The Role of a Symptom Assessment Tool in Shaping Patient-Physician Communication in Palliative Care
| Autor: | Joanna Brooks, Taynara Dutra Batista Formagini, Christian T. Sinclair, Claire Poague, Heather V Nelson-Brantley |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Palliative care Intraclass correlation Context (language use) Symptom assessment Severity of Illness Index Grounded theory 03 medical and health sciences 0302 clinical medicine Documentation Quality of life (healthcare) Neoplasms Surveys and Questionnaires hemic and lymphatic diseases medicine Humans 030212 general & internal medicine General Nursing Physician-Patient Relations business.industry Communication Medical record Palliative Care Anesthesiology and Pain Medicine 030220 oncology & carcinogenesis Family medicine Quality of Life Neurology (clinical) Symptom Assessment business |
| Zdroj: | Journal of Pain and Symptom Management. 59:30-38 |
| ISSN: | 0885-3924 |
| DOI: | 10.1016/j.jpainsymman.2019.08.024 |
| Popis: | Context Patients with cancer experience many symptoms that disrupt quality of life, and symptom communication and management can be challenging. The Edmonton Symptom Assessment System (ESAS) was developed to standardize assessment and documentation of symptoms, yet research is needed to understand patients' and caregivers' experiences using the tool and its ability to impact patient-provider aligned care. Objectives The objective of this study was to understand how the ESAS shapes communication between patients and providers by exploring patients' and caregivers' experiences using the ESAS and assessing the level of agreement in symptom assessment between patients and palliative care physicians. Methods This study used a mixed-methods design. Thirty-one semistructured interviews were conducted and audio-recorded with patients (n = 18) and caregivers (n = 13). Data were analyzed following a social constructionist grounded theory approach. Patient and provider ESAS scores were obtained by medical chart review. Intraclass correlation coefficients were used to assess the level of agreement between patient-completed ESAS scores and provider-completed ESAS scores. Results Participants reported that the ESAS was a beneficial tool in establishing priorities for symptom control and guiding the appointment with the palliative care physician, despite challenges in completing the ESAS. Filling out the ESAS can also help patients more clearly identify their priorities before meeting with their physician. There was a good to excellent level of agreement between patients and physicians in all symptoms analyzed. Conclusion The ESAS is beneficial in enhancing symptom communication when used as a guide to identify and understand patients' main concerns. |
| Databáze: | OpenAIRE |
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