MDCalc

Edmonton Symptom Assessment System-revised (ESAS-r)

Assesses symptoms of patients receiving palliative care.

For each prompt, the healthcare professional, caregiver, or patient should select a number based on how the patient feels at the time of assessment. 

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Result:

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Advice
  • Explore elevated scores within each variable, and initiate or escalate interventions (e.g., pain management, psychological support) as appropriate.
  • Repeat the assessment periodically to track changes over time and adjust treatment plans accordingly.
    • Uncontrolled symptoms may require more frequent monitoring and treatment adjustments, especially in hospice or tertiary palliative care settings where daily assessments may be needed.
    • Well-controlled symptoms may allow for less frequent reassessments.
  • Document symptom trends and share findings with the interdisciplinary team to ensure coordinated care.