Quality of life ( Functional Assessment of Chronic Illness Therapy -- Spiritual Well-Being [ FACIT-Sp ] scale and Quality of Life at the End of Life [ QUAL-E ] scale ) , symptom severity ( Edmonton Symptom Assessment System [ ESAS ] ) , satisfaction with care ( FAMCARE-P16 ) , and problems with medical interactions ( Cancer Rehabilitation Evaluation System Medical Interaction Subscale [ CARES-MIS ] ) were measured at baseline and monthly for 4 months .