Beck Depression Inventory
A widely used multiple-choice self-report inventory for measuring the severity of depression. Designed for ages 13+ and used in a variety of settings, including palliative care. Important in terms of differentiating between grief and depression in this context. The original form comprised 21 items while the rapid version (BDI-SF) comprises 13 items.
Registration or payment Registration and payment required. The Psychological Corporation administers the rights for the Beck scales under contract from Dr Beck. This tool can be purchased through www.psychcorp.com.
Braden Pressure Ulcer Assessment or Braden Scale
A pressure ulcer risk scale based on six unique indicators with total scores ranging from 6-23. Lower scores are associated with higher levels of risk for pressure ulcer development. The scale has been widely validated in palliative care populations demonstrating good sensitivity and specificity
Confusion Assessment Method (CAM)
The CAM instrument is brief (less than 5 minutes) and is used to screen for overall cognitive impairment and has demonstrated good psychometric validity with close conceptual fit to DSM-IV criteria for delirium. A training manual is available online.
The distress thermometer (DT) has been widely used in research and cancer service settings to detect clinically significant distress. One rating scale (distress thermometer) (0- 10) 'Extreme distress' to 'No distress'. Plus 33 statements (Yes/No). Requirement for registration and payment: As the tool is copyright protected.
Registration or payment The NCCN Distress Thermometer and Problem List may not be used for any commercial purpose, including publication in journals, text books, etc., without the express written permission of NCCN.
If you would like to request permission to use the tool for any purpose other than direct treatment of patients or use in grants or research, please visit the NCCN Permissions Request Form.
MOCA or Montreal Cognitive Assessment
MOCA is designed to aid health professionals in the detection of mild cognitive impairment. The MOCA is brief, well-validated and available in 35 languages.
Nursing Delirium Screening Scale (NuDESC)
The NuDESC is an observational 5-item scale used to assess delirium. The scale has reportedly demonstrated good psychometric validity and reliability, has a close conceptual fit to DSM-IV criteria, and due to its short length, can be completed at the end of each nursing shift providing continuous 24 hour assessment.
Other pain assessment tools (ELDAC)
1. PQRST method
2. Clinical assessment
3. Abbey pain scale
4. Pain numeric rating scale
5. Verbal descriptor scale (pain thermometer)
6. Modified resident’s verbal brief pain inventory (M-RVBPI)
Patient Assessment of Constipation Quality of Life (PAC-QOL)
The PAC-QOL is an instrument generated from the literature, expert consultation and patient’s reports to evaluate constipation over time.
Registration or payment Registration and payment is required in the instance of funded studies or those in other languages
PEPSICOLA assessment guide
Represents an aide-memoire considering the patients holistic needs described in acronym (PEPSI COLA; e.g., S refers to Social support). Individual domains identify possible patients concerns via cue questions. Rationale is for a documented assessment that can be transferred to relevant health professionals involved in multidisciplinary team care. Intended to complement medical discharge summary to document unique care aspects of palliative care patients.
Registration or payment Registration is required as the guide is copyright protected (part of the © National Gold Standards Framework Centre Thomas K 2009) but noted no payment is required.
Prolonged Grief Disorder [PG -13]
PG-13 is a diagnostic screening tool for PGD. A person who endorses experiences consistent with PGD are likely to benefit from specialised assessment by a mental health professional and treatment. The PG-13 was revised in 2021 to reflect contemporary understandings of PGD and incorporate more user-friendly language (PG-13R).
PG-13 has been widely used in epidemiological and clinical research settings in western and non-western countries; however, there is a need for future research to confirm psycho-metric properties in more ethnically diverse populations. It may be used clinically as a screening tool or as part of a comprehensive assessment to help identify probable PGD. (2021)
Prigerson, H. G., Boelen, P. A., Xu, J., Smith, K. V., & Maciejewski, P. K. (2021). Validation of the new DSM-5-TR criteria for prolonged grief disorder and the PG-13-Revised (PG-13-R) scale. World psychiatry : official journal of the World Psychiatric Association (WPA), 20(1), 96–106.
Symptom Assessment Score (SAS)
The Symptom Assessment Scale (SAS) describes the patient’s level of distress in response to seven of the most common symptoms experienced by palliative patients; difficulty sleeping, appetite problems, nausea, bowel problems, breathing problems, fatigue and pain. The instrument is designed to be a patient rated tool but also allows for rating by proxy. The SAS is also one of 5 assessment tools used in the national Palliative Care Outcomes Collaboration (PCOC) open to participation by all palliative care services.
The Brief Fatigue Inventory (BFI)
The Brief Fatigue Inventory (BFI) is used for rapid assessment of the severity and impact of cancer-related fatigue. An increasing focus on cancer-related fatigue emphasized the need for sensitive tools to assess this most frequently reported symptom. The six inventory items correlate with standard quality-of-life measures.
The BFI Tool - https://www.ons.org/assessment-tools/brief-fatigue-inventory-english
Registration or payment Registration is required as the tool is copyright protected but no fees are required for clinical practice