Health Condition 1: null- Advanced cancer Health Condition 2: C00-D49- Neoplasms
Conditions
Interventions
None listed
Sponsors
Tata Memorial Hospital
Eligibility
Inclusion criteria
Inclusion criteria: Clinical assessment case record forms, maintained in the Department of Palliative Medicine of assessment of advanced cancer patients over 18 years and above, with documentation of psychological evaluation of patients in the initial consultation (face to face interview) and/or subsequent 2 follow up assessments (face to face or telephonic consultation).
Exclusion criteria
Exclusion criteria: Clinical assessment case record forms of patients will be excluded will be excluded if 1. Patients were not evaluated for psychological assessment â?? as per the records in their case notes 2. Patients had very poor functional/performance status and hence, unable to undergo detailed psychological assessment - as per the records in their case notes (recorded performance status) 3. Patients were in severe pain and/or with severe physical symptom/s and/or severe cognitive impairment, and hence, unable to undergo detailed psychological evaluation - as per the records in their case notes (recorded symptom assessment) 4. Patients were unable or reluctant to verbally communicate with palliative care staff during their initial assessment or follow up consultations - as per the records in their case notes 5. Caregivers were reluctant for patients to communicate with palliative care staff during their initial assessment and follow up consultations - as per the records in their case notes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency and percentage of forms meeting eligibility criteria Frequency and percentage of forms meeting standard of 60% set for the audit i.e. at least 60% of the patient assessment forms should have documentation of assessment of spiritual concerns Frequency and percentage of number and types of problems and lacunae noted in the documented notesTimepoint: Frequency and percentage of forms meeting eligibility criteria -types of problems and lacunae noted in the documented notes - 1) initial audit 2) re-audit after 2 months following implementation of changes | — |
Secondary
| Measure | Time frame |
|---|---|
| Formulation of a final plan for improvement in the practice of assessment and documentation of spiritual concerns of advanced cancer patients evaluated in the Department of Palliative Medicine. Timepoint: Single point - at the end of re-audit i.e. 2 months after implementation of changes | — |
Countries
India
Contacts
Public ContactDr Jayita Deodhar
Tata Memorial Hospital
Outcome results
None listed