The Edmonton Symptom Assessment System (ESAS): A Simple Method for the Assessment of Palliative Care Patients

@article{Bruera1991TheES,
  title={The Edmonton Symptom Assessment System (ESAS): A Simple Method for the Assessment of Palliative Care Patients},
  author={E. Bruera and N. Kuehn and M. Miller and P. Selmser and K. Macmillan},
  journal={Journal of Palliative Care},
  year={1991},
  volume={7},
  pages={6 - 9}
}
We describe a simple method for the assessment of symptoms twice a day in patients admitted to a palliative care unit. Eight visual analog scales (VAS) 0–100 mm are completed either by the patient alone, by the patient with nurse's assistance, or by the nurses or relatives at 10:00 and 18:00 hours, in order to indicate the levels of pain, activity, nausea, depression, anxiety, drowsiness, appetite, and sensation of well-being. The information is then transferred to a graph that contains the… Expand
Edmonton symptom assessment scale: Italian validation in two palliative care settings
TLDR
ESAS can be considered a valid, reliable and feasible instrument for physical symptom assessment in routine “palliative care” clinical practice with a potentially different responsiveness in different situations or care settings. Expand
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TLDR
Data seem to indicate that the patients who benefit most from inpatient palliative care are those with the most complex symptomatology. Expand
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TLDR
Examination of patients’ cognitive processes while completing the ESAS revealed a need to emphasize the timeframe as “now”, and further study in other populations is needed. Expand
The use of the Edmonton Symptom Assessment Scale (ESAS) within a palliative care unit in the UK
TLDR
The Edmonton Symptom Assessment scale (ESAS) was used on 1004 occasions to assess 71 patients with advanced malignant disease admitted to a palliative care unit in the UK over a six-week period and did not seem an appropriate tool. Expand
Evaluation of the Utility of the Edmonton Symptom Assessment System (revised) Scale on a Tertiary Palliative Care Unit
TLDR
Patient acuity, team expertise, perceived burden to patients, and time commitment all influenced staff's recommendation not to implement the ESAS-r tool on the palliative care unit. Expand
Errors in symptom intensity self-assessment by patients receiving outpatient palliative care.
TLDR
Vigilance needs to be maintained about the ESAS scores done by the patients particularly for symptoms of sleep, appetite, and pain, and more research is needed to determine the best way to teach patients how to minimize errors in self-reporting of symptoms. Expand
A multicenter study comparing two numerical versions of the Edmonton Symptom Assessment System in palliative care patients.
TLDR
The ESAS-r retains core elements of the ESAS, with improved interpretation and clarity of symptom intensity assessment, and represents the next generation of ESAS development, with further validation recommended for drowsiness, appetite, and well-being. Expand
Cognitive impairment and its influence on pain and symptom assessment in a palliative care unit: development of a Minimal Documentation System
TLDR
Cognitive impairment prevented symptom assessment with longer and more complicated instruments such as the SF-12 in a large number of the patients admitted to the palliative care unit in this study. Expand
The use of the Rotterdam Symptom Checklist in palliative care.
The Rotterdam Symptom Checklist (RSCL), which measures both physical and psychological aspects of quality of life (QOL), was given to all new patients admitted to a palliative care unit who wereExpand
The Edmonton Symptom Assessment Scale (ESAS) as an Audit Tool
TLDR
The ESAS is a useful audit tool for assessing patterns of palliative symptom control that allows for institutional comparisons and procedures that ensure completeness of data collection remain to be developed. Expand
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