The purpose of the current study was to examine in depth the documented problems encountered by women with overian cancer soon after surgery,as well as APN interventions performed during a series of clinical encounters within six months following hospital discharge.Screening for psychological distress,a component of the Distress Management Guidelines,provided a unique opportunity to analyze the incorporation of this activity into the treatment plan.In addition,it compared problems and nursing interventions for highly distressed patients who received specialized mental health services provided by psychiatric APNs with those patients in the study with both low and high distress who had not received these services