Get Capital Health Regional Palliative Care Program Guidelines For Using The Edmonton Symptom

The Capital Health Regional Palliative Care Program provides essential guidelines for effectively utilizing the Edmonton Symptom Assessment System (ESAS). This guide aims to assist users in accurately completing the ESAS to assess common symptoms in cancer patients, ensuring proper symptom management and care.

Follow the steps to complete the form successfully.

1. Press the ‘Get Form’ button to acquire the form and open it in your chosen editor.
2. Begin by entering the patient's name in the designated field at the top of the form.
3. Record the date and time of the assessment clearly in the respective fields.
4. Each symptom listed requires a severity rating from 0 to 10, where 0 indicates no symptom and 10 indicates the worst possible severity. Circle the number that accurately represents the patient's experience for each symptom such as pain, tiredness, and appetite.
5. For any 'Other Problem' noted, ensure to specify the issue while providing a numerical rating as well.
6. In the section indicating who completed the assessment, check the appropriate box to identify whether it was the patient, a caregiver, or assisted by a caregiver.
7. Transfer the circled numbers for each symptom onto the ESAS Graph, ensuring accuracy in documenting the symptom severity.
8. If applicable, fill in the patient's Mini-Mental Status Exam score and Palliative Performance Scale where indicated.
9. Once fully completed, review all entries for accuracy and clarity before saving your changes, downloading, printing, or sharing the form as necessary.

Complete your documents online to facilitate timely care.