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Implementing the Condensed Memorial Symptom Assessment Scale on an Inpatient Oncology Unit.

Valerie Englehart¹, Devon Noonan², Susan M Schneider²

¹Texas Oncology-Austin Midtown.

Clinical Journal of Oncology Nursing

|January 24, 2022

Summary

Implementing the Condensed Memorial Symptom Assessment Scale (CMSAS) improved symptom documentation for oncology patients. This quality improvement project streamlined care by linking patient-reported symptoms to automated interventions.

Keywords:

health surveys nursing care patient-centered care symptom assessment

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Area of Science:

Oncology Nursing
Quality Improvement Science
Patient Symptom Management

Background:

Symptom distress significantly impacts patients and families but is often inadequately documented in nursing records.
Effective symptom management tools are crucial for capturing patient experiences and connecting them with necessary resources.

Purpose of the Study:

To implement the Condensed Memorial Symptom Assessment Scale (CMSAS) for improved symptom burden documentation.
To streamline the process of capturing and addressing patient-reported symptoms in an inpatient oncology setting.

Main Methods:

A quality improvement pilot study was conducted on an inpatient oncology unit.
The Condensed Memorial Symptom Assessment Scale (CMSAS) was implemented, with patient surveys administered at admission and discharge.
Key patient-reported symptoms were integrated into the electronic health record (EHR) nursing care plan, triggering automated interventions based on ONS Guidelines™.

Main Results:

Symptom distress in 73 patients was rapidly tracked throughout their hospital stay.
No statistically significant changes in overall patient symptom distress were observed from admission to discharge, with the exception of two specific symptoms.

Conclusions:

The implementation of the CMSAS facilitated efficient tracking of patient symptom distress.
Integrating patient-reported symptoms into the EHR nursing care plan offers a promising approach for targeted intervention and improved symptom management in oncology care.