...Oncology Care Program Sunshine hospital is a 762-bed teaching hospital located in Iowa City, Iowa. Iowa City is located in North Eastern Iowa with a population of approx. 68,000. Our hospital currently employs 7100 people. Of this 7100 we are fortunate to have 700 multidisciplinary physicians and 738 residents. Our hospital is proud of its renowned Cardiology and Oncology departments and programs. Sunshine Hospital is proud of our achievements in Cancer research programs. The oncology program is of high quality with state of the art equipment. The Center opened in early 2009 with high energy VMAT capable linacs and a high resolution imaging, a state of the art CT scanner and two linear accelerators that would detect the most common cancers found in the region such as breast, lung, bowel and prostate cancer and other types of uncommon cancers. Accreditation Accreditation is a voluntary process through which a health care organization is able to measure the quality of its services and performance against nationally recognized Standards. Sunshine Hospital participates in this program so we can provide top care for our patients and a safe working environment for those who are a part of our staff. The Joint Commission standards provide meaningful metrics to improve the quality and patient safety in all clinical and managerial functions of acute care hospitals, as well as embrace continuous performance improvement. The Oncology Care Committee Our Oncology care team is...
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...Medical Coding for Radiation Oncology Radiation oncology, as the branch of medicine concerned with the use of ionizing radiation in the treatment of cancer, and certain non-malignant medical conditions, is comprised of several layers of care and treatment modalities that are highly complex in nature. Coding for radiation oncology requires a unique set of skills and abilities that are specific to this highly technical and multi-faceted clinical specialty. Certified radiation oncology coding specialists are adept at navigating the subtleties and distinctions that define this field of concentration including the various procedures that comprise treatment delivery. Radiation oncology procedures: • High Dose Rate (HDR) Brachytherapy • Image-Guided Radiation Therapy (IGRT) • Intensity-Modulated Radiation Therapy (IMRT) • 3D Conformal Treatment • 4D Treatment Planning and...
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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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...TRAINING NEEDS ANALYSIS (TNA) THE ROYAL AUSTRALIAN AND NEW ZEALAND COLLEGE OF RADIOLOGISTS® The Royal Australian and New Zealand College of Radiologists Strategic Priorities 2010 - 2014 Name of document and version: Training Needs Analysis (TNA), Version 1 Prepared by: Kelly Menzel - Educational Development Manager Sharon Messina - Director, Education and Research Submitted to: Endorsed by College Council, 21 July 2011 ABN 37 000 029 863 Copyright for this publication rests with The Royal Australian and New Zealand College of Radiologists ® The Royal Australian and New Zealand College of Radiologists Level 9, 51 Druitt Street Sydney NSW 2000, Australia Email: ranzcr@ranzcr.edu.au Website: www.ranzcr.edu.au Telephone: + 61 2 9268 9777 Facsimile: + 61 2 9268 9799 2 CONTENTS 1. INTRODUCTION……………………………………………………………….3 2. WHAT IS A TRAINING NEEDS ANALYSIS? ………………………...……4 3. BENEFITS OF UNDERTAKING A TNA……………………………………..6 4. INITIAL QUESTIONS ………………………………………………………..6 5. METHODOLOGY………………………………………………………………8 6. TRAINING NEEDS IDENTIFIED……………………………………………11 7. RECOMMENDATIONS………………………………………………………18 8. CONCLUSION………………………………………………………………...22 9. REFERENCES………………………………………………………………..24 10. BIBLOGRAPHY……………………………………………………………….26 11. APPENDIX 1…………………………………………………………………..27 12. APPENDIX 2…………………………………………………………………..28 13. APPENDIX 3…………………………………………………………………..36 Education and Research Portfolio Training Needs Analysis 22 July 2011 Page 2 1) INTRODUCTION This training...
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...cancer Jonas A de Souza1,2*, Blase Polite1,2,3, Monica Perkins4, Neal J Meropol5, Mark J Ratain1,2,6, Lee N Newcomer4 and G Caleb Alexander7 Abstract Background: Newer systemic therapies have the potential to decrease morbidity and mortality from metastatic colorectal cancer, yet such therapies are costly and have side effects. Little is known about their non-evidence-based use. Methods: We conducted a retrospective cohort study using commercial insurance claims from UnitedHealthcare, and identified incident cases of metastatic colon cancer (mCC) from July 2007 through April 2010. We evaluated the use of three regimens with recommendations against their use in the National Comprehensive Cancer Center Network Guidelines, a commonly used standard of care: 1) bevacizumab beyond progression; 2) single agent capecitabine as a salvage therapy after failure on a fluoropyridimidine-containing regimen; 3) panitumumab or cetuximab after progression on a prior epidermal growth factor receptor antibody. We performed sensitivity analyses of key assumptions regarding cohort selection. Costs from a payer perspective were estimated using the average sales price for the entire duration and based on the number of claims. Results: A total of 7642 patients with incident colon cancer were identified, of which 1041 (14%) had mCC. Of those, 139 (13%) potentially received at least one of the three unsupported off-label (UOL) therapies; capecitabine was administered to 121 patients and 49 (40%) likely...
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...Article 1 Quimby, Erin L. "The use of herbal therapies in pediatric oncology patients: treating symptoms of cancer and side effects of standard therapies."Journal of Pediatric Oncology Nursing Jan.-Feb. 2007: 35+. Academic OneFile. Web. 20 Nov. 2014. Summary: Erin L. Quimby graduated from the University of Pennsylvania with her Masters of Science in Nursing. She currently works for Penn State as a Nurse Practitioner caring for pediatric oncology patients. Throughout the article she explains many aspects of using herbal therapies along with chemotherapy. Quimby gives us positive and negative notations on these affects. According to Quimby, the use of complementary and alternative medicine (CAM) has increased in the pediatric oncology community. CAM is the use of herbal therapies to minimize the side effects of chemotherapy. Complementary and alternative medicine is commonly used, but is not always discussed with the health care provider. Not consulting a health care provider before using prescription drugs, with non-prescription drugs can be very harmful towards a child. According to Quimby “a study conducted by Friedman et al. (1997) showed that 64% of children with cancer use some type of CAM, where only 22% of them told their health care provider. These results suggested that families with chronically ill children are more likely to disclose information about herbal therapy usage in their homes. “ When asked by a health care provider, parents often times only...
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...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 groups. Literature Review In Wong’s study of “The Impacts of Healing Touch on Pediatric Oncology Patients”, it was found that Healing Touch has an extremely positive effect. This study evaluated the feasibility of administering Healing Touch in pediatric oncology inpatient and outpatient...
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...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 and other health care practitioners. The ONS website states that “The Society offers useful information and opportunities for nurses at all levels, in all practice...
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...Beacon pharmaceuticals limited Business Strategy for 2012 1. Total number of field force Field force recruitment & retention will get more emphasis so that average number of field forces will remain approximately at 500 throughout the year for general team. 2. Strategic Business Unit We will run four strategic business units simultaneously from the beginning of the year. These are General, Oncology, Cardiac and Biotech Sales team. For General team average number of field forces will be 450 throughout the year. For Oncology team average number of field forces will be 20 averages throughout the year. However based on performance we will divide the oncology team between Oncology and Hematology team. Again the Biotech team member will be 10 who will work with mainly Pegin and Eposis. 3. Mainly we will focus in institution, especially indoor. From analysis of present market we have found that if we want to succeed in 2012 we will have to focus mainly in institution. We have a number of injectable items within our portfolio like Xovir inj, Simpli 3 inj, Xenofer inj, Plasmex injection, Xemocid injection, Acupain injection etc. So if we can concentrate more in indoor activities then it will be fruitful for the company. 4. “Superbrand” items- Xelopes & Flexibac. We have select two brands as Superbrand for 2012. These are Xelopes and Flexibac. We all know these two items are now widely used by most...
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...McGill University Fall 2014 McGill University Fall 2014 Individual Assignment: Job analysis M Pxxxx Student Number: XXXXXXX Employment ORGB 424 CHERIF ATALLAH Individual Assignment: Job analysis M Pxxx Student Number: Employment ORGB 424 CHERIF ATALLAH 08 Fall 08 Fall Contents: 1. Introduction……………………………………………………………. 3 2. Job Analysis………………………………………………………………4 3. Inventory of job duties and tasks………………………………..7 4. Analyzing the knowledge, skills and abilities.……………..11 5. Critical tasks……………………………………………………………..17 6. Selection plan……………………………………………………………19 7. Internal and external recruitment..…………………………….21 8. Critical dimensions #1……………………………………………….23 9. Critical dimensions #2……………………………………………….25 10.Conclusion………………………………………………………………...28 11. Appendix #1……………………………………………………………..29 12. References……………………………………………………………......30 Introduction The principle use of this assignment is to correlate the theories behind the staffing model and techniques. Before deciding the job requirements and specifications for hire, a manager must determine what are the tasks and duties necessary to accomplish the job efficiently. A job analysis must be done periodically due the introduction of new technologies; tasks will change and need to be adapted. Job Analysis There are three (3) key points that have to be taken into consideration when performing a job analysis. (Milkovich, Newman & al 156) 1. There...
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...a project cancer and dna oncology information system with numerous illustrations oη by okeke chika tochukwu Department of computer science madonna unversity, elele campus ©august, 2012 TABLE OF CONTENTS declaration ��������������������������������������������������������������������������������������������� i dedication ������������������������������������������������������������������������������������������������ ii acKnoWledgement ���������������������������������������������������������������������������� iii aBstract ��������������������������������������������������������������������������������������������������� iv CHAPTER ONE �������������������������������������������������������� 1 introdUction �������������������������������������������������������������������������������� 1 BackGround oF study ���������������������������������������������������������������������������������������������������������������������1 oBJectives oF study ��������������������������������������������������������������������������������������������������������������������������1 scope oF the study ���������������������������������������������������������������������������������������������������������������������������2 JustiFication oF study ��������������������������������������������������������������������������������������������������������������������2 statement oF proBlem �������������������������������������������������������������������������������������������������������������������3...
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...Observatory at the End of Life Care (IOELC) [57]. A full multidisciplinary palliative care team exists only in two or three institutions in Pakistan. Other hospitals have some form of pain and symptom control only; other aspects like psychological, social and spiritual support are mostly unmet [58, 59]. The concept of offering palliative support from the beginning of the diagnosis is also limited to some professionals working in oncology units only; in most of the places patients are referred to the palliative care team only when the treatment options have failed [60, 61]. There is lack of consensus among the health care professionals on the understanding and standard protocols regarding brain death, end-of-life recognition and indications and processes of withdrawal of life support while cultural and religious differences add to the complexity of issue [62]. With the exception of hematological malignancies, most patients present to the surgeons as primary care providers. Since most of the surgeons lack any surgical oncology training, they are unable to provide standard treatment following oncological surgical principles [63]. Pediatric palliative care also remains in the early stages of development [64]. The status of the palliative care education in the undergraduate and postgraduate medical education is also alarming. Communication skills and medical ethics have been included in the undergraduate and postgraduate curriculum as one of the core competencies by the Pakistan Medical and...
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...Dade College. Nursing Experience Registered nurse working for the past 12 years as a staff and charge RN at University of Miami, Sylvester in the oncology unit, Inpatient department with growing experience in stem cell, bone marrow transplant as well as past medical/ surgical, telemetry and step-down background. High standard of nursing care for diverse population of patients. Dedicated, skilled RN with a broad range of healthcare experience. Responsibilities Assessment, admission, chemotherapy/medication administration with computer documentation, assistance with stem cell transplant, lumbar puncture, bone marrow biopsy, central line placement, intravenous therapy, phlebotomy, daily administration of blood products, coordination of care with doctors, patients/family and care plan administration. Delegation of duties and charge RN tasks when working as a charge nurse in fast paced environment area. Additional Skills and Accomplishments Excellent computer and communication skills with fluency in English, French, Creole, Spanish. Appreciated by coworkers and patients for being a team player. Nominated nurse of the year in 2012. Engaged in community services with church and organizations such as “His House Children Home” Certification and Proficiency Experienced and patient-focused staff RN at UM Sylvester in the oncology department for over 12 years. Serve as charge nurse caring for patients in specialized treatment and with...
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...Vemurafenib: A Potentially New Standard of Care? Vemurafenib: A Potentially New Standard of Care? Melanoma is the most deadly form of skin cancer. Advanced metastatic melanoma, stage III or IV, has been incurable and relatively untreatable with “less than 10% of patients responding to traditional chemotherapy” regimens (PubMed Health, 2011). Progress in this area of oncology research has been very slow with the “average prognosis for patients with stage IV metastatic melanoma being 8-18 months” (Chapman., 2011). Proven research shows that the standard chemotherapy regimens don’t actually extend the lives of these patients. The standard first line treatment for late stage metastatic melanoma is dacarbazine (DTIC), used either alone as a single agent or in combination with other chemotherapy agents, and the effects have been minimal. The dacarbazine regimen usually shrinks the tumors for a temporary period, “about 3-6 months,” and then they begin to grow again. (Melanoma Skin Cancer, 2011). Recent research in the past five years has led to some targeted immunotherapy drugs like ipilimumab and peginterferon alpha-2b which have shown some promising results in helping to extend life expectancies for these patients. On August 17, 2011 the Food and Drug Administration gave some much needed hope to these patients with the approval of vemurafenib (Zelboraf). An orally administered targeted chemotherapy agent that has shown statistically significant results in “reducing the...
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...Literature Review Neutropenia is an abnormally low count of neutrophils, white blood cells that help your immune system fight off infections, particularly of bacteria and fungi (Flores, 2010). A patient with neutronpenia is at an increased risk for infection. Neutropenia affects as many as one in three patients receiving chemotherapy for cancer, therefore neutropenia is commonly seen on oncology units at hospitals (Flores, 2010). It is also associated with many other diseases like Lupus, Malaria, Hepatitis viruses, Barth Syndrome, Rheumatoid Arthritis, Sjogren's Syndrome, Shwachman-Diamond Syndrome, Aplastic Anemia and Myelodysplastic Syndromes, Parvovirus, Felty's Syndrome, to name just a few (Duffy, 2009). In hospitals, a common practice to prevent someone with neutropenia from acquiring an infection is to put them on neutropenic precautions. This literature review will look at several articles to assess key aspects of neutropenic precautions. Typical neutropenic precautions in hospital include keeping neutropenic patients in a quarantined environment, instituting dietary constraints, and giving them protective clothing. According to Young (2009), the most important and basic aspect of neutopenic precautions is hand washing. While hand hygiene is important in all aspects of health care, it is particularly important when caring for a patient with neutropenia. Poor hand hygiene accounts for over seventy five percent of hospital acquired infections in patients with neutropenia...
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