Table 4

Checklist for clinicians based on domains of palliative care

DomainClinician activity
Structure and processes of careProvide patient-centred care based on patient/family goals and values. Apply research to inform evidence-based practice.
Develop a network with palliative care professionals/teams.
Physical aspects of careSet up a format for palliative care consultation visits to address patient/caregiver needs, use planned assessment questions to identify needs, address advanced care planning as ongoing, document palliative care discussions and decision in the electronic record, and document outcomes, including visit frequency, satisfaction with care, and place and manner of death.
Psychological and psychiatric aspects of careCoordinate care across settings (primary care, emergency care, long-term care, etc.) to enhance patient/family communication and address psychological concerns as well as physical care.
Social aspects of careDesignate palliative care team members with training on collaborative assessment and interdisciplinary communication skills to identify patient and family strengths and incorporate evidence-based care practices.
Provide ongoing education.
Spiritual, religious, and existential aspects of careAssess and provide support to address spiritual concerns throughout the disease trajectory, with care designed to promote practices for comfort and relief of suffering, including referrals such as to pastoral care or other spiritual advisors.
Cultural aspects of careBecome knowledgeable about local healthcare settings and resources; provide linguistic competence in service delivery.
Care of the patient at the end of lifePlainly communicate to patients and families how to recognise signs and symptoms of the process of dying.
Bereavement support begins with recognition and communication to patient/family about prognosis (e.g. hours to days) and support for anticipatory grieving.
Ethical and legal aspects of careAlways consider advanced directives in practice.
Acknowledge legal and regulatory issues with access to legal counsel supported.

Information from [20].