ID
17975
Description
Hospital Routine Documentation Form at the University Hospital Muenster. Original Form name: Palliativ Checkliste MS.
Keywords
Versions (2)
- 10/12/16 10/12/16 -
- 11/16/16 11/16/16 -
Uploaded on
October 12, 2016
DOI
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License
Creative Commons BY-NC 3.0
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Palliativ Checkliste MS University Hospital Muenster (UKM)
Palliativ Checkliste MS University Hospital Muenster (UKM)
- StudyEvent: ODM
Description
Palliativ-Checkliste
Description
1. Palliative status
Data type
boolean
Description
2. Patient informed
Data type
boolean
Description
3. Living will/health care proxy
Data type
boolean
Description
4. Reanimation/intensive care wanted
Data type
boolean
Description
5. Palliative consultation service contacted
Data type
boolean
Description
6. Relatives informed
Data type
boolean
Description
7. Pastoral care wanted
Data type
boolean
Description
8. Discharge/relocation planned
Data type
boolean
Description
9. Social services engaged
Data type
boolean
Description
10. Relatives informed about palliative care at end of life
Data type
boolean
Description
11. Medication in case of pain
Data type
boolean
Description
11. Medication in case of dyspnea
Data type
boolean
Description
11. Medication in case of anxiety
Data type
boolean
Description
11. Medication in case of nausea
Data type
boolean
Description
11. Medication in case of death rattle
Data type
boolean
Description
12. Other specifics
Data type
boolean
Description
Date
Data type
date
Description
Name
Data type
text
Similar models
Palliativ Checkliste MS University Hospital Muenster (UKM)
- StudyEvent: ODM