Pengkajian paliatif - Palliative assessment

Summary

This training video, led by Aryanti, demonstrates the process of palliative assessment for patients with terminal conditions like cancer, heart failure, kidney failure, and stroke. Aryanti explains the importance of regular palliative evaluations to understand a patient's condition and manage symptoms. The video shows a hands-on approach to filling out an assessment form, focusing on subjective data from the patient about their symptoms such as pain, fatigue, nausea, and emotional distress. The assessment helps guide medical and nursing interventions for the patient’s end-of-life care, with an emphasis on daily updates and family involvement in care decisions.

Takeaways

• 😀 Importance of palliative care assessment: It helps evaluate and manage symptoms, especially for patients with terminal conditions like cancer, heart failure, kidney failure, stroke, and HIV/AIDS.
• 😀 Palliative care assessments are critical for end-of-life care: They allow healthcare providers to monitor changes in a patient's condition and adjust treatment accordingly.
• 😀 The primary tool for palliative assessment is the Edmonton Symptom Assessment System (ESAS), which helps gather subjective data from patients.
• 😀 The goal is to empower patients and families to fill out assessment forms: If patients cannot fill them out, caregivers can be taught to do so.
• 😀 The ESAS form evaluates symptoms like pain, fatigue, nausea, stress, anxiety, and sleep issues, with patients rating them on a scale from 0 to 10.
• 😀 The palliative care assessment is done regularly, ideally every 24 hours, to monitor the patient's condition and adjust care plans.
• 😀 During a palliative assessment, it's essential to ask about the patient's physical, emotional, and mental state to provide holistic care.
• 😀 Assessing the patient's ability to perform daily activities is important: This helps healthcare providers determine their functional status and need for assistance.
• 😀 The clinical assessment includes asking about concerns beyond physical symptoms, such as financial stress or logistical issues like insurance coverage.
• 😀 Palliative care helps patients approach the end of life in a dignified manner: It focuses on reducing suffering, improving quality of life, and supporting families during difficult times.

Q & A

Why is palliative assessment important for patients, especially those with terminal conditions?

Palliative assessment is crucial for patients with terminal conditions like cancer, heart failure, kidney failure, stroke, or HIV/AIDS. It helps monitor their fluctuating condition, evaluate the effectiveness of treatments, and assess their overall well-being, especially when there is no further curative treatment available.

What is the goal of the practical session in the video?

The goal of the practical session is for students to learn how to conduct palliative assessments using established formats like the Edmonton Symptom Assessment System (ESAS), enabling them to gather subjective data from patients effectively.

How can family members or caregivers contribute to filling out the palliative assessment form?

If the patient is unable to fill out the form themselves, family members or caregivers can assist in completing it. The goal is to ensure that the form is filled daily to track the patient's condition and response to treatment.

What is the significance of the scoring system used in the palliative assessment form?

The scoring system allows healthcare providers to quantify the severity of symptoms like pain, fatigue, nausea, stress, and anxiety. This enables the team to monitor changes in the patient's condition and adjust treatment plans accordingly.

What does the form help evaluate, aside from physical symptoms?

Aside from physical symptoms like pain or nausea, the form also helps evaluate psychological aspects such as stress, anxiety, and overall well-being. This holistic approach is essential for palliative care, as it addresses both physical and emotional needs.

How is the patient's functional status determined during the assessment?

The patient's functional status is assessed using the Eastern Cooperative Oncology Group (ECOG) performance status. This grading system helps determine the patient's ability to perform daily activities and their level of dependence on caregivers.

What role does the family play in palliative care according to the video?

Family members play a significant role in palliative care by assisting with daily activities such as personal hygiene and mobility. They also help complete the palliative assessment form when the patient is unable to do so independently.

How often should the palliative assessment be conducted?

The palliative assessment should be conducted daily, ideally every 24 hours, to track changes in the patient's condition and ensure timely interventions for any emerging issues.

What can healthcare providers infer from the palliative assessment data?

Healthcare providers can infer patterns of symptom severity, the patient's quality of life, and their response to treatment. This data helps inform decisions about care adjustments and the overall management of the patient's end-of-life care.

Why is it important to use standardized tools like ESAS in palliative care?

Standardized tools like ESAS ensure that the palliative assessment is consistent, comprehensive, and objective. They help healthcare professionals gather reliable data on the patient's symptoms, which is crucial for providing personalized and effective care.