Learning modules
Activity 6: Assessment tools
Guiding clinical assessment
There are many reliable and validated tools available to guide health professionals with symptom assessment.
Assessment tools can be designed to:
- assess multiple symptoms e.g. the Symptom Assessment Scale (SAS) [1]. These tools are useful in routine practice for screening to identify individuals experiencing symptoms.
- guide the assessment of an individual symptom e.g. the Brief Pain Inventory [2]. These tools enable a more comprehensive assessment to identify causes and effects of symptoms.
- identify specific needs in order to provide relevant care/services e.g. The FACIT SP 12 – a spiritual assessment tool [3].
One example of a needs assessment tool is the Needs Assessment Tool: Progressive Disease – Cancer (NAT: PD-C) [4]. This tool was developed in conjunction with the The Palliative Care Needs Assessment Guidelines [5] to facilitate needs based care for people with advanced cancer and their families, including palliative care.
The NAT: PD-C was developed to assist health professionals in matching the types and levels of need experienced by people with advanced cancer with the most appropriate people or services to address those needs. It can be used in both generalist and specialist settings.
REFERENCES
1. Palliative Care Outcomes Collaboration. (2008). Symptom Assessment Scale. Retrieved September 15, 2010, from http://ahsri.uow.edu.au/content/groups/public/@web/@chsd/@pcoc/documents/doc/uow090421.pdf
2. Cleeland, C.S., & Ryan, K.M. (1994). Pain assessment: global use of the Brief Pain Inventory. Ann Acad Med Singapore, 23(2),129-38.
3. FACIT. (2007). FACIT -Sp-12: Spiritual Well Being. Retrieved September 15, 2010, from http://www.facit.org/FACITOrg/Questionnaires
4. Centre for Health Research and Psycho-oncology. (2009). Needs Assessment Tool: Progressive Disease – Cancer (NAT: PD-C). Retrieved September 15, 2010, from http://www.newcastle.edu.au/Resources/Research%20Centres/CHERP
/professionalresources/NATPDC_final.pdf
5. Girgis, A., Johnson, C., Currow, D., Waller, A., Kristjanson, L., Mitchell, G., Yates, P., Neil, A., Kelly, B., Tattersall, M., & Bowman, D. (2006). Palliative Care Needs Assessment Guidelines. Newcastle, NSW: The Centre for Health Research & Psycho-oncology. Retrieved September 15, 2010, from http://www.newcastle.edu.au/Resources/Research%20Centres/CHERP
/professionalresources/Palliative%20Care%20Needs%20Assessment%20
Gde%20-%20summary%20for%20website%20090527.pdf
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Thinking points
Thinking points
Activity 6: Assessment tools
- Visit the International Association for Hospice & Palliative Care website and identify an assessment tool that might be used to assess the symptom of breathlessness.
- Comment on whether the tool assesses the multiple dimensions of the symptom?
- Comment on whether the tool assesses the individual’s experience of the symptom?
- Comment on whether the tool is useful for assessing breathlessness associated with different conditions such as chronic heart failure or advanced lung cancer?
- What advantages and limitations would this assessment tool have in practice? Provide reasons for your answer.





