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Biopsychosocial Assessment

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In 2008, the Institute of Medicine (IOM) report, “Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs highlighted a need for addressing psychosocial issues and distress in cancer patients. Furthermore, DiMatteo MR, Lepper HS, Croghan TW (2014) found that depression is a risk factor for noncompliance with medical treatment. Carson, Walson and Mitchel (2012) discuss the stressful nature of having a cancer diagnosis and how stress interferes with a patients ability to cope with cancer and subsequent treatments. Unresolved distress can lead to treatment nonadherence, increased medical costs and negatively impact survival ( Screening and management of distress web site) The authors define stress as complex with emotional and …show more content…
Oncology Nurse Navigators ()recommended routinely completing holistic screening of cancer patients lifestyle, level of functioning and perceived patient stress along the patients treatment continuum. Completing a biopsychosocial assessment is linked to patient-centered care. Fillion, Cook and Blaise (2011) identified that nurse navigators who embrace psychosocial assessment and routinely utilize distress screening facilitate appropriate referrals for mental health treatment are acting as advocates as well as following the IOM recommendation to provide care that is respectful and responsive to patient needs, and values. ( Elis & lin 2009, Pasquini Biondi and Costandi 2006, Carlson, Clifford & groff 2009 )highlight the importance of screening cancer patients for levels of distress and providing appropriate psychological support. Mental health and physical health have a bidirectional component thus initiating screening and integrating mental health with cancer care recognizes the “ mind body” overlap. This is important and untreated mental illness impairs a patients ability to cope and follow treatment regimens. According an IOM report ( IOM ) “the burden and disabling consequences of cancer treatment can exert psychological distress that is similar to PTSD”. In fact, recent studies ()have shown that cancer patients sometimes meet the textbook criteria for post-traumatic stress disorder

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