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Data Collection and Measurement

Next Reply: Re:Acuity scale
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Post Acuity scale
Author: bweir
Date: Jan 30, 2008 1:57 pm
I am looking for an acuity scale to describe and document patient condition and justify the type and frequency of hospice services recommended for a particular patient's plan of care. This would be reassessed prior to every interdisciplinary team meeting and revised as increased acuity necessitates more frequent visits or additional services.
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Re:Acuity scale (by mrabow on 05/13/2008)
Hi, I'm surprised there have been no replies to this post as I imagine assessing acuity is something that many of this Forum's readers do routinely in their clinical work. One place to start would be comprehensive symptom severity assessment. A key source of instruments is Joan Teno's Toolkit of Instruments to Measure End of Life. It's available here http://www.gwu.edu/~cicd/toolkit/toolkit.htm and I'd recommend focusing on the pain and symptom surveys. Often, for acuity assessment, very brief surveys such as the ESAS are best and can be used frequently in re-assessments. Best, Mike Michael W. Rabow, MD Director, Symptom Management Service Helen Diller Family Comprehensive Cancer Center Palliative Care Leadership Center University of California, San Francisco

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