Using the theory of unpleasant symptoms as a guide, what would you look for in an assessment tool for patient symptoms?
Theory of unpleasant symptoms
Full Answer Section
- Multidimensionality: The tool should be able to assess the multiple dimensions of symptoms, such as intensity, duration, frequency, and quality of life impact.
- Antecedent factors: The tool should be able to assess the antecedent factors that may be influencing the patient's symptoms.
- Consequences: The tool should be able to assess the consequences of the patient's symptoms on their life.
- Validity: The tool should be valid, meaning that it measures what it is intended to measure.
- Reliability: The tool should be reliable, meaning that it produces consistent results over time.
- Usability: The tool should be easy to use for both patients and clinicians.
- Edmonton Symptom Assessment System (ESAS): The ESAS is a brief, self-administered questionnaire that assesses nine common symptoms in cancer patients: pain, nausea, vomiting, fatigue, drowsiness, shortness of breath, appetite, anxiety, and depression.
- Memorial Symptom Assessment Scale (MSAS): The MSAS is a comprehensive, multidimensional assessment tool for cancer patients that includes over 30 items to assess a wide range of symptoms.
- Brief Symptom Inventory (BSI): The BSI is a brief, self-administered questionnaire that assesses nine psychiatric symptoms: depression, anxiety, anger, somatization, obsessive-compulsive symptoms, phobic anxiety, paranoid ideation, psychoticism, and global severity index.
- Cultural sensitivity: The tool should be culturally sensitive and avoid using language that is offensive or stigmatizing to certain groups of people.
- Age appropriateness: The tool should be age-appropriate and easy to understand for the population being assessed.
- Accessibility: The tool should be accessible to people with disabilities.
- Cost: The tool should be affordable to purchase and use.
Sample Answer
The Theory of Unpleasant Symptoms (TOUS) is a holistic middle-range theory that recognizes symptoms as multidimensional. It posits that symptoms are influenced by antecedent (physiological, psychological, and situational) factors and have consequences for the individual's life.
When selecting or developing an assessment tool for patient symptoms, it is important to consider the following factors based on TOUS:
- Comprehensiveness: The tool should be comprehensive enough to assess the full range of symptoms that patients may experience, including physical, psychological, and social symptoms.