WorksheetsPractice survey
Total questions: 5
Worksheet time: 3mins
Name
Class
Date
1.
In the last 12 months, have you had any formal training in palliative care/end of life care?
a)
Yes
b)
NO
c)
N/A
2.
In the last 12 months have you done any advanced care plan with a palliative care patient?
a)
Yes
b)
No
c)
N/A
3.
In the last 12 months have you sent a summary of a patient's advanced care plan to the OOH team?
a)
Yes
b)
No
c)
N/A
4.
Do you feel confident in assessing if a patient maybe in their last 1-2 years of life and hence suitable for palliative care management?
a)
Yes
b)
No
c)
N/A
5.
Do you feel confident in having conversations about end of life care with patients and their carers/relatives?
a)
Yes
b)
No
c)
N/A
100 %
