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. Author manuscript; available in PMC: 2013 Oct 1.
Published in final edited form as: J Hosp Palliat Nurs. 2012 Oct 1;14(7):462–468. doi: 10.1097/NJH.0b013e318268d04e

Table 2.

Signs and Symptoms of Distress 6,14

General
   Anger, feeling out of control
   Anxiety
   Depression
   Difficulty making decisions
   Feelings of hopelessness
   Feeling overcome by sense of dread
   Feelings of being overwhelmed
   Inability to cope with pain, tiredness, and nausea
   Panic
   Poor sleep
   Poor appetite
   Poor concentration
   Preoccupation with thoughts of illness and death
   Sadness
   Social isolation
   Uncertainty
   Vulnerability
   Worry
Somatic
   Gastrointestinal upset
     Nausea
     Vomiting
     Diarrhea
   Pain
     Headache
     Neck/Shoulder pain
     Parathesia
   Fatigue
   Weakness
   Dyspnea
   Palpitations