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Related Concept Videos

Assessing Body Temperature - Temporal Artery01:19

Assessing Body Temperature - Temporal Artery

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Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.  
Step 3: Assess the patient's...
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Assessing Body Temperature - Axilla01:14

Assessing Body Temperature - Axilla

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Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
584
Assessing Body Temperature - Tympanic membrane01:14

Assessing Body Temperature - Tympanic membrane

580
Assessing tympanic membrane temperature involves using a tympanic membrane thermometer (TMT). Here is a step-by-step guide:
Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
Step 3: Slide the probe cover in place to prevent cross-contamination.
Step 4: Instruct the patient to tilt their head to the side for comfort and check for cerumen...
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Assessing Body Temperature - Rectal01:27

Assessing Body Temperature - Rectal

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Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
3.9K
Assessing Body Temperature - Oral01:14

Assessing Body Temperature - Oral

743
Here are the steps to accurately measure oral temperature using an electronic thermometer:
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
743
Equipments Used to Measure Body Temperature01:13

Equipments Used to Measure Body Temperature

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Body temperature can be assessed using various devices and measured in Celsius or Fahrenheit.
Glass-bulb Thermometer:
Glass-bulb thermometers are hollow glass tubes with a bulb tip containing liquid such as ethanol or mercury. Historically, glass bulb mercury thermometers were the standard device to measure body temperature. Today, mercury thermometers are prohibited in many countries due to the hazardous effects of mercury and the risk of exposure if the glass bulb breaks. In general,...
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A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
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Performance of Distress Thermometer: A Study among Cancer Patients.

Sudip Thapa, Susmita Sharma1, Nishim Gautam1

  • 1Nepal Cancer Hospital and Research Center Pvt. Ltd, Department Medical Oncology, Harisiddhi, Lalitpur, Nepal.

Journal of Nepal Health Research Council
|April 14, 2024
PubMed
Summary

This study validated the Distress Thermometer (DT) with a cut-off score of 4 for screening psychosocial distress (PD) in Nepali cancer patients. Emotional, practical, and physical problems were identified as significant risk factors.

Keywords:
Cancer; Distress Thermometer; Nepal.

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Area of Science:

  • Oncology
  • Psychosocial Oncology
  • Clinical Psychology

Background:

  • The Distress Thermometer (DT) with Problems List (PL) is a common tool for screening psychosocial distress in cancer patients.
  • Variations in DT cut-off scores and performance across studies necessitate localized validation.
  • This study is the first in Nepal to assess the DT's screening properties and identify distress risk factors in cancer patients.

Purpose of the Study:

  • To investigate the screening properties of the DT in Nepali cancer patients.
  • To determine the optimal cut-off score for the DT in this population.
  • To evaluate the prevalence of psychosocial distress and its associated risk factors.

Main Methods:

  • A cross-sectional study involving 162 heterogeneous cancer patients in Nepal.
  • The English DT was translated into Nepali using forward and backward translation.
  • Receiver Operating Characteristic (ROC) analysis was used to evaluate DT performance against the Hospital Anxiety and Depression Scale (HADS-Total ≥15).

Main Results:

  • ROC analysis demonstrated excellent discriminating performance with an Area Under the Curve (AUC) of 87.4%.
  • A DT cut-off score of 4 was established, yielding high sensitivity (88.9%) and specificity (71.1%).
  • Psychosocial distress (PD) was prevalent in 55.6% of participants, with emotional, practical, and physical problems identified as significant risk factors.

Conclusions:

  • The DT with a cut-off score of 4, accompanied by the PL, is a valid instrument for screening psychosocial distress in Nepali cancer patients.
  • The PL effectively identifies specific problems contributing to psychosocial distress.
  • Addressing identified problems is crucial for managing the global burden of PD in cancer care.