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Distress Management

原文:2021年 发布于 National Comprehensive Cancer Network 浏览量:45 原文链接

作者: National Comprehensive Cancer Network

归属分类: 所属人体系统: 其他 | 分类:心理健康

关键词: Cancer distress evaluation treatment care

指南简介

Distress should be recognized, monitored, documented, and treated promptly at all stages of disease and in all settings.• Screening should identify the level and nature of the distress.• Ideally, patients should be screened for distress at every medical visit as a hallmark of patient-centered care. At a minimum, patients should be screened for distress at their initial visit, at appropriate intervals, and as clinically indicated, especially with changes in disease status (ie, remission, recurrence, progression, treatment-related complications).• Distress should be assessed and managed according to clinical practice guidelines.• Interdisciplinary institutional committees should be formed to implement standards for distress management.• Educational and training programs should be developed to ensure that health care professionals and certified chaplains have knowledge and skills in the assessment and management of distress.• Licensed mental health professionals and certified chaplains experienced in psychosocial aspects of cancer should be readily available as staff members or by referral.• Medical care contracts should include adequate reimbursement for services provided by mental health professionals.• Clinical health outcomes measurement should include assessment of the psychosocial domain (eg, quality of life and patient and family satisfaction).• Patients, families, and treatment teams should be informed that distress management is an integral part of total medical care and is provided with appropriate information about psychosocial services in the treatment center and the community.