The person also completes a 39item problem list, marking. Nccn distress thermometer and problem list for patients version 2. Racial and ethnic minorities made up 5 percent of the cancer patient population. Cancer can be a distressing experience for cancer patients and carers, impacting on psychological, social, physical and spiritual functioning 19. Orlando, flin recognition of the distress associated with the diagnosis and treatment of cancer, the national comprehensive cancer network nccn has produced several resources to help patients report their distress and cope with it. Using a visual distress thermometer see the collection methods section below for an example, ask the person to indicate the level of distress that they have experienced in the past week on a scale from 010, where 0 indicates no distress and 10 indicates extreme distress. View and download cdn dttc operating instructions online. It ranges from 0 no distress to 10 extreme distress. Psychological distress is prevalent with a cutoff score of greater than or equal to five. The distress thermometer is a pen and paper tool for patients to report how distressed they are about their psychosocial and physical problems. Validation of the distress thermometer among stroke survivors. Cancer patients narrative accounts supported the usefulness of the distress thermometer as a screening tool. Using the distress thermometer and hospital anxiety and. The dt is a selfreport tool that includes an overall distress rating 010 over the past week and a problem list where a.
Empirische prufung eines screeninginstruments zur erfassung psychosozialer belastung bei krebspatienten article pdf available january 2006. Jacobsen, phd, a and sean ransom, phd, b tampa, florida, and laie, hawaii it causes, heightened distress has been shown to be associated with poorer adherence to treatment recommendations, 4 poorer satisfaction with care, 5 and poorer quality. New nccn distress guidelines and tools encourage patients. The diagnosis of levels of distress for end of life. Psychological screening of oncohematologic inpatients. Patients are asked to circle the number that best describes their level of distress over the last week. Purpose the distress thermometer the dt is a commonly used screening tool to detect distress in cancer patients. The nccn 20 recommends screening for distress using a tool such as the distress thermometer, a singleitem tool asking people to score how distressed they have been over the past week on a picture of a thermometer using a scale from 0 no distress to 10 extreme distress located at the top see figure 1. Hertfordshire community nhs trust has implemented the use of the distress thermometer dt as an assessment. Distress thermometer dt the dt is a 1item, selfreport measure of psychological distress developed by the nccn.
Also, with the focus on the patient, carer needs are often overlooked. The organization has published the first nccn guidelines for patients and nccn quick guide for distress. The distress screening pivotal visit was incorporated into the patients care plan at on day 8 on the 3rd cycle of the patients. Jan 31, 2011 in an effort to address barriers to distress screening, the national comprehensive cancer network nccn recommends the distress thermometer dt, a singleitem selfreport measure of distress. Use of the distress thermometer in clinical practice ncbi.
No distress moderate extreme distress distress it is as it is is this fact or opinion. In 2003, the nccn distress management panel published more fully. Distress thermometer the distress thermometer forms a key part of the holistic needs assessment hna and is a tool used by people to report their level of overall distress. Validation of the distress thermometer for use among. Patients and clinicians experiences of holistic needs assessment using a cancer distress thermometer and problem list. Article translating research on the distress thermometer into. About nccn new translations of nccn guidelines content available. The screening tool was based on the distress thermometer dt scale and a modified problem list. On the same page is an associated problem checklist, which. Nccn clinical practice guidelines in oncology nccn. Routine screening for psychological distress on an. Screening for psychological distress in patients with lung. New nccn distress guidelines and tools encourage patients to. Patients are comfortable using the distress thermometer and problem list and physicians see these tools as useful checklists to prompt and guide questions about physical and psychological symptoms.
The distress screening pivotal visit was incorporated into the patients care plan at on day 8 on the 3rd cycle of the patients chemotherapy regimen. This study investigated the acceptability of brief. Patients are asked to rate their distress in the past week on an 11point visual analogue scale ranging from 0 no distress to 10 extreme distress. Site visit 3 chi health good samaritan cancer center c hi health good samaritan cancer center, kearney, nebraska, is a 268bed notforprofi t community hospital located in a rural setting. Use of the distress thermometer for the elderly in the identification of distress and need in nursing and care homes source. The distress thermometer, a widelyused and wellvalidated self report screening tool 2,16, 18, 20212223242526, consists of 2 sections, the 11point distress scale featured as a. Validation of the distress thermometer for use among adolescents and young adults with cancer in australia. Distress, a multifactorial unpleasant emotional experience of a psychological cognitive, behavioral and emotional, social andor spiritual nature that may interfere with the ability to cope with cancer effectively, its physical symptoms and its treatment, can.
Childcare familyfriends resources social services housing shelters financial grants see finances below low incomesection 8 housing halfwaytransitional houses. Between 1050% of patients and carers suffer from ongoing, clinically significant psychological morbidity 6,8,1012. Nccn distress thermometer and problem list for patients. Health professionals often fail to detect distress in their patients due to time constraints, and a lack of. A total of 26 studies were identified as meeting the search criteria. Using a visual distress thermometer see the collection methods section below for an example, ask the person to indicate the level of distress that they have experienced in the past week on a scale from 010, where 0 indicates no distress and 10 indicates extreme. National comprehensive cancer network nccn evidencebased. Nov 11, 2011 download clkers blank distress thermometer clip art and related images now. First please circle the number 010 that best describes how much distress you have been experiencing in the past week including today.
Resource guide for distress thermometer screening if a patient identifies a barrier on the left column, consider using a resource in the right column. Assessing the validity of the clinicianrated distress thermometer in. It offers patients a list of common treatmentrelated difficulties to help them identify any problems that cause distress. Full text validation of the distress thermometer for use. The national comprehensive cancer network nccn recently posted a new translation of the nccn clinical practice guidelines in oncology nccn guidelines for melanoma in turkish. It can include feelings of unease, sadness, worry, anger, helplessness, guilt, and so forth. Purposethe screening of psychological distress is a milestone in psycho oncology. Jan 31, 2011 cancer can be a distressing experience for cancer patients and carers, impacting on psychological, social, physical and spiritual functioning.
Distress thermometer intervention trial full text view. However, health professionals often fail to detect distress in their patients due to time constraints and a lack of experience. The distress thermometer dt is a single item visual analogue scale which is shaped like a thermometer, with a numerical scale between 0 to 10, with 0 indicating no distress and 10 indicating extreme distress. The distress thermometer please circle or pick a number 010 from the drop down box that best describes how much distress you have been experiencing in the past week including today. Cdn dttc operating instructions pdf download manualslib. Researchers conducted a secondary data analysis of distress ratings n 1205 for people receiving outpatient care at a midwestern us cancer center from 2005 to 2009 to describe the. Specialist palliative and end of life care at hertfordshire community nhs trust has implemented the use of the distress thermometer dt as an assessment tool to identify the psychological needs of patients who are palliative or end of life at brunswick court and there is an recognised need to support this practice for all patients who are identified as palliative or end of life. The purpose of this study is to identify factors associated with overall distress for a diverse population of cancer survivors. The use of distress thermometer in advanced cancer inpatients with. Early evaluation and screening for distress leads to early and timely management of psychological distress, which in turn improves medical management. Patients with a cancer diagnosis experience complex issues that can cause distress. Patient distress thermometer and problem list openi. In 1999, the national comprehensive cancer network nccn, recommended routine screening for distress in all cancer patients.
It also contains an accompanying list of 34 problems grouped into five categories practical, family, emotional, spiritualreligious and physical. Jacobsen and margaret boothjones university of south florida, usa summary the distress thermometer dt is a oneitem screening measure of psychological distress in cancer patients. Oct 16, 2014 researchers conducted a secondary data analysis of distress ratings n 1205 for people receiving outpatient care at a midwestern us cancer center from 2005 to 2009 to describe the relationships between distress factors and need for assessment of distress. Therefore, such an instrument does not indicate whether. The dt is a selfreport measure using an 11point scale from 0 no distress to 10 extreme distress. User manuals, cdn thermometer operating guides and service manuals. Implementation of nccn distress management guidelines by.
Acceptability of the distress thermometer and problem list. The nccn clinical practice guidelines nccn guidelines are a statement of evidence and consensus of the authors regarding. Assessment and care provision by occupational therapists and physiotherapists in the acute sector pdf. A qualitative study author links open overlay panel lucy biddle a sangeetha paramasivan a susan harris a rona campbell a james brennan b c william hollingworth a. Eight patients had an increase in their distress score over the course of figure 3. In the period of january 2014 until the july 2014 the 10 trained members of staff were requested to use the dt and a copy of the completed dt as well as a thematic log about its use was kept by the end of life educator. Purposethe screening of psychological distress is a milestone in psychooncology. The usefulness of the distress thermometer in the distress. Measurement of psychological distress in patients with.
Methods first, the original version of the dt was translated using a forward and backward translation procedure according to the guidelines. Extreme distress no distress 10 9 8 7 6 5 4 3 2 1 0 10 9 8 7 6 5 4 3 2 1 0 nccn distress thermometer for patients help for distress distress is an unpleasant emotional state that may affect how you feel, think, and act. The distress thermometer dt was selected for the pilot because it is short, simple to use, and easy and quick to assess. Distress thermometer and problem checklist instructions. This translation is a direct result of nccns inaugural international day. Patients and clinicians experiences of holistic needs. Use of distress thermometers in an outpatient oncology setting. The screening tool was based on the distress thermometer dt scale and a modified. Acceptability of the distress thermometer and problem list to. An analysis of the distress thermometer problem list and. Implementation of nccn distress management guidelines by member institutions paul b. Hypotheses were supported in that the distress thermometer was found to be useful in identifying psychological distress and psychosocial concerns to enable referral to supportive care services early in the cancer journey. Dec 29, 2010 identification of patients suffering from elevated psychosocial distress, the sources of the distress, and the necessary treatment of the distress can be rather difficult within the neurosurgical setting e.
Health, general sociology and social work cancer care and treatment cancer patients cancer treatment head and neck cancer diagnosis measuring instruments medical thermometers usage outpatients social workers. Click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download. National guidelines for stroke recommend that all patients entering rehabilitation are screened for mood disturbance using a validated measure. The nccn has advocated for the dt to be used to assess distress in cancer patients. Validation of the distress thermometer among stroke. Distress thermometer one of the most commonly used tools is the distress thermometer dt. Abstract background the distress thermometer dt has been used in psycho. If you have lung cancer or mesothelioma, please call either johanna lynch or lucy pike on. The consumer resource, cancer how are you travelling. A s it is a potentially fatal illness, cancer can cause immense psychological distress to those living with it. Accuracy of the danish version of the distress thermometer. The nccn distress thermometer is the most widely used and most wellvalidated tool to assess distress, said teresa deshields, phd, psychologist, siteman cancer center, washington university school of medicine, st. Article translating research on the distress thermometer. The discussion text has been updated to reflect the changes in the algorithm ms1.
Jonathan larsen, mpp, manager, global business development. The nccn clinical practice guidelines nccn guidelines are a statement of evidence and consensus of the authors regarding their views of currently accepted approaches to treatment. Between 35% and 47% of cancer patients experience significant psychological. Use of distress thermometers in an outpatient oncology. The distress thermometer dt is a singleitem rapid distress screening tool by use of which these difficulties can be. Download the nccn distress thermometer 296kb pdf from. The distress thermometer is a modified visual analogue scale that resembles a thermometer. Identification of patients suffering from elevated psychosocial distress, the sources of the distress, and the necessary treatment of the distress can be rather difficult within the neurosurgical setting e. Download clkers blank distress thermometer clip art and related images now. Purpose this study aims to translate the distress thermometer dt into indonesian, test its validity in indonesian women with breast cancer and determine norm scores of the indonesian dt for clinically relevant distress.
Cancer can be a distressing experience for cancer patients and carers, impacting on psychological, social, physical and spiritual functioning. The cancer center provided treatment to 496 new patients in 2014. An updated distress thermometer is included in the nccn. The dt is reportedly a brief, noninvasive, valid and acceptable alternative to longer psychometric instruments 15. Distress can also have a significant impact on a patients overall survival. Distress thermometer assesses psychosocial distress. Article information, pdf download for psychological screening of.
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