Comparative effectiveness analysis and quality of life(2)

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Jaundice is a result of disease progression rather than of chemotherapy, especially for metastatic colon cancer.

Cell counts are a problem of chemotherapy; liver abscess is a sign of disease progression. Neither can be attributed to a specific drug.

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Aims: Purposes of this descriptive correlational research were to 1) describe quality of life and social support and 2) look at the correlation of certain factors and quality of life in women with cervical cancer after treatment. Methods: Fifty-three women diagnosed with cervical cancer who were followed up after finished the treatments at the Gynecological outpatient department of a university hospital in 2016.They were asked to fill 3 questionnaires; 1) the general information; 2) Social support; and 3) Functional Assessment of Chronic Illness Therapy (FACT-Cervix). Alpha Cronbach’s coefficients for the social support was .73 and for the FACT-Cervix was .91. Data were analyzed by descriptive statistic and Spearman Rank Test.Result: Results showed that participants’ age was ranged from 30 to 86, mean=55.15 (SD=10.05). Social support was about 29 to 59, mean=48.23 (SD=6.76). Symptom distress was from 0 to 9, mean=3.36 (SD=2.83). For quality of life was diverted from 75 to159, mean=126.02 (SD=21.09). The results discovered that there was no correlation between age and social support with the quality of life, however, there was negative correlation between symptom distress and quality of life with r=-.40 at p=0.003.Conclusion: This study disclosed that social support for this women’s group could not help to improve their quality of life. Their symptom distress seems to have a direct effect on their QOL. Thus, the healthcare team needs to alleviate patients’ distress in order to improve the quality of life in cervical cancer survivors.

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At Jefferson University Hospitals' Cancer Survivorship Conference on April 12, 2013, Mary McCabe of Memorial Sloan-Kettering Cancer Center gave the keynote address. Jefferson's new Survivorship platform includes biannual conferences featuring keynote speakers and several breakout sessions to give cancer patients, survivors and caregivers a better understanding of survivorship and what comes next after a cancer diagnosis. This is a free event open to all cancer patients and survivors. Learn more: http://www.jeffersonhospital.org/departments-and-services/kimmel-cancer-center/cancer-survivorship-program

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Primary medical care settings are ideal for treating chronic illnesses but are underutilized venues for addressing this particular chronic disease. Addiction treatment specialists are too few and many patients find this path to be unacceptable. The question becomes: how to get primary care medical providers to integrate the treatment of patients with opioid use disorders into their practices? Different ways to accomplish this were the topic of the Louis Kolodner Memorial Lecture at MedChi for the second year in a row. Last year, Dr. Michael Fingerhood described the model that he has developed at Johns Hopkins Medicine. This year, Dr. Richard Schottenfeld, now the Chief of Psychiatry at Howard University, presented research studies done by Yale University and other centers. These studies demonstrated four successful interventions: Methadone given to already stabilized opioid addiction patients in a primary care setting instead of a specialized opioid treatment program (OTP) Buprenorphine along with medical counseling given in a primary care setting An initial dose of buprenorphine given in a hospital emergency department along with a next-day follow up appointment for ongoing treatment Injectable naltrexone, although more difficult to initiate for patients than was buprenorphine, was effective for those patients who were able to start it Two barriers that needed to be reduced to achieve these successes were the disinclination of providers to use these medications and general pessimism about the prognosis of opioid use disorders. My hope is that as more successes are demonstrated, these barriers will slowly be lowered. For those interested in more details about these studies, I invite you to access the lecture slides, available here.

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Respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Jessica Rincon St. Thomas University NUR 417 AP2 Prof. Yedelis Diaz 10/25/2022 Role of Nurses in Disease Prevention and Health Promotion in Older Adults Healthy aging and health promotion behaviors among older adults are strongly related to self-efficacy (Wu & Sheng, 2019). However, most older people struggle with self-efficacy due to economic, social, and environmental factors, leading to poor health outcomes. From this perspective, nurses have the primary role of promoting self-efficacy among older adults. One of the strategies to achieve this outcome is advocacy. According to Lecture Notes (Slide 28), older adults are able to continue to control their lives with the help of nurses’ advocacy. For instance, nurses can advocate for the allocation of more resources toward social support programs for older adults. Wu & Sheng (2019) argue that social support from friends and neighbors of older adults is more impactful on their healthy aging and self-efficacy compared to family support. Hence, nurses should be at the forefront in fighting for adequate resources for such programs as a way of disease prevention and health promotion in older adults. Nurses should also make recommendations and encourage older adults they interact with to join available social support programs within their communities. I make such recommendations at work every time I see an older adult receiving little support from family due to the positive health outcomes I have noticed in those that have similar characteristics but have benefited from being part of such programs. Screening/Preventive Procedures for Older Adults Caring for older adults is often complex due to comorbidities and concurrent factors that influence their health outcomes. This makes preventive or screening procedures critical in caring for them. Some of the procedures include screening for sensory impairments, screening for functional impairment, and fall-risk assessment (Seematter-Bagnoud & Bula, 2018). Screening for sensory impairments mainly involves assessing visual and hearing abilities, as these factors rank high on geriatric impairments. Sensory impairments have adverse implications on cognitive functioning, psychological well-being, and fall risks (Seematter-Bagnoud & Bula, 2018). Screening for functional impairment assesses the ability of the older adult to perform usual day-to-day activities, predict future functional trajectory and obtain prognosis information. Lastly is fall risk assessment, which is performed for effective preventive interventions. According to Seematter-Bagnoud & Bula (2018), one in ten older adults have significant injuries every year as a result of falls. These injuries pose a serious threat to their functional independence, which, in turn, impedes self-efficacy and healthy aging. Common End-of-life Documents Nurses must Familiarize Themselves with Powe.

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