Instruments for evaluating hospitalised patients in palliative care: integrative review
Bibliographic record
Abstract
The need for careful assessment of patients as to their needs in palliative care motivated the present study, in which the objective was to identify instruments used for the assessment of the hospitalised patient in palliative care. This is an integrative literature review study, carried out from October to November 2021, on online database platforms: U.S. National Library of Medicine, Latin American and Caribbean Literature on information on Health Sciences, Scientific Electronic Library Online and the Virtual Health Library. A total of 126 scientific articles were located, of which 10 were selected to compose the study sample. Fifteen instruments were identified, six generic, four specific for people in palliative care, four specific for cancer patients and one for patients diagnosed with COVID-19. The instruments that were most repeated among the studies were: Palliative Performance Scale and Edmonton Symptom Assessment. The most relevant aspects to be evaluated in palliative care patients were: functional capacity, physical and psychological symptoms and advanced age. The instruments proved useful to guide health professionals in patient assessment, care planning and decision making.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.012 | 0.033 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.019 | 0.014 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".