Clinical Tools & Guidelines

Edmonton Symptom Assessment System- ESAS

This tool is designed to assist in the assessment of nine symptoms common in cancer patients: pain, tiredness, nausea, depression, anxiety, drowsiness, appetite, wellbeing and shortness of breath. It is the patient's opinion of the severity of the symptoms that is the "gold standard" for symptom assessment.

Palliative Performance Scale (PPSv2)

The Victoria Hospice Palliative Performance Scale,  version 2 (PPSv2) is an 11-point scale designed to measure patients' performance status in 10% decrements from 100% (healthy) to 0% (death) based on five observable parameters: ambulation, ability to do activities, self-care, food/fluid intake and consciousness level. 


Doloplus-2 

Behavioral pain assessment scale for the elderly presenting with verbal communication disorders, DOLOPLUS 2 consists in an observation form consisting of 10 items divided into 3 sub-groups proportionally to the observed frequency (5 somatic items, 2 psychomotor items and 3 psychosocial items).  Each item is scored from 0 to 3 (scored using 4 exclusive and progressive levels) yielding an overall score between 0 and 30.  Pain is patent for a score greater than or equal to 5 out of 30.

Abbey Pain Scale

The Abbey Pain Scale is used for people with dementia or who cannot verbalise

 Palliative Pain & Symptom Management Pocket Reference Guide

This reference guide provides symptom management information; this information is not medical advice. This guide was developed as a reference tool only.  

Cancer Care Ontario

A collection of evidence-based reports to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.

World Health Organization's Pain Ladder

A three step ladder for cancer pain relief

Depression Anxiety Stress Scale

The DASS is a 42-item self report instrument designed to measure the three related negative emotional states of depression, anxiety and tension/stress.