Keywords

Cancer, CINV, Emesis, Measurement, Nausea, Oncology, Quality of life, Retching, Scale, Symptom assessment, Symptom distress, Symptom experience, Symptom occurrence, Tool, Vomiting

 

Authors

  1. Wood, Janelle M. MSN, RN, OCN
  2. Chapman, Kathleen BSN, RN
  3. Eilers, June PhD, APRN-CNS, BC

Abstract

Background: Chemotherapy-induced nausea, vomiting, and retching are recognized as having an impact on patients' overall physical well-being, quality of life, and treatment decisions. Although there are many tools available to measure aspects of these symptoms, few offer a complete and concise clinical assessment.

 

Objective: The purpose of this article was to provide a comprehensive overview of the various instruments available for the assessment of cancer-related nausea, vomiting, and retching. Analysis included symptoms measured, period evaluated, type of questions posed, and aspects of each symptom measured.

 

Methods: Searches were conducted to find relevant articles using nationally recognized oncology Web sites and 4 electronic databases including PubMed, MEDLINE/CINAHL and CINAHL/EBSCO, and Cochrane.

 

Results: This review includes a total of 25 instruments that were identified as meeting the inclusion criteria of having been developed, or adapted, for the adult population, with an oncology focus.

 

Conclusion: The ideal instrument would include measurement of all 3 symptoms while remaining clear, concise, and clinically relevant.

 

Implications for Practice: Although only 1 instrument came close to meeting these criteria, this review provides nurses with specific information on a variety of instruments to assist providers in selecting the most appropriate instrument for their specific clinical setting. This comprehensive critique of instruments is important for nurses attempting to select a tool to guide optimum care for patients in the clinical setting.