Abstract：
BACKGROUND AND OBJECTIVE:Around 75% of the population in our country will die as a consequence of chronic advanced diseases. Advanced chronic care is one of the major challenges for public health systems. This study describes the development of a tool to identify patients with advanced chronic diseases and life limited prognosis that might require some type of palliative intervention in our health and social environment. MATERIAL AND METHODS:Spanish translation of PIG/GSF, cultural and clinical adaptation, identification of indicators of severity and progression -general and specific-; study of content validity and pre-test. RESULTS:The NECPAL CCOMS-ICO(©) tool proposes a quantitative-qualitative, multifactorial, indicative and not dichotomous evaluation combining subjective perception assessment (surprise question) with demand and perceived needs; parameters of severity and progression, geriatric syndromes, emotional aspects, comorbidity and use of resources; and indicators for selected pathologies. CONCLUSIONS:The NECPAL CCOMS-ICO(©) tool, feasible and easy to use, would identify patients with advanced chronic palliative needs of any cause, early and in all resources.
journal_name
Med Clin (Barc)journal_title
Medicina clinicaauthors
Gómez-Batiste X,Martínez-Muñoz M,Blay C,Amblàs J,Vila L,Costa Xdoi
10.1016/j.medcli.2012.06.027subject
Has Abstractpub_date
2013-03-16 00:00:00pages
241-5issue
6eissn
0025-7753issn
1578-8989pii
S0025-7753(12)00715-4journal_volume
140pub_type
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