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. Author manuscript; available in PMC: 2012 Feb 1.
Published in final edited form as: J Pain Symptom Manage. 2010 Aug 25;41(1):57–67. doi: 10.1016/j.jpainsymman.2010.03.016

Table 1.

Palliative Care Survey Example Items

Palliative Care Practice Example Items
Bereavement When a resident dies, I follow up with his/her roommate to
provide emotional support.
We have memorials for residents who die.
Provider Coordination When residents are at the end of life, the primary care
provider:

  •   talks openly with family members

  •   is open to staff suggestions about care
Communication with Family When a resident approaches death, how often do family
members:

  •   disagree with staff about treatments

  •   want more information
Planning/interventions When would a hospice referral be made for Mrs. Davis?a

  •   On admission

  •   When Mr. Davis requests it

  •   When the provider orders it

  •   Now that she has lost weight

  •   At the next care plan meeting
Palliative Care Knowledge
Psychological Anxiety contributes to physical pain
Physical Residents can sleep when they have physical pain.
End-of-life factors Feeding tubes prevent aspiration.
a

Item is based on a resident case vignette,