Table 1.
1. On a scale of 0–10 with 10 being the best possible situation, how would you rate your personal knowledge and skills related to pain management by the end of your service with hospice? |
Prompt: Can you share an example of why you gave yourself this rating? A time when you feel you had sufficient knowledge, or perhaps a situation when you did not know something that you wish you had known? |
2. On a scale of 0–10 with 10 being the best possible situation, how would you rate your understanding and comfort with your patient’s pain medications by the end of your service with hospice? |
Prompt: Which medications did you feel made you the most comfortable and which the least comfortable? |
3. On a scale of 0–10 with 10 being the best possible situation, how would you rate your overall satisfaction with the hospice team’s pain management of your patient by the end of your service with hospice? |
Prompt: Can you share an example of how the hospice team focused on your loved ones pain? |
4. Do you have any other thoughts or suggestions that might help us improve this experience for hospice patients or caregivers? |
5. On a scale where 0 is not at all controlled and 10 is almost perfectly controlled, overall, did your loved one’s pain appear to be controlled? |
Prompt: Can you share a time when your loved ones pain was out of control, what was that like and how did it get resolved? |
6. On a scale where 0 is not at all and 10 is almost perfectly at peace, overall, did your loved one appear to be at peace with dying? |
Prompt: Was there anything in particular that led you to believe they were or not at peace? |
7. On a scale where 0 is not at all and 10 is almost perfect, overall, did your loved one appear to keep his/her dignity and self-respect? |
Prompt: Can you give an example? |
8. On a scale where 0 is terrible and 10 is almost perfect, overall, how would you rate your loved one’s quality of death? |
Prompt: What observations or examples of how things went lead you to feel this way? |