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. 2019 Aug 22;22(Suppl 1):S-44–S-57. doi: 10.1089/jpm.2019.0130

Table 5.

Palliative Care Intervention Arm Consult Recommended Components

(1) Assessment of patient and family illness understanding
(2) Modified Edmonton Symptom Assessment Scale-Finances and Spirituality (ESAS-FS69) which assesses the following symptoms on a 0–10 point score, with a higher score indicating worsening symptom burden: pain, tiredness, nausea, depression, anxiety, drowsiness, appetite, well-being, shortness of breath, constipation, financial distress, and spiritual pain
(3) Palliative Performance Scale80,81
(4) Clarification of the patient's surrogate decision maker
(5) Discuss advance care planning or goals of care, if deemed appropriate at that time