HELP Score

HyperEmesis Level Prediction (HELP) Score Assessment

My nausea level most of the time:*
0 (None) 1 (Mild) 2 3 (Moderate) 4 5 (Severe)
I average __ vomiting episodes/day:*
0 1-2 3-5 6-8 9-12 13 or more
I average __ retching/dry heaving episodes/day:*
0 1-2 3-5 6-8 9-12 13 or more
I am urinating/voiding:*
Same More often due to IV fluids; light color Slightly less often, and normal color Once every 8 hours; slightly dark yellow Less than every 8 hours or darker Rarely; dark, blood; foul smell
Nausea/vomiting severity 1 hour after meds OR after food/drink if no meds:*
0 (None) 1 (Mild) 2 3 (Moderate) 4 5 (Severe)
Average number of HOURS I’m UNABLE TO WORK adequately at my job and/or at home due to being sick has been:*
0 1-2 (hours are slightly less) 3-4 (can work part time) 5-7 (can only do a little work) 8-10 (can’t care for family) 11+ (can’t care for myself)
I have been coping with the nausea, vomiting and retching:*
Normal Tired but mood is ok Slightly less than normal It’s tolerable but difficult Struggling: moody, emotional Poorly: irritable depressed

Total amount I have been able to eat/drink AND keep it down: Medium water bottle/large cup = 2 cups/500mL.*

Same; no weight loss	Total of about 3 meals & 6+ cups fluid	Total of about 2 meals & some fluids	1 meal & few cups fluid; only fluid or only food	Very little, <1 meal/minimal fluids; or frequent IV	Nothing goes or stays down, or daily IV/TPN/NG

My anti-nausea/vomiting meds stay down/are tolerated:*
No meds Always Nearly Always Sometimes Rarely Never/IV/SQ (subQ pump)
My symptoms compared to last week:*
Great Better About Same Worse Much Worse So Much Worse
Weight loss over last 7 days: ___% (Optional)
0% 1% 2% 3% 4% 5%
Estimate or use our weight loss calculator to determine amount lost over the LAST 7 days. Weight loss calculator: www.hyperemesis.org/weight-loss-calculator/
Number of Rx’s for nausea/vomiting*
0 1 2 3 4 5+
Each medication for vomiting is 1 point. Zofran + Phenergan + IV fluids = 3

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HELP (HyperEmesis Level Prediction) Score

The HyperEmesis Level Prediction Score was developed by the HER Foundation to quantify HG symptoms into a score that can be trended over time to monitor progress and response to treatment. Download the free HG Care App to automatically calculate your HELP Score, track your treatments, and alert you to concerning changes in your symptoms.

Scores below 20 indicate either no HG (morning sickness) or mild HG.
Scores between 20 - 32 indicate symptoms are in the moderate range.
Scores between 33 - 60 indicate severe symptoms that need aggressive care.

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Download HELP Score PDF (Spanish)

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HyperEmesis Level Prediction (HELP) Score Assessment

HELP (HyperEmesis Level Prediction) Score

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