TABLE 5.3 Categories of Patient/Family Outcome Measures for End-of-Life Care


Overall quality of lifeSpiritual well-being
• Overall experience of living as perceived by patient• Continued meaning in life
 • Composure despite physical distress
 • Readiness for death
 • Religious or philosophical peace
 
Physical well-being and functioningPatient perceptions of care
• Specific symptoms (description or rating; "bothersomeness")• Overall satisfaction with care
• Overall comfort or distress (not just frequency or intensity of symptoms)• Technical and physical aspects (e.g., prevention and relief of symptoms, surroundings)
• Functioning (given the stage of illness) • Interpersonal aspects (e.g., sensitivity of caregivers, continuity, information provided)
  • Consistency with patient preferences (e.g., site of care, therapies)
 
Psychosocial well-being and functioningFamily well-being and perceptions (before and after patient's death)
• Cognitive status• Emotional status of family members
• Emotional status• Economic status of family
• Social interactions• Adequacy of information and decisionmaking process
• Self-image• Perceptions of care provided patient
• Sense of control and dignity • Perceptions of care provided family including bereavement support



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