SlideShare una empresa de Scribd logo
1 de 41
Descargar para leer sin conexión
Alex Mitchell
                Hon. Senior Lecturer in Psycho-oncology,
                       Leicester Royal Infirmary



alex.mitchell@leicspart.nhs.uk
alex.mitchell@leicspart.nhs.uk                      IPOS Workshop (Sept 2007)
                                                     IPOS Workshop (Sept 2007)
0. Basics
  Types of screening


1. Mood Screening Methods

   How do they compare?


2. Distress Thermometer

   Evidence?


3. Implementing Screening
   Ultra-screening in secondary care
0. Basics
Definition

Screening:
  Short; Easy; some false +ve (low SpS PPV), few false –ve (High
    Sens, NPV)


Diagnosis (case-finding)
  Accurate, Few false +ve or –ve


Rating
  Simple, patient rated, correl. With QoL and other outcomes




                                                        => options
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]
IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]

Más contenido relacionado

Más de Alex J Mitchell

15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...
15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...
15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...Alex J Mitchell
 
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))Alex J Mitchell
 
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)Alex J Mitchell Alcohol Detection by Clinician (Aug2012)
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)Alex J Mitchell
 
Top 10 Fastest Time trial Bikes of 2012
Top 10 Fastest Time trial Bikes of 2012Top 10 Fastest Time trial Bikes of 2012
Top 10 Fastest Time trial Bikes of 2012Alex J Mitchell
 
Illustration of Mental Health Clustering Calculator ajmitchell
Illustration of Mental Health Clustering Calculator ajmitchellIllustration of Mental Health Clustering Calculator ajmitchell
Illustration of Mental Health Clustering Calculator ajmitchellAlex J Mitchell
 
Weight diabetes and metabolic problems in patients taking atypical antipsycho...
Weight diabetes and metabolic problems in patients taking atypical antipsycho...Weight diabetes and metabolic problems in patients taking atypical antipsycho...
Weight diabetes and metabolic problems in patients taking atypical antipsycho...Alex J Mitchell
 
Tour of Britain London Stage (Sept11)
Tour of Britain London Stage (Sept11)Tour of Britain London Stage (Sept11)
Tour of Britain London Stage (Sept11)Alex J Mitchell
 
POCOG - The Future of Psycho-Oncology (Aug 2011)
POCOG - The Future of Psycho-Oncology (Aug 2011)POCOG - The Future of Psycho-Oncology (Aug 2011)
POCOG - The Future of Psycho-Oncology (Aug 2011)Alex J Mitchell
 
Suicide and desire for hastened death (edit)
Suicide and desire for hastened death (edit)Suicide and desire for hastened death (edit)
Suicide and desire for hastened death (edit)Alex J Mitchell
 
Combined PHQ9 and GAD7 (17 items)
Combined PHQ9 and GAD7 (17 items)Combined PHQ9 and GAD7 (17 items)
Combined PHQ9 and GAD7 (17 items)Alex J Mitchell
 
Psychological aspects of cancer care for students 2011 (Apr11)
Psychological aspects of cancer care for students 2011 (Apr11)Psychological aspects of cancer care for students 2011 (Apr11)
Psychological aspects of cancer care for students 2011 (Apr11)Alex J Mitchell
 
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)Alex J Mitchell
 
Rcpsych Workshop - Depression in medical settings (Mar11)
Rcpsych Workshop - Depression in medical settings (Mar11)Rcpsych Workshop - Depression in medical settings (Mar11)
Rcpsych Workshop - Depression in medical settings (Mar11)Alex J Mitchell
 
The Ant and the Lion - A Parody of NHS management
The Ant and the Lion - A Parody of NHS managementThe Ant and the Lion - A Parody of NHS management
The Ant and the Lion - A Parody of NHS managementAlex J Mitchell
 
COH Online- The future of screening for distress in cancer settings (February11)
COH Online- The future of screening for distress in cancer settings (February11)COH Online- The future of screening for distress in cancer settings (February11)
COH Online- The future of screening for distress in cancer settings (February11)Alex J Mitchell
 
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...Alex J Mitchell
 
Top 100 Papers & People in Psychiatry (Jan2011)
Top 100 Papers & People in Psychiatry (Jan2011)Top 100 Papers & People in Psychiatry (Jan2011)
Top 100 Papers & People in Psychiatry (Jan2011)Alex J Mitchell
 
Organizational chart of NHS staffing ratios 1999-2009
Organizational chart of NHS staffing ratios 1999-2009Organizational chart of NHS staffing ratios 1999-2009
Organizational chart of NHS staffing ratios 1999-2009Alex J Mitchell
 
The Iconic Porsche 911 Turbo (1974-2010)
The Iconic Porsche 911 Turbo (1974-2010)The Iconic Porsche 911 Turbo (1974-2010)
The Iconic Porsche 911 Turbo (1974-2010)Alex J Mitchell
 
Farewell to the Iconic Porsche 911 [16mb]
Farewell to the Iconic Porsche 911 [16mb]Farewell to the Iconic Porsche 911 [16mb]
Farewell to the Iconic Porsche 911 [16mb]Alex J Mitchell
 

Más de Alex J Mitchell (20)

15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...
15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...
15th IPOS Debate on Screening for Distress by alex_j_mitchell in Rotterdam (N...
 
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))
50 slides on Physical health Mental health Comorbidity (ajmitchell Nov2012))
 
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)Alex J Mitchell Alcohol Detection by Clinician (Aug2012)
Alex J Mitchell Alcohol Detection by Clinician (Aug2012)
 
Top 10 Fastest Time trial Bikes of 2012
Top 10 Fastest Time trial Bikes of 2012Top 10 Fastest Time trial Bikes of 2012
Top 10 Fastest Time trial Bikes of 2012
 
Illustration of Mental Health Clustering Calculator ajmitchell
Illustration of Mental Health Clustering Calculator ajmitchellIllustration of Mental Health Clustering Calculator ajmitchell
Illustration of Mental Health Clustering Calculator ajmitchell
 
Weight diabetes and metabolic problems in patients taking atypical antipsycho...
Weight diabetes and metabolic problems in patients taking atypical antipsycho...Weight diabetes and metabolic problems in patients taking atypical antipsycho...
Weight diabetes and metabolic problems in patients taking atypical antipsycho...
 
Tour of Britain London Stage (Sept11)
Tour of Britain London Stage (Sept11)Tour of Britain London Stage (Sept11)
Tour of Britain London Stage (Sept11)
 
POCOG - The Future of Psycho-Oncology (Aug 2011)
POCOG - The Future of Psycho-Oncology (Aug 2011)POCOG - The Future of Psycho-Oncology (Aug 2011)
POCOG - The Future of Psycho-Oncology (Aug 2011)
 
Suicide and desire for hastened death (edit)
Suicide and desire for hastened death (edit)Suicide and desire for hastened death (edit)
Suicide and desire for hastened death (edit)
 
Combined PHQ9 and GAD7 (17 items)
Combined PHQ9 and GAD7 (17 items)Combined PHQ9 and GAD7 (17 items)
Combined PHQ9 and GAD7 (17 items)
 
Psychological aspects of cancer care for students 2011 (Apr11)
Psychological aspects of cancer care for students 2011 (Apr11)Psychological aspects of cancer care for students 2011 (Apr11)
Psychological aspects of cancer care for students 2011 (Apr11)
 
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)
[ppt] RCpsych - Failing medical care of psychiatric patients (vMar11)
 
Rcpsych Workshop - Depression in medical settings (Mar11)
Rcpsych Workshop - Depression in medical settings (Mar11)Rcpsych Workshop - Depression in medical settings (Mar11)
Rcpsych Workshop - Depression in medical settings (Mar11)
 
The Ant and the Lion - A Parody of NHS management
The Ant and the Lion - A Parody of NHS managementThe Ant and the Lion - A Parody of NHS management
The Ant and the Lion - A Parody of NHS management
 
COH Online- The future of screening for distress in cancer settings (February11)
COH Online- The future of screening for distress in cancer settings (February11)COH Online- The future of screening for distress in cancer settings (February11)
COH Online- The future of screening for distress in cancer settings (February11)
 
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...
Top 100 Most Cited People in Psychiatry (Mental Health) (Jan 2011) [aka Top 1...
 
Top 100 Papers & People in Psychiatry (Jan2011)
Top 100 Papers & People in Psychiatry (Jan2011)Top 100 Papers & People in Psychiatry (Jan2011)
Top 100 Papers & People in Psychiatry (Jan2011)
 
Organizational chart of NHS staffing ratios 1999-2009
Organizational chart of NHS staffing ratios 1999-2009Organizational chart of NHS staffing ratios 1999-2009
Organizational chart of NHS staffing ratios 1999-2009
 
The Iconic Porsche 911 Turbo (1974-2010)
The Iconic Porsche 911 Turbo (1974-2010)The Iconic Porsche 911 Turbo (1974-2010)
The Iconic Porsche 911 Turbo (1974-2010)
 
Farewell to the Iconic Porsche 911 [16mb]
Farewell to the Iconic Porsche 911 [16mb]Farewell to the Iconic Porsche 911 [16mb]
Farewell to the Iconic Porsche 911 [16mb]
 

Último

Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationMedicoseAcademics
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Sheetaleventcompany
 
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...Sheetaleventcompany
 
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Sheetaleventcompany
 
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan CytotecJual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotecjualobat34
 
Electrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdfElectrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdfMedicoseAcademics
 
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...dishamehta3332
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...gragneelam30
 
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...GENUINE ESCORT AGENCY
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryJyoti singh
 
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Gir...Kolkata Call Girls Shobhabazar  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...Namrata Singh
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Sheetaleventcompany
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...gragneelam30
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...Sheetaleventcompany
 
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋mahima pandey
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Sheetaleventcompany
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableJanvi Singh
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsMedicoseAcademics
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...Sheetaleventcompany
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxSwetaba Besh
 

Último (20)

Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
 
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
 
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
 
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan CytotecJual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
 
Electrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdfElectrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdf
 
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
 
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
 
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Gir...Kolkata Call Girls Shobhabazar  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
 
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls KPHB 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanisms
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 

IPOS07 - Screening for Distress in Palliative Settings [Sept 2007]

  • 1. Alex Mitchell Hon. Senior Lecturer in Psycho-oncology, Leicester Royal Infirmary alex.mitchell@leicspart.nhs.uk alex.mitchell@leicspart.nhs.uk IPOS Workshop (Sept 2007) IPOS Workshop (Sept 2007)
  • 2. 0. Basics Types of screening 1. Mood Screening Methods How do they compare? 2. Distress Thermometer Evidence? 3. Implementing Screening Ultra-screening in secondary care
  • 4. Definition Screening: Short; Easy; some false +ve (low SpS PPV), few false –ve (High Sens, NPV) Diagnosis (case-finding) Accurate, Few false +ve or –ve Rating Simple, patient rated, correl. With QoL and other outcomes => options