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. 2014 Nov 14;6(1):549. doi: 10.4102/phcfm.v6i1.549

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