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BODE Index (Palliative context)CAM-S (Confusion Assessment Method - Severity)CPOT (Critical-Care Pain Observation Tool)Death Rattle Scoring (Victoria)Distress ThermometerEdmonton Symptom Assessment System (ESAS-r)FAST Scale (Dementia)IPOS (Integrated Palliative Outcome Scale)Memorial Symptom Assessment Scale (MSAS)Menten ScoreMorphine Equivalent Daily Dose (MEDD)Nursing Delirium Screening Scale (Nu-DESC)Opioid Risk Tool (ORT)PAINAD ScalePalliative Performance Scale (PPSv2)Palliative Prognostic (PaP) ScorePalliative Prognostic Index (PPI)Respiratory Distress Observation Scale (RDOS)Richmond Agitation-Sedation Scale (RASS-PAL)Seattle Heart Failure Model (SHFM)e-PaP Score
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Edmonton Symptom Assessment System (ESAS-r)

Edmonton Symptom Assessment System (ESAS-r): 9-item scale (0–10 for each symptom).
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Guidelines & Evidence

Clinical Details

Section 1

When to Use

When to Use

Rapid assessment of common palliative symptoms in cancer and non-cancer populations
Serial monitoring of symptom burden over time
Identification of priority symptoms for intervention
Communication of symptom distress to care team
Section 2

Formula & Logic

Scale Structure

9-item visual analogue scale (0–10) assessing pain, tiredness, nausea, depression, anxiety, drowsiness, appetite, well-being, and shortness of breath.

Scoring

0No symptom
5Moderate symptom burden
10Worst possible
Section 3

Pearls/Pitfalls

Key Advantages

Quick 5-minute completion; feasible in busy clinic settings
Validated across cancer and non-cancer populations
Responsive to interventions; detects change over time
Widely adopted in specialty palliative care

Known Limitations

Does not capture social, spiritual, or existential concerns
May be difficult for cognitively impaired patients

Last Comprehensive Review: 2026

Related Palliative Care Tools

Palliative Performance Scale
Palliative Prognostic Index
Palliative Prognostic
e-PaP Score
Menten Score
IPOS
Distress Thermometer
Memorial Symptom Assessment Scale
Morphine Equivalent Daily Dose
Opioid Risk Tool
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