Promoting Excellence : Edmonton Symptom Assessment System (ESAS)

Instrument Name:
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, well-being and shortness of breath.

Clinical Care Tool - Symptom Management

Eduardo Bruera, MD

Author Contact Information:
M.D. Anderson Cancer Center
1515 Holcombe Blvd.
Houston, TX 77030

Bruera E, Kuehn N, Miller MJ, Selmser P, Macmillan K. The Edmonton symptom assessment system (ESAS): a simple method for the assessment of palliative care patients. J. Palliat Care 1991; 7(2):6-9.

symptom management, symptom level, multiple symptoms, cancer, pain assessment, emotional well-being, health status

To use this tool:
No permission is required

To view this tool:
To download, choose Clinical Information - Assessment Tools - ESAS.


Promoting Excellence in End-of-Life Care is a national program of The Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying people and their families. Visit for more resources.

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