Essentials of Psychiatry in Primary Care: Behavioral Health in the Medical Setting >Other Disorders and

Issues in Primary Care

Robert C. Smith, Gerald G. Osborn, Francesca C. Dwamena, Dale D'Mello, Laura Freilich, Heather S. Laird-Fick+
Table 8-4.Edmonton Symptom Assessment System: (Revised Version) (ESAS-R)

Please circle the number that best describes how you feel now:

Worst
No Pain 0 1 2 3 4 5 6 7 8 9 10 Possible

Pain

No
Tiredness
Worst
0 1 2 3 4 5 6 7 8 9 10 Possible
(Tiredness
Tiredness
= lack of
energy)

No
Drowsiness
Worst
0 1 2 3 4 5 6 7 8 9 10 Possible
(Drowsiness
Drowsiness
= feeling
sleepy)

Worst
No Nausea 0 1 2 3 4 5 6 7 8 9 10 Possible
Nausea

Worst
No Lack of Possible
0 1 2 3 4 5 6 7 8 9 10
Appetite Lack of
Appetite

Worst
No
Possible
Shortness 0 1 2 3 4 5 6 7 8 9 10
Shortness
of Breath
of Breath

No
Depression Worst
(Depression 0 1 2 3 4 5 6 7 8 9 10 Possible
= feeling Depression
sad)

No Anxiety
Worst
(Anxiety = 0 1 2 3 4 5 6 7 8 9 10 Possible
feeling Anxiety
nervous)

Best Well-
being Worst
(wellbeing = 0 1 2 3 4 5 6 7 8 9 10 Possible
how you Well-being
feel overall)
 No
_________

Other Worst
Problem 0 1 2 3 4 5 6 7 8 9 10 Possible
_________
(eg,
constipation
)

Scoring: There is no cutoff, but scores are compared from one time to the next, seeing improvement or deterioration. In the referenced study, many of the various baseline scores were in range of 5-6 before
chemotherapy, falling to range of 1-2 at the completion of chemotherapy.17

Date of download: 12/26/22 from AccessMedicine: accessmedicine.mhmedical.com, Copyright © McGraw Hill. All rights reserved.