PCHOME Assessment Report Generator

Components P & C: Physical Needs + Care Environment | Domiciliary & Primary Palliative Care

Patient Information

P - Physical Needs Assessment

1. General Examination
Vital Signs
1A. Presenting Problem / Main Physical Concern
2. Pain Assessment
3. Symptom Control
4. Nutrition, Hydration, Bowel & Bladder
5. Functional Status & Mobility
Respiratory Assessment
Head to Toe Physical Examination
6. Skin, Wound & Pressure Injury Risk
7. Medication Review
8. Red Flags / Urgent Concern

Tick if present. This helps the generated report highlight urgent issues.

9. Education Given to Patient / Caregiver
10. Plan / Action
C - CARE ENVIRONMENT ASSESSMENT
11. Comfort & Home Adaptation
12. Accessibility & Safety
13. Financial & Nutritional Resources
14. Emergency Preparedness
15. Support System & Caregiver
H - HEALTHCARE COORDINATION
16. Primary & Specialist Care Coordination
17. Medication Coordination & Review
18. Referral & Allied Health Coordination
19. Advance Care Planning & Goals of Care
O - OUTLOOK & EMOTIONAL WELL-BEING
20. Emotional Health Assessment
21. Coping & Resilience
22. Communication & Relationship
23. Social Isolation & Quality of Life
24. Grief & Emotional Support
M - MEANING & SPIRITUALITY
25. Goals, Values & Meaning
26. Spiritual & Religious Assessment
27. Reflection, Legacy & Life Review
28. Cultural & Religious Practice
E - END-OF-LIFE PLANNING
29. Preferences & Goals of Care
30. Resuscitation & Medical Intervention Preference
31. Unfinished Business & Closure
32. Hospice / Palliative Service Planning
33. Funeral / Religious & After Death Planning
Final Clinical Impression & Care Plan

Generated Report

Generated report will appear here.