45 PCN General Symptom Distress Scale (GSDS)

  1. Symptoms present:
    1. depression
    2. anxiety
    3. fatigue
    4. dyspnea
    5. nausea
    6. vomiting
    7. pain
    8. sleep difficulty
    9. bowel problems
    10. difficulty concentrating
    11. loss of appetite
    12. cough
  2. Rank (1,2,3,……..) of symptoms present – from most distressing to next most distressing……
  3. On a scale of 1 to 10, in general how distressing are ALL of your symptoms to you?
    1. 1 – not at all
    2. 10 – extremely
  4. On a scale of 1 to 10, how well are you able to manage your symptoms?
    1. – cannot manage
    2. 10 – manage extremely well

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Reference Notes for Palliative Care Consultation Copyright © 2018 by Robert F. Johnson MD, MEd is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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