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Data Element Detail

Palliative care phase type
Identifying and Definitional Attributes
QH 040606 v1
Data Element
Data Element
Current
01-Jul-1999		Superseded
08-Jul-2013
Standard
01-Jul-1999
30-Jun-2013
A code that describes the distinct period or stage of illness for a palliative care phase.
The Australian National Sub and Non-Acute Patient (AN-SNAP) Classification System is being implemented in Queensland public hospitals to better inform service planning, purchasing, and clinical management. Currently sub and non-acute patient (SNAP) details are collected only for those patients in designated SNAP units.

The scope of this collection includes all admitted patient episodes where the patient's episode type is not acute, newborn, boarder, organ procurement or other care, and the ward (either at admission to the episode or through a ward transfer during the episode) is assigned to a designated SNAP unit.

A new item, standard ward code, is to be assigned a value of 'SNAP' for those wards which are assigned to a designated SNAP unit. Patients should have SNAP details reported for each sub and non-acute care type (SNAP episode) within an episode of care.
Palliative care phase type
Representational Attributes
Numeric Character
Code
N(2)
2
2
Permissible Values

Permissible_values

CodeDescription
01Stable
02Unstable
03Deteriorating
04Terminal care
05Bereaved
Supplementary Values

Supplemenary_values

-
Collection and Usage Attributes
Stable Phase
All clients not classified as unstable, deteriorating, or terminal. The person's symptoms are adequately controlled by establishing management. Further interventions to maintain symptom control and quality of life have been planned. The situation of the family/carers is relatively stable and no new issues are apparent. Any needs are met by the established plan of care.

Unstable Phase
The person experiences the development of a new problem or a rapid increase in the severity of existing problems, either of which require an urgent change in management or emergency treatment. The family/carers experience a sudden change in their situation requiring urgent intervention by members of the multidisciplinary team.

Deteriorating Phase
The person experiences a gradual worsening of existing symptoms or the development of new but expected problems. This requires the application of specific plans of care and regular review but not urgent or emergency treatment. The family/carers experience gradually worsening distress and other difficulties, including social and practical difficulties, as a result of the illness of the person. This requires a planned support program and counselling as necessary.

Terminal Care Phase
Death is likely in a matter of days and no acute intervention is planned or required. The typical features of a person in this phase may include the following: profoundly weak, essentially bed bound, drowsy for extended periods, disoriented for a time and has a severely limited attention span, increasing disinterest in food and drink, finding it difficult to swallow medication.
This requires the use of frequent usually daily interventions aimed at physical, emotional and spiritual issues. The family/carers recognise that death is imminent and care is focused on emotional and spiritual issues as a prelude to bereavement.

Bereaved Phase
Death of the patient has occurred and the carers are grieving. A planned bereavement support program is available including counselling as necessary.
The phase type only needs to be reported for palliative SNAP (i.e. where SNAP type = PAL) types. More than one phase type can be recorded per palliative SNAP episode, however only the phase type recorded at the start of the SNAP episode will be supplied to the Data Services Unit.
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 2
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
Has been superseded byData ElementData ElementEpisode of admitted patient care-palliative care phaseQH 040606 Version 2Superseded
Relates toData ElementData ElementSNAP care typeQH 040599 Version 1Superseded
Implementation in Metadata Sets

Implemented

  • 1 - 1
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1ConditionalSuperseded01-Jul-199930-Jun-2013
Source and Reference Attributes
Palliative care; SNAP;