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The Edmonton Symptom Assessment System — Revised (ESAS-r) is a validated, patient-reported outcome measure widely used in palliative care and oncology settings to assess the severity of nine common symptoms experienced by patients with advanced illness: pain, tiredness, drowsiness, nausea, appetite, depression, anxiety, wellbeing, and shortness of breath. Each symptom is scored by the patient on a numeric rating scale (NRS) from 0 (none) to 10 (worst possible). ESAS-r is recommended by the Canadian Association of Palliative Care (CAPC), the American Academy of Hospice and Palliative Medicine (AAHPM), and is integrated into provincial cancer care programs across Canada. Serial ESAS-r assessments track symptom trajectories over disease course.
Pain
Tiredness (Not Sleepy — Lack of Energy)
Drowsiness (Feeling Sleepy)
Nausea
Lack of Appetite
Depression (Feeling Depressed)
Anxiety (Feeling Anxious or Nervous)
Wellbeing (Overall Feeling of How You Are)
Shortness of Breath (Dyspnea)
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