Metastatic Lung Cancer and Distress: Use of the Distress Thermometer for Patient Assessment

Clinical Journal of Oncology Nursing
Victoria SherrySusan M Schneider

Abstract

Patients with metastatic lung cancer experience high levels of distress related to their disease trajectory and treatment. Oncology nurses are experts in patient care and symptom management, giving them an opportunity to screen and treat patients' distress.
. The objectives of this study were to screen patients for distress and manage their symptoms to positively affect their quality of life, treatment adherence, and clinical outcomes, and to reduce healthcare costs. 
. This quality improvement project was conducted to pilot the Distress Thermometer (DT) into the care of patients with thoracic cancer and to evaluate the effect of a multifaceted intervention, consisting of a patient education pamphlet and a nurse coaching call, on distress levels. 
. Severe distress was reported in more than half the patients. A paired-sample t test revealed a significant decrease in distress scores following the intervention.

References

Sep 12, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Alex J Mitchell
May 5, 2010·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·A MolassiotisP Lorigan
Sep 8, 2010·The New England Journal of Medicine·Jennifer S TemelThomas J Lynch
Jun 1, 2011·Psycho-oncology·Barry D Bultz, Christoffer Johansen
Jun 26, 2012·Journal of Affective Disorders·Wolfgang LindenDuncan Greig
Feb 1, 2014·Clinical Journal of Oncology Nursing·Karen J HammelefSusan M Schneider
Nov 6, 2014·The Journal of Community and Supportive Oncology·Julie Ober AllenArden M Morris

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