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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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Memorial Symptom Assessment Scale (MSAS)

MSAS: Memorial Symptom Assessment Scale (15 core items shown; full 32-item available).
Guidelines & Evidence

Clinical Details

Section 1

When to Use

When to Use

Comprehensive multidimensional symptom assessment in advanced cancer
Evaluation of symptom frequency, severity, and distress
Research and outcome measurement in oncology
Detailed baseline and serial symptom tracking
Section 2

Formula & Logic

Scale Structure

32-item scale assessing symptom frequency and distress across physical, emotional, and constitutional domains.

Symptom Domains

Pain and discomfort
Gastrointestinal symptoms (nausea, vomiting, appetite, taste)
Respiratory symptoms (dyspnea, cough)
Neurological symptoms (concentration, memory, anxiety)
Constitutional symptoms (fatigue, weakness)
Section 3

Pearls/Pitfalls

Key Advantages

Most comprehensive symptom assessment tool available
Captures both frequency and distress dimensions
Well-validated in cancer populations over decades

Known Limitations

Length (32 items) limits feasibility in busy settings
Best suited for research rather than rapid clinical screening

Last Comprehensive Review: 2026

Related Palliative Care Tools

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