
TR.11 Conversations about changes
Item
Talk about changes
text
C0871703 (UMLS CUI [1,1])
C0392747 (UMLS CUI [1,2])
Code List
Talk about changes
CL Item
Change in attitude towards life (Change in attitude towards life)
CL Item
Changed relationships within the family or friends (Changed relationships within the family or friends)
CL Item
Moving or rearrangement of the home (Moving or rearrangement of the home)
CL Item
New activities (New activities)
CL Item
New friends (New friends)
CL Item
New partners (New partners)
CL Item
Other (Other)
other topic of change
Item
Other:
text
C0871703 (UMLS CUI [1,1])
C0392747 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item Group
TR12. Termination of grief counseling process
Item
Determination of grief counseling
text
C1148554 (UMLS CUI [1,1])
C0474161 (UMLS CUI [1,2])
Code List
Determination of grief counseling
CL Item
Came from grieving person (Came from grieving person)
CL Item
Came from counseling person (Came from counseling person)
CL Item
Resistance from grieving person (Resistance from grieving person)
CL Item
Unexpected for the counseling person (Unexpected for the counseling person)
CL Item
Consensually (Consensually)
CL Item
Along with arrangement to stay in contact (Along with arrangement to stay in contact)
CL Item
Other (Other)
other determination
Item
Other
text
C1148554 (UMLS CUI [1,1])
C0474161 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Item Group
TR13. Remarks
remarks
Item
Remarks
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