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Once an episode has been created, you enter the assessment information for that episode. To access the episode and assessment screen, click on the * icon next to the patient name.

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Tip

The form above has four columns that have been completed by the clinical team, reflecting clinical assessments made each day of the patients episode. To enter assessment level data, all four columns of information need to be entered.


Entering the first

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assessment

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In the episode and assessment screen, make sure you have selected the correct episode on the left hand side of the screen. On the right hand side of the screen enter the following details:

Item to be entered

Additional information

DateThe date the assessment was completed. This is a mandatory item - you cannot submit an assessment without this information.
TimeOptional field. The time of the assessment
TypeThe phase type for the assessement. This is a mandatory item - you cannot submit an assessment without this information.
RUG-ADLThe RUG-ADL consists of four items (bed mobility, toileting, transfer and eating) and measures the patients function.
PCPSSThe PCPSS consists of four items (pain, other symptoms, psychological/spiritual and family/carer) with a score between 0 and 3 and screens the severity of palliative care problems.
AKPSThe AKPS consists of one item with a score between 10 and 100 and measures a patient's ability to perform ordinary tasks.
SAS

The SAS is a patient rated tool with a score between 0 and 10 that measures the patient's distress across seven domains (difficulty sleeping, appetite problems, nausea, bowel problems, fatigue and pain).

There is also a field to capture if the patient or a proxy completed these assessments.


The information for the first assessment is entered as below. Once all the information has been added, click on the purple 'Add' button.

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Once the assessment information has beend added, it will appear on the left hand side of the assessment data entry screen as below.

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Entering the additional assessment

Next we add the second assessment on the form and click on 'Add'. The assessment will appear on the left hand side of the data entry screen.

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Continue to add the assessments on the form until all the assessments have been added into palCentre

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You have now added all the assessment for this episode.

Tip

If an assessment has not been recorded on the form, use the 'Not Assessed' code in the drop down menu. This will ensure you have minimal items appearing on your data quality report.