ID

16615

Beskrivning

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.

Länk

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

Nyckelord

Versioner (4)
  1. 2016-07-26 2016-07-26 -
  2. 2016-07-26 2016-07-26 -
  3. 2016-07-26 2016-07-26 -
  4. 2016-07-26 2016-07-26 -
Uppladdad den

26 juli 2016

DOI

För en begäran logga in.

Licens

Creative Commons BY-NC 3.0
Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Tillbaka till modellkommentarer
Itemgroup-kommentar för :

Item-kommentar för :

  • Senaste
  • Äldsta
  • Önskad
  • Senaste
    • Senaste
    • Äldsta
    • Önskad

Inga kommentarer

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Palliative and Hospice Care Grief Counseling Retrospective View

Tysk Engelsk

Palliative and Hospice Care Grief Counseling Retrospective View

1 Formulär  
Administrative data
Beskrivning

Administrative data

13. Datum
Beskrivning

date of interview

Datatyp

date

Alias
UMLS CUI [1]
C0011008
1. IDNR
Beskrivning

id

Datatyp

text

Alias
UMLS CUI [1]
C1300638
TR1. Counseling
Beskrivning

TR1. Counseling

Counseling person
Beskrivning

counseling person

Datatyp

text

Alias
UMLS CUI [1,1]
C0027361
UMLS CUI [1,2]
C0474161
Duration of counseling (From - To)
Beskrivning

duration of counseling

Datatyp

text

Alias
UMLS CUI [1,1]
C0474161
UMLS CUI [1,2]
C0449238
Place of conversations
Beskrivning

place of conversations

Datatyp

text

Alias
UMLS CUI [1]
C0442504
Frequency of encounter
Beskrivning

frequency of encounter

Datatyp

text

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

TR2. Other contacts

By mourners - Phone calls
Beskrivning

phone calls

Datatyp

text

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

letters

Datatyp

text

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

emails

Datatyp

text

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

phone calls counseling person

Datatyp

text

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

letter counseling person

Datatyp

text

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

emails counseling person

Datatyp

text

Alias
UMLS CUI [1]
C0013849
TR3. Activities
Beskrivning

TR3. Activities

Activities
Beskrivning

activities

Datatyp

text

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

TR4. Conversations about emotions

Conversation about feelings
Beskrivning

conversations about emotions

Datatyp

text

Alias
UMLS CUI [1]
C0515993
Other:
Beskrivning

other topic of conversation

Datatyp

text

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

TR5. Conversations about the deceased

Conversations about deceased
Beskrivning

conversations about deceased

Datatyp

text

Alias
UMLS CUI [1,1]
C0582166
UMLS CUI [1,2]
C0425043
Other
Beskrivning

other topic of conversation about the deceased

Datatyp

text

Alias
UMLS CUI [1,1]
C0582166
UMLS CUI [1,2]
C0425043
UMLS CUI [1,3]
C0205394
TR6. Conversation about practical issues
Beskrivning

TR6. Conversation about practical issues

Talk about practical issues
Beskrivning

talk about practical issues

Datatyp

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0001288
Other:
Beskrivning

other practical problem

Datatyp

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0001288
UMLS CUI [1,3]
C0205394
TR7. Conversations about problems
Beskrivning

TR7. Conversations about problems

Talk about problems with
Beskrivning

talk about problems

Datatyp

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0037431
Other:
Beskrivning

other person to talk to

Datatyp

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0037431
UMLS CUI [1,3]
C0205394
TR8. Conversation about physical complaints
Beskrivning

TR8. Conversation about physical complaints

Talk about physical complaints
Beskrivning

talk about physical complaints

Datatyp

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0221448
Other:
Beskrivning

other physical complaints

Datatyp

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0221448
UMLS CUI [1,3]
C0205394
TR9. Conversations about religious and spiritual topics
Beskrivning

TR9. Conversations about religious and spiritual topics

Talk about religious and spiritual topics
Beskrivning

talk about religious and spiritual topics

Datatyp

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0035039
Other:
Beskrivning

other religious topic

Datatyp

text

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

TR10. Conversations about other topics of life

Talk about other topics of life
Beskrivning

talk about other topics of life

Datatyp

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0376558
Other:
Beskrivning

other life topic

Datatyp

text

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

TR.11 Conversations about changes

Talk about changes
Beskrivning

talk about changes

Datatyp

text

Alias
UMLS CUI [1,1]
C0871703
UMLS CUI [1,2]
C0392747
Other:
Beskrivning

other topic of change

Datatyp

text

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

TR12. Termination of grief counseling process

Determination of grief counseling
Beskrivning

determination of grief counseling

Datatyp

text

Alias
UMLS CUI [1,1]
C1148554
UMLS CUI [1,2]
C0474161
Other
Beskrivning

other determination

Datatyp

text

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

TR13. Remarks

Remarks
Beskrivning

remarks

Datatyp

text

Alias
UMLS CUI [1]
C0947611
Tillbaka till toppen

Similar models

Palliative and Hospice Care Grief Counseling Retrospective View

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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])
frequency of encounter
Code List
Frequency of encounter
CL Item
 (Wöchentlich)
CL Item
 (Monatlich)
CL Item
 (Andere)
Item Group
TR2. Other contacts
Item
By mourners - Phone calls
text
C0302186 (UMLS CUI [1])
phone calls
Code List
By mourners - Phone calls
CL Item
 (häufig)
CL Item
 (selten)
CL Item
 (gar nicht)
Item
By mourners - letters
text
C1096774 (UMLS CUI [1])
phone calls
Code List
By mourners - letters
CL Item
 (häufig)
CL Item
 (selten)
CL Item
 (gar nicht)
Item
By mourners - email
text
C0013849 (UMLS CUI [1])
phone calls
Code List
By mourners - email
CL Item
 (häufig)
CL Item
 (selten)
CL Item
 (gar nicht)
Item
By counseling person - phone calls
text
C0302186 (UMLS CUI [1])
phone calls
Code List
By counseling person - phone calls
CL Item
 (häufig)
CL Item
 (selten)
CL Item
 (gar nicht)
Item
By counseling person - letter
text
C1096774 (UMLS CUI [1])
phone calls
Code List
By counseling person - letter
CL Item
 (häufig)
CL Item
 (selten)
CL Item
 (gar nicht)
Item
By counseling person - emails
text
C0013849 (UMLS CUI [1])
phone calls
Code List
By counseling person - emails
CL Item
 (häufig)
CL Item
 (selten)
CL Item
 (gar nicht)
Item Group
TR3. Activities
Item
Activities
text
C0441655 (UMLS CUI [1,1])
C0474161 (UMLS CUI [1,2])
activities
Code List
Activities
CL Item
 (Hilfe bei Grabpflege)
CL Item
 (Vorbereitung bei Ämtergängen)
CL Item
 (Freizeitgestaltung)
CL Item
 (Sortieren von Hinterlassenschaft )
CL Item
 (Spaziergang )
CL Item
 (andere)
Item Group
TR4. Conversations about emotions
Item
Conversation about feelings
text
C0515993 (UMLS CUI [1])
conversations about emotions
Code List
Conversation about feelings
CL Item
 (Einsamkeit)
CL Item
 (Wut)
CL Item
 (Angst)
CL Item
 (Schuldzuweisungen an andere)
CL Item
 (Dankbarkeit)
CL Item
 (Sehnsucht)
CL Item
 (Hoffnungslosigkeit)
CL Item
 (Schuldgefühle)
CL Item
 (Erleichterung)
CL Item
 (Zerissenheit)
CL Item
 (andere)
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])
conversations about deceased
Code List
Conversations about deceased
CL Item
 (die Beziehung)
CL Item
 (schlechte Erinnerungen)
CL Item
 (die Vorgeschichte des Sterbens)
CL Item
 (die aktuelle Bedeutung des Toten im eigenen Leben)
CL Item
 (Überlegungen, wie es dem Toten jetzt geht)
CL Item
 (gute Erinnerungen)
CL Item
 (Dinge, die nicht gelöst werden können )
CL Item
 (das Leid des Sterbenden)
CL Item
 (das Sterben)
CL Item
 (anderes)
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
TR6. Conversation about practical issues
Item
Talk about practical issues
text
C0871703 (UMLS CUI [1,1])
C0001288 (UMLS CUI [1,2])
talk about practical issues
Code List
Talk about practical issues
CL Item
 (Organisation des Alltags)
CL Item
 (Gestaltung und Pflege des Grabs)
CL Item
 (Ordnen der Hinterlassenschaft)
CL Item
 (materielle Einbussen)
CL Item
 (andere)
other practical problem
Item
Other:
text
C0871703 (UMLS CUI [1,1])
C0001288 (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])
talk about problems
Code List
Talk about problems with
CL Item
 (Familienmitglieder)
CL Item
 (NachbarInnen)
CL Item
 (Freundinnen/Freunden)
CL Item
 (Arbeitgeber, KollegInnen)
CL Item
 (anderen)
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
TR8. Conversation about physical complaints
Item
Talk about physical complaints
text
C0871703 (UMLS CUI [1,1])
C0221448 (UMLS CUI [1,2])
talk about physical complaints
Code List
Talk about physical complaints
CL Item
 (Schlafschwierigkeiten)
CL Item
 (Essprobleme)
CL Item
 (körperliche Schwäche)
CL Item
 (Schmerzen)
CL Item
 (Konzentrationsschwierigkeiten)
CL Item
 (Angstzustände, Panikattacken)
CL Item
 (andere)
other physical complaints
Item
Other:
text
C0871703 (UMLS CUI [1,1])
C0221448 (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])
talk about religious and spiritual topics
Code List
Talk about religious and spiritual topics
CL Item
 (Sinnfragen)
CL Item
 (Träume von der/dem Toten)
CL Item
 (Empfindungen von Anwesenheit der/des Toten oder von Zeichen und Botschaften )
CL Item
 (Glaubensfragen)
CL Item
 (Vorstellungen vom Leben nach dem Tod)
CL Item
 (andere)
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])
talk about other topics of life
Code List
Talk about other topics of life
CL Item
 (frühe Verluste)
CL Item
 (Erfolgserlebnisse)
CL Item
 (andere Probleme oder Verletzungen)
CL Item
 (Glück und Genuss)
CL Item
 (andere)
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])
talk about changes
Code List
Talk about changes
CL Item
 (veränderte Lebenseinstellung)
CL Item
 (veränderte Beziehungen innerhalb der Familie oder des Freundeskreises )
CL Item
 (Umzug oder Umgestaltung der Wohnung/des Hauses)
CL Item
 (neue Tätigkeiten)
CL Item
 (neue FreundInnen )
CL Item
 (neue Partnerschaft)
CL Item
 (andere)
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])
determination of grief counseling
Code List
Determination of grief counseling
CL Item
 (ausgehend von dem Trauernden )
CL Item
 (ausgehend von dem Begleitenden )
CL Item
 (gegen den Widerstand des Trauernden)
CL Item
 (unerwartet für den Begleitenden)
CL Item
 (einvernehmlich)
CL Item
 (mit der Vereinbarung, weiter im Kontakt zu bleiben)
CL Item
 (anders:)
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])
Tillbaka till toppen 

Kontakt

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Hjälp

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