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1121 Clinical Tools

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AKPS — Australia-modified Karnofsky Performance StatusBODE Index (Palliative context)CAM-S (Confusion Assessment Method - Severity)CPOT (Critical-Care Pain Observation Tool)Death Rattle Scoring (Victoria)Distress ThermometerEdmonton Symptom Assessment System (ESAS-r)FAST Scale (Dementia)IPOS (Integrated Palliative Outcome Scale)Memorial Symptom Assessment Scale (MSAS)Menten ScoreMorphine Equivalent Daily Dose (MEDD)Nursing Delirium Screening Scale (Nu-DESC)Opioid Risk Tool (ORT)PAINAD ScalePalliative Performance Scale (PPSv2)Palliative Prognostic (PaP) ScorePalliative Prognostic Index (PPI)Respiratory Distress Observation Scale (RDOS)Richmond Agitation-Sedation Scale (RASS-PAL)Seattle Heart Failure Model (SHFM)e-PaP Score
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Recent Journal Updates

DiabetologiaApr 15, 2026
Nature vs nurture of glucose homeostasis trajectories in children from the ALSPAC study

Why this matters

Broad domain relevance to ESA Sr.

DiabetologiaApr 13, 2026
Updates on paediatric MASLD: insights from an endocrine lens

Why this matters

Broad domain relevance to ESA Sr.

DiabetologiaMar 14, 2026
The glycaemic response to morning fasted resistance exercise is more consistent than the response to afternoon fed resistance exercise for adults with type 1 diabetes: a randomised crossover comparison

Why this matters

Broad domain relevance to ESA Sr.

Edmonton Symptom Assessment System (ESAS-r)

Edmonton Symptom Assessment System (ESAS-r): 9-item scale (0–10 for each symptom).
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Guidelines & Evidence

Clinical Details

Section 1

When to Use

When to Use

Rapid assessment of common palliative symptoms in cancer and non-cancer populations
Serial monitoring of symptom burden over time
Identification of priority symptoms for intervention
Communication of symptom distress to care team
Section 2

Formula & Logic

Scale Structure

9-item visual analogue scale (0–10) assessing pain, tiredness, nausea, depression, anxiety, drowsiness, appetite, well-being, and shortness of breath.

Scoring

0No symptom
5Moderate symptom burden
10Worst possible
Section 3

Pearls/Pitfalls

Key Advantages

Quick 5-minute completion; feasible in busy clinic settings
Validated across cancer and non-cancer populations
Responsive to interventions; detects change over time
Widely adopted in specialty palliative care

Known Limitations

Does not capture social, spiritual, or existential concerns
May be difficult for cognitively impaired patients

Last Comprehensive Review: 2026

Related Palliative Care Tools

AKPS — Australia-modified Karnofsky Performance Status
BODE Index
CAM-S
CPOT
Death Rattle Scoring
Distress Thermometer
e-PaP Score
FAST Scale
IPOS
Memorial Symptom Assessment Scale
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