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Updated: May 7, 2026

Oral Health Assessment by Lay Personnel for Older Adults

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

Evaluating an holistic assessment tool for palliative care practice.

Sonja McIlfatrick¹, Felicity Hasson

¹Institute of Nursing Research, University of Ulster/All Ireland Institute of Hospice and Palliative Care, Northern Ireland, UK.

Journal of Clinical Nursing

|October 10, 2013

Summary

This study evaluated a holistic assessment tool for palliative care, finding it aids in identifying patient needs, particularly physical ones. However, communication and assessor experience remain key factors for effective implementation in practice.

Keywords:

assessment evaluation research holistic care mixed methods palliative care

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Area of Science:

Palliative Care
Healthcare Assessment Tools
Patient Needs Identification

Background:

Effective holistic palliative care necessitates thorough patient needs assessment.
Existing tools for holistic palliative care assessment require further evaluation for appropriateness.

Purpose of the Study:

To evaluate a holistic assessment tool for palliative care practice.
To identify patients' needs using the tool.
To explore the usability, applicability, and barriers/facilitators of the tool's implementation.

Main Methods:

Mixed-method research design.
Analysis of 132 piloted holistic assessments.
Two focus groups with 10 healthcare professionals.

Main Results:

The tool effectively identified patient needs, especially physical ones.
Discrepancies noted between tool data and focus group feedback regarding care priorities and prognostic indicators.
Positive feedback highlighted ease of use and capturing individual needs; negative feedback cited repetitiveness and assessor experience.

Conclusions:

The holistic assessment tool supports patient needs identification in palliative care.
Communication and the tool's role as an aid, not a replacement for professional judgment, are crucial for sensitive care discussions.