Speech-Language Pathologist to Provide In-Service Education to Nursing Staff on
Patient Education of Cognitive Deficits Secondary to Chemotherapy
Introduction
In the United States, approximately 1,685,210 new cases of cancer will be diagnosed this year (National Cancer Institute, 2016). While about 40% of the population will be diagnosed with cancer at some point in their lifetime, the number of people living beyond their cancer diagnosis is steadily increasing. Due to breakthroughs in modern medical treatment, the number of individuals that have survived cancer has grown exponentially. Specifically, in 2014 an estimated 14.5 million people lived beyond their cancer diagnosis and is expected to rise to about 19 million by 2024 (National Cancer
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C., Iverson, L., & Boylan, A. (2016). Evaluation of a chemotherapy and medication education process for patients starting cancer treatment. Clinical Journal of Oncology Nursing, (4). 364. doi:10.1188/16.CJON.364-366.
Myers, J., & Teel, C. (2008). Oncology nurses' awareness of cognitive impairment secondary to chemotherapy [corrected] [published erratum appears in CLIN J ONCOL NURS 2008 Dec;12(6):848]. Clinical Journal Of Oncology Nursing, 12(5), 725-729.
National Cancer Institute- Cancer Statistics. (2016, March 14). Retrieved October 03, 2016, from https://www.cancer.gov/about-cancer/understanding/statistics
Von Ah, D., Jansen, C. E., & Allen, D. H. (2014). Evidence-Based Interventions for Cancer and Treatment-Related Cognitive Impairment. Clinical Journal Of Oncology Nursing, 1817- 25. doi:10.1188/14.CJON.S3.17-25
Von Ah, D., Storey, S., Jansen, C. E., & Allen, D. H. (2013). Coping Strategies and Interventions for Cognitive Changes in Patients with Cancer. Seminars In Oncology Nursing, 29(Cognitive Changes Associated with Cancer and Cancer Treatment), 288-299. doi:10.1016/j.soncn.2013.08.009
Williams, S., & Shreier, A. (2005). The role of education in managing fatigue, anxiety, and sleep disorders in women undergoing chemotherapy for breast cancer. Applied Nursing Research, 18,
Because of advancements in technology and funding survival rates have increased in each patient and quality of life due to better chemotherapy and radio therapy drugs are helping millions of survivors round the world to lead a generally normal life without the risk of the cancer returning.
Working as an oncology nurse has been a life changing experience. I have grown not only as a nurse, but also as a person. My eyes have been opened to the value of life, and not just life itself, but the precious thing that is a healthy life. I cannot count the number of patients from the beginning of my nursing career until now that have told me, “Well, I just didn’t think my symptoms were a big deal” or “The doctor told me I needed additional tests but it didn’t seem important at the time and I didn’t have any money”. The lack of patient education and provider follow-up in situations such as these is disheartening to observe. Experiences I have had with patients combined with their life stories have fueled my desire to become a family nurse
Recently nine studies were done with cancer patients to show improvements on sleep quality, mood, stress, cancer-related distress, cancer related symptoms, and the patients over-all quality of life. One
The teach-back method is an evidence-based practice used in patient education. Clinicians use teach-back to educate patients about health information and enable them to “subsequently evaluate whether learning has occurred” (Tamura-Lis, 2013, p. 267). Teach-back checks for patient understanding of medical diagnosis, treatments, and instructions regarding disease complications (Tamura-Lis, 2013, p. 269). Patients become knowledgeable about their disease process and consequently, teach-back promotes clarification and prevents communication errors. It is important to hospital-based nursing because it optimizes patient learning and comprehension (Tamura-Lis, 2013, p. 270). Ultimately, teach-back helps improve quality care, safety, and patient satisfaction (Tamura-Lis, 2013, p. 271).
Spiegel, D., Bloom, J. R., Kraemer, H. C., & Gottheil, E. (1989). Effect of psychosocial tr@ent on survival of patients with metastatic breast cancer. Lan@t, 88:8-891.
It is important to evaluate which learning style your patients prefer in order for them to best understand what needs to be done for the maximum appropriate outcome. Licensed practical nurses are advocates and that’s someone who supports and supplies information to their patients. Advocacy often involves standing up in support of a patient and their rights. This is especially true when patients are not able to protect their own rights. When filling the role of counselor, Licensed Practical Nurses can help patients and families explore ideas and feelings towards healthcare and illness (8 Roles of the LPN). Some patients have a difficult time accepting a disease or its treatment options. As a practical nurse you consult with RN supervisors regarding patient care and assessments. In some settings LPN 's communicate directly to physicians. Communicating information to the proper people assists in increasing the effectiveness of care plans (Role). As practical nurses we are only one part of a patient care team. Other important members include RN 's, CNA 's, physicians, physical/occupational/speech therapists, dietitians, volunteers, and more (8 Roles of the LPN). With such a large team, every member has their own scope of
... a healthy lifestyle, which can also be used to treat the physical effects of cancer. Methods to lessen the psychological effects of cancer include “psychotherapy, support group therapy and antidepressant medication” (Cancer Complications, n.d.). Because cancer is such a painful illness that has many negative implications on the patient and those who are involved, many who have cancer tend to feel depressed and alone. With the support of fellow cancer patients and survivors, the pain of such a situation can be lessened.
Age is another significant factor; if they are middle-age adults or elderly, they might want to enjoy the time with their loved ones instead of being depressed about the cancer. In the emotional dimension, patients diagnosed with lung cancer can feel a variety of emotions such as fear, depression, anger, guilt and confusion. I believe stress affects the body in a negative way and being calm affects the body in a positive way. For example, as the textbook states, “Long time stress affects the body system, and anxiety affects the health habits; conversely, calm acceptance and relaxation can actually change body response to illness”(Taylor, 45). I agree with this concept, people who tend to accept and focus on positive things; the body reacts to their emotions in a positive way.
Cancer is a very large issue in the world. Cancer is a sickness that can lead to many life threatening problems and can eventually lead to death. There are many different kinds of cancer that can effect a person without them even knowing it is there. One type of cancer that can be easier to detect would be skin cancer. Skin cancer can be diagnosed by seeing a doctor or dermatologist, if they see an abnormal mole or spot on your skin, they many ask to remove the spot and test it in their laboratory. If the spot or mole comes back positive for skin cancer, they next will run more tests to see if it has spread throughout the body. The first thing the doctor will ask you is the time frame from when you first started noticing this on your body,
There are more than a million people suffer from cancer in the United States every day. Lung cancer is not the only type of cancer but it affects many people and families every day. Lung cancer makes the lives of its patients and the families. Lung cancer is one of the deadliest types of cancer and also one of the most common. Hundreds of thousands of people get diagnosed with lung cancer every year in just the United States. Also close to just as many people die from lung cancer in the US every year. I am going to talk about lung cancer and what it is, how to lower your risk of getting it, statistics of it, and the research and treatment of it.
She’s been struggling everyday of her life for the past 10 years; battling and fighting this horrible disease has made it hard on her and her family. The cancer has now metastasized, making it difficult for her to take care of everyday responsibilities and participate in daily activities. Her 13-year-old daughter is watching as her mother suffers and becomes brittle and weak.
Problem Statement The problem is the staff is uncomfortable having EOL conversations with terminal cancer patients because the staff is not trained to initiate or conduct EOL conversations. Training would enable nurses to have EOL conversations with patients (Blaževičienė, Newland, Čivinskienė, & Beckstrand, 2017). Nurses tend to keep communication at a superficial level and avoid emotional cues because they are not prepared to have an EOL
Viele, C.S. (2003). Diagnosis, treatment, and nursing care of acute leukemia. Seminars in Oncology Nursing, 19(2), 98-108. Retrieved , from http://www.nursingconsult.com/nursing/journals/0749-2081/full-text/PDF/s0749208103000068.pdf?issn=0749-2081&full_text=pdf&pdfName=s0749208103000068.pdf&spid=13652985&article_id=487088
How convenient is conducting the interviews with families at the post-cancer treatment transition? How adequate is the health behavior assessment tool? What are the patients’ goals for their health at the completion of their treatment? (Mazanec et al.,
...e the cancer and look for the positives in the prognosis and treatment find encouragement for the future. There are various models and theories such as health belief model that are used to explain ones belief on risks and associated risks of a chronic illness and then there are theories such as Crisis theory when dealing with shock when diagnosed with a chronic illness and gate control theory when looking at pain and the psychological issues around dealing with pain. However even with various theories and models trying to explain crisis, pain and compliance to treatment the outcome and understanding and ultimately the way an individual deals with a chronic illness such a breast cancer falls very much down to self-efficacy and the belief the individual holds towards the illness itself the attitude and perception in the outcome of the illness, treatment and beyond.