Current Issue : January - March Volume : 2016 Issue Number : 1 Articles : 8 Articles
Functional status assessment is a useful and essential component of the complete\nhistory and physical exam of the older patient diagnosed with cancer. Functional status is\nthe ability to conduct activities that are necessary for independence and more executive\nactivities, such as money management, cooking, and transportation. Assessment of functional\nstatus creates a portal into interpreting the health of in older persons. Understanding limitations\nand physical abilities can help in developing cancer treatment strategies, patient/family\nteaching needs, and in-home services that enhance patient/family care. This article will review\nthe benefits of functional assessment, instruments that can be used during an ambulatory care\nvisit, and interventions that can address potential limitations....
Background: Cervical cancer is a major public health problem through-out the world, and despite important declines in incidence and mortality observed in developed countries in the last 20 years, those indicators remain almost unchanged in developing countries.Cervical cancer ranks as the 2nd most frequent cancer among women in Ethiopia, and the 2nd most frequent cancer among women between 15 and 44 years of age. Compliance has been defined as ââ?¬Å?the extent to which a personââ?¬â?¢s behavior coincides with healthcare adviceââ?¬Â or as when patients do what health professionals recommend. Cancer patient compliance with medical advice and procedures is crucial to successful treatment.\n\nObjective: The purpose of the study was to assess compliance to treatment services and associated factors affecting treatment compliance of cervical cancer patients in Tikur Anbesa specialized Hospital, oncology unit\n\nMaterials and methods: An institutional based cross sectional descriptive study was conducted among 314 cervical cancer patients who are selected based on inclusion criteria and data will be collected using face to face structured questionnaire based interview. The data was entered in to EPI-INFO version 3.5.1, exported to SPSS for analysis and data presented in graphs and charts.\n\nResult: Out of 314 interviewed cervical cancer patients 219(69.7%) were compliant but 95(30.3%) were non compliant to the treatment services. There is a significant difference between the participants 121(78.6%) who had missed their appointment time with, OR=2.32(1.408, 3.882) and p value=0.001 than the respondents 98(61.2%) of cervical cancer patient of treatment compliance.\n\nConclusion: The findings of the study about the treatment service were partially non compliant of Radiotherapy and chemo-radiation services. Patients who missed their appointment were 2.3 times non compliant than those who adhere to the appointment time. Factors with low income level, missing appointment, medication side effect, prolonged treatment, poor understanding of treatment advantages were significantly affecting treatment compliance based on multiple logistic regressions....
Story is a powerful tool in holistic nursing care. Narrative therapy, story circles, narrative-psychotherapy, and family therapy\nmethodology have incorporated storytelling in a research setting. Childhood cancers isolate children from traditional\nchildhood experiences. In recent years, survival rates for pediatric oncology patients have improved, opening up opportunities\nfor research. The increase in life expectancy makes it necessary to investigate the psychosocial perspectives of children as\nthey progress. This review focuses on the use of digital storytelling among pediatric cancer patients as a form of reflection.\nFurthermore, it addresses the possible therapeutic effects that may be realized by children who produce a digital story.\nSixty-four references were identified via Pubmed and CINAHL databases using the following keywords: ââ?¬Å?digital storytelling,ââ?¬Â\nââ?¬Å?narrative therapy,ââ?¬Â ââ?¬Å?pediatric oncology,ââ?¬Â ââ?¬Å?childhood development,ââ?¬Â and ââ?¬Å?interactive narrative.ââ?¬Â Future research will focus\non addressing the gap in the science, particularly in evaluating pediatric oncology patientsââ?¬â?¢ perspectives about the role of\ndigital story in the context of Eriksonââ?¬â?¢s developmental stages....
Background: Puerto Ricans are among the largest Hispanic groups in the US. Clinicians/researchers must become skilled in\nassessing the prevalence of the perceived unmet needs of Puerto Rican cancer patients undergoing treatment to properly respond\nto their needs, and is an important part of any culturally comprehensive oncological care. Objective: To assess Puerto Rican\ncancer survivors reports of perceived unmet needs across 5 domains of the cancer experience: ââ?¬Å?psychologicalââ?¬Â, ââ?¬Å?health system\nand informationââ?¬Â, ââ?¬Å?physical and daily livingââ?¬Â, ââ?¬Å?patient care and supportââ?¬Â, and ââ?¬Å?sexualityââ?¬Â and to examine how the perceived\nunmet needs and disease characteristics are inter-related.\nMethods: A cross-sectional survey was conducted from 103 patients (64.1% female, male 35.9%, mean age 54 years) undergoing\ncancer treatments. The study participants were >20 years of age with breast (28%), gynecologic (21%), prostate (17%) and\ngastrointestinal (14%) cancer, mostly on chemotherapy. Overall internal consistency of the Supportive Care Needs Survey was\n0.882.\nResults: Patients perceived needs were highest in the domains of sexuality (67%), physical and daily living (55.3%), and psychological\n(38.8%). Breast cancer was significantly related to reporting unmet needs in the domains of health services/information\n(p = .018) and sexuality (p = .009). Prostate cancer showed a significant relationship with unmet needs in the domains of\npsychological (p = .050) and, the physical/daily living (p < .001). Receiving chemotherapy was related with unmet needs in the\ndomains of sexuality (p = .02), and the physical/daily living (p = .047); and, receiving combination of radiation and hormonal\ntherapy was related to unmet needs in the physical/daily living needs domain (p = .024).\nConclusions: The accurate assessment of supportive care needs is important in the management of cancer patients. The unmet\nsupportive care needs of our sample of Puerto Rican cancer patients seem to be affected by cancer site and treatment modality....
During the Last two decades the incidence of cancer has increased in an ascending pattern worldwide. The type and pattern of cancer varies\nwith between geographical region location, people�s life style and socio-economic development status of a given country. Some types of cancers\nare more common in the developed world and others occur more frequently in developing countries. It is expectable that with increase in life\nexpectancy, adapting western life style and increasing growth of industrialization, the burden of cancer in sub-Saharan African countries is likely\nto increase in the new millennium.\nObjective: The objective of this study is to identify the pattern and type of cancer in Ethiopia based on the hospital registry for the last 14 years\nfrom 1998 up to 2010 in the only Oncology Center for the country in Tikur Anbessa Specialized Hospital.\nMethodology: This is a retrospective study aims to determine the pattern of cancer based on hospital registry in Tikur Anbessa Specialized\nHospital, Oncology Center. All data was carefully reviewed from the registration log book, if any inadequate information was counter checked\n \n \n \n \n \n \n \n\n\n\n\n \n \n \nand then SPSS statistical package was used to analyze the pattern of cancer, type and other variable.\nResult: According to our study we found that 72.8% are females and the rest 27.2 % are males. Among all patients only 10% of patients\ndid come to the center in early stage I and II. The most common malignancy in female was gynecological malignancy 47% followed by breast\ncarcinoma 26%. Ca uterine cervix found the most common malignancies among all gynecological malignancies. Head and Neck malignancy is\nfound to be the leading malignancy in male 22% followed by sarcoma 15%, Gastrointestinal 12%, Hematology malignancies and urogenital 9%\neach and Thyroid 5%.\nConclusion: Cancer has been increasingly recognized as a critical public health problem in Ethiopia, Despite this increasing burden, cancer\ncontinues to receive low public health priority in Africa, largely because of the overwhelming burden of communicable diseases and limited\nresources. In this study summarized the available information on cancer occurrence in Ethiopia, this should be helpful to raise cancer awareness\nand promote cancer prevention and control in this country. We highly recommended establishing functional population-based cancer registries\nwithin the country to facilitate cancer control strategic plan and to improve insight to policymaker about pattern and type of cancer.\nPattern of cancer in Tikur Anbessa Specialized Hospital Oncology center in Ethiopia from 1998 to 2010...
Objective: Cancer patients undergoing chemotherapy commonly experience depression and anxiety,\nwhich, along with adverse effects of chemotherapy, inevitably compromise quality of life\n(QOL) of the patients. The aim of this study was to investigate the effect of a psycho-educational\nintervention on the quality of life (QOL) of patients with advanced lung cancer undergoing chemotherapy.\nMethods: Two hundred in-patients with unresectable advanced lung cancer undergoing\nchemotherapy in Shanxi Cancer Hospital from January to October 2013 were randomized\ninto the intervention group (n = 100) and the control group (n = 100). Patients in the intervention\ngroup received a purposely designed and nurse-delivered psycho-educational intervention in addition\nto routine caring and chemotherapy, whereas those in the control group underwent chemotherapy\nand routine caring only. QOL of patients was assessed according to QOL instrument for\nlung cancer (QLICP-LU). The impact of the psycho-educational intervention on QOL was analyzed\nusing independent-sample t test and 2 test. Results: The psychological, physical, and social function,\nand the overall QOL scores were significantly improved in patients who received the psychoeducational\nintervention compared with those in the control group. Conclusions: A nurse-delivered\npsycho-educational intervention is a useful strategy to improve QOL of patients with advanced\nlung cancer undergoing chemotherapy....
Breast cancer is known as the most common malignant tumours among women and constitutes about 30% of cancers in women. Paying attention to symptoms coming out of breasts is important to early diagnosis and treatment and the prevention of breast cancer related deaths. Body image disorder arising from breast cancer treatment leads to physical and psychological problems in patients and causes significant disturbances in the life quality of patients after mastectomy. Removing of breasts, which is highly important for women with surgical intervention due to cancer, poses a threat against the feelings of sexuality, maternity and attraction and the body image of women. The breast reconstruction is quite important for these patients in terms of protecting their physical integrity, healing their psychological problems. And it is also important for them to continue their normal lives by regaining self esteem. Breast care nurses must lend assistance to patient by perceiving her diagnosis, exactly understanding the treatment methods, and facilitating the process of decision-making about the option of reconstruction. Therefore, the nurses should provide necessary care, information and support. Besides, it is very important to understand what reconstruction means to woman. Emphasized in this compilation is the importance of the consulting role of breast care nurse in the reconstructive surgery to be implemented on patients underwent mastectomy....
Religion and/or spirituality (R/S) plays a variety of important and inter-related roles for most\nadvanced cancer patients. It has confirmed that religious involvement helps the patients to ease\nstress and provides individuals with positive coping strategies. However, much less attention has\nbeen given to how religion has been used to cope with cancer in China. The aim of this study was to\nexplore the self-adjustment and experiences of religious coping among Chinese patients with cancer.\nA qualitative descriptive approach was chosen for this investigation. 16 Chinese patients with\ncancer were recruited from 4 hospitals in Tai�an, Shandong, China from April 2013 to October 2013\nand completed 0.5 - 1 hour of in-depth interviews. Data were analyzed by modification of Colaizzi�s\nphenomenological method. Three themes were derived from the experiences of the participants:\n1) self-adjustment including cognitive adjustment, faith adjustment and behavior adjustment; 2)\nthe experience of religion coping with the cancer patients including emotional, physical and social\naspect; 3) hope and power including the hope to heal, to survive from cancer, and to live longer,\nthe cure, the spiritual supporter and the helper. The use of religion is an effective method for\npatients coping with cancer. Cancer patients use religion to obtain physiological, psychological,\nand spiritual comfort. Such knowledge is imperative for evidence-based nursing practice. As point\nof care providers, staff nurses are well poised to design systems and processes to accomplish the\ngoals of providing excellent nursing care, which is reflective of a holistic and multicultural environment....
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