Get Instrumento Necpal-ccoms-ico Versin 30 2016 - Mon Uvic

This guide provides comprehensive instructions for users filling out the INSTRUMENTO NECPAL-CCOMS-ICO VERSIN 30 2016 online. With clear steps and details for each section, you will be able to navigate this document effectively.

Follow the steps to complete the form seamlessly.

1. Click the ‘Get Form’ button to obtain the form and access it in your preferred editing environment.
2. Begin by filling in the patient’s details, where you will need to include their name and health record (HC) number.
3. Enter the date on which you are filling out the form, using the format provided.
4. Specify the service that is relevant to the patient by entering the necessary details.
5. In the 'Responsables' section, fill in the names of those responsible for completing the document.
6. Address the surprise question regarding the likelihood of the patient passing away within the next year by selecting either 'Yes' or 'No'.
7. For the demand or need section, identify if there has been an expression of therapeutic limitation or demand for palliative care by indicating 'Yes' or 'No'.
8. Assess the patient's nutritional decline. Indicate 'Yes' or 'No' if there has been a weight loss greater than 10%.
9. Evaluate functional decline by assessing whether there has been a deterioration in Karnofsky or Barthel scores or if the patient has lost more than two activities of daily living.
10. In the cognitive decline field, note whether there has been a decline in mental status, answering 'Yes' or 'No'.
11. Continue assessing general clinical indicators over the last six months to determine the severity and progression of the patient's condition.
12. Review the persistent symptoms that the patient may be experiencing, checking all that apply.
13. Lastly, examine psychosocial aspects and social vulnerability by filling in the relevant sections accurately.
14. After completing the form, you can save changes, download, print, or share it as needed.

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