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Nursing Best Practice Guideline
Appendix F: Quality of Life
Assessment Tool
Prognostic indication:
The prognostic indication considers the benefits and risks, requirements, and outcomes of
the selected therapy. It takes into account the patient compliance, the physical, cognitive and
emotional state, the social integration in the family, the circle of acquaintances and the living
conditions together with the everyday and occupational capabilities of the patient.
A treatment plan is produced with therapeutic aims broken down into separate aims. The
necessary cooperation of the patient is allocated to the various parts of the break-down.
Alternative aims of the treatment plan are:
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Maintenance/re-establishment of the ability to work,
Avoidance of the necessity for lifelong professional nursing care,
Improvement of the quality of life,
Prolongation of the years of survival.
The patient’s estimate of the quality of life should be included both initially in the discussion
of the treatment plan with the patient, and once the ulcer has healed.
The outcome of the treatment as a result of the physician-patient and the nurse-patient
interaction is influenced by:
Perception of the severity of the disorder by the patient
Assessment of the efficacy of the treatment by the patient
Duration of treatment and disorder
Complexity of the therapy.
Reprinted with permission.
Compliance Network Physicians/Health Force Initiative, Inc. (1999). Guideline for the
outpatient treatment – venous and venous-arterial mixed leg ulcer. Compliance Network
Physicians/Health Force Initiative, Inc., Berlin, Germany [On-line]. Available:
http://www.cnhfi.de/index-engl.html