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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
Re:Acuity scale (by vlseno on 07/19/2012)
I wrote the scale in the mid 90s, synthesizing data from a national study of 10,000 home care patients -- and tweaking it a bit more to make it right for hospice.

It became quite the buzz and we sold copies of it from Beloit Hospice where I was executive at the time. It went about through NHO (named that at the time) and WHO (Wisconsin).

I may be the only person with a copy somewhere. I've noticed that medical records are electronic now and I just imagined that my one-sheet acuity scale was no longer the way of things. But it's good.

So, all that to tell you that I'm hunting a copy and will share it with you when found. Are you still interested?

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