Examples

• lung cancer
• end-stage COPD
• end-stage congestive heart failure
• dementia

A Full Palliative Assessment (often interdisciplinary) would include

1. Clinical summary (history of all present and past medical conditions, treatments and response)
2. Current physical symptoms and functioning
   • ‣
   • Often patient reported outcome tools are used, such as the Edmonton Symptom Assessment Scale → ESAS
3. Psychological and spiritual functioning
   • Mood: cognitive dysfunction, depression, anxiety, coping strategies
   • Career/interest
   • Family & support
   • Guit
   • Spiritual health: beliefs, practices, fears and hopes, care setting for death
4. Social support and caregiver needs
   • Care-giver burnout
   • Financial needs
   • Consent to Medical Decisions, ACP
5. Medications and allergies
   • Is it sufficient for symptom management?
   • Any side effects to be managed?
6. Advance care planning or goals of care
   • Goal of Care Discussion
7. Physical examination
8. Review of laboratory tests
9. Summary and Recommendations

Resources

Goal of Care Discussion