Palliative Care in Südwest-RLP

Screening-Instrumente in der Palliativmedizin

Palliativmedizinische Screening-Instrumente

Screening-Instrumente in der Palliativmedizin


1. Problems and Needs in Palliative Care Questionnaire (PNPC)


  • Anwendung: Systematische Bedarfserfassung bei metastasierten Krebserkrankungen[1][17]
  • Struktur: 138 Items in 4 Dimensionen (physisch, psychisch, sozial, spirituell)
  • Reliabilität: Cronbach’s α >0.70 für Kernbereiche[1]


2. Palliative Outcome Scale (POS)


  • Versionen: Selbst- und Fremdeinschätzungsversion (Proxy)[2][12]
  • Skala: 11 Items auf 5-stufiger Likert-Skala (0-40 Punkte)
  • Validierung: Differenziert zwischen Krebs- und COPD-Patienten[2]
Instrument Erfassungsdauer Zielgruppe
ESAS 3-5 Minuten Alle Palliativpatienten
FACT-Pal 15-20 Minuten Krebspatienten
MVQOLI 10-15 Minuten Terminalerkrankte


3. Edmonton Symptom Assessment System (ESAS)


  • 9 Kerndimensionen: Visuelle Analogskalen 0-10[3][13]
  • Goldstandard: Patientenselbsteinschätzung als zentrales Bewertungskriterium
  • Anwendung: >20 validierte Sprachversionen weltweit[13]


4. FACT-Pal


  • Struktur: 46 Items (27 FACT-G + 19 Palliativ-Items)[4][14]
  • Subskalen: Physisch, funktional, sozial/emotional, spirituell
  • Prädiktiv: Unterscheidet Überlebenszeiträume (<3 vs. >12 Monate)[4]


5. Missoula-VITAS Quality of Life Index


  • Innovation: Gewichtung der Dimensionen durch Patienten[5][9]
  • Revision: MVQOLI-R für vereinfachte Anwendung
  • Fokus: Existenzielle Erfahrungen und Transzendenz


6. McGill Quality of Life Questionnaire


  • Besonderheit: Erfasst positive Lebensaspekte[6][10]
  • Versionen: MQOL-E mit erweiterten Dimensionen (Umwelt, Kognition)
  • Skalierung: 0-10 Punkte mit inverser Kodierung bei 5 Items

Quellen


[1] https://pubmed.ncbi.nlm.nih.gov/15471650/
[2] https://pmc.ncbi.nlm.nih.gov/articles/PMC4996092/
[3] https://albertametis.com/app/uploads/2022/01/ESAS-Tool_V4.pdf
[4] https://pmc.ncbi.nlm.nih.gov/articles/PMC2746408/
[5] https://pubmed.ncbi.nlm.nih.gov/9743822/
[6] https://pubmed.ncbi.nlm.nih.gov/7582177/

Weitere Quellen

[1] Towards a new clinical tool for needs assessment in the palliative … https://pubmed.ncbi.nlm.nih.gov/15471650/
[2] The Palliative Outcome Scale (POS) applied to clinical practice and … https://pmc.ncbi.nlm.nih.gov/articles/PMC4996092/
[3] [PDF] Edmonton Symptom Assessment Scale (ESAS) Tool https://albertametis.com/app/uploads/2022/01/ESAS-Tool_V4.pdf
[4] Reliability and Validity of the Functional Assessment of Chronic … https://pmc.ncbi.nlm.nih.gov/articles/PMC2746408/
[5] Measuring quality of life for patients with terminal illness – PubMed https://pubmed.ncbi.nlm.nih.gov/9743822/
[6] The McGill Quality of Life Questionnaire: a measure of … – PubMed https://pubmed.ncbi.nlm.nih.gov/7582177/
[7] [PDF] No pain 0 1 2 3 4 5 6 7 8 9 10 Worst possible pain http://www.npcrc.org/files/news/edmonton_symptom_assessment_scale.pdf
[8] FACIT-Pal https://www.facit.org/measures/facit-pal
[9] [PDF] Missoula-Vitas Quality of Life Index – Ira Byock https://irabyock.org/wp-content/uploads/2023/04/Byock-I.-Merriman-M.-MVQoLI-in-QOL-Encyclopedia-January-2023.pdf
[10] [PDF] content validity and response processes of MQOL-E and QOLLTI-F … https://www.diva-portal.org/smash/get/diva2:1425740/FULLTEXT01.pdf
[11] [PDF] Palliative Care Needs Assessment Guidance – HSE.ie https://www.hse.ie/eng/about/who/cspd/ncps/palliative-care/resources/needs-assessment-guidance/palliative-care-needs-assessment-guidance-2411.pdf
[12] Palliative care Outcome Scale (POS) – Home https://pos-pal.org
[13] Implementation of the Edmonton Symptom Assessment System for … https://pmc.ncbi.nlm.nih.gov/articles/PMC5553963/
[14] FACIT-Pal-14 https://www.facit.org/measures/facit-pal-14
[15] [PDF] Missoula-VITAS Quality of Life Index (MVQOLI) http://www.npcrc.org/files/news/missoula_vitas_quality_of_life_index.pdf
[16] [PDF] QUESTIONNAIRE McGILL POUR MESURER LA QUALITÉ DE VIE … https://www.sfap.org/system/files/mqol_and_mqol-r_explication_et_cotation_4_avr_2017_fr.pdf
[17] Short Version (PNPC-Sv) For Assessing The Paliative Care Needs … https://www.researchgate.net/publication/357476145_Application_Application_Of_Problems_And_Needs_In_Palliative_Care_Instrument_-_Short_Version_PNPC-Sv_For_Assessing_The_Paliative_Care_Needs_For_Cancer_Patients
[18] POS and IPOS Summary Sheet – Palliative care Outcome Scale (POS) https://pos-pal.org/maix/pos-and-ipos-summary.php
[19] Perspectives on screening tools to identify palliative care needs in … https://apm.amegroups.org/article/view/107047/html
[20] Nurses‘ experiences of using the Integrated Palliative care Outcome … https://pmc.ncbi.nlm.nih.gov/articles/PMC10643850/