Evaluation of the Utility of the Edmonton Symptom Assessment System (revised) Scale on a Tertiary Palliative Care Unit

• Published in: Journal of palliative care Vol. 31; no. 1; pp. 44 - 50
• Main Authors: Beddard-Huber, Elizabeth, Jayaraman, Jyothi, White, Laura, Yeomans, Wendy
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01-01-2015; SAGE PUBLICATIONS, INC
• Subjects: Attitude of Health Personnel; British Columbia; Clinical trials; Female; Hospitals, General; Humans; Male; Palliative Care; Patients; Pilot Projects; Surveys and Questionnaires; Symptom Assessment - methods; British Columbia; Canada
• ISSN: 0825-8597; 2369-5293
• DOI: 10.1177/082585971503100107

Aim
The aim of this study was to evaluate the utility of the Edmonton Symptom Assessment System (ESAS-r) Scale on a tertiary palliative care unit.
Method
There were 92 admitted patients who participated in the study; the scale was administered to those able to participate on day 1 (n=35, 38 percent), on day 4 (n=20, 21 percent), and weekly. Patient comfort level with the ESAS-r tool was assessed using a 5-point Likert scale (strongly disagree to strongly agree) on day 4. Nurses’ and physicians’ perceptions of clinical assessment pre- and postimplementation of the scale were surveyed using a 5-point Likert scale.
Results
Of the participating physicians, 75 percent (n=3) found that the ESAS-r Scale did not enhance clinical assessment; the proportion of nurses with that response was 37.5 percent (n=6). Among these care providers, 50 percent of the physicians (n=2) and 62 percent of the nurses (n=10) thought that the scale was burdensome to patients; but 60 percent of the patients who were able to complete the comfort-level survey (n=12) indicated that they did not find the scale burdensome.
Conclusion
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.