What is the best pivotal visit for distress screening?
Standard 3.2 Psychosocial Distress Screening states that "All cancer patients must be screened for distress a minimum of one time at a pivotal medical visit as determined by the program." Several articles have been written that suggest key times when distress can be high including e.g. at diagnosis, at the beginning of treatment, at the end of treatment. In a joint position statement from the American Psychosocial Oncology Society, Association of Oncology Social Work, and Oncology Nursing Society Implementing Screening for Distress it states that "Distress can occur at multiple time points from a cancer diagnosis onward and may go unrecognized if screening is conducted at only one time." The best pivotal visit may be the one or ones that the program can best accommodate given system processes.