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Table 3 RADIANT scoring table

From: Adding a second surprise question triggers general practitioners to increase the thoroughness of palliative care planning: results of a pilot RCT with case vignettes

Item

Score

Provenancea

1. Discusses patient’s personal aspects of quality of life

1

x, y

2. Discusses how to achieve patient’s personal goals

1

q, x, y

3. Adheres to the patient’s preferences

1

q, y

Provides attention to the following dimensions:

 

q, x, y

 4. Somatic problems

  

 5. Social context and finances

  

 6. Caregiving and activities of daily living

  

 7. Existential and psychological issues

  

8. Involves other disciplines, including consultation team palliative care

1

y

9. Provides palliative care alongside disease-oriented care

1

x

Discusses advance care planning aspects:

  

 10. Hospital admissions

1

q, z

 11. Antibiotics use

1

q, z

 12. CPR policy

1

q, y, z

 13. Mechanical ventilation

1

q, z

 14. Treatment limitations – not specified

1

q, y

 15. Dying scenario’s

1

q, y

 16. Life prolonging treatments (e.g. artificial feeding and i.v. fluids)

1

q, z

 17. Preferences for end-of-life care (e.g. palliative sedation, euthanasia)

1

q, y, z

 18. Preferred place of death

1

q, y, z

 19. Writes assignment for the out-of-hours GP cooperative

1

q

 20. Involves family and loved-ones in care planning

1

q, x, y

 21. Provides care to family and loved-ones

1

x, y

Maximum score

21

 
  1. aprovenance, q Royal Dutch Medical Association [26], x WHO definition of palliative care [3], y Pallialine [24], z Thuisarts [25]