Abstract

1. Abstract 1.1 Background: The global population of people aged 60 years and older is expected to more than double. The<span style=letter-spacing: -.25pt> prevalence of multiple chronic diseases among individuals is substantial among older adults. Therefore, palliative<span style=letter-spacing: -.35pt> care remains a central part of healthcare<span style=letter-spacing: -.35pt> services provision whether in the community or institutions. Assessing older adults’ palliative care needs is the first step to delivering quality comprehensive care. 1.2 Objectives: This review aims to describe existing assessment tools used to measure palliative<span style=letter-spacing: -.45pt> care needs of older adults, their scope of use, content, and psychometrics. 1.3 Methods: A systematic review search in electronic databases CINAHL, MedLine OVID, Psych Info, and Academic Search Complete, was conducted for the years 2000 to 2016. Older patients with palliative care needs regardless of their setting were included. 1.4 Results: The initial search yielded 942 articles. 17 articles met the inclusion criteria, describing 9 palliative care assessment tools used for older patients in various<span style=letter-spacing: -.35pt> settings. 1.5 Conclusion: This review increases understanding of existing tools to assess older patients with palliative care needs. It can be concluded that no ideal tools are available to allow care providers to detect palliative care needs at an earlier stage in older adults. The POS and RAI tools demonstrated better comprehensiveness and sensitivity to change in comparison to others. 2. Keywords: Assessment Tool; Older Adult; Palliative Care; Systematic Review

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