Oncology nurses may not consistently use a standard assessment for psychosocial issues in patients with cancer. This may be because of their concern with more immediate physical symptoms and the greater difficulty of assessing and addressing psychosocial issues. If a clinician does not attend to the difficult questions, a patient may not bring them forward. Therefore, a standard QOL assessment, incorporating all aspects of a patient’s life, should be initiated (Buchanan et al., 2005).