Assessment tools Flashcards
1
Q
Symptoms defining
A
- lack of consistent terminology
- subjective
- variation in meaning with culture, education, symptom experience
2
Q
Measuring symptoms
A
- self report is gold standard
- poor correlation between observer and patient assessment
3
Q
How to measure symptoms
A
- frequency
- severity
- distress
- impact on function
- family, social, financial, spiritual impact
- health related quality of life
4
Q
Symptom management assessment tools
A
- ESAS
- standardized approach with validated tool
- repeated at intervals
- evidence for improved outcome when routine symptom measures are paired with clinical pathways and consultation
5
Q
Methodological considerations for symptom measurement in clinical research
A
- ability to provide consent
- willingness to participate
- study aims and methods
- data management
- validity of sx assessment tool
- minimal important difference in scores
- clinical utility
6
Q
ESAS
A
- Edmonton Symptom Assessment System
- validated, well used
- 9 common symptoms on Visual analogue scale 0-10
- patient rating or proxy rating
- Pain, fatigue, nausea, depression, drowsy, anxious, appetite, feeling of wellbeing, shortness of breath
7
Q
Memorial Symptom Assessment Scale
A
- validated
- patient related measure of 26 symptoms
- language translation
- better for research, global symptom distress
8
Q
Visual Analogue Scale
A
- Dypsnea
- Pain
- can be used in cognitive impairment or limited language
9
Q
Modified Borg Scale
A
- Dyspnea measurement 0-10
- Chronic pulmonary disease
10
Q
Medical research council dyspnea scale (MRC)
A
- assessess functional limitations of dyspnea
- grade 0-4
- Grade 0 - breathless only with exercise
- GRade 4- breathless at rest
11
Q
Cancer Dyspnea Scale
A
- rates effort, anxiety, discomfort
- Likert scale
12
Q
MMSE
A
- Mini mental status exam
- cognitive impairment, sensitive
- not specific for delirium
- LEAST useful for delirium
13
Q
Confusion Assessment Method
A
- CAM for delirium:
1. acute onset and fluctuating course
2. inattention
3. disorganized thinking or altered LOC
14
Q
Challenges to applying symptom tools in PC settings
A
- hcp scepticism
- lack of familiarity
- workload burden
- lack of standardization in geographic areas
- ease of use- paper charts vs electronic
- patient barriers, reluctance
15
Q
BOMC
A
- Blessed orientation, memory and concentration test
- validated tool in cognitive impairment but not specific for delirium or dementia
- condensed form of IMCMST test
- Score above 10 = abnormal
- Higher the score, more cognitive impairment
