Opi
Calc
BODE Index (Palliative context)
CAM-S (Confusion Assessment Method - Severity)
CPOT (Critical-Care Pain Observation Tool)
Death Rattle Scoring (Victoria)
Distress Thermometer
Edmonton Symptom Assessment System (ESAS-r)
FAST Scale (Dementia)
IPOS (Integrated Palliative Outcome Scale)
Memorial Symptom Assessment Scale (MSAS)
Menten Score
Morphine Equivalent Daily Dose (MEDD)
Nursing Delirium Screening Scale (Nu-DESC)
Opioid Risk Tool (ORT)
PAINAD Scale
Palliative Performance Scale (PPSv2)
Palliative Prognostic (PaP) Score
Palliative Prognostic Index (PPI)
Respiratory Distress Observation Scale (RDOS)
Richmond Agitation-Sedation Scale (RASS-PAL)
Seattle Heart Failure Model (SHFM)
e-PaP Score
Seattle Heart Failure Model (SHFM)
Seattle Heart Failure Model (SHFM): Predicts 1, 2, and 5-year survival in chronic heart failure for advance care planning.
Age (years)
Left Ventricular Ejection Fraction (%)
Gender
Male
Female
Ischemic Heart Disease as Cause?
No
Yes
Has ICD/Pacemaker?
No
Yes
BNP Level (pg/mL)
Serum Creatinine (mg/dL)
Shortness of Breath at Rest?
No
Yes
Calculate SHFM Survival
Guidelines & Evidence
Clinical Details
Section 1
When to Use
When to Use
Prediction of 1, 2, and 5-year survival in chronic heart failure
Prognostic guidance for advance care planning conversations
Identification of CHF patients approaching end of life
Shared decision-making regarding device therapy (ICD, VAD)
Section 2
Formula & Logic
Variables Included
Demographics (age, sex)
Hemodynamics (left ventricular ejection fraction)
Laboratory values (sodium, creatinine)
Medications and devices
Section 3
Pearls/Pitfalls
Key Advantages
Validated, multivariate prognostic model in CHF
Predicts 1, 2, and 5-year outcomes
Incorporates contemporary therapies (beta-blockers, ACE inhibitors)
Facilitates informed discussions about prognosis
Last Comprehensive Review: 2026
Related Palliative Care Tools
Opioid Risk Tool
PAINAD Scale
CPOT
Respiratory Distress Observation Scale
Death Rattle Scoring
Nursing Delirium Screening Scale
Richmond Agitation-Sedation Scale
CAM-S
FAST Scale
BODE Index
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