From: Screening with the double surprise question to predict deterioration and death: an explorative study
Consultations GP | Consultations at practice, also for small surgery. |
Telephonic consultations GP | Telephonic consultations or mail contact with patient or caregiver/family, not regarding practicalities such as faxing medical data, or only to inform about lab results. Also: A reaction from the GP at a medical question from the patient, asked by telephone to the assistant. |
Home visits GP | Home visits of the GP. |
Consultations practice nurse | Consultations, telephonic consultations, home visits, mail contact and reactions to questions from the patient asked to the assistant, by the somatic and psychological practice nurse or the specialized nurse, not regarding practicalities, or only to inform about lab results. |
Consultations practice assistant | Consultations, telephonic consultations, home visits, mail contact and reactions to questions from the patient, not regarding practicalities such as faxing medical data or to repeat medication recipes, or only to inform about lab results. Also for diagnostic tests, wound controls and small surgery. If the (telephonic) consultation of the assistant was followed by a consultation or home visit of the GP, only the latter was counted. |
Quality of palliative care and ACP | Everything regarding the aspects of palliative care and ACP, noted in the patient file by the GP, the assistant, the practice nurse or the specialized nurse. |
If a will statement was uploaded into the patient file, any ACP directives that it contained were counted. | |
Dimensions: | |
Somatic: symptoms, complaints, general health | |
Psychological: fear, depressed mood, emotions, anger, denial, anxiety, worries | |
Social: social contacts, tensions between patient and loved ones or care providers, financial worries, leaving loved ones when dying, saying goodbyes | |
Existential: things that occupy someone, balance of life, questions regarding life and death, preparing for dying, a wish to die, feeling powerless or dependant, hope, faith | |
Home care | If anywhere during the year, home care was given, it was counted as ‘yes’. |
Diseases | Also diseases that were diagnosed before the screening with the SQs were counted. |
Cancer: only when active disease or active treatment | |
Cardiovascular disease: all cardiovascular diseases, including hypertension, cardiovascular incidents and vascular disease. |