...the difference between compliance and adherence. The term “adherence” implies a more collaborative active role between the patients and their providers whereas compliance implies a passive role to health-care on the part of the patient (Carpenter 2005). The word adhere originated in the 15th century from the Latin “’ad-“ (to) + “haerere” (to stick)” (The American Heritage College Dictionary, 1993, p. 16). Adhere is defined as “to stick fast; remain attached” and/or “to be a devoted follower or supporter” (The American Heritage College Dictionary, 1993, p. 16). Adherence, then, is the “process or condition of adhering” or the “faithful attachment; devotion” (The American Heritage College Dictionary, 1993, p. 16). As a nurse practitioner, it is vitally important that we equip our patients with the proper information and instructions regarding treatment regimens to increase adherence and improve patient outcomes. As a nurse practitioner in the area of oncology, medication adherence to chemotherapy and targeted therapy agents, the need for a thorough understanding of adherence, is heightened due to the complexity surrounding the physiological implications of cancer and the pharmacokinetics of the treatment. Not only do the oral chemotherapy/targeted therapy medications have increased number and severity of side effects, they are likely to have more drug interactions and rigid, precise instructions. Most people understand the importance of taking chemotherapy/targeted therapy...
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...SES/low-risk relation, melanoma is believed to be one of the few diseases with a reverse SES gradient (i.e., low SES/low-risk; see Adler, 1994). This is partially correct. The SES gradient for melanoma is complicated because it is different between melanoma incidence and the severity (including the stage at diagnosis and mortality...
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...October 9, 2011 UoP Instructor Should medical marijuana be legalized nationwide? The use of marijuana for the treatment of patients with serious health conditions is currently one of the top contentious debate topics in the United States. Until its prohibition in 1937, marijuana was one the top three most prescribed medicines in the United States. To date, 13 states have statutory laws legalizing medical marijuana; however, it is not legal at the federal level. Several pros and cons exist to support whether medical marijuana should be or not be legalized nationwide. The primary arguments in debating the pros and cons of legalizing medical marijuana nationwide focus primarily on medical benefits, disease prevention, medical risk, substance abuse, and legal issues. Many scientific professionals and patients claim medical marijuana provides some sort of medical benefits. Although it has been a contentious battle between the states and federal governments to legalize or not medical marijuana nationwide, there are three important points to take under consideration; first, marijuana is a potent analgesic in patients with chronic pain. Second, it is a strong anti-emetic for patients receiving cancer chemotherapy treatment. Third and most important, medical marijuana should be legal, so patients do not have to break the law to receive treatment. Across the nation state organizations strictly supervise medical marijuana to ensure it is grown, sold, and used properly...
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...cancer are fear or recurrence, body image disruption, sexual dysfunction, treatment-related anxieties, intrusive thoughts about illness/persistent anxiety, marital communication, feelings of vulnerability, existential concerns (Ganz). Increased depression, anxiety, and fear are normal for cancer patients. The American Cancer Society also stated a new perspective of life is also common as patients get more aware about the effects the cancer as on the family and look at their relationships from a new perspective. For women, especially for younger survivors, appearance and sexuality are also big issues ("Emotional Aspects of Breast Cancer"). The psychosocial issues of breast cancer affect millions of people in the USA alone and the possibility of getting affected are high. Many people disregard cancer survivors because they believe that the hard part is already over for them however that is not true. Life after breast cancer is just as hard as life with breast...
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...that something is abnormal. Some of the first symptoms you may see could be fever, swollen glands, anemia, and frequently occurring infections. Doctors and parents may suspect a more common illness before assuming cancer. If it is diagnosed as cancer, there are treatments that can help manage pain, remove or slow the growth of cancer cells, and sometimes even lead to...
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...-[ \ UNIVERSITY OF CAPE COAST SCHOOL OF NURSING MSC. ADVANCED NURSING PRACTICE COURSE: ADVANCED CLINICAL PRACTICUM I AND II IN SPECIALTY AREA COURSE CODE: NUR 822S and NUR 829S PATIENT / FAMILY CASE STUDY (A NURSING PROCESS APPROACH) ON A CLIENT WITH GESTATIONAL TROPHOBLASTIC NEOPLASM BY: CHARLOTTE LAMPTEY SN/ADN/15/0030 AUGUST, 2016 CONTENTS * PREFACE * ACKNOWLEDGEMENT * INTRODUCTION CHAPTER ONE: OVERVIEW OF CLIENT SITUATION I. Literature review of gestational trophoblastic neoplasm CHAPTER TWO: COMPREHENSIVE HOLISTIC ASSESSMENT OF PATIENT/FAMILY I. Patient’s medical and personal history including review of the systems II.Physical examination III.Diagnostic evaluation IV.Nutritional assessment V. Psychosocial history VI. Patient developmental assessment VII.Spiritual assessment VIII.Quality of life assessment IX.Admission of patient CHAPTER THREE: ANALYSIS OF DATA CHAPTER FOUR: COLLABORATIVE PLAN OF CARE I. Presumptive medical diagnosis II.Nursing diagnosis III.Evidence-based interventions IV.Additional diagnostic procedures warranted but not done Medication to be ordered CHAPTER FIVE: DISCHARGE PLAN I. Community service and resource needed II.Client education plan III.Plans for follow-up of care CHAPTER SIX: EVALUATION PLAN Termination of care * SUMMARY * CONCLUSION * REFERENCE PREFACE ...
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...Introduction In a small pocket in downtown Phoenix, AZ, census tract 1133.01, there is a predominantly male (53% male, 47% female) Hispanic population that is mostly middle-aged, between 35 and 49 years1. According to the zip code data encompassing this area, this low-income section consists of mostly unmarried individuals with a high school education (62%)2. The most common mode of transportation is by car alone (66%), which likely means that this population is spending a good amount of time being sedentary2. There is a high incidence of binge eating disorder (BED) among this population. When binges occur, high amounts of inexpensive, low-nutrient food is consumed and has several negative side effects, such as weight gain, which could lead to obesity. The community nutrition problem that will be addressed herein is reducing the occurrence of binge eating, and subsequent weight gain, among this population. Literature Review...
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...Legalizing Marijuana, New Social Stigma: The new wave of Acceptance C. LaMour Romine Pittsburg State University Definition of Problem to be studied: This research is a secondary research analysis of the theoretical perspective of the marijuana movement - pertaining to the politic standpoint of marijuana verses cigarettes and scientific medical analysis of marijuana verses cigarettes. This research is meant to explore the multifaceted aspect of marijuana, cigarette trends, and the correlation between their recent waves of popularity. We will explore the historical facts of past tobacco trends to the present marijuana movement including widely held attitudes and beliefs about both substances. The thesis of this research will be to explore the differences between marijuana and cigarettes and social stigmas. Including the shift in popularity between tobacco and marijuana the MJ activist group known as NORML supporting the legalization of cannabis, while anti tobacco organizations have increased to ban cigarette smoke in public places. This research will conceptualize the meanings behind the negative stigmas associated with drugs legal and illegal influence. The problem is a double standard between the political views of marijuana and cigarettes. The political perspectives seem to be focused on public stigmas about the substance(s) rather than deciding drug laws based on medical science. Marijuana and tobacco have a shared...
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...According to Mosby’s Medical, Nursing, & Allied Health Dictionary (2002), depression is an abnormal emotional state characterized by exaggerated feelings of sadness, melancholy, dejection, worthlessness, emptiness, and hopelessness that are inappropriate and out of proportion to reality. Depression may be expressed in a wide spectrum of affective, physiologic, cognitive, and behavioral manifestations. A depressed teenager may be hostile, grumpy, or may easily lose his or her temper. Unexplained aches and pains are also common symptoms of depression in young people. The adolescent oncology patient may suffer from all of these symptoms due to the life altering circumstances that a cancer diagnosis brings. However, due to side effects of treatment medications sometimes makes it difficult to properly identify and diagnosis the onset of depression. Therefore, the concept of depression in the adolescent oncology patient requires a multidisciplinary analysis to examine symptoms expressed by these patients to properly identify and provide early intervention for their depression. Review of Literature Depression in adolescence and...
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...of topics, from quality of life in the last year of life (Lawton et al. 1990) to quality of life in urban environments (Rogerson et al. 1989). As was illustrated earlier, quality of life is an amorphous concept, that has a usage across many disciplines -- geography, literature, philosophy, health economics, advertising, health promotion and the medical and social sciences (e.g. sociology and psychology). It is a vague concept; it is multidimensional and theoretically incorporates all aspects of an individual's life. Quality of life has also been defined as the `output' of the inputs of the physical and the spiritual (Liu 1974); as the degree to which a person accomplishes life goals (Cella and Cherin 1987); and even quantified crudely as a formula in which quality of life (QL) is a product of one's natural endowment (NE) and the effort made on one's behalf by the family (H) and society (S), such that QL ]] NE ]] H ]] S (Shaw 1977). The meaning of the concept of quality of life is thus arguably dependent on the user of the term, his or her understanding of it, and his or her position and agenda in the social and political structure (Edlund and Tancredi 1985): `Quality of life is a vague and ethereal entity, something that many people talk about, but which nobody very clearly knows what to do about' (Campbell et al. 1976). In view of its multitude of usages, it has been suggested that the term `quality of life' is so misused that it should be banished from our lexicon...
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...Santa Maria National High School Santa Maria, Laguna The Impact of Abortion to the Physical and Psychological Behavior of a Woman Presented to: Mrs. Lorena H. Bernardino Presented by: Sinag, Ma. Victoria C. English IV 16 February 2015 Sinag i Sinag i Outline Thesis statement: Physical changes and psychological implication of aborting pregnancy of women. I. What is the Abortion? A. Meaning of abortion B. Origin of abortion C. Method of aborting D. Types of abortion E. What drive a woman to abort their pregnancy? II. After Effects of Abortion A. Physical B. Psychological III. Prevention to reduce abortion A. Good Policies B. Good Politics IV. Conclusion V. Bibliography Sinag 1 Sinag 1 The Impact of Abortion to the Physical and Psychological Behavior of a Woman Introduction Many women, not only in the Philippines aborting their pregnancy because of economical or financial factor. In this study the researchers aiming to give information what is the physical and psychological behavior implication of aborting pregnancy. What is the process of abortion and reasons why a women needs to abort their pregnancy. In this study, the researcher also sited some prevention to avoid women pregnancy abortion, especially in the Philippines. Abortion is the ending of pregnancy by the removal or forcing out from the womb of a fetus or embryo before it is able to...
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...This philosophy considers the uniqueness of each individual, understanding that the individual is unique, a product of their culture, religion, environment socioeconomic status and diversity. Giger and Dividhizar propose that, as health care providers, we need an acute awareness of the ethnicity and culture of each individual, having the knowledge and understanding to care for them as their culture, religion, values and belief system necessitates (Giger & Davidhizar, 2002). This model of nursing assessment focuses on six factors, or phenomena, that address important areas of cultural influence which impact our ability to provide diverse clients with the most effective and efficient care. The six phenomena are communication; space; social organization; time; environmental control; and biological variations. This assignment involves the use of the Transcultural Nursing Assessment model in the care of Ms. B, an 82 year old, African American female. Introduction America has been called the melting pot of the world. The term indicates that America is a county made up of immigrant cultures, religions and various ethnic groups from all over the world; a land of opportunity where all are accepted. Emma Lazarus’s famous poem engraved on the Statue of Liberty states, in part, “Give me your tired, your poor, your huddled masses yearning to breathe free, the wretched refuse of your teeming shore. Send these, the homeless; I lift my lamp beside the golden door.” However, I question...
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...2016 Diploma Programme Biology guide Published February 2014 Published on behalf of the International Baccalaureate Organization, a not-for-profit educational foundation of 15 Route des Morillons, 1218 Le Grand-Saconnex, Geneva, Switzerland by the International Baccalaureate Organization (UK) Ltd Peterson House, Malthouse Avenue, Cardiff Gate Cardiff, Wales CF23 8GL United Kingdom Website: www.ibo.org © International Baccalaureate Organization 2014 The International Baccalaureate Organization (known as the IB) offers four high-quality and challenging educational programmes for a worldwide community of schools, aiming to create a better, more peaceful world. This publication is one of a range of materials produced to support these programmes. The IB may use a variety of sources in its work and checks information to verify accuracy and authenticity, particularly when using community-based knowledge sources such as Wikipedia. The IB respects the principles of intellectual property and makes strenuous efforts to identify and obtain permission before publication from rights holders of all copyright material used. The IB is grateful for permissions received for material used in this publication and will be pleased to correct any errors or omissions at the earliest opportunity. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior written permission ...
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...1 HLTH 21: Health Education Spring 2012 Course Orientation This course is all about what YOU want and need to know about personal, family, and community health with an emphasis on epidemiology of disease, nutritional behavior, communicable disease, disease prevention, mental health, and substance abuse. It's really up to you to decide how much you want to get out of this course in terms of meeting your personal and professional goals. Learning Outcomes By the end of this course, students should be able to: Assess health behavior choices, apply that information to everyday life for the improvement of individual, family, and community well-being. Identify preconceived ideas about knowledge, values, and behavior that affect health and compare with established research and accepted scientific evidence. How to be Successful in this Course Plan to spend at least 9 hours per week on this course. Login and keep up with readings, discussions, and quizzes on a weekly basis. Click on Course Map and get familiar with it. First, introduce yourself in the Discussion Forum. Before you begin with the Module readings, take some time to get to know your classmates. Click on the Discussion and Private Messages link to the left of your screen. Click on Discussion Forum titled: Introductions Post a message to tell us a little bit about yourself such as your major, degree plans, career goals, hobbies/interests, and why you are taking this course. Read your...
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...Table of Contents Conditioning 3 Memory 14 Thought 21 Perception 25 Sensation 33 Personality Theory 39 Abnormal Behavior 49 Psychotherapy 56 Emotion 59 Motivation 62 Social Psychology 70 Intelligence 75 Physiology 78 States of Consciousness 84 Statistics 88 Human Development 91 Conditioning What are the laws of learning? What are the things that glue in our knowledge of the world? We are talking about the role of experience in shaping our lives. The rules of learning give us great adaptability. There are three basic types of learning. They are habituation, classical conditioning, and instrumental conditioning. Imagine a worm. When the tide is in, it comes out. It has extensions from its head, getting particles from the outside. So it comes out of its hole to snatch these particles. It has one fear though: seagulls. The worm is delicious to them. They see him and they eat him. The worm has a detection system wired in though. When there is a shadow, he ducks. It is a hard-wired reflex. Sometimes, however, shadows don’t mean a darn, like on a cloudy day. If it doesn’t come out because of the shadows, it will get nothing done and starve to death. Therefore, if the shadows are too frequent, it will ignore them. There...
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