Development of a Guide to Multidimensional Needs Assessment in the Palliative Care Initial Encounter (MAP).

Autor: Goni-Fuste B; Department of Nursing, School of Medicine and Health Sciences (B.G-F., C.M-R.), Universitat Internacional de Catalunya, Sant Cugat del Vallés (Barcelona), Spain., Pergolizzi D; School of Medicine and Health Sciences (D.P., J.J-T., D.M-A., J.P-S., A.B.), Universitat Internacional de Catalunya, Sant Cugat del Vallés (Barcelona), Spain., Monforte-Royo C; Department of Nursing, School of Medicine and Health Sciences (B.G-F., C.M-R.), Universitat Internacional de Catalunya, Sant Cugat del Vallés (Barcelona), Spain. Electronic address: cmonforte@uic.es., Alonso-Babarro A; Hospital Universitario La Paz (A.A-B.), Universitat Autonoma de Madrid, Madrid, Spain., Belar A; Instituto Cultura y Sociedad (A.B.), Universidad de Navarra, IdiSNA, Pamplona, Spain., Crespo I; Department of Basic Sciences (I.C.), School of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain., Güell E; Hospital Universitari Sant Pau (E.G., A.P.), Barcelona, Spain., Julià-Torras J; School of Medicine and Health Sciences (D.P., J.J-T., D.M-A., J.P-S., A.B.), Universitat Internacional de Catalunya, Sant Cugat del Vallés (Barcelona), Spain; Department of Palliative Care (J.J-T.), Institut Català d'Oncologia Badalona, Badalona, Spain., Moreno-Alonso D; School of Medicine and Health Sciences (D.P., J.J-T., D.M-A., J.P-S., A.B.), Universitat Internacional de Catalunya, Sant Cugat del Vallés (Barcelona), Spain; Institut Català d'Oncologia L'Hospitalet (D.M-A., G.S-B.), L'Hospitalet, Barcelona, Spain., Nabal Vicuña M; Hospital Universitari Arnau de Vilanova (M.N.V.), Lleida, Spain; Faculty of Medicine (M.N.V.), Universidad de Lleida, Lleida, Spain., Pascual A; Hospital Universitari Sant Pau (E.G., A.P.), Barcelona, Spain., Porta-Sales J; School of Medicine and Health Sciences (D.P., J.J-T., D.M-A., J.P-S., A.B.), Universitat Internacional de Catalunya, Sant Cugat del Vallés (Barcelona), Spain., Rocafort J; Fundación Vianorte-Laguna (J.R.), Madrid, Spain; School of Medicine (J.R.), Francisco de Vitoria University, Madrid, Spain., Rodríguez-Prat A; Department of Humanities (A.R-P.), School of Humanities, Universitat Internacional de Catalunya, Barcelona, Spain., Rodríguez D; Hospital Universitari Sant Joan de Reus (D.R.), Reus, Spain., Sala C; Consorci Sanitari de Terrassa (C.S.), Terrassa, Spain., Serrano-Bermúdez G; Institut Català d'Oncologia L'Hospitalet (D.M-A., G.S-B.), L'Hospitalet, Barcelona, Spain., Serna J; Hospital Universitari Vall d'Hebron (J.S.), Barcelona, Spain., Balaguer A; School of Medicine and Health Sciences (D.P., J.J-T., D.M-A., J.P-S., A.B.), Universitat Internacional de Catalunya, Sant Cugat del Vallés (Barcelona), Spain.
Jazyk: angličtina
Zdroj: Journal of pain and symptom management [J Pain Symptom Manage] 2023 Oct; Vol. 66 (4), pp. 361-369.e6. Date of Electronic Publication: 2023 Jul 17.
DOI: 10.1016/j.jpainsymman.2023.07.011
Abstrakt: Context: Ensuring patient-centered palliative care requires a comprehensive assessment of needs beginning in the initial encounter. However, there is no generally accepted guide for carrying out this multidimensional needs assessment as a first step in palliative intervention.
Objectives: To develop an expert panel-endorsed interview guide that would enable proactive and systematic Multidimensional needs Assessment in the Palliative care initial encounter (MAP).
Methods: A preliminary version of the MAP guide was drafted based on a published literature review, published semistructured interviews with 20 patients, 20 family carers, and 20 palliative care professionals, and a nominal group process with palliative care professionals and a representative of the national patient's association. Consensus regarding its content was obtained through a modified Delphi process involving a panel of palliative care physicians from across Spain.
Results: The published systematic literature review and qualitative study resulted in the identification of 55 needs, which were sorted and grouped by the nominal group. Following the Delphi process, the list of needs was reduced to 47, linked to six domains: Clinical history and medical conditions (n = 8), Physical symptoms (n = 17), Functional and cognitive status (n = 4), Psycho-emotional symptoms (n = 5), Social issues (n = 8), and Spiritual and existential concerns (n = 5).
Conclusion: MAP is an expert panel-endorsed semi-structured clinical interview guide for the comprehensive, systematic, and proactive initial assessment to efficiently assess multiple domains while adjusting to the needs of each patient. A future study will assess the feasibility of using the MAP guide within the timeframe of the palliative care initial encounter.
(Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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