Effect of Nursing on Stress Levels of Cancer Patients

Effect of Nursing on Stress Levels of Cancer Patients Does good nursing management can influence the nursing care to reduce stress, anxiety and difficult behaviour in cancer patients as compare to ineffective management plan to achieve better therapeutic outcomes? Search terms that can be used for relevant literature will be nursing management plans for patients with cancer, stress, anxiety, good nurse patient relationship, and challenging behaviours. The research is to explore and summarize the literature based on the published information such as journals, articles, books. The purpose of this review is to identify best practice evidence that examining the cancer patients. The literature review will give direction to plan the study and understand the outcomes. (Burns Grove 2009). The difficult patient behaviour versus good nursing strategies based on the research question (Emold et al 2011). Inclusion criteria included the all publications based on the difficult patient behaviour and good nursing management plans to reduce stress and anxiety in patients. The strength of evidence was based on the hierarchy of evidence with randomised controlled trial and meta-analysis being considered the best evidence as the primary source if available. Other research and levels of evidence was included where evidence was not that much strong. The literature review was undertaken using electronic data bases and catalogues such as CINAHL, science direst, PubMed, for the period of 2007 and 2014. Using the original question the key phrases ‘difficult patient behaviour in oncology’ and good nursing management strategies, stress and anxiety pain, and some psychological factors those can lead to negative outcomes on patients health outcomes and nurses attitude. These search terms highlighted the number of articles on different types of cancer patients then advanced search engine w as used to narrow my search to find out the good sourced information. Going through the abstracts of each of the articles were considered the relevance and quality. Exclusion criteria includes the key words and points those will not be covered in research such as good communication strategies, challenging behaviour and comparison between effective and ineffective management plans. The good literature review and databases mostly covered the qualitative and quantitative criteria based on the clinical question and case scenario. Develop a summary table based on your 15 selected studies (500 words). Based on your summary table, provide a synthesis of the key findings and conclusions in relation to your PICO question (250 words). Support your summary from relevant literature (use in text referencing) Good nursing management plans is one of the most effective and appropriate option for the hospitalised cancer patients. Various research studies have been conducted and analysed the difference between effective and ineffective nursing care plans. Therefore, Evidence from a variety of resources indicate that staff communication, family support, working environment those factors positively influence the patient prognosis according to Rosenzweig et al 2011; Kvale 2007; Karvien et al 2013; Emold et al 2011. However, patients diagnosed with cancer causes significant distress such as mentally and physically strains to themselves and family members (Emold et al 2011). Therefore good communication skill, availability of continued support, involvement of families required to overcome these difficult emotions (Kvale 2007 Vilet et al 2013). Karvinen et al. (2013) Whitaker et al. (2009) identified the relationship between stress, anxiety, intrusive thoughts and compliance to medical care. Cer tain psychological factors such as feelings of hopelessness, physical and mental strains affect the nursing care and patient’s prognosis (Remmers et al 2010). Different intervention strategies have also been discussed in literature such as mindfulness, self-efficacy, emotional support has the beneficial effects to the general health of patients according to Tsang et al. (2012). There are certain factors those influenced the nursing care such as workload, emotional exhaustion, and decision making skills among staff may lead to negative response and affect the patient’s well-being (McCormack et al 2011). However, the literature lacks some efficacy based on the good intervention strategies for staff to overcome the difficult patient’s behaviour. Overall effective nursing management can be structured to enhance physical, psychological, and emotional wellbeing that assists in promoting positive behaviour and good health outcomes among cancer patients.

The Definition of Love :: Definition Essays Love Godly Romantic Essays

The Definition of Love Love by definition is an emotion explored in philosophy, religion, and literature, often as either romantic love, the fraternal love of others, or the love of God based on the definition found in The Encarta Encyclopedia. As I explored the definition by means of the Internet, books, and articles I noticed the definitions changed quite a bit, but yet had the same basic understanding. The definition I found in The Encarta Encyclopedia was probably the most simple and most basic. It refers to love in the whole aspect, which is Godly, fraternal, and romantic. All in which can only be defined by one word and that it love. The definitions of love are the same and yet different. Godly, for instance is the love of God, and your devotion and respect toward him, the creator. In all religion, god carries the same aspect. Fraternal love is the love of ones family and relatives, even the love of one who is close to you, in that respect, such as a friend. Then there’s romantic love; a love between two people, which I consider to be both intimate and sexual. Older dictionaries and encyclopedias usually refer to the romantic aspect of love, as the love in which is experience between man and woman. In today’s society it is said that romantic love can be found regardless of your gender and based on that definition I would have to agree, but personally disagree for the simply reason that we were physically made to adapt with the other gender sexually. Feeling romantic love for the same sex would defeats the purpose of our existents, which is procreation. Thus making love for the same sex unjust.   Ã‚  Ã‚  Ã‚  Ã‚  Love has been expressed since the beginning of time; since Adam and Eve. Each culture expresses its love in its own special way. Though out history, though, it’s aspect has always been the same. Love has been a major characteristic of literature also. One of the most famous works in literary history is, Romeo and Juliet by William Shakespeare. This story deals with the love of a man and a woman who’s families have been sworn enemies. There love surpassed the hatred in which the families endured for generations. In the end they both ended up killing their selves, for one could not live without the other. This story is a perfect example of true love.

At The Mind’s Limits Essay -- Analysis, Jean Améry

â€Å"If one speaks about torture, one must take care not to exaggerate,† Jean Amà ©ry view of torture comes from a place of uneasiness (22). He discusses in his book At The Mind’s Limits, about the torture that he underwent while a prisoner in Auschwitz. In his chapter titled â€Å"Torture†, he goes into deep description of not only the torture he endured, but also how that torture never leaves a person. Amà ©ry goes to great lengths to make sure that the torture he speaks of is accurate and as he says on page 22, not exaggerated. Many may believe that talking about an experience that is of a horrible nature can be a way of coping with the event. However, Amery believes differently. He wrote his book as a way to make people understand went he and millions of other Jews went through. He does not see his book as a way of understanding the pain he went through every day even after the war had ended. Amery speaks of the torture because he feels it is important to understand the different elements of torture. He writes, â€Å"What was inflicted on me in the unspeakable vault in Breendonk was by far not the worst form of torture†¦it was relatively harmless and it left no conspicuous scars on my body† (22). The embarrassment of the torture to Amery; is knowing that â€Å"they† have taken away who you are in a matter of moments. It is losing who you are to evil without wanting to, that is torture. Amery continues to state that the torture never ends even after the pain is gone and the wounds have healed. It becomes a part of you and you begin to lose yourself in it. He writes, But for the person who suffers them they are still experiences that leave deep marks – if one wishes to use up the high-sounding words already and clearly say: enormities. The f... ...h the â€Å"crackling and splintering in my shoulders that my body has not forgotten until hour† (32). He would never remember anything as it was, for it was now a distant and vague memory. But his torture was happening every day and every moment of his life. In conclusion, Amery’s book is a testimony of him accepting what has befallen to him. He brings light to what torture was and is now in a world that can be distrustful. That losing one’s faith in the world and humankind is not an easy understanding. He wants the world to know that torture is not just physical; it is also mental and verbal. It is the â€Å"first blow† whether that is a word in meanness or punch to the face, torture is the evil that comes from someone who knows nothing good. Torture for the Jews is a way of life now, because it will never leave their memory, it has become a part of them in every way.

Thermodynamics of the Dissolution Borax

Thermodynamics of the Dissolution of Borax Lina Jawadi Objectives: * Study a system of salt and water solution. * Determining a variety of important thermodynamics quantities from the solubility information at various temperatures. Background: The salt and water solution in this experiment has relatively simple solubility equilibrium of borax in water. Na2B4O7 . 10 H2O 2Na + + B4O5(OH)42- + 8H2O This reaction is an equilibrium process and 8 water molecules from the hydrated salt are lost to the reaction medium. The equilibrium constant expression for this reaction is:K = [Na+]2 [B4O5(OH)42-] [H2O]8 [Na2B4O7 . 10 H2O] In this experiment we will always make sure there is some solid borax remaining in the sample mixture before removing some of it to analyze it. Therefore, we can assume that the concentration of solid borax is constant. In addition, the water molecules which were originally part of the borax’s crystalline matrix is lost to the sample mixture; however, it doesnâ₠¬â„¢t significantly affect the concentration of the water. The equilibrium constant expression can now be simplified to become: K = [Na+]2 [B4O5(OH)42-]The first equilibrium expression and the balanced solubility equilibrium reaction allow us to express either borate ion or sodium ion in terms of the other. So, it is possible to determine the constant in terms of either ion. After substituting borax ion in place of the sodium ion, ([Na+] = 2 [B4O5(OH)42-] , K = (2 [B4O5(OH)42-] )2 * [B4O5(OH)42-] ) we get: K = 4 [B4O5(OH)42-]3 . Finding the concentration of borate ion in any sample at any given temperature gives us the solubility product at that temperature. Equipment: * 5mL pipet * Test tubes * Marker * Hot plate * 250 mL beaker * Flask Electric balance Procedure: 1. Using the pipet add 5mL of distilled water to 10 test tubes. 2. Mark the level with the marker and pour the water out. Mark the test tube with the assigned temperature. 3. Weigh 30-32g of solid sodium borate decahydrat e (borax) in a 250 mL beaker and then add 150 mL of water. 4. Place the mixture on a hot plate, but don’t allow its temperature to exceed 50oC. 5. After all the borax dissolves, add more and let the temperature reach 45oC. 6. Once it starts slightly exceeding 45oC, remove it from the hot plate and place instead a beaker filled with 150 mL of distilled water. . Continue stirring the mixture until it reaches the desired temperature. 8. Quickly pour 5 mL of the mixture in two test tube without transferring any solid borax. (record the temperature before and after the transfer. ) 9. When the water bath reaches 45oC, place the test tube in it until precipitation of borax has dissolved. 10. In a flask with 50-75 mL of water and 10 drops of bromocresol green indicator, add 125 mL of the borax solution. 11. Before titrating the borax with acid make sure that it has a blue color.Using buret filled with 50 mL oh HCl, add the acid to the borax until it reaches the endpoint, which is whe n the solution turns from a blue color to a yellow. Record the initial and final volume. (For calculations: find the moles of borax using the volume of HCl and its molarity. Then find the solubility product constant and plot the ksp vs. (1/t) graph and from it obtain the values of ? H and ? S. Make sure the temperature is in kelvin when doing the calculations. Finally, find the value of ? G using both equations and plot the ? G vs. time graph. )

Why So Expensive

College is said to be some of the best years of your life. The parties, the freedom, and the new experience help you find new friends, hopefully a career and yourself, but rising college cost are having young adults stressing instead of enjoying the college experience. Every year less and less states are giving their college’s money and more and more students are asking for financial aid or taking out student loans. The more that college tuition continues to rise the more of a financial toll it will take on students family and the more debt students trying to earn degrees will accumulate if we don’t try to find a way to get the state and government to help with college costs. For public colleges and universities the price of education rose 14. 1% more than the year before and for private schools it rose 6%, but is the economy the thing to blame for rising costs (Weston)? Ivy League schools, private schools, and public schools will do about anything to make it on U. S. news and World Reports annual college rankings or other college related programs by spending more money on high-speed internet, bigger and more extravagant dining facilities, new gyms and equipment, and having apartments on campus instead of dorms (Asinof). In the 1990s the stock market and big money donors helped keep college cost reasonable, but since the economy is in a recession money is hard to come by especially for big establishments. Student loans and financial aid help many students when it comes to paying for college, but there are some people who â€Å"make too much† to receive financial aid when in reality they need financial aid just as much as the kid coming from the single parent home with five siblings. Some argue you that there shouldn’t be an income cut off when it comes to giving someone government assistance, but if everyone who needed government assistance received it then the government would have a money problem when it comes to putting students through higher education. Many politicians, District Education Boards and school administrators agree on the fact that declining state support for education is the main reason behind plummeting college costs (Asinof). Since the start of the economic crisis in the Untied States the tuition and mandatory fees for public four year schools in every state increased. Boston College, for example, in 2006 for an out of stator to attend it cost 33,000 dollars and now to attend for the 2010 year it costs about 39,000 dollars (College Board). The state’s where tuition has increased the most has been Massachusetts and South Carolina where the price has jumped 26 percent (Weston). The tuition price has also been raised for community colleges as well making a two-year higher education just as expensive if you were to go to a community college out of state. The economy does play a big part in rising college costs, but so do the state the college is in as well. The state is responsible to help cover tuition costs. More needed money for health care has put a shadow over education and because of that shadow the tuitions will either stay where they are or continue to rise (Weston). Without help paying for education the younger generation will either choose to work minimum wage jobs or will be covered with debt for half of their lives. Kelli Space, 23, graduated from Northeastern University in 2009 with a bachelor's in sociology and also $200,000 in student loan debt (Rowley). Over the last couple of years, private lenders, nominated by college financial aid offices, have been giving young people hundreds of thousands of dollars to earn bachelor's degrees (Rowley). As a result of declining grants and costs, more than two-thirds of students graduated with debt in 2008 which is 45 percent more than in 1993 (Rowley). People are beginning to compare the student loan crisis that is happening to young people to the mortgage crisis that is happening to home and small business owners. Families are finding it easier to recieve a loan from private student loan firms because of how easy they make it seem to barrow money and pay for college when in reality private loan companies have strict repayment rules and have extremely high interest rates. Tuition costs are beginning to outweigh the federal loans and grants (Rowley). Many of my friends have been saying they are trying to avoid student loans as much as possible by going to a community college first or trying to save up enough money to pay the college up front, but when it all comes down to it,in this day and age, more than one-third of college student will have to take out at least one student loan to finish their education. There has always been a cost and price on education. The cost of working hard, the price of going out instead of studying, the cost of finding a major, and the cost of fun. Now the cost and price of paying for education is unbearable and getting to the point of being unpayable. When will the states realize education is just as important as the new pavement need on I35- south and just as important as healthcare that they will be able to lower tuition costs? Hopefully soon or this generation will have a debt epidemic that no president can promise to fix.

Statement of Purpose – MHA

My country India, world’s largest democracy and home to over a billion fellow country men, has a very low Doctor to patient ratio and even lower Dentist to patient ratio. This led me to take my graduation in Dentistry. My days in Dental School often made me think about management of available resourses which involved simple insurence policies, hygienic practices than treating the diseases with an ensuing dramatic increase in the cost of such treatment that the people of my country can not afford. Healthcare administration in India is not covering even half the population let alone advanced medical aid. There might be great technological strides in the field of healthcare administration but the number of people benefited is only a select few. I was exposed to certain ground realities, like there are limited doctors and infrastructure which does not function to their optimum capacity and efficiency due to lack of proper management of limited resources. In my internship program I have seen many patients who were unable to get proper treatment due to lack of available human resourses and reimbursement. In my counrty there is no proper facility of maintaining patient records, online data storage and access of every patient health record. Even people do not have a clear cut idea of How to use insurance policies and reimbursement programmes. I was already doubting my future as a career dentist because my apparent inability to help large number of people In fact right from my under graduation Health care Administration is the primary interest of all my choices. In my under graduation I am very intuitive about management of human resources in the health care system, ethical and legal perspectives on malpractice,medical records, confidentially and required disclosures,reimbursement procedures, governmental regulation and legal restraints. All this factors guided me towads the MS in Helath care administration. In the present day environment, a sound understanding of fundamentals and expertise in a chosen field of interest is essential and I strongly believe that graduate school offers opportunities to attain the above. Graduate study, being the first step towards the realization of my goals, Having been enlightened by many professors and several graduating seniors about the rigorous course work besides possessing state-of-the-art research facilities, I had no dilemma in choosing University of Newhavens as my dream university for pursuing my graduate studies. I am sure that University of Newhavens with dynamic faculty, well equipped laboratories and world renowned graduate programs would definitely help me in achieving my goals and contribute something of my own in my field of interest. I believe that with my capacity for hardwork, commendable logic and dedication to achieve my goals, I will be able to do very well in my Graduate course. I aver that I take it as a challenge and spare no effort of mine in utilizing the resources available at your university. I am sure that you will share my confidence and give me an opportunity to continue with my further studies at your esteemed university.

Catherine Smith Essay

Catherine Smith was miss-treated in this situation as she had been to the police numerous times and never was there once a charge laied against Kevin smith. The one time Catherine retaliated she was put on trial and was almost sentenced to 25 years jail for only one offence when Kevin had committed 17 offences which were 3 attempted murders and several sexual assaults. The police did nothing even know Catherine had gone to them and they did nothing at all, that was not fair on Catherine or her family. Catherine was wrongly accused of trying to kill her husband Kevin in self-defence after over 30 years, this is just like she had already been in jail and done nothing wrong. Lucky for once the judge ruled out her case as self-defence and Kevin is still out in the world hurting Catherine. In 1997 Catherine escaped but Kevin came looking for her. He kidnapped their son Duncan and held him at gun point and Kevin was charged for only kidnapping his son not for any of the other 17 crimes he had committed and only sent to jail for a couple of mouths. Catherine could not believe that this had happened on a couple of mouths this is very unfair to Catherine and her kids. During this time Catherine tried to go see all her children. But a week before he was issued on parole. Catherine and her kids had to go into lock down again. Vicky Smith says â€Å"he was obsessive. He had to find her, he had to have her, he had to control her, and he had to own her. (Daughter) Also in the time Catherine and Kevin were married he assaulted 2 police officers, stole their gun and fired at his children who were trying to run and hid, again nothing was done and he wasn’t charged. This is not fair that someone that horrible can get away with so much and thing that are so important. Kevin smith was finally sentenced for up to 10 years jail for 17 offences including rape, assault and attempted murder. His sentence was not rightly done because for attempted murder is jail time for less than 25 years and Kevin is only getting 10 years for what he has done. Also this happened over 30 years ago and Catherine was technically in jail for over 30 years and for all the things Kevin had done to Catherine and what he put his family through all he got was 10 years jail. The jury in her trial only took 25 minutes to reach a unanimous verdict of not guilty. Finally Kevin Smith was convicted for his crimes. However it took another three months for justice to be delivered, with smith repeatedly stymieing the legal process. â€Å"he was trying more stalling tactics†¦ never faced up to what’s happened,† As Catherine quotes â€Å"I can’t believe it, finally, I can tell people my address. Finally I can go and visit my grandchildren without fear. A few years of peace, that’s what this means†. â€Å"With time already served, Kevin will be eligible for parole in 2020†.