HomeSymptom ManagementReview of Symptoms

Review of systems for patients undergoing treatment

You should ask - and the patient should respond to all of the following signs and symptoms – the use of a symptom checklist using a 10 point scale for intensity is recommended so that symptom assessment can be done more easily and efficiently. Patients can complete these if they are able. The Oncology Nursing Society Putting Evidence into Practice (PEP) [IT Please link to http://www.ons.org/Research/PEP] is an efficient way for you to apply assessment and intervention with an evidence base. There are many resources for patient education regarding symptom management. No matter what the resource, patients respond best to one on one counseling.

i. Oncology Nursing Society: PEP Resources

a. http://ons.metapress.com/content

b. OncoLink Side Effects [IT Please link to http://www.oncolink.org/coping/coping.cfm?c=5] A wealth of knowledge to help patients deal with the side effects of cancer treatment such as nausea, vomiting, fatigue, infection, and pain.

ii. National Cancer Institute

The symptoms to be assessed can be amended to specific cancers and side effects of therapy of the individual patient.

  • Nausea & Vomiting [IT Please link to http://www.cancer.gov/cancertopics/pdq/supportivecare/nausea/HealthProfessional]
  • Pain [IT Please link to http://www.cancer.gov/cancertopics/pdq/supportivecare/pain/HealthProfessional]
  • Fatigue [IT Please link to http://www.cancer.gov/cancertopics/pdq/supportivecare/fatigue/HealthProfessional]
  • Neuropathy [IT Please link to http://www.cancer.gov/clinicaltrials/featured/trials/CALGB-170602]
  • Gastrointestinal Complications [IT Please link to http://www.cancer.gov/cancertopics/pdq/supportivecare/gastrointestinalcomplications/HealthProfessional]
  • Cardiopulmonary Syndromes [IT Please link to http://www.cancer.gov/cancertopics/pdq/supportivecare/cardiopulmonary/HealthProfessional]
  • Mucositis [IT Please link to http://www.cancer.gov/cancertopics/pdq/supportivecare/oralcomplications/HealthProfessional/page5]
  • Dry Mouth [IT Please link to http://www.cancer.gov/cancertopics/pdq/supportivecare/oralcomplications/HealthProfessional]
  • Hot flashes [IT Please link to http://www.cancer.gov/cancertopics/pdq/supportivecare/fever/HealthProfessional/page2]
  • Depression [IT Please link to http://www.cancer.gov/cancertopics/pdq/supportivecare/depression/HealthProfessional]
  • Anxiety & Distress [IT Please link to http://www.cancer.gov/cancertopics/pdq/supportivecare/adjustment/HealthProfessional]
  • Skin Rash [IT Please link to http://www.cancer.gov/cancertopics/pdq/supportivecare/pruritus/HealthProfessional]