Dadich et al used the mnemonic POMSAME as an aid to remember the elements of a palliative care assessment. Its use can improve documentation of care.
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Parameter
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Description
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pain (P)
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type, level of VAS scale, new vs old
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orientation and oral (O)
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GCS, drowsiness, delirium, mucosa, oral thrush, dysphagia
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mobility (M)
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falls risk, walking aid
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social situation (S)
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carer support, family dynamics
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nausea (N)
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vomiting frequency, causes
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appetite (A)
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food consumption, weight changes
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medication (M)
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medication changes
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elimination (E)
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constipation, incontinence
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The assessment is performed at baseline and during follow-up.
