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Psychosocial Assessment of Candidates for Transplant (PACT) is a tool originally developed to address psychosocial risks in solid organ transplant recipients and has the potential for application to hematopoietic cell transplantation (HCT) recipients.
A psychosocial evaluation comprises a comprehensive assessment of an individuals mental health, social support network, lifestyle, and behaviors to identify factors that may adversely impact the success of transplantation.
The Transplant Evaluation Rating Scale (TERS) (13, 14) is an expert interview for the assessment of psychosocial functioning prior to organ transplantation with satisfying inter-rater reliability scores (kappa between 0.8 and 0.9) (29).
Blood tests are used to check the function of your heart, kidneys, liver, thyroid, and immune system. You will also be checked for problems with blood sugar control and electrolyte balance. Special tests that look for certain viruses (CMU, EBV, hepatitis and HIV/AIDS) will also be done.
Psychosocial assessment is a key component of liver transplant evaluation, and generally includes evaluating insight and understanding of disease, social support, history of substance abuse and treatment, comorbid psychiatric illness, and behavioral problems.
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The SIPAT assigns a score between 0 and 119 and is depicted in Supporting Table 1. Patients receive a score in 4 different domains: (1) Patients Readiness Level, (2) Social Support System, (3) Psychological Suitability and Psychopathology, and (4) Lifestyle and Effect of Substance Use.
It is common to experience a number of intense emotions during a transplant including depression and anxiety. These emotions can also be a side effect of some of your medications. A transplant psychiatrist can evaluate your situation and discuss ways to manage these issues.

sipat score