A Community of Exceptional Nurses
University of Washington/Harborview Medical Center - Integrating Palliative and
Critical Care Program: D.I.S.C.U.S.S. - Abbreviated Palliative Care Assessment/
V.A.L.U.E - A 5-Step Mnemonic to Improve ICU Clinician Communication with Families.
A two-sided, laminated pocket card for critical care/palliative care physicians,
nurses, spiritual care directors, and social workers that provides an overview for
palliative care assessment, communication guidelines with families, and palliative
care pearls - in general and for pain and symptom management specifically.
Education Tools - Clinician Education
University of Washington
Harborview Medical Center
325 9th Ave., Box 359762
Seattle WA 98104
Patsy D. Treece, R.N., M.N.
How the grantee used this instrument:
On one side of the laminated pocket card the acronym D.I.S.C.U.S.S. is outlined
to support critical care team members in assessing the need for palliative care
and the patient/family readiness to begin palliative care. The reverse side of the
card uses V.A.L.U.E. to remind team members of good communication skills when discussing
palliative care with family members, as well as a list of palliative care pearls
for pain management and general use.
decision-making, care planning, values, advance directives, care plan, social work,
pain management, symptom management, quality of life, life-limiting illness
To use this tool:
Please contact the University of Washington for permission to use this tool.
Developed specifically for this project by the project team.
To view this tool:
D.I.S.C.U.S.S Abbreviated Palliative Care Assessment -2 page
(Viewing PDF files requires downloading and installation of the free
Adobe Acrobat Reader.)
Posted: July 2006
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Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation
dedicated to long-term changes in health care institutions to substantially improve
care for dying people and their families.
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