...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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...RIFAT ALAM Department of Psychology, Hospital for Sick Children, Toronto, Ontario, Canada MARU BARRERA Department of Psychology, Haematology=Oncology Program, Child Health Evaluative Sciences, Research Institute, Hospital for Sick Children and Department of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada NORMA D’AGOSTINO Department of Psychosocial Oncology and Palliative Care, Survivorship Program, Princess Margaret Hospital, Toronto, Ontario, Canada DAVID B. NICHOLAS Faculty of Social Work, University of Calgary, Calgary, Alberta, Canada GERALD SCHNEIDERMAN Department of Psychiatry, Hospital for Sick Children and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada The authors investigated longitudinally bereavement in mothers and fathers whose children died of cancer. Thirty-one parents were interviewed 6 and 18 months post-death. Analyses revealed parental differences and changes over time: (a) employment—fathers were more work-focused; (b) grief reactions—mothers expressed more intense grief reactions that lessened over time; (c) coping—mothers were more child-focused, fathers more task-focused; (d) relationship with bereaved siblings—mothers actively nurtured relationship with child; (e) spousal relationship—parents reported diversity in their relationship over time; and (f) relationship with extended family—mothers maintained contact with extended Received 14 August 2009; accepted 7 August 2010. We wish to acknowledge the...
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...use.” (Lamb, Dawson, Gagan, & Peddie, 2013, p. 25; National Cancer Institute at the National Institutes of Health, 2013, para. 11). These are only two frightening cancer statistics caused by tobacco from the previously stated list. It is imperative to understand the repercussions of using tobacco products so patients do not become another one of these statistics, but it is more important to explain the positive results of abstaining from those products to encourage greater chances of successful cessation of tobacco use. In this research the best practices related to patient education in patients who use some form of tobacco are established. Theoretical Framework The Health Belief Model (HBM) is a tool that can be used by educators and nurses in order to understand and improve health behaviors of patients. According to Carpenter’s (2010) article, the HBM has been widely used as a successful way to improve and change health...
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...mining, technical education and media is setting up a 200-bed mutlispeciality hospital in the southern part of the city. To be set up at a cost of Rs 50 crores, the hospital will be completed in three phases. The first phase is likely to become operational without the oncology department within the next couple of months. Said Debashish Poddar, managing director, BP Poddar Hospital & Medical Research Limited, "It will not be a so called state-of-the-art hospital but a hospital, which will ensure healthcare deliver of international standards within the affordable limits of the common man. The hospital is the culmination of the dream of Arun Poddar, Chairman of the Group and his family to perpetuate the memory of his father Late BP Poddar, he added. Despite being a multispeciality unit, the focus area of the hospital will be oncology. All possible imaging facilities will be provided at the hospital. The management has applied for necessary regulatory clearances from Bhaba Atomic Research Centre (BARC) to start radiation therapy for treatment of cancer. According to Dr Subrata Das, medical director, BP Poddar Hospital & Medical Research Limited, "With a few dedicated hospitals in the region dedicated to oncology, the proposed hospital will take care of all the needs of the cancer patients. We are in the process of installing the latest equipment in the hospital to provide the best possible medical care." The management will be investing substantially on training of human resources...
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...STATE UNIVERSITY OF NEW YORK AT ALBANY Emanuel Medical Center Situational & Decision Analysis James T. Onisk 4/29/2012 Table of Contents Situational Analysis Appendices External Analysis Appendix A: S.W.O.T. Analysis Appendix B: External Trend/Issue Analysis Appendix C: Environmental Trends/Issues Plot Appendix D: Stakeholder Map Appendix E: Service Area Profile Appendix F: Service Area Structural Analysis Appendix G: Service Area Competitor Analysis Appendix H: Critical Success Factor Analysis Appendix I: Mapping Competitors Appendix J: Synthesizing the Analysis Internal Analysis Appendix K: Financial Analysis Appendix L: Value Chain Strengths and Weaknesses Appendix M: Value Chain Competitive Advantages Relative to Strengths Appendix N: Value Chain Competitive Disadvantages Relative to Weaknesses Appendix O: Strategic Implications of Strengths and Weaknesses References Decision Analysis Decision Analysis Appendices Appendix P: Directional Strategies Appendix Q: Adaptive Strategies Appendix R: Market Entry Strategies Appendix S: Strategic Positioning Appendix T: Value-Chain Funcations References 1 2-11 12-13 14-17 18-29 30-36 37-50 51-60 61-66 67 I-VII 68-74 75-81 82-86 87-91 92-95 96-105 VIII-XV 106-109 110-122 123-125 126-128 129-135 136 Issue Statement Emanuel Medical Center (EMC) is encountering tremendous financial troubles as it struggles to remain open as an independent general acute care hospital. Changes in federal regulations such as the implementation...
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...In This GUIDE Welcome to Houston Methodist St. John Hospital ___________________________ 2 About Us_______________________________________ 3 Travel Directions____________________________ 4 Telephone Directory ______________________ 5 During Your Stay ________________________ 6-8 Visiting Hours__________________________________ 6 Parking_________________________________________ 6 Cell Phones_____________________________________ 6 Calling Your Nurse______________________________ 6 Telephone ______________________________________ 6 Fire Safety______________________________________ 6 Smoking________________________________________ 6 Electrical Appliances___________________________ 6 Mail and Flowers_______________________________ 6 Gift Shop________________________________________ 6 Spiritual Care___________________________________ 7 ATM_____________________________________________ 7 Patient Meals___________________________________ 7 Snacks__________________________________________ 7 Guest Trays_____________________________________ 7 Vending Machines_____________________________ 7 Cafeteria________________________________________ 7 Financial Expectations for Admissions________ 7 Wireless Internet Access_______________________ 7 Valuables_______________________________________ 8 TV_______________________________________________ 8 Television Channel Listings____________________ 8 Your Privacy & Information___________15 Do You Have Pain? ________________________16 ...
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...and clinical nursing standards. • Discuss the development of advanced clinical practice nursing from the 1960s through the present. PROFILE IN PRACTICE Laura J. Robinson Adult Primary Care Nurse Practitioner Student, University of Connecticut School of Nursing Nursing history is important to me because it has provided me with the opportunity to fulfill my goal to advance my career as a nurse practitioner, a role that was not existent less than half a century ago. Ambitious nurses before me had to establish themselves in a new career, gain recognition, and succeed in order for the position to be present today. One person whom I particularly admire and who helped pave the way is my grandmother, Olive Shea. Grandma Shea earned her RN diploma in 1944 after completing the 3-year certification program offered by Hartford Hospital in Hartford, Connecticut. After various nursing positions, she was employed by the University of Connecticut at the campus Infirmary in Storrs, Connecticut, beginning in 1968. At that time the facility was the home to physicians whose time was mainly devoted to scheduled appointments with their student patients, as well as two floors of inpatient beds where nurses provided individualized care. Grandma Shea recounted that an integral part of her day as a nurse was the 20-minute back rubs she gave to all five...
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...WHO Guidelines on Hand Hygiene in Health Care: a Summary First Global Patient Safety Challenge Clean Care is Safer Care a WHO Guidelines on Hand Hygiene in Health Care: a Summary © World Health Organization 2009 WHO/IER/PSP/2009.07 All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: permissions@who.int). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable...
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...The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine PREPUBLICATION COPY: UNCORRECTED PROOFS Copyright © National Academy of Sciences. All rights reserved. The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html THE NATIONAL ACADEMIES PRESS 500 Fifth Street, N.W. Washington, DC 20001 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by Contract No. 65815 between the National Academy of Sciences and the Robert Wood Johnson Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project. International Standard Book Number 0-309-XXXXX-X (Book) International Standard Book Number 0-309- XXXXX -X (PDF) Library of Congress Control Number: 00 XXXXXX Additional copies of this report are available from the National Academies...
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...the way that healthcare professionals care for their patients, very little is known about the impact of these technologies on clinical workflow practices and interprofessional collaboration. In order to better understand this, we have conducted a focused literature review, with the aim of providing policymakers, administrators, and healthcare professionals with an evidence-based foundation for decision-making. A total of 397 articles focused on videoconferencing in clinical contexts were retrieved, with 225 used to produce this literature review. Literature in the fields of medicine (including general and family practitioners and specialists in neurology, dermatology, radiology, orthopedics, rheumatology, surgery, cardiology, pediatrics, pathology, renal care, genetics, and psychiatry), nursing (including hospital-based, community-based, nursing homes, and home-based care), pharmacy, the rehabilitation sciences (including occupational and physical...
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...How do new technologies impact on workforce organisation? Rapid review of international evidence Report developed by The Evidence Centre for Skills for Health Contents Key Themes ............................................................................................................................................ 3 Scope .................................................................................................................................................................... 3 How are teams being organised?.......................................................................................................... 7 Substituting grades and roles ............................................................................................................................... 7 Reducing staff or team size .................................................................................................................................. 8 Empowering patients............................................................................................................................................. 9 Changing the place of care ................................................................................................................................. 10 Working across organisations ............................................................................................................................. 10 Working across regional areas .........................
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...Chapter 1 [pic] Introduction 1.1 Background Of The Report As being one of the biggest hospitals in Bangladesh, Apollo Hospitals Dhaka is at the forefront of medical technology and expertise and provides a complete range of the latest diagnostic, medical and surgical facilities for the care of its patients. The hospital is having all the characteristics of a world-class hospital with wide range of services and specialists, equipment, & technology, ambience and service quality. But the quality of a hospital service is not defined by the appearance of its facility. Rather the service quality depends more on the sincerity of the hospital and its human resources to serve the patients. In Bangladesh, the health care sector is not yet developed. A large number of people go abroad for treatment due to low quality of medical facilities in Bangladesh. And the main target market of Apollo Hospitals Dhaka is the people who want to get world class treatment inside the country with affordable cost. To ensure the proper customer satisfaction, the hospital management has to employ the right people in right place. Prior to this a detailed job Analysis is almost essential. With Job Descriptions and a sophisticated Job Evaluation system, management will be able to recruit and determine pay levels better, determine the types of training the hospital staff should go on and have a basis to appraise them. Job Descriptions furnished by business units are current and accurate...
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...Knowledge Area Module VI Contemporary Issues and the Ethical Delivery of Health Services Student: Harold Taitt, harold.taitt@waldenu.edu Student ID # A00293212 Program: Ph.D. Health Services Specialization: Health Management and Policy Faculty Mentor: Dr. Robert Hoye, robert.hoye@waldenu.edu Faculty Assessor: Dr. Jim Goes, jim.goes@waldenu.edu Walden University May 10, 2013 Abstract Breadth Component In this age of rapidly evolving technological advances, many of the legal and ethical issues that are challenging the delivery of health care and the health care profession are new. As we confront the legal, moral, and ethical aspects of health care, we are seldom faced with decisions that require or are resolved by simple right or wrong answers (Edge & Kreiger, 1998). In the Breadth component of KAM VI, I focus on several ethical theories and how those theories influence the way ethical issues and concerns are addressed and managed in the allocation and delivery of health care services. I critically assess and evaluate those theories, concepts, and derivative principles as they impact important decisions and the implications of those decisions within the context of social change and with special emphasis on health care management and policy. In addition, I discuss the key assumptions on which the selected theories are constructed, compare and contrast the writers’ interpretations across theories, and conclude by providing a critical commentary on the merits of the selected...
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...Needs Assessment for Quality In order for a hospital to survive the competition in today’s healthcare world, a hospital must be aware of opportunities to grow and reduce costs and be supported by Total Quality Management Process. The TQM process helps the hospital to create new products, ensure the standards of quality and client satisfaction and deliver improved services. In addition, the TQM process also helps in improving a company's bottom line profits by increasing operating efficiencies, eliminating waste, and creating working conditions conductive to productivity and company growth. The employees must work in healthy environments, which maximizes their efficiencies and enables them to perform at their best levels. In both the short-term and long-term, the quality improvement process pushes the company from different angles to achieve strategic goals and plans. One of the important processes of patient care is proper medical documentation and updated medical records. Description of chosen process Accurate and complete medical documentation is the responsibility of medical transcriptionists. However, the challenges to medical transcriptionists and the medical transcription industry are complex and varied. Pressures associated with cost, demand, workforce limitations, technological development, globalization, policy and awareness issues come together to create a picture that changes depending on one’s perspective and point of view. Trying to assemble these factors...
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...be available to inform all entities as they engage in these discussions. APTA is the national professional association representing more than 77,000 physical therapists, physical therapist assistants, and students nationwide. The association acknowledges and thanks the Federation of State Boards of Physical Therapy, the national organization representing 51 boards of physical therapy licensure, for input and assistance with this document. © 2011 American Physical Therapy Association. All rights reserved. i | American Physical Therapy Association Table of Contents Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i Executive Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Chapter 1: History of the Profession of Physical Therapy . . . . . . . . . . . . . . ....
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