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[Paula Trahan, 450]
Genetic Nurse and Genetic research
Asides these important aspects of care giving for a cancer patient, an oncology nurse is now also involved in the proactive approach of screening for potential cancer patients. Since the successful mapping of the human genome and the identification of genetic components that cause the onset of cancer, oncology nurses have taken on a new and important role in preventive diagnostics. They gather family history, construct pedigree and interpret them based on the genetic predisposition to cancer. The oncology nurse also offers counseling service to people thus identified to be at risk. Thus there is an emergence of the oncology nurse as a genetic service provider. oth the international Society of Nurses in Genetics (ISONG) and the ANA (American Nurses Association) have already formulated credentialing standards for genetic nurses keeping in view the quality concerns in this new and evolving role of…… [Read More]
Operational Plan and Correlating Budget
The 4 West is an organization that delivers health care for the community. ecently, the organization has decided to replace the existing medical-surgical unit into a new acute care oncology unit. The oncology is a specialty in medicine that deals with cancer. The CNO (Chief Nursing Officer) has informed the nurse director that 4 west is to become a specialized oncology unit. Since the hospital is planning the transition from the medical-surgical unit to the oncology unit, the hospital will need a new operational plan and correlating budget to assist the hospital to deliver high quality healthcare at lower costs.
Objective of this project is to develop an operational plan and correlating budget for the hospital to assist in effective transition from the medical-surgical unit to the oncology unit,
Project Details and Data
To start the budget plan, it is critical to use…… [Read More]
The study was reported as qualitative and to have been conducted by the 'Australian National Health and Medical Research Council' research study. It is stated as follows of the study: "The nursing insights indicate that an understanding of end-of-life care in hematology needs to be set in a trilogy of overlapping models (labeled functional, evolving, and refractory) that address the complexity of issues associated with professional and hospital culture." (McGrath, 2007)
Findings include the development of a working model focused on enabling the "integration of palliative care into adult hematology. The model is accredited the development of a new language for understanding and fostering the integration of palliative care and hematology." (McGrath, 2007)
One reason that palliative care is so important for hematology patients are necessary provisions of informed consent and other end-of-life issues. That is because many of these issues have to do with factors related to survival and…… [Read More]
Sampling method -117 patients with primary breast cancer; all who had same-day surgery as part of their treatment.
Appropriateness of sample -- Appropriate for circumstances under consideration.
Results (when applicable: credibility, transferability, dependability, & conformability)
Study found significant differences between the control and experimental group in terms of post-surgery mood, confusion, tension, and home management.
Ethical considerations -- All ethical considerations; privacy, etc. followed- professional study.
Relative strengths of each publication -- Peer reviewed strong work and sense of issues surrounding pain, fatigue and emotional disturbances after surgery.
Relative weaknesses of each publication -- Larger sample than previous study, but still limited in scope, demographics, psychographics and geographic extrapolation.
Application of each article in nursing practices -- Using any intervention that helps patient's after a traumatic surgery is helpful; especially if that patient can ventilate their emotions, angst, and stages of healing. Short-term telephone intervention using the AFSMI technique proves…… [Read More]
McMillan, S.C., & Small, B.J. (2007). Using the COPE intervention for family caregivers to improve symptoms of hospice homecare patients. Oncology Nursing Forum, 34(2), 313-21.
Are there any HIPAA concerns that are evident in this study?
Both caregivers and patients were required to sign informed consent documentation in order to participate in the study. Were any concerns related to HIPAA indicated in the protocol or procedures for conducting the study, those concerns would need to be delineated in the consent documents and explained to the participants. Since caregivers were an integral component to the hospice care and quality of life measures for patients, patient privacy could be maintained just as with any other medical or healthcare services.
What methods were put in place to ensure that the subjects were giving true informed consent?
The inclusion criteria and protocol for participating in the study required that patients and caregivers both be…… [Read More]
Pharmaceutical industries have to operate in an environment that is highly competitive and subject to a wide variety of internal and external constraints. In recent times, there has been an increasing trend to reduce the cost of operation while competing with other companies that manufacture products that treat similar afflictions and ailments. The complexities in drug research and development and regulations have created an industry that is subject to intense pressure to perform. The amount of capital investment investments required to get a drug from conception, through clinical trials and into the market is enormous. The already high-strung pharmaceutical industry is increasingly investing greater amounts of resources in search of the next "blockbuster" drug that can help them gain market position and profits. Laws, regulations and patents are important to the industry while spending billions of dollars in ensuring the copyright of their products.
It is the intention of this…… [Read More]
Dermatology- The dermatology department deals mostly with skin related illnesses. The most common issues within this department pertain to skin, scalp, hair and nails. Many of our clients are female with more cosmetic needs. Many would like to retain their youthful appearance and believe minor surgery is the best solution. As such, our departments offer many cosmetic treatments including hair removal, hair transplants, laser therapy and tattoo removal. This past fiscal year has been quite difficult as many of our affluent clients have postponed treatment due to economic concerns with the U.S. We believe this trend to be transitory in nature, with a steady increase in treatments to occur in early 2012.
Oncology- The oncology department pertains mostly to cancer, its detection and diagnosis. The most common diseases in this department are various forms of cancer with the most common being breast cancer. We have recently overhauled our…… [Read More]
The sample population for the stomach cancer trials included 594 patients that were Her2 positive. It is not known if patients in the stomach cancer trial included both males and females. Exclusionary criteria were not made available for either of the studies. All of the patients were receiving standard chemotherapy treatments, in addition to receiving Herceptin (Pollack, 2009). The sample populations for these studies were large for a clinical trial. Many times, it is difficult to find patients that fit the criteria for inclusion in the study. This was not a problem for these studies. The sample population of the study improves the validity of the study and confidence in the drug to be effective in patients that meet the criteria for administration of Herceptin.
The study design in both cases used a comparative study. One group was the test group and would receive the treatment being tested, in this…… [Read More]
Unexpected: Temporal, Situational, and Attributive Dimensions of Distressing Symptom Experience for Breast Cancer Survivors
Describe the data collection procedure.
The researchers for the study conducted a secondary analysis of data that was collected for an earlier study, Survivor Loneliness of Women Following Breast Cancer (osedale & Fu, 2010). The data collection procedure for the earlier study was based on interviews of volunteer participants. The interviews, which lasted approximately 90 minutes, included the participants completing a questionnaire, speaking freely on their experiences, and sharing any personal written or artistic material they wished, such as diary entries or poetry (osedale, 2009). The interviews were recorded and the researcher also recorded notes with their own impressions of the participants' demeanor, nonverbal behavior, and emotional responses (osedale, 2009).
How did the authors address the reliability and validity of their methods?
To address reliability and validity, the authors implemented a series of checks and balances…… [Read More]
Indeed, dental issues are a big problem, but in fact they are just the top of the iceberg which is the American medical system. Even if there have been serious attempts to reform the system and introduce a universal means of publicly financing medical care for all people, "Americans have fewer doctors per capita than most Western countries. We go to the doctor less than people in other Western countries. We get admitted to the hospital less frequently than people in other Western countries. We are less satisfied with our health care than our counterparts in other countries. American life expectancy is lower than the Western average. Childhood-immunization rates in the United States are lower than average." (Gladwell, 2005) Indeed, given the fact that the U.S. is considered to be the most advanced country in the world it is rather peculiar the lack of a reasonable medical care system, one…… [Read More]
GLAXOSMITHKLINE (GSK) - SUCCESSFUL INTENAL INNOVATION ead case study answer 4 questions . Do write a report. 1. Based GSK's past performance, critical implementation issues GSK internal innovation? Justify answer.
GlaxoSmithKline (GSK) -- Successful Internal Innovation
Critical implementation issues for GSK with regards to internal innovation
Implementation processes are complex endeavors which need to be thoroughly assessed and carefully decided upon. This is true in any situation and in the case of virtually all economic agents, but while this necessity is valid, it is to be differently approached and resolved across companies. In other words, the dimensions of a strategy to be implemented are sensitive to a wide array of organizational and situational particularities, including, among other things:
The size of the economic agent
The availability of resources (capitals, labor force, commodities and technologies)
The intellectual capitals possessed and the ability to gain, transfer and capitalize on knowledge
The access…… [Read More]
Using the COPE Intervention for Family Caregivers to Improve Symptoms of Hospice Homecare Patients: A Clinical Trial
This study was designed to test an intervention for hospice caregivers in order to help them better manage symptoms experienced by patients with cancer. The authors maintain that research indicates caregivers are unable to accurately assess and report the intensity of symptoms and overall quality of life (QOL) of patients with cancer and patients in hospice care.
Three symptoms, pain, dyspnea, and constipation, are commonly are seen in patients with advanced cancer. However, the author's site research that asserts that these symptoms are assessed inadequately and managed poorly in many patients. Pain and dyspnea have been found to create symptom distress, significantly affecting patient QOL.
The authors claim that caregivers must develop the skills needed to function effectively as part of the healthcare team. Building the knowledge base and teaching…… [Read More]
Range Nursing Theory
A clinical nurse is generally involved with specialized research; for example, a clinical nurse specializing in oncology would likely be heavily involved in the treatment of patients with cancer, according to Andrea Santiago. That clinical nurse specialist (CNS) working with cancer patients may also create helpful protocols or other strategies to improve the delivery of services in a hospital (Santiago, 2013). This paper delves into the reasons why the CNS can (and will) benefit from the use of the middle range theory.
hat are middle range theories?
Judy Davidson (RN, DNP, CNS) explains that middle range theories are designed to "guide practice" for nurses (including clinical nurse specialists) and are "more focused than grand theories" because they zero in on a "single aspect of practice" and are not as general as grand theories (Davidson, 2010, p. 28). Moreover, because grand theories only offer a framework in terms…… [Read More]
Personal Statement: Radiologic Technology Program
To me, there is nothing more fulfilling and exciting than being part of a team that alleviates the suffering of others. Unknown to many, mostly those serving in other professions, working in the medical field has its own unique challenges. It is the realization that mine is a unique role - a role that involves helping others -- that motivates me to keep working in this noble field. It is this same reason that motivates me to become a radiologic technologist. In addition to matching my skill-set, the radiologic technology field does, to a large extent, match my experience -- spanning over seven years in a healthcare setting. In the final analysis therefore, successful completion of the Radiologic Technology Program at GAMA will be a logical step towards the further development and enhancement of my career in the medical arena. Indeed, professional growth in the…… [Read More]
obert, T.E., Pomarico, C.A. & Nolan, M. (2011). Assessing Faculty Integration of Adult learning needs in second-degree nursing education. Nursing education perspectives, 32(1), 14-17.
obert, Pomarico and Nolan (2011) have presented a model for assessing the learning needs of second-degree nursing education. The study was essentially designed In a way that assessment of interactive teaching model was made possible. The second-degree BSN students were taken as the sample of study. The main research question being investigated was that whether or not the teaching strategies being used at the second-degree nursing education level met the needs of nursing students. The literature review being conducted by the authors is somewhat precise and short and identifies the existing gap that exists in the learning need assessment of nursing students. It was identified in the start of study that for program development for this student segment in nursing, it is essential to evaluate the…… [Read More]
Staffing shortages in nursing are a consequence of poor nurse retention and nurse satisfaction. Being a nurse requires a lot of dedication, patience, and ability to keep updated in a constantly evolving world. When hospitals and other medical facilities have staffing shortages or shortages in qualified nurses, the healthcare delivery of that particular place dwindles. Nurses are the backbone of any healthcare facility.
Especially in recent times, nurses provide prescriptions, treatment protocols, and diagnosis when doctors are away or busy. This literature review is meant to explain such a phenomena and how it relates directly to nurse satisfaction and nursing retention. From here, the connection crosses over to nursing care and healthcare delivery as standards of practice. Things like arrhythmias will be viewed to understand how nursing shortages attribute to lower quality of care. Utilizing Polk's theory of esilience, this review will allow a look into performance improvement concerns and…… [Read More]
The following questions pertain to:
McMillan, S.C., & Small, B.J. (2007). Using the COPE intervention for family caregivers to improve symptoms of hospice homecare patients. Oncology Nursing Forum, 34(2), 313-21.
What is the purpose of this research?
The purpose of this research was to describe the unexpected and distressing symptom experiences that women may have after undergoing breast cancer treatment, with the goal of enhancing follow-up care through practitioner education and an increase of the knowledge base.
What is the research question (or questions)? This may be implicit or explicit.
What symptoms may be experienced after breast cancer treatment that contribute to symptom distress and psychological stress that are may be temporal, situational, or attributive -- and that may be ameliorated during follow-up care?
What theories, frameworks, models or concepts may have influenced the researchers' choice of a research design?
The qualitative approach stems from a phenomenological philosophical background…… [Read More]
The independent physician groups and hospitals provide services under the organization's guidelines, but they may also care for patients who are not members. (1997)
While managed care does offer employers more control in choosing the specifics of the health care plan provision at the same time the insurance companies and the profit-drive health-care organizations possess a strong role. Opponents of the government having a primary role in health care financing state that managed care "raises the specter of rationing, lower quality, less freedom to choose physicians, interference with physicians' clinical autonomy, reduced access to specialty care and teaching hospitals, and increased government regulation." (Gottlieb and Einhorn, 1997) Further criticism has been stated in relation to the financial mechanisms employed by managed-care plans geared toward efficiency due to the risk of providers relating to penalties or rewards based on some measures of efficiency.
While health care providers are expected "to provide…… [Read More]
Presence of regional and distant metastases alters the stage of the disease and for these patients, standard therapy is inadequate [KEYS et al. 2004]. With the diagnoses of endometrial adenocarcinoma it is most likely that the patient in question is at an early stage of disease. To have a better prognosis, further surgical diagnosis to achieve a FIGO stage is needed as that will allow doctors to ascertain the level of myometrial muscle invasion, histological type, and differentiation grade [AMANT et al. 2005]. If the patient is at a FIGO stage one, the five-year survival rate stands at 85%, with stage II standing at 75%, stage III at 45%, and stage IV at 25% [GRISBY et al. 1992]. Treatment should follow the established regimen of hysterectomy along with radiation therapy.
Amant, F. et al. 2005. Endometrial Cancer. ancet, 366, pp. 491-505.
Boulet, G.A.V., et al. 2008. Human Papillomavirus…… [Read More]
e. incurable cancer; (2) referral to the Department of Palliative Medicine. The exclusion criteria for the study were: (1) estimated prognosis of less than 1 week; (2) significant cognitive impairment, i.e. unable to provide consent; (3) significant physical impairment, i.e. unable to complete protocol; (4) clinical evidence of dehydration; (5) current/recent (less than 2 weeks) use of antifungal medication. (Davies, railsford and eighton, 2005)
Davies, railsford and eighton (2005) report that the clinical component of the study involved "...completion of a study questionnaire (demographic data and clinical data), completion of the Memorial Symptom Assessment Scale, clinical examination of the oral cavity, measurement of the unstimulated whole salivary flow rate (UWSFR), measurement of the stimulated whole salivary flow rate (SWSFR), and performance of an oral rinse." ( p.698) The study results states that all patients/participants "...had either locally advanced, or metastatic cancer. The prevalence of different cancer diagnoses were: carcinoma breast…… [Read More]
Caring for ody and Soul
Critiquing Research Report
Modern nursing practice has focused more and more on treating the whole person, through four domains (Chan, 2009). These are physical, mental, social, and spiritual. Of the four, the spiritual domain is the most neglected. A retrospective study recently found that nurses with religious beliefs are more likely to extend spiritual care. The greater their spiritual perceptions, the more frequently they include a spiritual dimension to their care of patients (Chan). However, not many nurses are able to extend care in this domain.
Jean Watson's Theory of caring is applied as theoretical framework. Her concept sees caring as a process of transpersonal caring. It is something exceeding the self and recognizing the relationship as "mutual and reciprocal (Goliath, 2008)." It is in this environment that the nurse connects with the patient under his specific circumstances. Watson uses 10 carative factors in applying…… [Read More]
Healing Touch Annotated Bib
Bardia, A., et.al. (2006). Efficacy of Complementary and Alternative Medicine Therapies in elieving Cancer Pain: A Systematic eview. Journal of Clinical Oncology. 24 (34): 457-64.
Anecdotal evidence abounds regarding the use of complementary and alternative medicine therapies when dealing with issues of pain. One of the clear issues is that there is a lack of rigorous and well-developed scholarly literature on the subject. In this study, 18 trials were reviewed totaling 1,499 patients. Seven trials reported significant benefits using CAM, seven reported intermediate or short-term benefits, and four studies reported no benefits. The researchers conclude that there are a number of variables and a number of types of CAM, all which require more methodologically sound studies in order to determine actual efficacy of individual interventions.
Jones, T., Glover, L. (2012). Exploring the Psychological Processes Underlying Touch:
Lessons From the Alexander Technique. Clinical Psychology and Psychotherapy. EPub:…… [Read More]
Standards of Nursing Practice
Nursing Scope and Standards of Practice
Scope and Standards of Nursing Practice in Ohio
Scope and Standards of Nursing Practice in Ohio
As a pediatric hematology registered nurse (N) practicing in the state of Ohio I am licensed through the Ohio Board of Nursing (2013). The Ohio Board of Nursing determines licensure criteria by relying those established by national certifying organizations and in Ohio this is the National Council of State Boards of Nursing. The scope of practice for Ns in Ohio is determined by Chapter 4723 of the Ohio evised Code (OC), in addition to the administrative rules developed under this Chapter (Ohio Board of Nursing, 2011).
Scope of Practice Considerations
Under Chapter 4723 OC an N is authorized to evaluate a patient's health, develop a nursing regimen to restore health, prevent disease, and promote health, provide health counseling and teaching, and under the authorization…… [Read More]
photo novellas to test the creative aptitude of nurses working in oncology and palliative care. esearchers asked how they defined spirituality and were told to select between four to six photographs out of a photo novella they captured from their work in the field to represent these feelings. The participants in the study included five female oncology and palliative nurses, all working within Atlantic Canada. esearchers claim that "these specialty areas of nursing were selected because of the life-threatening nature of patients' illnesses, end of life issues, and the associated need for spiritual care" (Burke & Evans, 2011). Essentially, nurses within palliative and oncology contexts do often help patients with spiritual care as patients prepare to deal with a variety of end of life issues. Ultimately, the primary purpose was then to test the spiritual aptitude of these nurses in a qualitative context, while also including an exploration of how…… [Read More]
This can also include aspects such as taboos, perceptions of pain as well as concomitant factors such as education and socioeconomic status, language barriers, and advance health care planning. ( Mitty and Post, 2008).
Good examples that can be given are the strategies employed by the nurse in oncology in helping cancer patients to make informed decisions about their treatment. The nurse can assist these patients by providing access to informed decision making; which implies making sure that the patient understands both the nature as well as the risks of cancer treatment. This can include explaining to the patient the risks and benefits of aspects such as alternatives to screening for cancer; and by helping the patient to make various decisions in relation to his or her values and preferences. For example, the nurse can clarify the difference between screenings for various types of cancer; for instance the fact that…… [Read More]
he Neuman Model is appropriate for senior care.
Studies necessary with other models.
Penrod, et.al.; Reframing Person Centered Care for Persons with Dementia
Research and heory for Nursing Practice
Lit. Review, discussion
Research shows individual personhood approach has positive effects on care.
Biomedical and psychological models must be merged for persons with dementia.
Further study using different integration modeling.
Rajapaksa and Rothstein; Factors hat Influence the Decisions of Men and Women Nurses to Leave Nursing.
Qualitative, some quantitative analysis
For men, compensation largest barrier to remaining in nursing; for women dissatisfaction with career goals
Barriers to entry in profession for men and still social stigma
It is possible for hospitals and care centers to develop program to retain more nurses
Needs more demographic and psychographic variation.
Gillespie and Peterson; Helping Novice Nurses Make Effective Clinical Decisions
Case…… [Read More]
Moreover, the specific cause of transmission are the low compliance rates of hospital personnel with basic antiseptic protocols such as simple hand washing. Surprisingly, the worst offenders were those with the highest degree of formal training: namely physicians and registered nurses. In some studies, compliance rates among hospital personnel were only between fifteen and thirty percent. Finally, empirical studies have also concluded that compliance rates are lowest in high-volume institutions and among understaffed medical units.
The solution is rather obviously quite simple. Among the most important aspects of reducing hospital-acquired nosocomial hospital infections is increasing the rates of hand washing among hospital personnel. Naturally, the more direct patient contact individual personnel have, the more important adherence to strict hand-washing policy is. Since physicians and nurses routinely care for many patients during a typical shift, it is crucial for them to become the most compliant rather than the least compliant…… [Read More]
The nursing professional must be adept at dealing ith these kinds of conversations, and ithout increasing the guilt that the family member or patient might be experiencing, and keeping in mind the patient's probable depression; it is the responsibility of the nursing professional to take the conversation back to the treatment and therapies that ithin the realm of the legal and ethical practices in delivering medical nursing care.
Jacquie Peden, Darlene Grantham, and Marie-Josee Paquin (2005) say that nursing standards in palliative care are based on the values of the nursing profession, and are developed by provincial and territorial regulatory bodies in Canada to guide the professional practice of nursing professionals (p. 2). The hospice palliative nurse, they rite:
Believes in the intrinsic orth of others, the value of life, and that death is a natural process.
Establishes a therapeutic connection (relationship) ith the person and family through making, sustaining,…… [Read More]
These included guidelines fom the Austalian National Beast Cance Cente and the Austalian National Cance Contol Initiative; an updated systematic eview of the eseach evidence, and a consensus by the Clinician -- Patient Communica-tions Woking Panel of the Pogam in Evidence- Based Cae of Cance Cae Ontaio.
The eliability of these studies also lends cedence to the outcome measues in that the study gains intenal validity due to the fact that the pocess measues matched the objective of the study.
The fact, howeve, that only 33 paticipants esponded endes the sample small and detacts fom its eliability making it difficult to eplicate to othe instances. This endes the outcome measues uneliable.
On the othe hand, simila online and offline eseach, both quantitative and qualitative, time and again, indicates the impotance of communication in tems of hospice patient cae. Cance patients, it is shown, too pofit fom impoved docto-patient communication (e.g.…… [Read More]
This has been the traditionally used mode of treatment for non-Hodgkin's Lymphomas, but the fact remains that there have not been many clinical trials conducted that would reveal the benefits of CHOP in comparison to various other chemotherapy options for the treatment of CLL, which is a very slowly growing form of cancer and is therefore conversely very difficult to treat and cure because of the fact that all the traditional methods of treatment, whether chemotherapy or radiation, are meant to quickly and rapidly destroy the fast growing cancerous cells. (Cancer Treatment and Prevention)
Curing a patient with the CLL or SLL forms of cancer is considered to be highly unusual, but it is true that these patients will b able to lead productive lives even after 6 to 10 years after the cancer have been diagnosed for them. A patient when he is making the choice of treatment for…… [Read More]
Pfizer, 'NEW FRAGMIN INDICATION FIGHTS SECOND LEADING CAUSE of DEATH in CANCER PATIENTS, CANCER-ASSOCIATED THROMOSIS', retrieved feb 29th 2008, from, http://www.pfizer.ca/english/newsroom/press%20releases/default.asp?s=1&releaseID=160
Huget P, van Dam P,
Vermeulen P. (2002), 'Plasma fibrin D-dimer levels correlate with tumor volume, progression rate and survival in patients with metastatic reast Cancer', ritish Journal of Cancer, http://www.ncbi.nlm.nih.gov/pubmed/11875705
John a Heit, (Sep 2005), "Cancer and Venous Thromboembolism: Scope of the Problem', Cancer Control, Vol! 2, Supplement 1.
Diana M. eck, (Oct 2006), 'Venous Thromboembolism: Prophylaxis: Implications for Medical Surgical Nurses,"
MEDSURG Nursing -- October 2006 -- Vol. 15/No. 5, Available online at, http://www.medsurgnursing.net/ceonline/2008/article10282288.pdf
Race, Tara Kay SN, RN, CCRN; Collier, Paul E. MD, (July-Sep 2007), 'The Hidden Risk of Deep Vein Thrombosis -- the Need for Risk Factor Assessment: Case Reviews.', Critical Care Nursing Quarterly, 30(3):245-254
Susan egelman MD, 'Venous Thromboembolism',…… [Read More]
Donated body organs like hearts and kidneys contribute to the saving of hundreds of lives each year. The fact is that bequeathed tissues like skin, bone and heart valves could remarkably enhance the value of life for the persons receiving them. A patient who is dead following a cardiac arrest i.e. whose heartbeat has stopped permanently cannot be an organ donor but can be a tissue donor. Though in case of tissue donation the urgency of restoring a life by donation of liver or heart is absent, yet it is no way less critical to bring back vision by the help of a donated cornea, avert the severing of a leg using a bone donated by somebody or brighten the odds of survival of a patient having sustained burn injuries by skin donation.
Transplanted tissues offer advantages like it helps in alleviating trauma, assisting individuals to see again,…… [Read More]
Hourly Nurse ounds, Can They Make a Difference?
[Author Name(s), First M. Last, Omit Titles and Degrees]
Pressure ulcers or as some refer to as bed/pressure sores or decubitus ulcers are categorized as localized areas of damaged tissue that is caused by shearing forces and excess pressure usually from maintaining the same position over a long period of time. Pressure ulcers typically happen in people who have nerve damage and/or limited mobility. When the person feels pressure, from sitting or lying on any certain body part, this often results in nutrient and oxygen deprivation to the wound or affected area. Strategies to circumvent this involve repositioning. epositioning consists of moving the person into a different position to give the body the ability to redistribute or remove pressure from the affected area. "Pressure ulcers are distressing events, caused when skin and underlying tissues are placed under pressure sufficient to impair blood…… [Read More]
One of the major theoretical models for healthcare delivery is the Parse theory of human becoming, created by Rosemarie Rizzo Parse—originally titled the man-living-health theory (2011). This theory focuses on healthcare and the human through the lens of quality of life. This theoretical premise for delivering and receiving healthcare was able to gain steam as a result of its alternative to the more standard bio-medical method and the biological-psychological-social and spiritual method contained in the bulk of other theories of nursing. This theory has enjoyed much attention and use when delivering healthcare as a result of the fact that it views quality of life as all relative to a person’s viewpoint.
Main assumptions of Human Becoming Theory
Human becoming allows one to select specific meaning in situations within the realm of human experience. Reality is the culmination of lived experiences. A sometimes nebulous process of co-creation occurs via…… [Read More]
3%) are very satisfied with their health care services, compared to only 41.5% of Canadians; a lower proportion of Americans are dissatisfied (6.8%) than Canadians (8.5%).
Atlas (2009) acknowledge that Americans have much better access to important new technologies like medical imaging than patients in Canada or the U.K. Maligned as a waste by economists and policymakers naive to actual medical practice, an overwhelming majority of leading American physicians identified computerized tomography (CT) and magnetic resonance imaging (MI) as the most important medical innovations for improving patient care during the previous decade (Fuchs & Sox, 2001). This is justifiable in the presented table showing the most important recent medical innovations, below. Hence, Atlas (2009) claim that the United States has nearly 27 MI machines per million compared to about 6 per million in Canada and Britain.
According to" The U.S. Health Care System as an Engine of Innovation," 2004 Economic…… [Read More]
Computers Used by Nurses
The area of interest in nursing informatics are nursing information, nursing data and nursing knowledge. The present state of knowledge related to these phenomena proposes four implications for the development of systems to assist nursing. First, research suggests that experience and knowledge is linked to the quality of nursing assessment, diagnosis or clinical inference, and planning of nursing care, and also that knowledge is task-specific Information technology can provide access to a variety of information resources, such as knowledge bases and decision support systems, to enhance the level of knowledge of the nurse decision-maker. Second, organized patient assessment forms with linkages to knowledge bases of diagnoses have the capability to improve the quality of the patient check up and the accuracy of the diagnosis. Third, studies on planning care have demonstrated the complexity of the task when a number of options are potentially appropriate Model-based decision…… [Read More]
Ga DOA OC Radio Pharmaceutical
Neuroendocrine tumors (NE) are neoplasms characterized by tissue immunoreactivity for neuroendocrine differentiation markers, appearance as a small mass that can be off white to yellow often in submucosa and prevalence throughout the body but typically found in the intestine or lungs (Oberg2011). he tumors can be malignant and are typically detected through hormone markers in a first diagnosis (Arnold 2003). Because of the diffuse nature of this type of tumor, detecting and imaging NEs requires scanning and typically requires a contrast agent to detect the location of tumors in tissue (an 2011). Many NE cells possess an overexpression of somatostatin receptors on their surface (Kwekkeboom 2005, VenEssen 2007). Somatostatin receptors are cell surface proteins that bind to somatostatin, a growth hormone inhibiting hormone that regulates the endocrine system and affects neurotransmission and cell proliferation (Florio 2002). he overexpressed somatostatin receptors can be used to both…… [Read More]
infer an answer to a particular section, then you must so state and JUSTIFY your statement.
DO NOT LEAVE ANY SECTION BLANK.
Do not provide a "Yes" or "no" answer without an EXPLANATION. YOU MUST JUSTIFY ALL YOUR RESPONSES
ALL responses must be written in YOUR OWN WORDS. Do NOT use quotes.
Full and Complete Reference for the Article: Hagan, Teresa L, BSN, RN., B.A., & Donovan, Heidi M, Phd., R.N. (2013). Ovarian cancer survivor's experiences of self-advocacy: A focus group study. Oncology Nursing Forum, 40(2), 140-7. Retrieved from http://searchproquest.com/docview/1325739253?accountid-35812
You must submit the full article in PDF form. Critiques submitted without the PDF will not be accepted.
What is the problem the study was conducted to address? (1)
Response: The problem this study was conducted to address was self-advocacy in clinical research as well as practice. Despite self-advocacy being cited as a trait desirable among…… [Read More]
" (AAF, nd)
The Health Maintenance Organization further should "…negotiate with both public and private payers for adequate reimbursement or direct payment to cover the expenses of interpreter services so that they can establish services without burdening physicians…" and the private industry should be "…engaged by medical organizations, including the AAF, and patient advocacy groups to consider innovative ways to provide interpreter services to both employees and the medically underserved." (AAF, nd)
One example of the community healthcare organization is the CCO model is reported as a community cancer screening center model and is stated to be an effective mechanism for facilitating the linkage of investigators and their institutions with the clinical trials network. It is reported that the minority-based CCO was approved initially by the NCI, Division of Cancer revention Board of Scientific Counselors in January 1989. The implementation began in the fall of 1990 and the program was…… [Read More]
Internal and external consistency was tested. A pilot study showed that there was internal consistency. However, the results of the larger study indicate that more work on the KAESAD to improve the internal consistency of the scales used to measure the responses was needed. Data were statistically analyzed with an accepted value of statistical significance set at p < 0.05. Also, some data that was found to be statistically significant was determined by the authors to be clinically insignificant. How this was determined by the authors was not explained in the procedure.
The results were presented in several helpful tables and also interpreted by the authors. The authors discussed the results of each aspect of their research questions. None of the research questions were left out. The tables that were used were helpful, easy to read and agreed with the interpretations that the authors made about their results. The discussion…… [Read More]
Estimates of cost savings from the reduction in film costs as well as through reduced work hours needed for the creation of images and the reading of images by physicians will lead to an average annual cost savings of between five hundred- and seven hundred and fifty-thousand dollars a year, leading to an overall cost benefit of one hundred- to three hundred and fifty-thousand dollars a year compared to traditional film production techniques (Hoffman 2008; ath 2010). A ten percent reduction in costs could be achieved through increasing the competitiveness of a the bidding process amongst companies that produce the technologies necessary for a successful PACS, as well as through reducing the time and personnel involved in training programs. This latter is not especially advisable, however, as indirect costs will likely be created though reductions in the efficacy of the adoption and a reduced improvement in treatment efficiencies and speeds…… [Read More]
With our progressing knowledge in molecular biology and the increasing understanding of the various signaling pathways there is no question of doubt that in the near future the prognosis for OSCC would be considerably improved. As with any other disease, prevention is better than cure. Avoiding the well-known risk factors, a well-balanced nutritional plan and regular dental health checkups are the most effective means of preventing Oral cancers.
1) Michael King, Kourt Chatelain & Dustin Farris et.al, 'Oral Squamous Cell Carcinoma proliferative Phenotype is modulated by Proanthocyanidins: a potential prevention and treatment alternative for Oral Cancer', MC Complementary and Alternative Medicine, 2007, 7:22, 19 June 2007 http://www.biomedcentral.com/1472-6882/7/22
2) M. Chidzonga, L. Mahomva, 'Squamous cell carcinoma of the oral cavity, maxillary antrum and lip in a Zimbabwean population: A descriptive epidemiological study, Oral Oncology, 2006, Volume 42, Issue 2, Pages 184-189
3) National Cancer Institute, 'Oral Cavity', Accessed Jan 15th…… [Read More]
In the daily diet; (5) Include cruciferous vegetables in the diet. (russels sprouts, kohlrabi and cauliflower); (6) Consume alcoholic beverages only moderately; and (7) Only moderately consume salt-cured, smoked and nitrate cured foods. (American Cancer Society, 1984, pp. 122-123) What little was understood about nutrition as it relates to cancer rates is summed up in the following specific food categories by the American Cancer Society in its 1984 report:
Food Additives -- chemicals of a variety are added to foods for improving the color and flavor of the foods and to preserve the foods. While some of these have been banned due to having been shown to cause cancer in animals others are believed to protect against carcinogens.
Vitamin E -- Vitamin E is an oxidant and while it may prevent cancer in animals more research is needed of the role Vitamin E plays in preventing cancer in humans.
Selenium…… [Read More]
Based upon the fact the baby boomers are all approaching retirement age, it would be a good idea for the organization to pursue programs that are geared towards seniors. Programs that are geared towards seniors are a great way to produce quality comprehensive health care for those in the community that need it. The organization might pursue the idea of opening a PACE program. " The Program of All-Inclusive Care for the Elderly (PACE) is a capitated benefit authorized by the Balanced Budget Act of 1997 (BBA) that features a comprehensive service delivery system and integrated Medicare and Medicaid financing" (Program of All Inclusive Care for the Elderly (PACE), 2009). The PACE program features complete medical and social services that rely on an interdisciplinary team approach in an adult day health center that includes in-home and referral services depending on the person's needs (Program of All Inclusive Care for the…… [Read More]
(2009, March). omen's Health Law eekly, 34. Retrieved March 1, 2009 from Research Library database. (Document ID: 1651848781).
CNSs need skills in mental health. (2009). Cancer Nursing Practice, 8(1), 6. Retrieved March 1, 2009, from ProQuest Health and Medical Complete database. (Document ID: 1651343051).
Lance Armstrong Foundation. (2009). Official ebsite.
Retrieved March 1, 2009. http://www.livestrong.org/site/c.khLXK1PxHmF/b.2660611/k.BCED/Home.htm
Heyman, Patrick & Sandra olfe. (2001). Neuman's System's Model. University of Florida.
Retrieved March 1, 2009, at http://www.patheyman.com/essays/neuman/short.htm
Okamura, Masako Shigeto Yamawaki, Tatsuo Akechi, Koji Taniguchi, & Yosuke
Uchitomi. (2005). Psychiatric disorders following first breast cancer recurrence:
Prevalence, associated factors and relationship to quality of life. Japanese Journal of Clinical Oncology, 35(6), 302-9. Retrieved March 1, 2009, from ProQuest
Medical Library database. (Document ID: 876421851).
Quinlin, Patrick. (2001). Beating cancer with nutrition. Nutrition Times Press.
Pengelly, Michele & Diana Purnell. (2009). An audit of levels of psychological support referrals for cancer patients. Cancer Nursing Practice,…… [Read More]
One of the primary role of the nurse, notes the authors, is to help educate the patient about the parameters of his or her disease. Part of the education process is teaching patients about the drugs recommended to them by their doctors or the pharmaceuticals they are already taking to alleviate symptoms. urses can use their knowledge to make patients feel more comfortable about their treatments, more well-informed, and therefore more in control of their course of treatment. Patients who are cognizant of the possible side-effects and benefits of the drugs they take to manage their disease are more likely to comply with guidelines for treatment because they understand the motives behind them. The authors also claim that patient education is an integral part of healing. The article's impact on the nursing profession is broad and extends beyond the limited subject matter they address in "Bisphosphonate therapy for metastatic bone…… [Read More]
" In the process, one learns to see oneself as strong and resilient, courageous, and empowered. Whether the individual can get up and go on and have a happy life after the loss depends on how the person views self
Is he or she a victim or a survivor? A strong person making spiritual progress or weak and debilitated? Whiting & Bradley (2007) argue that there must be an outcome for every loss. Whether the outcome is "reconciliation" or "vulnerability" or "victimization" depends on successful and positive identity reconstruction.
It used to be believed that the grieving individual had to achieve detachment from the person who had died. This was Freud's theory, that "grieving people need to break free from the deceased, let go of the past and reassert their individualism by charting a new course for life.
A healthy grief experience, according to Freud [was] one in which the…… [Read More]
That is largely a function of the fact that the adult diabetes clinic emphasizes the patient counselling and patient education roles of nurses in clinical practice (Hamric, Spross, & Hanson, 2009).
Over the long-term, the outcomes of diabetes clinic practices depend substantially on the abilities of nurses to achieve high levels of patient compliance. This aspect of nursing practice is highly amenable to the osswurm-and-Larrabee concept because clinicians have the regular opportunity to evaluate and compare various methods of motivating patient compliance with protocols necessary to maximize the effectiveness of their clinical care. In that environment, clinicians can apply different approaches with different groups of patients, continually compare the relative degrees of compliance and to quantify the results of those differences in outcomes that lend themselves directly to objective empirical measurement. In principle, these elements are the principal conceptual components of the osswurm-and-Larrabee model for identifying necessary changes, designing appropriate…… [Read More]
International Clinical Harmonisation
PROPER SYSTEMS IN PLACE
The International Congress Harmonisation
WHO Principles of Good Clinical Practice
Clinical research is conducted to insure the safety and efficacy of health and medical products and practices (WHO 2002). In the past, randomized controlled trials gave most of the information about the safety and efficacy of these products and treatments. Randomized clinical trials were considered the foundation of evidence-based medicine but reliably only when conducted according to principles and standards. These principles and standards comprise good clinical research or GCP. The guidelines were created to help national regulatory authorities, sponsors, investigators and ethics committees to implement GCP for overall clinical research. These were based on the guidelines provided by major international organizations, such as the International Conference on Harmonization or ICH GCP, and used as reference (WHO).
GCP incorporates accepted and established ethical and scientific quality standards complied with for the design, conduct,…… [Read More]
For instance when patients who have lost plenty of blood are brought in a hospital ER room, the clinical officers may actually administer the wrong solutions to patients as they attempt to save their lives Stoker ()
. The volume of the IV fluid to be administered should always be followed with precaution and be based on medical directions of the hospital's protocol as well as the patient's response to the fluid being administered. Another precaution is that all IV fluid bags should always be well labeled since the labels provide important information that is needed during administration of the fluids.
hen administered to the wrong and in appropriate IV fluid solutions, a patient's health may be put at severe risk and other fatalities. This may result to legal and disciplinary action to the medical practitioner. Thus, an IV fluid bag should always be read correctly as they also have…… [Read More]
A more definitive explanation is; "... A proposed explanation for a phenomenon." (Scientific Reference) a hypothesis should be able to be tested and functions as a directive for further research.
In my research study for example, the hypothesis that was explored was that certain circumstances in different historical periods affect the development of the areas of expertise and their application to project activities. These circumstances include social and cultural movements; the development of scientific and technical knowledge, among others. This hypothesis provides the incentive for further research and determines to a large extent the direction or trajectory of the research outcomes.
5. Explain briefly why applied research instead of basic research will typically be done in industry and commerce, and describe two examples of applied research
The answer to this question becomes clear when the looks the difference between basic and applied research. Basic research is theoretical and is aimed…… [Read More]
homever recommended that the authors employ such a tactic simply needs to return to a 'two-tier" education program wherein the primary objective is to increase one's content knowledge of statistics. Although the authors also make mention of using an ANOVA to garner statistical value nowhere in the report as these values reported other than on a cursory basis. Again, when statistical values are produced they must, at all time be aligned with the null hypotheses previously stated if the conclusions presented are to be accepted.
Substantive orth. There are those who would argue that any word placed on paper is of value, now or in the future. However, when it comes to healthcare and for those responsible for its delivery, that which is most important is to provide all healthcare practitioners the ways and means to deliver unto the medical consumer that which is effective, that which is holistic, and…… [Read More]
Onion Root Tips
Since a plant root is always looking for water and nutrients, it is in a continual state of growth and is ideal for studying cell division. The information presented in the table that follows shows the subjective cell cycle phases that an onion root tip undergoes. This particular cell spends more than half of the time in the first stage -- interphase, and in the following phase -- prophase the time spent is just over a quarter of the time, while the remaining two phases show a dramatic decrease in the total time.
number of cells percent of cells
Healthy cell division replaces old or dead cells and is a normal process of life. Meanwhile, unrestrained cell division is cancerous, which is responsible for more than 100 diseases that exhibit this characteristic. If a healthy cell's DNA becomes mutated whether by…… [Read More]
(eport of the brain tumor progress review)
It must be stated at this point that although it is indeed unfortunate that young children may be diagnosed with brain tumors, it is a fact that cannot be avoided. These tumors, which occur in about 1,500 to 2,000 children who are diagnosed with malignancies every year in children in the United States of America can be of various different types, and may occur in anybody. The prognosis for a child is definitely better than for an adult, and this can mean that with the proper treatment, the child can hope to live a long and fulfilling life. This paper is about the necessity of effective communication for a health care professional or a clinician with a child with brain tumor and his parents, and it is important to note that unless there is excellent communication between them, the therapy would in…… [Read More]
There are a number of really wonderful employers in the United States; companies that are consistently known for their excellent treatment of their employees. Fortune Magazine identifies the top 100 companies to work for each year and gives various details about each company. The company I would like to work for is Methodist Hospital System, Houston. It has consistently been identified as one of the best employers in the country, with a reputation for treating its employees fairly and establishing a great atmosphere. Moreover, this career would be in the healthcare industry, which is projected to be a growth area for the foreseeable future, so it is an excellent field.
Create a brief job description for a position within the company you research that you would like to fill.
The job that I would like is Senior Marketing Specialist. Marketing specialists with the Methodist Hospital System have a unique…… [Read More]
professional fields that confirm, through studies and other means, the effective use of evidence-based practices. The field of education, business, technology, and especially the medical field all, to varying degrees, use the concept of evidence-based practices to improve the manner in which solutions to problems are sought and implemented. It is important that studies are conducted that allow for quantitative and qualitative methodologies to confirm that the practices being touted are acceptable to the audience to which they are presented.
One such study was recently published in a peer-reviewed publication; the objective of the study was to make evidence-based recommendations to medical professionals. The study specifically targeted those physicians, medical professionals, nurses, and administrators that in one form or the other deal with patients diagnosed with cancer, or cancer related diseases. The study wished to affirm and confirm the importance of effective communications between the medical personnel and the patient…… [Read More]
he researcher was able to pull up information on Venous hromboembolism hospitalizations by utilizing ICD-10 (Maynard & Stein, 2010)
he clinical diagnosis of Venous hromboembolism is defective; people that are suffering with signs and symptoms of Venous hromboembolism, just 20% have thrombosis confirmed by diagnostic testing.13Clinical prediction rules have been developed to improve the probability of an accurate diagnosis. he most widely used model classifies patients into a high, moderate, or low probability of deep vein thrombosis (Maynard & Stein, 2010). When joined with research laboratory and radiological imaging tests, this method is superior to the old-style method of executing a diagnostic test in all patients with suspected Venous hromboembolism (Martinez- 2008).
Prognosis, broken down by risk groups
A lot of the Deep Vein hrombosis is occult and most of the time resolves instinctively without there being a problem. he main longstanding illness from Deep Vein hrombosis is PS,…… [Read More]
commendation and for improvement in the paragraph regarding the availability of computers. The author has a fairly transparent degree of verve and enthusiasm for the subject, which is sometimes a key component of an insightful article (Turnquist, 2009, 437). However, he or she has the tendency to make some emotional appeals instead of relying on empirical evidence to make points. Doing so is a crucial component of scholarly writing, and one of the areas in which the author could use some improvement.
The primary strength associated with this article is the author's logic. The author elucidates a number of crucial points that reinforces the paper's thesis: that computers enjoy a current degree of availability that they previously did not. However, in attempting to demonstrate his or her enthusiasm about this subject, the author has actually written about this issue from a decidedly biased viewpoint. A close analysis of the diction…… [Read More]
Participants filled out a Short-Form McGill Questionnaire, an Arthritis Self-Efficacy Scale, and Fibromyalgia Impact Questionnaire in order to measure their levels of pain over the past few weeks. What the researchers found through statistical analysis was self-management strategies that reduced pain over time were most effective in the group that was exposed to guided imagery techniques. The level of guided imagery therapy was not itself significant, but more of the fact of whether or not it was present in the patient's therapy or not. This helps illustrate the effectiveness of guided imagery in managing long-term chronic pain when there are no fundamental cures present within traditional therapeutic practices. Pain management symptoms improved, but the symptoms overall remained. This shows that guided imagery is not a cure in and of itself, but rather an effective way to reduce and manage the pain that is present in chronic conditions like fibromyalgia.
Weydert,…… [Read More]
Confidence is a golden tait that can povide useful if not in all, than at least most situations any single peson may expeience. Confidence essentially includes having the ability to successfully negotiate any given task with gace, pecision and tact. This acquied skill is theefoe obviously extemely useful in the health cae industy.
Nuses ae integal in the healing pocess and maybe moe impotant than the physician in many instances of medical teatment. Nuses need not only technical skills but also social skills that will seve both thei own caee aspiations but also simultaneously assist in the pactical application of thei pofession. The pupose of this poposal is to convince the eade that the poblem of lack of confidence in nusing, and specifically thei communication methods with patients, is significant and the ensuing plan will benefit the stakeholdes involved.
This plan will fist explain how aising confidence levels can contibute…… [Read More]