TABLE 1.
African Palliative Care Association Palliative Outcome Scale (APCA POS).
Questions | Rating |
---|---|
Ask the patient | |
Q1. Please rate your pain (from ) = no pain to 5 = worst/overwhelming pain) during the last 3 days | 0 (no pain)– 5 (worst/overwhelming pain) |
Q2. Have any other symptoms (e.g. nausea, coughing or constipation) been affecting how you feel in the last 3 days? | – 5 (overwhelmingly) |
Q3. Have you been feeling worried about your illness in the past 3 days? | 0 (not at all)– 5 (overwhelming worry) |
Q4. Over the past 3 days, have you been able to share how you are feeling with your family or friends? | 0 (not at all)– 5 (yes, I've talked freely) |
Q5. Over the past 3 days, have you felt that life was worthwhile? | 0 (no, not at all)– 5 (yes, all the time) |
Q6. Over the past 3 days, have you felt at peace? | 0 (no, not at all)– 5 (yes, all the time) |
Q7. Have you had enough help and advice for your family to plan for the future? | 0 (not at all)– 5 (as much as wanted) |
Ask the family carer | |
Q8. How much information have you and your family been given? | 0 (none)– 5 (as much as wanted)N/A |
Q9. How confident does the family feel caring for ___________________? | 0 (not at all)– 5 (very confident)N/A |
Q10. Has the family been feeling worried about the Client over the last 3 days? | 0 (not at all)– 5 (severe worry)N/A |