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. 2011 Feb;14(2):147–151. doi: 10.1089/jpm.2010.0181

Table 1.

Example of Information Provided to Hospices

Type of information Symptoms addressed Patient sensory Family sensory Temporal Environmental Causes What to do Sub scores
Audible respiratory secretions   1 1     1 3
Bed-bound care             0
Breathing changes   1 1       2
Cold extremities   1 1       2
Coma     1       1
Decreased socialization   1 1       2
Disorientation     1       1
Dysphagia             0
Dyspnea             0
Emotional/spiritual 1           1
Fluid intake     1       1
Food intake   1 1       2
Incontinence     1       1
Increased central body temperature   1 1       2
Mandibular breathing     1       1
Mottling   1 1   1   3
Overall decline     1       1
Pain             0
Restlessness   1 1   1   3
Saying good bye             0
Sensory changes             0
Skin changes   1 1   1   3
Sleeping   1 1       2
Surge of energy   1 1   1   3
Time of death   1         1
Unusual communications   1 1       2
Urine output decreased     1       1
Visions   1 1   1   3
Vital sign changes   1 1       2
Subscores 1 15 21 0 5 1 43

Scaled score = (43/174)*100 = 24.7 (0–100 range, mean score of all 150 documents = 22.4).