- 2021-09-20 - 1 Formulär, 8 Item-grupper, 52 Dataelement, 2 Språk
Item-grupper: Main diagnosis, Initial status, Psychological insight, Religious/spiritual assistance, Communication between family/others and nursing team, assistance after death, Documentation, Comments
- 2021-09-17 - 1 Formulär, 13 Item-grupper, 43 Dataelement, 2 Språk
Item-grupper: Date, TT1. Type of therapy, TT2. Number of previous treatments, TT3. Indications, TT4. Agents/Regime/Modus, TT5. Medical indication assessed by, TT6. Palliative prognostic index PPI in pre-treatment/ starting the new indicated tumor treatment, TT7. Was proceding/start of tumor therapy based on consensus in the palliative team?, TT8. What was the subjective success of the tumor therapy?, TT9. Was the tumor therapy determined early?, TT10. If yes, what were the reasons for the discontinuation of tumor therapy?, TT11. Was discontinuation of tumor therapy based on consensus in the palliative team?, TT12. Who completes this questionnaire?
- 2020-06-30 - 1 Formulär, 2 Item-grupper, 37 Dataelement, 1 Språk
Item-grupper: Administrative documentation, CAREGIVER QUALITY OF LIFE- CANCER
M. A. Weitzner, P. B. Jacobsen, H. Wagner Jr., J. Friedland, C. Cox. (1996). The Caregiver Quality of Life Index-Cancer (CQOLC) scale. Measurement Instrument Database for the Social Science. Retrieved 30.06.2020, from www.midss.ie Key references: McMillan, S. C. (1996). Quality of life of primary caregivers of hospice patients with cancer. Cancer Pract;4:191-8. Weitzner, M. A., Jacobsen, P. B., Wagner, H., Friedland, J., & Cox, C. (1999). The Caregiver Quality of Life Index–Cancer (CQOLC) Scale: development and validation of an instrument to measure quality of life of the family caregiver of patients with cancer. Quality of Life Research, 8, 55–63. Zarit, S. H., Reever, K. E., Bach-Peterson, J. (1980). Relatives of the impaired elderly: correlates of feeling of burden. Gerontologist;20:649 -55. Primary use / Purpose: The Caregiver Quality of Life Index- Cancer (CQOLC) scale is a 35-item cancer-specific instrument that assesses the carer of a cancer patient's quality of life, that is, some of the physical, social, emotional, and financial aspects of well-being, and functioning. Background: A panoply of instruments measuring caregiver burden have been developed since Zarit, Reever, and Bach-Peterson's (1980) pioneering study investigating carer strain using the Zarit Burden interview. Yet, a dearth of studies exist for parsing the physical, emotional, social and financial well-being of the carer. McMillan (1996) designed a valid and reliable caregiver quality of life index to study such constructs in the partner of the patient. Later, Weitzner and colleagues (1999) modified this scale to serve as a well-being outcome measure specifically for carers of cancer patients. Psychometrics: The CQOLC possesses acceptable validity, test-retest reliability and internal consistency (see Weitzner, Jacobsen, Wagner, Friedland, & Cox, 1999). Other Information: Scoring instructions: items 4, 10, 12, 16, 22, 27, 28 and 34 on questionnaire should be reversed scored. Digital Object Identifier (DOI): http://dx.doi.org/10.13072/midss.388
- 2016-08-11 - 1 Formulär, 8 Item-grupper, 88 Dataelement, 2 Språk
Item-grupper: Adminstrative data, 1. Support for the dying person, 2. Support for immediate family, 3. Protective socially minded acting, 4. Provide assistance to dying persons in questions of meaning, 5. Help organizing "last duties" for the dying person, 6. Help organizing "last duties" for the relatives, Documentation of support
- 2016-07-26 - 1 Formulär, 14 Item-grupper, 32 Dataelement, 2 Språk
Item-grupper: Administrative Daten, TR1. Begleitung, TR2. Andere Kontakte, TR3. Praktische Tätigkeiten, TR4. Gespräche über Gefühle, TR5. Gespräche über die/den Tote/n, TR6. Gespräch über praktische Probleme, TR7. Gespräch über Probleme mit, TR8. Gespräch über körperliche Beschwerden, TR9. Gespräch über religiöse und spirituelle Themen, TR10. Gespräch über andere Lebensthemen, TR.11 Gespräch über Veränderungen, TR12. Abschied aus der Trauerbegleitung, TR13. Bemerkungen
- 2016-06-26 - 1 Formulär, 10 Item-grupper, 31 Dataelement, 2 Språk
Item-grupper: Administrative Data, PR1. Palliative Prognostic Score (PAP-S), PR2. Karnofsky Performance Status, PR3. Klinische Prognose der Überlebenszeit, PR4. Blutbild, PaP Score (maximal 17,5 Punkte), PR5. Palliative Performance Scale, PR6. Orale Aufnahme, PR7. Symptome, Palliative Prognostic Index

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