ICS11.020 CCSC04DB36 江西省地方标准 DB36/T1983—2024 安宁疗护服务规范 Specificationforhospicecareservice 2024-06-28发布 2024-12-01实施 江西省市场监督管理局发布 DB36/T1983—2024 I目  次 前  言.............................................................................II 1范围...............................................................................1 2规范性引用文件.....................................................................1 3术语和定义.........................................................................1 4基本原则...........................................................................1 5环境及设施设备.....................................................................2 6服务对象...........................................................................3 7服务模式...........................................................................3 8服务人员配置及职责.................................................................3 9服务内容及流程.....................................................................5 10服务评价与改进....................................................................7 附录A（资料性附录）病房安宁疗护模式服务流程.........................................8 附录B（资料性附录）安宁疗护共照模式服务流程.........................................9 附录C（资料性附录）姑息行为功能评估量表（PPS）.....................................10 附录D（资料性附录）临终患者病情（生存期）评估表....................................11 附录E（资料性附录）安宁疗护入住知情同意书..........................................13 附录F（资料性附录）住院患者营养风险筛查评估表......................................14 附录G（资料性附录）心理痛苦筛查评估表..............................................15 附录H（资料性附录）安宁疗护病人家系图..............................................17 参 考 文 献.......................................................................18