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Washington State Rural Palliative Care Initiative Palliative Care Screening ToolOrganization graphic identity impatient Name: ___Date: ___ (Not a permanent part of the medical record)Criteria Please
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How to fill out palliative care screening tool

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How to fill out palliative care screening tool

01
Gather the necessary information and materials needed for the screening tool.
02
Review the patient's medical history and current symptoms.
03
Ask the patient or their caregivers relevant questions to assess their physical, emotional, and spiritual needs.
04
Document the responses accurately on the screening tool.
05
Discuss the findings with the patient's healthcare team to determine the appropriate care plan.

Who needs palliative care screening tool?

01
Patients with serious illnesses such as cancer, heart failure, or chronic obstructive pulmonary disease.
02
Patients experiencing significant physical, emotional, or spiritual distress.
03
Patients who may benefit from palliative care services to improve their quality of life.
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Palliative care screening tool is a tool used to identify patients who may benefit from palliative care services.
Healthcare providers and facilities are required to file palliative care screening tool for their patients.
Palliative care screening tool can be filled out by healthcare professionals based on the patient's condition and needs.
The purpose of palliative care screening tool is to ensure that patients receive appropriate palliative care services.
Information such as patient's medical history, symptoms, and treatment preferences must be reported on palliative care screening tool.
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