title: Clinical evaluation in advanced cancer.
abstract: This chapter will outline a general approach to symptom assessment, using the interdisciplinary approach to pain as a model. Due to the implications of cognitive impairment for treatment compliance, consent, and caregiver burden, assessment of cognitive function will be reviewed in detail. Problem areas in assessment are identified, along with aids to improve assessment and emphasize the key contribution of the nurse. We will also focus on measurement issues from both clinical and research perspectives.
authors.affiliation: Harry R. Horvitz Center for Palliative Medicine, the Department of Medical Oncology, and the Cleveland Clinic Taussig Cancer Center, The Cleveland Clinic Foundation, OH, USA.
authors.forename: D S
authors.initials: DS
authors.lastname: Zhukovsky
authors.forename: O
authors.initials: O
authors.lastname: Abdullah
authors.forename: M
authors.initials: M
authors.lastname: Richardson
authors.forename: D
authors.initials: D
authors.lastname: Walsh
mesh_terms: D003072:Cognition Disorders / Q000175:diagnosis; D003693:Delirium / Q000175:diagnosis; D003937:Diagnosis, Differential; D006801:Humans; D009369:Neoplasms / Q000150:complications* / Q000451:nursing*; D010146:Pain / Q000175:diagnosis / Q000209:etiology*; D059408:Pain Management; D010147:Pain Measurement; D010166:Palliative Care