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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National Cancer Institute- Cancer Statistics. (2016, March 14). Retrieved October 03, 2016, from https://www.cancer.gov/about-cancer/understanding/statistics
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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
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In the healthcare setting, teach-back is used when patient education is required (Tamura-Lis, 2013, p. 270). Teach-back is defined as a non-shaming process of asking patients to repeat information in their own words (Tamura-Lis, 2013, p. 268). It involves teaching and learning between two participants. Patients who have low health literacy levels are at risked for the need of teach-back. These include patients who are older than 60 years old (Eadie, 2014, p. 9). Older adult patients may have sensory alterations that impair communication (Potter & Perry, 2013, p. 181). In addition, patients from low socioeconomic status and minority groups are more likely to have inadequate health literacy (Tamura-Lis, 2013, p. 267). Nevertheless, assessment tools are available to identify a patient’s health literacy level (Eadie, 2014, p. 11)
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.
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
Friedman, L. C., Nelson, D. V., Baer, P. E., Smith, F. E., & Dworkin, R. J. (1992). The relationship of dispositional optimism, daily life stress, and domestic environment to coping methods used by cancer patients. Journal of Behavioural Medicine, 5(2), 127-141. doi:10.1007/BF00848321 (4)
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
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.
A cancer diagnosis can significantly change your life and the lives of your family in various ways. Hearing the news “you’ve been diagnosed with cancer” leave patients and their families in a whirlwind of emotions. The initial shock of this diagnosis leaves feelings of sadness, denial, frustration, confusion, fear, anger, and often times the “why me?” feeling. Thoughts start going through your head regarding how this affects yourself, your family, and your everyday life.
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.
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
“Pragmatic, evidence-based interventions that capitalize on the receptivity of family members and patients towards wellness strategies at the post-treatment transition must be developed and tested (Mazanec et al., 2015, p.61). The authors also noted that additional research is needed to promote optimal behavior change and to explore the best way to integrate communication strategies into clinical
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
...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.