{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T02:28:07Z","timestamp":1790044087727,"version":"4.0.1"},"reference-count":29,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"unspecified","delay-in-days":154,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951526102818_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This mixed-method study examined whether the Integrated Palliative Outcome Scale (IPOS) can support the identification of palliative care needs and inform individualized care planning in hospice settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102818_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty-eight terminally ill patients admitted to a hospice in Northern Italy completed the IPOS. Quantitative analyses described the frequency and intensity of physical, psychological, relational, spiritual, and practical needs at the first administration and, where available, compared scores across 2 administrations using non-parametric tests. Spearman correlations were used to explore associations between awareness of diagnosis\/prognosis and symptom burden. In parallel, semi-structured interviews explored the subjective meaning of \u201cbeing at peace with oneself\u201d; responses were examined through thematic content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102818_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>IPOS administration highlighted frequent needs related to constipation, oral discomfort, weakness, drowsiness, anxiety, and concerns about family members. Awareness of diagnosis and prognosis were positively correlated. Anxiety and not feeling at peace showed negative associations with awareness, particularly awareness of prognosis. Across administrations, most physical symptoms remained stable, while anxiety and depressive feelings increased. Qualitative findings showed that inner peace was mainly associated with calmness, satisfaction with life, relational fulfilment, not having harmed others, and acceptance of one\u2019s condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102818_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>The integration of IPOS into routine hospice care may help multidisciplinary teams identify patients\u2019 evolving needs and translate them into more responsive individualized care plans. Combining structured IPOS scores with patient narratives can also make existential and psychosocial concerns more visible in clinical decision-making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526102818","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T05:46:17Z","timestamp":1780551977000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["The Integrated Palliative Outcome Scale (IPOS): A tool for assessing needs and shaping individualized care plans in hospice settings"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9751-6406","authenticated-orcid":false,"given":"Erika","family":"Iacona","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/006m5mj32","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Padova"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michela","family":"Bond\u00ec","sequence":"additional","affiliation":[{"name":"Hospice Paolo VI, Fondazione Opera Immacolata Concezione OIC"},{"name":"University of Padova"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"Ronconi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00240q980","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Padova"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michela","family":"Rigon","sequence":"additional","affiliation":[{"name":"Hospice Paolo VI, Fondazione Opera Immacolata Concezione OIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessia","family":"Casati","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/006m5mj32","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Padova"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2325-6450","authenticated-orcid":false,"given":"Ines","family":"Testoni","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/006m5mj32","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Padova"},{"name":"University of Padova"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,6,4]]},"reference":[{"key":"S1478951526102818_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.07.037"},{"key":"S1478951526102818_ref9","doi-asserted-by":"publisher","DOI":"10.21037\/apm.2017.04.07"},{"key":"S1478951526102818_ref28","unstructured":"World Health Organization (2023) Palliative care. Fact sheet, 1 June 2023 . Available at: https:\/\/www.who.int\/europe\/news-room\/fact-sheets\/item\/palliative-care"},{"key":"S1478951526102818_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcsup.2013.07.009"},{"key":"S1478951526102818_ref22","doi-asserted-by":"publisher","DOI":"10.1177\/0269216316663499"},{"key":"S1478951526102818_ref12","doi-asserted-by":"publisher","DOI":"10.21037\/apm-22-655"},{"key":"S1478951526102818_ref17","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2351"},{"key":"S1478951526102818_ref11","first-page":"219","article-title":"Development and validation of a core outcome measure for palliative care: The palliative care outcome scale","volume":"8","author":"Hearn","year":"1999","journal-title":"Palliative Care Core Audit Project Advisory Group. 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Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e155"}}