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The Edmonton Symptom Assessment System (ESAS) is a valid and reliable assessment tool to assist in the assessment of nine common symptoms experienced by cancer patients. The ESAS is one of the key assessment tools used in the Palliative Care Integration Project.
Ideally, each person fills out their own ESAS. However, if needed it should be completed with assistance by the caregiver (a family member, friend) or a health professional closely involved with your care.
ESAS = Edmonton Symptom Assessment System.
The ESAS was designed as a clinical tool to provide a profile of symptom severity over time as part of a clinical assessment. The ESAS has been validated for use in palliative and hospice settings6 and is suited for such use because it is brief, requires minimal effort and is feasible for daily use.
Who? It is preferable that the patient provides self-ratings of symptom severity. If the patient cannot complete the tool independently but can still provide input, then the ESAS-r is completed with the assistance of a caregiver (a family member, friend, health care professional.
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The ESAS [14] is a comprehensive, yet brief and practical self-reporting tool of symptom severity (intensity) for nine common symptoms of advanced cancer (pain, tiredness, nausea, depression, anxiety, drowsiness, appetite, wellbeing, shortness of breath), with the option of adding a tenth patient-specific symptom.
The total ranges from 0 to 20, with a higher score indicating higher emotional symptom burden. Combined score based on ESAS physical score, ESAS emotional score and ESAS well being. The total ranges from 0 to 90, with a higher score indicating higher total symptom burden.

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