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Lectures on oncology nursing
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When I was growing up, I spent a lot time with both my parents visiting local hospitals doing missionary work. Thus, paying close attention to the care the providers gave to the patients in the oncology units. During the visits I was continually exposed to the beaming bright lights, the rapid pace of moving nurses, and agony filled patients moaning as if the medicine had worn off. And my father saying, “You need to be sensitive to people with a terminal illness.”
Every Sunday after church my family and I spent several hours at Loyola hospital visiting with the oncology patient’s seniors and youths. We would converse, read, pray and even provide laughter for them. I’ve learned so much about the patient, their illness, and the families. Additionally, I began honing in on the terminology just by observing and listening to the professional staff as they interacted with their patients. I developed a sense of mortality and empathy for the patients and the direction I wanted to
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If someone was hurt on the playground I would immediately run to assist and get a teacher to help. One hot summer day in June my best friend Jenny was playing tag with a group of us girls and boys. Jenny started to run from Andrew, but she began to fall before she could get going, which he tagged her but she didn’t move for a few minutes. We were so afraid, I stayed by her and waited until the teachers came on the playground to see about her. Jenny turned out to be ok once they took her in the building waiting for her parents. At age 17, my cousin asked, “If I would come and help care for my aunt?” I didn’t know much about medicine; I was in the finance industry taking care of people in a different way. I opened new accounts, completed loan applications, loan closings, and provided them with their paperwork and out the door they went. This required little to no
Final Gifts, written by hospice care workers, Maggie Callanan and Patricia Kelly, includes various stories detailing each of their life changing experiences that they encountered with their patients. Hospice care allows the patient to feel comfortable in their final days or months before they move on to their next life. This book contains the information considered necessary to understand and deal with the awareness, needs, and interactions of those who are dying. Not only are there stories told throughout the book, there are also tips for one to help cope with knowing someone is dying and how to make their death a peaceful experience for everyone involved. It is important that everyone involved is at as much peace as the person dying in the
God tells his children, “He will wipe every tear from their eyes. There will be no more death or mourning or crying or pain, for the old order of things has passed away” (Revelation). Death is one of the most frightening and confusing times a person can go through. Watching a loved one pass away is also one of the hardest trials a person can experience. Many people assume that death is a time of pain and the only thing that they can do is mourn and watch their loved one fade away from the earth. This is wrong. There are ways that people can turn a bad situation to good. Dying doesn’t have to be painful and full of suffering. The County Hospice staff makes sure of this. The Hospice staff not only takes care of passing patients physically, but they also take care of the patients emotionally and spiritually. Hospice staff also plays a key role in helping families during the grieving process.
As a nursing student, I have had some exposure to death during patient care. My first encounter with direct death was witnessing a patient after attempted resuscitation efforts die in the emergency department. As I observed others reactions, I noticed I was the only one who seemed fazed by the preceding events and the end result, although I didn’t show it outwardly. During my Aging and End of life clinical rotation, I have been exposed to a near death experience with a family and I had the rewarding experience of forming a relationship with the patient’s wife during the short hour I was in their home. From reading the accounts in this book, it confirmed to me the importance of catering to the needs of the family and the dying as an important issue to address as they are critical to overall care.
Moral distress occurs is defined by Jameton as, occurring when one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action. Oncology nurses find themselves struggling with moral distress in an oncology unit, which is where cancer patients are cared for and educated by the nurse. An oncology nurse suffers moral distress when they know the right course of action, but feel powerless to act out the choice because of the institution or its policies, lack of resources, lack of support, or legal limits. Oncology nurses provide care over an extended period of time and often administer aggressive treatments. Oncology nurses witness the implications of life-prolonging interventions that
On February 14th I spent a day doing something I never thought I would do in a million years, I went to hospice. I always thought I would hate hospice, but I actually didn’t mind it too much, it isn’t a job I see myself doing in the future but it is a job that I understand why people do it and why they enjoy it. During this observation I was touched by how much these nurses really seem to care for each of the patients that they have.
In my 3 years of experience as a hospice nurse, I have cared for several patients in the final stages of their breast cancer diagnosis and journey. In the little time I’ve had to spend with those patients have I learnt about the life they lived , their families , pets , favorite books , music, skin tome , hair color , and even height prior to their diagnosis , or during its early stages. Often when I arrive in the home it is extremely difficult
An elderly woman came in on her scooter and said she needed help while she was losing consciousness. We had to take her to one of our room immediately and the second she was put in the room she was asked a bunch of questions she couldn’t answer at the time. As I nervously watched another emergency happened down the hall and my mentor had to run to that, emergency, she turned to me and said “You can handle this right? You went through all the training so you should be good!” before I could say anything she closed the door behind her. It was that moment I realized I wasn’t trained on what to do in emergencies.
Kenneth Schwartz was a health-care lawyer who had only been exposed to the business side of healthcare. It was not until he was diagnosed with lung cancer that he would experience another role in healthcare, being a patient. The battle he was up against would not only be physical but also emotional. In the end, Schwartz lost his battle against lung cancer just under a year of being diagnosed. The one thing he repeatedly emphasized was the empathetic acts of kindness the caregivers bestowed upon him. Cancer to him was not just about physically beating the cancer, it was for his well-being as a whole ,and his desire to stay intact through out the process. He may have lost his battle with cancer but the care he was provided kept him hopeful and optimistic until his untimely passing. Compassionate care should be a staple for all healthcare providers. It can improve outcomes of health, increase the satisfaction of the patient, and aid in better adherence to recommendations from the caregivers. Patients should never feel they are being rushed, that they are not important, or that they are not receiving the best provision of care possible.
My earliest experiences of observing nursing in action occurred during my last two years of high school. My father was diagnosed with cancer during the spring of my junior year and died right before my senior year. During that short time I watched as the nurses cared for him and I could see compassion and empathy in the way they looked at him. It never occurred to me until after I had raised my children that I wanted to be able to help people in the same way those nurses helped my dad. But now when I tell people that I want to be an oncology nurse, people often respond by saying that they would never choose that type of nursing. They say that they could not stand to watch their patients die so frequently. Their reactions, along with this course in death and dying, have made me question how I might be able to bear the challenges of nursing in an area where death of my patients may be common. I believe that oncology will be a positive specialty to work in because of the consistent advances in prevention, early detection, and treatment of cancer. Furthermore, I believe that William Worden’s four tasks of mourning as presented in our text book is a good framework for the oncology nurse to use in order to cope with the repeated losses inherent in this type of nursing (Leming and Dickinson, 2011).
...epersonalized. Although not every patient is easy to deal with and doctors are under colossal pressure, by inspiring students with a possible future in the medical field to get involved with type of community service early we can ameliorate the distressing situation. Coming into contact with, speaking to, and intimately understanding these incredible individuals can dramatically alter one’s perspective and ensure treatment with self respect and dignity. I strongly believe in this notion of early involvement. My changed view coupled with my future medical training in college will allow me to be a figure to emulate and hopefully inspire others to follow this path. By embarking on this monumental journey mankind has the opportunity to shape history and enrich the lives of others while personally experiencing the most rewarding of all endeavors: helping someone in need.
When a person decides on becoming a nurse, they make the most important decision of their life. From that moment on they choose to dedicate themselves to the care of others. As a nurse, I understand that my setting is not one where people desire to be in. I understand that I’m not part of a patient’s favorite chapter they have written down in their book of stories, but I hope when they look back through their chapters of life they sometimes smile when they pass the pages I was part of, knowing how well they were cared for in my hands.
When I took care of my uncle last year in home hospice, I encountered this strength of spirit. As he tirelessly battled cancer, I saw his need for personal interaction, validation and compassion. I had the privilege to support him during his journey and learned a lot about myself in the process. I developed a stronger, more personal relationship with him, learning that people continue to forge on and search for joy in their lives despite astounding odds. This moved
I first became interested in the field of oncology because cancer is one of the leading causes of death in children. Anyone can be vulnerable to cancer, regardless of age or lifestyle, and the treatment process and the road to recovery, if there is one, can be long and taxing. My interest in the field deepened as I came to appreciate the impact and difference that a physician can make in the lives of patients and families during those times.
It is imperative that we look as each person as an individual who brings their unique needs, beliefs, family dynamics, and perceptions to the health-care table. We as health-care providers must look at the entire picture, not just the “medical” issues. Sometimes we are nurses, sometimes we are counselors, sometimes we are pastors, and sometimes we must be friends. Shelly told me of an elderly man that she remembered well. He was alone, septic, and likely to pass away while in the hospital on this visit. She said that even though he was most likely in his last hours, the most important thing to him was getting a bath because he felt like he was not clean (he was a resident of a very poor nursing home). She told me that her mission in that moment was not to only to care for his medical needs, but his personal worries and concerns as well. “I gave him a full head to toe bath, gently cared for him, and then tucked him in. He died later that night but I helped him be just a little more comfortable, and maybe more at peace” (Paula O’Bear, personal communication, January 30,
In the recent years, the nursing field has become one of the largest job growth all around the world. Nursing is a profession embedded in the principles of professionalism of care, dedication, and commitment. As a nursing student, I have learned to so many different diseases, preventions, and treatments. I remember as a young child, I have witnessed my grandfather having a difficulty breathing, he was showing signs of heart problems due to high potassium level. I was there next to him while watching all the nurses and healthcare members taking care of him right when he first stepped into the Emergency Department (ED) and later on transferred to the Intensive Care Unit (ICU). As I watched all the nurses helping my grandfather during this critical