Name:
Balm of Gilead: Symptom Sheet
Description:
The Symptom Sheet is used by the physician or nurse to assess and track the
level of the patient's symptoms.
Category:
Clinical Care Tools - Clinical Assessment
Source:
Cooper Green Hospital
The Balm of Gilead Center
1515 Sixth Avenue South
Birmingham, AL 35233
www.gileadcenter.com
Contact:
Marc Sussman
sussmanm@jccal.org
How the grantee used this instrument:
This symptom sheet was used by Cooper Green project staff administered to palliative
care inpatients to assess and track the level of patient's symptoms.
Keywords:
quality of life, symptom assessment
To use this tool:
You may print and copy this tool for your own use from this site. Please credit
source.
References:
Developed specifically for this project by the project team.
To view this tool:
Left click on the download link to view the PDF document in your Web browser.
Right-click on the download link to save the document to your computer.
PDF
182 KB / 4 pages (Viewing
PDF files requires downloading and installation of the free Adobe
Acrobat Reader.)
Posted April 2004
Cooper Green Hospital overview page
# BOG7, type:clinical_assessment
Promoting Excellence in End-of-Life Care is 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. Visit PromotingExcellence.org for more resources.
