![]() Tailored information-provision includes inviting patients to also discuss topics they did not consider themselves.Īdvance care planning, information needs, palliative care, palliative medicine, question prompt list, symptom assessment Patients often also want information about non-prioritised symptoms and other palliative care domains. Patients in the symptom-directed phase needed more information about hospice care.Ĭonclusion: Symptom burden and information needs are related. Patients also wanted information about symptoms for which they reported low burden. Patients wanted information about 1-38 (median = 14) items, mostly Fatigue (68%), Possibilities to manage future symptoms (68%) and Possible future symptoms (67%). Patients reported highest burden for Fatigue (median = 7) and Loss of appetite (median = 6) and prioritised Pain (26%), Fatigue (9%) and Shortness of breath (9%). Median age was 65 years (IQ-range, 57-72), 49% were male and 96% had cancer. Results: Conversation guides were used by 266 patients. Non-parametric tests assessed associations. Methods: Observational study: patient-reported symptom burden and information needs were collected via a conversation guide comprising assessment scales for 12 symptoms (0-10), the question which symptom has priority to be solved and a question prompt list on 75 palliative care-related items (35 topics, 40 questions). There is a perception that a ROS only needs to be done during your initial encounter with the patient, but this is not correct.Objective: The objective of this study is to study (1) the relationship between patient-reported symptom burden and information needs in hospital-based palliative care and (2) differences in patient-reported needs during the disease trajectory. In addition the physician should initial the ROS questionnaire and maintain the form in the chart as a permanent part of the medical record.E/M University Coding Tip: Many physicians overlook the fact that many follow-up encounters DO require a ROS. However, the physician MUST review the information and comment on pertinent findings in the body of the note. It is acceptable to have your staff record the ROS or to let the patient fill out an ROS questionnaire. ![]() It is acceptable to document a few pertinent positive or negative findings and then say: “All other systems were reviewed and are negative.”E/M University Coding Tip: It is not necessary that the physician personally perform the ROS. Complete ROS: Requires review of at least 10 systemsE/M University Coding Tip: When documenting the ROS, it is not necessary to list each system individually. Extended ROS: Requires review of TWO to NINE systems. ![]()
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