Table 1.

PEACE tool, Example of the Domains, and Sample Questions in a Comprehensive Palliative Care Assessment Tool

PEACE Tool
Domain	Symptom	Question
Physical	Pain	Are you in pain?
	Anorexia	How is your appetite?
	Genitourinary	Do you have control of your bladder?
	Gastrointestinal	Nausea? Vomiting? Diarrhea? Constipation?
	Respiratory	Are you short of breath? Do you have a cough?
	Skin	Any irritation, rash, bruises, ulcers, or infection?
	Level of function	How many naps do you take each day?
		Are you able to prepare your own meals?
		How far can you walk without taking a break?
	Treatment side effects	Are you having side effects from you medicine?
Emotional	Sad	Are you sad?
	Anxiety	Are you anxious?
	Depression	Are you depressed?
Autonomy	Control	Do you feel in control of your care?
		Are we doing only the things you want?
		Do you know what to expect?
	Decision making	Do you feel you are heard/listened to?
		Are your preferences being followed?
		Have you named an alternate decision maker?
		Do you have a health-care power of attorney?
Communication and closure	Closure, life review, hopes	What do you hope for?
		What are your dreams and goals?
		What are things /projects you still want to achieve/complete?
		What do you still enjoy doing?
		Are there any people you have not seen in a long time you wish to contact/talk to?
	Legacy	How would you like to be remembered?
		What are you especially proud of?
	Support, relationships	Who are you closest to?
		What brings you joy?
	Resilience and self-efficacy	What gives you strength?
		What do you do to help yourself?
Economic		Are you worried about money?
		Has your illness created a financial strain?
		Do you worry you may become a burden to your family?
Transcendent and existential		Are you at peace?
		Are you suffering?
		Do you think about dying?
		Is faith important to you?