Objective: To identify criteria for measuring the eligibility
of patients with end-stage noncancer diseases for palliative care services
in Australian residential aged care facilities.
Methods: No validated set if guidelines were available so
five instruments were used: an adaptation of the American National Hospice
Association Guidelines; a recent adaptation of the Karnofsky Performance
Scale; the Modified Barthel Index; the Abbey Pain Score for assessment of
people who are nonverbal and a Verbal Descriptor Scale, also for pain
measurement. In addition, nutritional status and the presence of other
problematic symptoms and their severity were also sought.
Results: The adapted American National Hospice Association
Guidelines provided an initial indicative framework and the other
instruments were useful in providing confirmatory data for service
eligibility and delivery.