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Principle of patient clinician communication
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I began my undergraduate career at the University of Minnesota with every intent of working toward a nursing degree and career as a pediatric oncology nurse. My interest in the healthcare field, specifically oncology, stemmed from experiences I had volunteering and fundraising for organizations like Children’s Miracle Network throughout high school. After one semester of coursework and a few months volunteering at Masonic Children’s Hospital, I realized that nursing was not what I had imagined it to be. As I began to familiarize myself and make connections with medical professionals in the hospital, I noticed that nurses did not spend as much time with patients and their families as I had thought they would. I knew I belonged in a career where I could use my ability to empathize, communicate, and connect and interact with people of all backgrounds on a deep and meaningful level. Because of this sudden realization, I decided to pursue my interest in psychology beginning my sophomore year of college. It was apparent to me almost immediately after starting my education in this field that I was on the right path.
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understand my personal research interests, I spent three years as an undergraduate research assistant at the University of Minnesota. My first experience within research was as an undergraduate assistant in Dr. Canan Karatekin’s Child Welfare Lab. To continue exploring my research interests and find a topic I was truly passionate about, I then joined Dr. Glenn Roisman’s Relationships Lab for the duration of my junior and senior year. Throughout my three years as an undergraduate research assistant I acquired research skills such as organization, coding, data entry, data analysis, and an enhanced ability in scientific writing. At the start of my senior year, I wrote a research proposal related to the work of my lab supervisor, Dr. Roisman. I submitted the proposal to the Undergraduate Research Opportunities (UROP) committee and received a grant to fund my research examining the role of early caregiving experiences in relation to later emotional language use. I presented my research findings at the University of Minnesota Undergraduate Research Symposium in April of 2015. Although I obtained invaluable experience working in both Dr. Karatekin and Dr. Roisman’s research labs, I recognized that I was not particularly interested in pursuing research related to either lab that I contributed to as an undergraduate. I had yet to discover how my passions and interests could translate into research opportunities that I was truly excited about. Immediately after graduating from the University of Minnesota I continued my education in the Master of Counseling (MC) program at Arizona State University. It was during my second semester in the MC program that I discovered the overlap between the medical field and psychology. While researching second-year internship sites, I came across the Oncology Counseling Intern position at Banner Desert and Banner Thunderbird Medical Centers. I was awarded the position and have been working between both hospitals since the beginning of August. This internship experience has ignited a passion for me in patient care relating to integrative health, medicine, and quality of life. I feel a sense of belonging in the hospital environment and have voluntarily attended numerous Integrative Health Team meetings with the purpose of wanting to learn everything I can about the diagnoses, conditions, and treatments in relation to the patients. The importance of integrative health care relative to the mitigation of cancer specific psychosocial issues have been affirmed through my interactions with both pediatric and adult cancer patients and their families. Aside from providing counseling for patients and their families, I have also been actively involved in a research study at Banner Thunderbird Medical Center under the direction of my supervisor, Patricia DeBruhl and radiation oncology specialist, Dr. Rachit Kumar. Our research study examines the impact of using guided imagery to reduce anxiety and increase treatment compliance in patients undergoing mask mapping and brain radiation. My involvement in this study has thus far included co-writing the research proposal, assessing whether or not patients meet the criteria to be included in our study, collaborating with patients who meet the criteria to create their personal guided imagery script, and to facilitate the development of their mindfulness skills. Once we have collected enough data, I have been asked to co-author our study results with the intent of presenting and publishing. While medical professionals typically focus solely on the biological aspect of the patient who has been diagnosed with cancer, I envision cancer treatment in relation to Bronfenbrenner’s Ecological Model.
The impact of a cancer diagnosis is felt not only by the individual, but extends to their microsystem, mesosystem, and possibly their exosystem. Each interaction between these systems also have the potential to impact the individual’s treatment outcomes. I consistently hear that patients are more worried about their family members and caregivers than they are about themselves. Often it appears as though that worry manifests as psychosomatic symptoms that are typically treated with medications, rather than working to discover the source of the anxiety and control the psychosomatic symptomology through non-medical
interventions. Many patients I have interacted with, specifically women diagnosed with breast or gynecologic cancers, express frustration concerning changes in intimacy and issues in romantic relationships. Alternatively, I have had many sessions with caregivers where I have witnessed first-hand the psychosocial and emotional toll that caring for a cancer patient can have on the caretakers. These interactions have fueled my desire to examine cancer support and resources beyond the individual patient level, extending to include family and community support as well. I am interested in examining the impact of integrative healthcare on treatment outcomes and the implementation of integrative health into medical care settings. I am also fascinated by the psychosocial impact and quality of life for individuals who have been diagnosed with cancer, with my interest intensifying when speaking to women identifying as LGBTQ that have been diagnosed with breast or gynecologic cancers. Moreover, I am interested in researching and evaluating how professional health settings can best educate and support caregivers and community members that have been indirectly impacted by a cancer diagnosis. Each of these interests have been largely facilitated by interactions with patients and their feedback on available resources. My career goals upon obtaining a joint Ph.D. in Social Work and Psychology from the University of Michigan include pursuing a position in academia while continuing clinical and patient advocacy work within the community. I have gained significant experience through teaching assistantships thus far and would like to continue teaching at the undergraduate or graduate level. The clinical aspect of my career is equally as important to me as I enjoy building relationships with my patients while continuing to conduct research that is based on the life changes, stressors, and needs of my patients and their support community. I am determined to be an advocate for high quality patient care, provider of innovative support and resources, and connect my clinical practice with academic resources and interests. In my search for Ph.D. programs I have looked at programs in both social work and psychology. Prior to my internship I was unaware that social workers often hold positions in medical care settings. Throughout the past few months I have been given opportunities to observe and interact with social workers on a daily basis with the purpose of creating patient care plans and advocating for our patients during integrative health team meetings. With that said, my entire academic background is in psychology and I would like to continue my growth as a clinician and contribute to the rapidly growing field of health psychology. I believe the joint Ph.D. program in social work and psychology is the best fit for me because it provides me with the opportunity to continue on the path of psychology and further my growth as a clinician, while also being in a position to expand my knowledge from a lens that focuses on the individual, to a lens that is more inclusive of communities as a whole. I strongly believe that moving forward in my career I will best be able to serve my patients and communities by having this dual background and lens. I was initially drawn to this program by the work of Dr. Bradley Zebrack. I first became aware of his research regarding the effects of cancer through my internship as we actively use the Impact of Cancer Scale that he developed with many of our patients. After speaking with Dr. Zebrack, my desire to continue my education at the University of Michigan was affirmed. I was grateful to have the opportunity to discuss the future directions of his research with him. Within the School of Social Work I was also intrigued by the work of Dr. Lapidos and Debra Mattison that relate to integrative health, primary care, palliative care and grief and loss. Each of these topic areas are prevalent in my internship and overlap with my research interests regarding patient care and quality of life, as well as psychosocial stressors for patients and their support system. The work of Dr. Sara McClelland in the Personality and Social Psychology Department is especially exciting as it overlaps my desire to research and develop quality of life resources for women who have been diagnosed with breast and gynecologic cancers. I recognize that Dr. Ethan Kross and Dr. Allison Earl are associated with Social Psychology rather than my indicated focus area of Personality and Social Psychology. With that said, I am intrigued by Dr. Kross’ work examining coping and regulating emotions that may compromise one’s health, and Dr. Earl’s work regarding selection, attention and disparities in health promotion. It is imperative that patients and caregivers alike have appropriate coping skills and innovative resources in order to achieve the best quality of life while working through a diagnosis. I am confident that continuing my education at the University of Michigan provides me with the best opportunity to continue my academic growth, achieve my career goals and create change on individual, community and systematic levels.
Having one hour to shadow a pediatric oncologist would be an experience of a lifetime. Preparing for an experience like that would be extremely difficult.All this preparation would be done weeks in advance to the day i am actually shadowing the physician.
The first question I expect to be asked by every interviewer is "why anesthesiology now?" In 2012, after 6 years of post-graduate training, I was thrilled and elated to finally became a board-certified pediatric hematologist/oncologist. Three years later, I am ready to go back to residency. Pediatric hematology/oncology was one of my earliest rotations as a third year medical student and I fell in love with the pathology and, of course, the kids. After that rotation, I, perhaps naively, didn 't give much thought to other specialties and focused solely on pediatrics, going on to complete my pediatrics residency at the University of Michigan, followed by fellowship at the University of Colorado. Now, three years after my transition into post-training practice, I have come to realize the realities of pediatric specialized medicine are not what I expected when I chose this career.
Ever since I was a little girl, my motivation to pursue a career in the medical field was evident. While other children my age watched Cartoon Network, I found more value in shows like ‘Trauma: Life in the ER’ and ‘A Baby Story.’ It wasn’t until high school that I decided I would become a nurse, specifically. I cannot say that I had a revelation or a particular experience that swayed my decision. However, ever since I began pursuing the career of nursing, I discover each and every subsequent day that it is what I was put on this earth to do.
Pediatric Oncology is at the heart of many organizations. There are many financial and emotional burdens associated with a loved one having cancer, and thanks to these foundations parents and children can sleep a little bit better at night knowing that someone has their back. Some of the more prominent groups that have an impact here in our community are: Alliance for Childhood Cancer, Bear Necessities Pediatric Cancer Foundation, CURE Childhood Cancer, and National Cancer Institute (Mccaul). These are organizations that make an impact in the lives of the children battling cancer and their families. Whether an organization has been started in memory of a loved one or to support a college or hospital, organizations like those listed above have
Choosing a career is a very important aspect to people’s lives. One goes to college, usually around the age of eighteen, and by the time they leave they are expected to have decided on the career that they will have for the rest of their lives. Being a psychology and interpersonal communication major, I have always had an interest on relationships between individuals given certain stimuli presented to them. I want to have the ability to touch people’s lives by helping them understand themselves and why they behave the way in which they behave. Relationships are such an important aspect to the process of human growth, and they impact each and every one of us. Due to this assessment of myself, I have decided to go to college to pursue my goals of being a clinical social worker.
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.
My interest in nursing is fairly new; I had not explored the potential that a nursing career can offer. I became familiar with nursing professionally after becoming a Certified Nursing Assistant. While working with patients, side-by-side with nurses I became enamored with the potential of a nursing career. I now have a rewarding career working as a Medical-Surgical nurse on a Medical University Hospital floor that specializes in Transplant, Nephrology and Urology. Nursing encompasses the ideologies that fuel my passion, upon further research, and conversation with coworkers I realize my career goal of Family Nurse Practitioner; affording me the privilege to care for others by reaching out to various
Cancer is a word which evokes many different images and emotions. Nothing in this world can prepare a person for the utter devastation of finding out someone has been diagnosed with cancer, especially when this person is a child. Over the past twenty five years the amount of research and the survival rate for children suffering with cancer have increased dramatically. Despite these successes, the funding for new research necessary to keep these children alive and healthy is miniscule and too dependent on short term grants. Of the billions of dollars spent each year on cancer treatments and research less than a third is contributed to researching pediatric cancer. Given the media focus on adult cancers, research for pediatric cancer is underfunded. In order to maintain the increasing survival rate of the children undergoing pediatric cancer and support those who have survived the disease, better funding is quintessential to develop and further promote research.
Steindorf, O’Daniell, and Joy T. didn’t realize their psychological distress was related to their cancer experience — they had survived, after a...
In high school, I was among those students who always indicated that I will be going college. However, unlike most people I seem to meet these days I did not know that I wanted to be a doctor. When it was time to head off to college, I was still unsure of what I wanted to pursue. As most college freshmen, I did not know what major best suits my personality. I desired a career that would define who I am and a career that is self-gratifying. However, the path that I should follow was unclear to me. Because of my uncertainty I failed to see that my parents dream became my reality. As I began my college experience as a nursing student, I felt somewhat out of place. I realized that my reason for majoring in nursing was my parents' influence on me. They wanted me to believe that nursing is right for me. I always knew I wanted to go into the medical field, but I felt that I needed to know how to choose a medical specialty that I feel is right for me. My first step was to change my major. I chose to change my major to biology. My love for science led me to this decision. I began to explore the opportunities open to biology students.
The purpose of this paper is to argue the significance of psychosocial oncology in cancer treatment. Historically, cancer treatments have almost entirely been centered on treating the disease, while largely neglecting to care for the psychological health of the patient. Unfortunately, almost half of surveyed cancer patients develop preventable psychological disorders that go unrecognized (Parle, 1996). The field of psychosocial oncology acknowledges that cancer affects not only the mental health of the patient, but also that of his/her loved ones. The cancer patients whose treatments are enriched by the implementation of psychology have statistically lower mortality rates. Many studies show a better prognosis for patients in good mental health and a lower chance for later relapse when their spider web of social connections is acknowledged and preserved. Recently health care providers are recognizing the power of psychosocial oncology and are beginning to implement the field in their treatment plans with the goal of providing more efficient and holistic care to their patients.
When one hears the word “cancer”, thoughts about how their previous life is about to change cloud the mind, but when one hears the word cancer for their child, it is a whole different outlook; the affects of childhood cancer are not only taken on by the patients, but also by their families; the affects can range from emotionally to physically, socially to financially, and even educationally. “Childhood cancer is considered rare, especially compared with adults. Still it’s the leading cause of death in children pre-adolescent, school-aged children” (Report: Childhood Cancer Rates Continue to Rise, but Treatment Helps Drive Down Deaths). Around 12,000 children in the United States are diagnosed with cancer every year and around one in five children that are diagnosed with cancer will die.
Psychology affects every area of a person’s life; after all, psychology is the study of the human mind and its functions. As psychology relates to my future career, I believe that parents play a vital role in shaping who you become as a person. As for me, my father is a nurse. He has been a very successful nurse since the day I was born. Having his positive impact on my life persuaded me to do the same with my life. From a very early age, I knew I wanted to go into the medical field. After much thought, I decided that I too wanted to be a nurse. He taught me that the patient is always your number one priority. With the use of psychology, prioritizing your patient will be simpler. Nursing is somewhat of an art; to create meaningful “art” as a nurse, you must be aware of psychological practices (Barker, 2016, p. ix). So, for the interest of my paper, I will be focusing on the role
I face direct patient care to those who were ill and in need every day. From answering a call light to comforting a patient as they live their last few minutes constantly kept reassuring me this was my passion. I have experienced the ups and downs of nursing. I have worked long, hard night shifts. I have seen and experienced what nursing really is and what fulfillment it can bring to your life. Today, I stand with confidence with my desire to further my education and become a Registered Nurse through Seattle University. Working hands-on at the hospital has brought me a lot of satisfaction; I have learned new terminology and skills from the nurses, which has reassured me I want to go further. I want to gain the knowledge and be able to help patients even more in depth. Although a long journey waits, I am already eager and excited to serve my community in nursing. Nursing is a profession where you are making a difference. I have learned that healthcare is not only about medicine but also an opportunity to comfort, listen, and lend a helping hand. This means to look beyond a patient’s age, race, religion, ethnicity, or economic status but instead focus on their well-being. Nurses are just ordinary people who have the privilege to help patients, the community, and even the
More specifically, I wanted to increase my understanding concerning the role knowledge and experience have on nursing and the way in which nursing affects the community around it. For example, a day as a nurse is ever changing, from the patient supply to the randomness of patient situations and the choice of choosing how to approach those unfamiliar predicaments. Nursing would challenge me to think on my feet in a moment’s notice and thrive in diverse or educational opportunities, always adapting to new environments. Furthermore, nursing is one of those jobs appreciated by those too weak, defenseless, or sick to help themselves, where personable treatment and human interaction is needed. It takes one thing to be knowledgeable and experienced, but another thing entirely to apply emotions and feelings to treatment, such as intimate contact with others, or attentiveness and sensitivity to their needs. I want to be able to channel both my knowledge and experience on a daily basis and apply it to my career of not only helping others, but also advancing the community in which patients experience medical