...Professional Standards in Oncology Advanced knowledge and skills are needed in all clinical setting however are exemplified in oncology due to the dynamic disease process and the need for consistent surveillance to ensure that the most appropriate treatment is provided. The purpose of this paper is to examine how advanced knowledge is evident in oncology along with two professional standards that require knowledge from the three Ps (physical assessment, pharmacology, and pathophysiology). Furthermore, its application in my practicum will be discuses and how to integrate practice standards during future education sessions. Advanced Knowledge According to the Bermuda Nursing Council (BNC, 2014) nurses must ensure a high standard of care continuously....
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...San Marcos Abstract This paper explores the findings from four peer reviewed articles about the effects of Healing Touch (HT)/Therapeutic Touch(TT) has on patients. The studies represented in the articles vary in their study designs; however they all aim to ask the same two questions. 1) Does Therapeutic touch play a role in the healing process and health outcomes in selected patients; and 2) Secondly, Is there a need for TT to be utilized in further treatment modalities? This paper examines two different oncology patient studies, one osteoarthritis pain study and one study focusing on patients who are being treated in a psychiatric facility. The Effects of Healing Touch on Patient’s Health “Healing Touch (HT) is a complimentary non invasive biofield therapy, which has demonstrated effectiveness in reducing pain, distress and fatigue. HT purportedly supports the body’s natural healing process and enhances the function of the immune system (Wong, Ghiasuddin, Kimata, Patelesio, & Siu, 2012, pg.1).” The goal of Therapeutic/Healing Touch is to restore harmony and balance to individuals energy systems, which provides the opportunity to self-heal (Wong et al., 2012, pg.27).This paper explores research conducted on the effects of Healing Touch on patients with cancer, pain as and well as other effects on their mental health and the need to further research into the effects of Healing Touch on multiple health care...
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...Navigation and the Impact on Breast Care Christina Reid-Brown California Baptist University Foundations of Management BUS 503A February 9, 2015 Dr. Marc Weinger Abstract This research paper evaluated the relationship between navigation and navigator roles as they relate to the patient journey with breast cancer. The goal of the research was to determine if these care coordination models eliminated institutional barriers experienced by patients trying to coordinate breast care in a complex healthcare system. It also evaluated the effectiveness of the navigator role as it supports the elimination of barriers to care for minorities and women living in low-income and underserved communities. This study reviewed the results from surveys given to women being treated for breast cancer at different hospitals, and cancer clinics to determine if navigation improves patient access to appropriate evidence-based healthcare. The findings showed higher patient satisfaction and compliance, continuity of care, decreased anxiety levels, and increased social support systems from families and friends when navigation services were provided. Key Words: Patient Navigator; Breast Care Coordinator; Breast Care Patient Navigator; Breast Cancer in Women; Current Studies involving Breast Cancer Introduction Breast cancer is the second leading cause of death and the most common disease found in women living...
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...Running Head: DEPRESSION IN THE ADOLESCENT ONCOLOGY PATIENT 1 Depression in the Adolescent Oncology Patient: A Multidisciplinary Concept Analysis Joliette Tiffany Grice University of Texas at Arlington College of Nursing In Partial Fulfillment of the Requirements of N5327 Section 400 Analysis of Theories in Nursing Ronda Mintz-Binder, DNP, RN June 10th, 2012 Depression in the Adolescent Oncology Patient: A Multidisciplinary Concept Analysis We all go through up and downs in our mood, sadness is a normal reaction to life’s trials and tribulations. Many people use the word depression to explain these feelings, but depression is much more than just a feeling of sadness. 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...
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...protected from opportunistic infections. As a nursing student, I am responsible for making sure that I do not cause cross contamination. My question is “What are evidence based methods to prevent opportunistic infections in patients with a compromised immune system?” Since one of my sources addresses neutropenia, it is necessary to explain the disorder and how it relates to my question. Information about neutropenia was obtained from an article named Neutropenia: A Diagnostic Approach from the Western Journal of Medicine. The two authors are doctors and this article is based on evidence-based case review. Neutropenia is a somewhat common condition in which the level of neutrophils in the blood is abnormally low (Montgomery and Munshi, 2000, para. 1). An immune system becomes compromised when it does not have an adequate number of neutrophils and my question concerns patients who have a compromised immune system. Some causes of neutropenia include chemotherapy, viral or bacterial infections, adverse drug reactions and autoimmune disorders, such as AIDS (Montgomery and Munshi, 2000). Another source is a peer reviewed article named Neutropenia: State of the Knowledge Part II. The main author of this article is Nirenberg, but she had input from five other authors. This article is from the Oncology Nursing Forum which is property of the Oncology Nursing Society. The Oncology Nursing Society (ONS) is a professional oncology association composed of registered nurses...
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...EMORY UNIVERSITY NELL HODGSON WOODRUFF SCHOOL OF NURSING TITLE: NRSG 507: Theory and Research Applications CREDIT ALLOCATION: 3 Semester hours PLACEMENT: Tuesdays 1:00 – 3:50 PM Rm. 201 FACULTY: Catherine Vena, PhD, RN | Eun Seok (Julie) Cha, PhD, RN | Clinical Associate Professor | Assistant Professor | Room 224 | Room 234 | cvena@emory.edu | echa5@emory.edu | 404-727-8430 | 404-712-9578 | Office Hours: By appointment | Office Hours: By appointment | COURSE DESCRIPTION: This course is an introduction to the theoretical and research foundations of advanced nursing practice. Key content to be covered includes the philosophical basis of science and knowledge, the structure and development of theory, qualitative and quantitative research methods, theory and research critique, and the application of theory and research in advanced nursing practice. It delineates research competencies for advanced practice nurses. The course encompasses critique of studies, application of research findings to practice (research utilization) and evaluation of outcomes attributable to advanced practice nursing. Ethical considerations related to research are integrated throughout the course. COURSE OBJECTIVES/OUTCOMES: 1. Understand the relationship between theory, research, and practice. 2. Critique and evaluate theoretical perspectives and research methods used to address clinical problems. 3. Understand...
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...Running head: HEALTH PROMOTION IN NURSING CARE HEALTH PROMOTION IN NURSING CARE Donna Pisarski Grand Canyon University Family-Centered Health Promotion NRS-429V Ms. Renita Holmes September 21, 2012 Health Promotion in Nursing Care This paper will discuss health promotion and what health care changes are occurring. Through the expanding role in nursing this paper discusses what those roles will entail and the use of primary, secondary, and tertiary care when developing a patient centered care plan. The health care field has been traditionally based around a concept of healing the ill, finding cures, and eradicating disease through immunizations, health being viewed as the absence of disease. Today’s medicine is changing to a new process, a process of promoting health and wellbeing through disease prevention, the teachings of healthy eating and being physically fit. A push to get people involved with and take responsibility for their own health is known as “health promotion”. President Obama signed the Affordable Care Act on March 23,2010, by doing this the whole climate of health care change. A call out for all health care professionals to practice to the full extent of their education and competencies, to streamline health care towards a patient centered system, and deliver a more primary care approach (Institute of Medicine, 2011, pp. 86-87). The goal by doing this is to improve health and wellness, quality of life, and in-turn reduce health care expenditure in...
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...Evidence-Based Nursing Care for Multiple Myeloma Patients Evidence-Based Nursing Care for Multiple Myeloma Patients Comprised of the blood cells, blood, lymph, and other organs involved in the formation or storage of blood, the hematologic system allows the human body to maintain adequate oxygenation and tissue perfusion (Ignatavicius & Workman, 2010, p. 876). Because every cell, tissue, organ, and system is dependent on blood circulation for survival, hematologic problems involving impaired production, impaired function, or abnormal destruction of blood cells are likely to have wide-reaching effects on the patient's health and wellness (Ignatavicius & Workman, 2010, p. 876). This is especially clear when examining cancers of the hematologic system, including multiple myeloma. A cancer of certain white blood cells in the bone marrow known as plasma cells, “myeloma” refers to a tumor of the bone marrow, and “multiple” refers to more than one area of the bone marrow being affected (Mangan, 2006, p. 64hn1). Because the disease is incurable, and because only 30 percent of patients survive longer than five years after diagnosis, living with multiple myeloma can be difficult for patients and their families (Mangan, 2006, p. 64hn1). As health care providers on the front lines of patient care, nurses must be aware of the multi-system manifestations of multiple myeloma, be able to make the assessments needed to identify and prevent complications...
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...the most prevalent diseases in the U.S. Case (2011) noted that the 2010 report of the American Cancer Society (ACS) indicated that more than a million an d a half new cases of cancer are diagnosed every year. Along with physical disease, cancer also brings a significant impact on the patient’s overall quality of life (QOL). This paper asserts that for optimal patient outcome, healthcare workers, particularly nurses, need to attend to the cancer patient’s overall QOL rather than simply focusing on the physical disease of cancer. This essay will first address the issue of understanding what constitutes the patient’s QOL. Then key factors that directly affect the QOL are reviewed in the context of current best evidence. That will be followed by a section that addresses the nursing implications of this subject. The paper concludes with a brief summary and conclusion about the importance of maintaining patient QOL in cancer patients. The first element, is thus to define what is meant by “quality of life.” The next section of this paper addresses that specific issue. Defining Patient Quality of Life Before patient QOL can be addressed in a nursing practice, it is essential to understand what is meant by QOL. Bahrami (2011) has noted that no specific, well accepted definition of patient QOL exists. One reason for this lack of consensus on QOL is that life quality is a highly individual concept with different people having different items as important to them (Bahrami, 2011)...
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...baccalaureate degree level. In this paper, I will discuss some of the important differences between the two levels of education and try to determine if one is really better than the other. First of all, when considering the difference between the two types of degrees, it is important to recognize that at either level, a nurse must be able to pass the same NCLEX examination in order to become licensed. Therefore, it is safe to say that a nurse from either type of program must have the basic knowledge required to safely take care of patients as an entry level nurse. So, why bother getting a baccalaureate degree if you can do the same job with less time and money put into your education? Let’s explore some of the advantages. Ask any working nurse if they would have more job opportunities if they had a baccalaureate degree and they will most likely tell you “yes”. Although you can get a job with an associate’s degree, many jobs require that you have baccalaureate degree in order to hold the position. The reason for this is that many positions for nurses require that they be able to be a strong leader in the work environment. Continuing past the associates degree level, a nurse can really learn how to use their knowledge in a leadership role. Many studies have shown that nurses trained at the baccalaureate level are more prepared to care for patients in a way that provides lower risk to the patient. One example of this is the research study outlined in the August 2008...
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...Running Head: Research Critique Part 1 1 Research Critique Part 1 CLABSI in the Pediatric Oncology Population Cathy Frederick Grand Canyon University NRS-433V Introduction to Nursing Research October 11, 2015 Research Critique Part 1 2 Purpose of the Research This paper will perform a research critique on a qualitative research study published in the Infection Control and Hospital Epidemiology, March 2013, Vol. 34, No.3. The study was presented with contributions from multiple individuals, Dr. A. Gaur, Dr. D, Bundy, C. Gao, PhD, Dr. E. Werner, Dr. A. Billett, Dr. J. Hord, Dr. J. Siegel, Dr. D. Dickens, C. Winkle, RN., and Dr. M. Miller. The research was to identify the host and organism characteristics of the hospital-acquired condition, central line-associated bloodstream infections (CLABSIs) in pediatric hematology/oncology patients. Problem Statement CLABSIs increase the risk for increased mortality and morbidity, extended hospital stays, and raises the overall cost of healthcare. Children’s Hospital Association Hematology-Oncology Quality Transformation Collaborative Project (CHAHQTCP), was a qualitative research project that began on November 1, 2009 and ended July 31, 2011. This project was initiated to identify the contributing factors to blood stream infections (BSI) in pediatric hematology patients. The goal of this research was to reduce CLABSIs by 50%. To be included, the CLABSI needed occur 48 hours after being hospitalized or...
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...Aims. This paper is a report of a methodological review conducted to analyse, evaluate and synthesize the rigour of measures found in nursing and health-related literature used to assess and evaluate patient spirituality as more than religiosity. Background. Holistic healthcare practitioners recognize important distinctions exist about what constitutes spiritual care needs and preferences and what constitutes religious care needs and preferences in patient care practice. Data sources. Databases searched, limited to the years 1982 and 2009, included AMED, Alt Health Watch, CINAHL Plus with Full Text, EBSCO Host, EBSCO Host Religion and Philosophy, ERIC, Google Scholar, HAPI, HUBNET, IngentaConnect, Mental Measurements Yearbook Online, Ovid MEDLINE, Social Work Abstracts and Hill and Hood's Measures of Religiosity text. Review methods. A methodological review was carried out. Measures assessing spirituality as more than religiosity were critically reviewed including quality appraisal, relevant data extraction and a narrative synthesis of findings. Results. Ten measures fitting inclusion criteria were included in the review. Despite agreement among nursing and health-related disciplines that spirituality and religiosity are distinct and diverse concepts, the concept of spirituality was often used interchangeably with the concept religion to assess and evaluate patient spirituality. The term spiritual or spirituality was used in a preponderance of items to assess or evaluate...
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...Substance Abuse in Nursing The purpose of this paper is to discuss the problem of nurses impaired by substance abuse and to explore actions that are being taken to either prevent or correct the problem once it has occurred. My reasons for choosing this topic is that I will soon be entering the nursing field and the likely hood of me working with an impaired or addicted nurse appears to be very likely; the more I know on the subject the better prepared I will be to handle the situation. It has been estimated that roughly 10% of the nursing population has alcohol or drug abuse problems furthermore 6% has an addiction serious enough to interfere with their ability to practice (Talbert, 2009). The American Nurses Association (ANA) estimated that 6%--8% of nurses use alcohol or drugs to the extent that professional judgment is impaired. Impaired nursing is defined as a nurse's inability to perform essential job functions because of chemical dependency on drugs or alcohol or mental illness (Blair, 2002). This is of particular relevance because substance abuse among nurses is an issue that threatens the delivery of quality care and professional standards of nursing, “many nurses are not identified as having a problem until patient safety has been compromised” (Talbert, 2009). A. Introduction-5 points State the purpose of your paper and your reason for choosing your topic. B. Definition of Topic-10 points Begin with a definition of the issue, followed by identification of...
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...Running head: NURSING ROLES IN THE THREE LEVELS Nursing Roles in the Three Levels of Health Promotion and Prevention April Nguyen Grand Canyon University: NRS 429v 03/18/2012 Instructor Melinda Darling, MSN, FNP Nursing Roles in the Three Levels of Health Promotion and Prevention For over a decade, health promotion and prevention has been the main focus of healthcare professionals in general and nurses in particular. What does it mean by health promotion and prevention? According to Edelman & Mandle (2010), it’s “the science and art of helping people change their lifestyles to move toward a state of optimal health” (p. 14). In other words, it’s the strategy used in purpose to increase a sense of well-living and to decrease episodes of illness that can happen to anyone at any age. By doing this, it helps lessen the expensive cost government and patients have to spend for the cure. Being alongside with the vulnerable population, nurses work as critical roles of advocates, healers, educators, and researchers throughout all three levels of promotion and prevention (Edelman & Mandle, 2010, p. 19-20). Primary Prevention The focus of the first level is to promote good health and to protect individuals from diseases. There’re many ways nurses can help with general health and with fighting specific illnesses. The most common ways include (1) educating benefit of vaccination, (2) giving vaccines, (3) instructing benefits of healthy diet and regular exercise...
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...Running head: SUBSTANCE ABUSE IN NURSING Substance Abuse in Nursing Erika O. Substance Abuse in Nursing The purpose of this paper is to discuss the problem of nurses impaired by substance abuse and to explore actions that are being taken to either prevent or correct the problem once it has occurred. My reasons for choosing this topic is that I will soon be entering the nursing field and the likely hood of me working with an impaired or addicted nurse appears to be very likely; the more I know on the subject the better prepared I will be to handle the situation. It has been estimated that roughly 10% of the nursing population has alcohol or drug abuse problems furthermore 6% has an addiction serious enough to interfere with their ability to practice (Talbert, 2009). The American Nurses Association (ANA) estimated that 6%--8% of nurses use alcohol or drugs to the extent that professional judgment is impaired. Impaired nursing is defined as a nurse's inability to perform essential job functions because of chemical dependency on drugs or alcohol or mental illness (Blair, 2002). This is of particular relevance because substance abuse among nurses is an issue that threatens the delivery of quality care and professional standards of nursing, “many nurses are not identified as having a problem until patient safety has been compromised” (Talbert, 2009). A. Introduction-5 points State the purpose of your paper and your reason for choosing your topic...
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