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Palliative Care - Clinical Tools

The following clinical tools are commonly used in end-of-life care:

Palliative Performance Scale (PPS)
The PPS is designed to allow health care professionals to measure performance status at the end of life based on five objective indicators.

 Palliative Performance Scale

Edmonton Symptom Assessment System (ESAS)
The ESAS is designed to help health care professionals assess common symptoms at the end of life. The ESAS elicits the patient’s subjective perception using a numerical scale.

 Edmonton Symptom Assessment System

CAGE: Ewing, J.W. (1984). Detecting alcoholism: The CAGE questionnaire. JAMA: Journal of the American Medical Association, 252, 1905-1907.
The CAGE is a brief screening tool to assess for the risk of alcoholism. Co-occurring symptoms and substance use issues at the end of life require careful management. Screening for the risk factors is important.

http://www.mercycarehealthplans.com/ace-files/Alcohol%20DCM/ScreeningToolsCAGEASSESSMENT.pdf

PAINAD
The Pain Assessment in Advanced Dementia (PAINAD) was developed to assess pain in patients who are cognitively impaired, non-communicative, or suffering from dementia and unable to use self-report methods to describe pain. Observation of patients during activity records behavioural indicators of pain: breathing, negative vocalization, facial expression, body language, and consolability.

 www.mhpcn.ca/uploads/PAINAD.1276125778.pdf

Bowel Management Guidelines: Victoria Hospice:
 www.victoriahospice.org/sites/default/files/
2bbbowelperformancescale.pdf

Psychosocial Assessment Tool: Victoria Hospice:
 www.victoriahospice.org/sites/default/files/
psychosocial_assessment_2010.pdf

Fraser Health: Hospice Palliative Care Program Symptom Guidelines:
 www.fraserhealth.ca/professionals/
hospice_palliative_care/

O-V Symptom (pain) acronym Assessment Scale
http://www.fraserhealth.ca/media/SymptomAssesment.pdf

Yukon Advance Care Directive:
 www.hss.gov.yk.ca/advance_directives.php

Palliative Care Program

Phone: 867-456-6807
Toll free (in Yukon): 1-800-661-0408 ext. 6807
Location: 109 Copper Road

Mailing Address:
Palliative Care Program
Government of Yukon
Box 2703
Whitehorse, Yukon
Y1A 2C6