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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 pain part 1

Spiritual Resources to Relieve Physical Painpart 1

California/Nevada ACHSA

Sacramento, California

November, 2013

edmonton symptom assessment system esas
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 ………………..
slide7
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
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
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
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?
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