© 1998 Irene Higginson
Published here with permission.

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The POS Scoring Sheet
(The Palliative Care Outcome Scale)

Patient Name:

 ......................................

Unique Number:

 ......................................

Care Setting:

 ......................................

Date of Birth:

 ......................................
Date: 1. 2. 3. 4. 5. 6. 7.
Setting:              
Pain
              
Other Symptoms
              
Anxiety
              
Family anxiety
              
Information
              
Support
              
Life worthwhile
              
Self worth
              
Wasted time
              
Personal affairs
              
Total score:
              
Other main problems

 

              
ECOG Score
              
Assessor: patient(p); staff (s); jointly (ps)              
Reason for patient not involved in completion/
Additional notes:		              

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