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Spiritual Resources to Relieve Physical Pain part 1. California/Nevada ACHSA Sacramento, California November, 2013. Edmonton Symptom Assessment System (ESAS). Please circle the number that best desribes : No pain 0 1 2 3 4 5 6 7 8 9 10 Worst possible pain
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Spiritual Resources to Relieve Physical Painpart 1 California/Nevada ACHSA Sacramento, California November, 2013
Edmonton Symptom Assessment System (ESAS) • Please circle the number that best desribes: • No pain 0 1 2 3 4 5 6 7 8 9 10 Worst possible pain • Not tired ……………….. Worst possible tiredness • Not nauseated ……………….. Worst possible nausea • Not depressed ……………….. Worst possible depression • Not anxious ……………….. Worst possible anxiety • Not drowsy ……………….. Worst possible drowsiness • Best appetite ……………….. Worst possible appetite • Best feeling of well being …… Worst possible feeling • No shortness of breath …… Worst possible SOB • Other problem ………………..
ESAS • Two pages (second page asks patient or caregive to mark where it is that they are experiencing pain) • Can be filled by patient, caregiver or caregiver assisted • Validated tool for helping to manage symptoms of serious illness
Spiritual History Tool: HOPE • H: What gives you hope in this time of illness? • O: Are you a member of a religious or spiritual community? • P: What aspects of your spiritual beliefs do you find most helpful and meaningful personally? • E: How do your beliefs affect the kind of medical care you would like me to provide over the next few days/weeks/months?
Spiritual History Tool: FICA • F: What is your faith? • I: How important is it? • C: Are you part of a religious community? • A How would you like me as your provider to address these issues in your care?
Spiritual History Tool: SPIRIT • S: Do you have a formal religious affiliation? Do you have a spiritual life that is important to you? • P: In what ways is your spirituality important to you? • I: Do you belong to any religious or spiritual groups or communities? • R: What specific practices/rituals do you carry out as part of religious or spiritual life? • I: Would you like to discuss religious or spiritual implications of health care? • T: Are there particular aspects of medical care that you wish to forgo or have witheld because of your religion/spirituality?