Table 3 items kept for the instrument at each round
Items kept after first round | Items kept after second round |
|---|---|
General PC | |
Surprise question 12 months | PC required by healthcare professional |
PC required implicitly or explicitly by patients or relatives | At least one distressing symptom |
Disease that cannot be treated, vital prognosis is underway | General functional decline |
Interruption of any vital support measures | |
Other markers of severity and extreme fragility | |
≥ 2 unscheduled hospitalizations | |
Significant co-morbidity | |
Emotional distress | |
Specialised PC | |
Persistent and distressing symptoms | Difficulties in assessing symptoms |
Severe psychological and/or existential distress | |
Psychosocial distress patient and/or relatives | |
Difficulties in communicating about therapeutic/care objectives | |
Significant disagreement, uncertainty or conflict | |
Specialised PC team required by healthcare professional | |
Palliative sedation envisaged | |