Büche Daniel J
Palliativzentrum, Kantonsspital St. Gallen und IFF, Alpen Adria Universität, Klagenfurt.
Ther Umsch. 2012 Feb;69(2):81-6. doi: 10.1024/0040-5930/a000255.
Assessment in palliative care is very important. The assessment is a structured and goal oriented procedure. Both is important - structure and goal - because of the patient's vulnerability and in respect to his life-threatening illness. Assessment instruments play a limited role in the process of assessment because many values in palliative care are individual, subjective and their comparison to each other and their measure are limited. It isn't scientific to measure values which aren't measureable. Values become less measureable when complexity grows. Complexity can't be simplified because simplification destroys complexity. It makes sense to ask oneself which outcome an assessment instrument will measure before we use it.
姑息治疗中的评估非常重要。评估是一个结构化且以目标为导向的过程。结构和目标两者都很重要，这是由于患者的脆弱性以及其危及生命的疾病。评估工具在评估过程中作用有限，因为姑息治疗中的许多价值观是个体的、主观的，它们相互比较及衡量的范围有限。对不可测量的价值观进行测量是不科学的。当复杂性增加时，价值观就变得更难以测量。复杂性无法简化，因为简化会破坏复杂性。在使用评估工具之前，思考它将测量何种结果是有意义的。
