Get Esas Form

The Edmonton Symptom Assessment Scale Revised (ESAS-r) is a valuable tool for assessing symptoms in patients. This guide will help you understand and complete the ESAS Form online effectively, ensuring your information is recorded accurately.

Follow the steps to complete the Esas Form online.

1. Click ‘Get Form’ button to obtain the ESAS Form and open it in the designated online editor.
2. Enter the date in the designated field at the top of the form, ensuring it is formatted correctly.
3. Assess and input your symptoms for each category including pain, tiredness, drowsiness, nausea, lack of appetite, shortness of breath, depression, anxiety, and overall well-being. Use the 0-10 scale provided for each symptom, where 0 indicates no symptom and 10 indicates the worst possible severity.
4. If you have additional symptoms not listed, note them in the 'Other' field, again using the 0-10 scale.
5. Indicate your mini-mental state by checking the appropriate box for normal or other specified value, if applicable.
6. Please specify the level of education attained in the relevant field.
7. Complete the PPS section by choosing the correct patient classification from the options available: P for Patient, F for Family Caregiver, H for Health Care Provider Caregiver, or C for Caregiver-Assisted.
8. Review all filled-out sections to ensure accuracy and completeness before you finalize the document.
9. Once all information has been accurately entered, save your changes, and then download, print, or share the completed form as needed.

Start filling out your ESAS Form online today for a comprehensive assessment of your symptoms.