The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care.

Write a paper (1,750-2,000 words) on cancer and approach to care based on the utilization of the nursing process. Include the following in your paper:

1-Describe the diagnosis and staging of cancer.

2-Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.

3-Discuss what factors contribute to the yearly incidence and mortality rates of various cancers in Americans.

4-Explain how the American Cancer Society (ACS) might provide education and support. What ACS services would you recommend and why?

5-Explain how the nursing process is utilized to provide safe and effective care for cancer patients across the life span. Your explanation should include each of the five phases and demonstrate the delivery of holistic and patient-focused care.

6-Discuss how undergraduate education in liberal arts and science studies contributes to the foundation of nursing knowledge and prepares nurses to work with patients utilizing the nursing process. Consider mathematics, social and physical sciences, and science studies as an interdisciplinary research area.

You are required to cite to a minimum of four sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

 

1. In Spirituality in Nursing, by Dr. O’Brien, read chapters 7 and 8, pages 127 – 178.  These two chapters are entitled: “Spiritual Needs of the Patient with an Acute Illness” &  “Spiritual Needs of the Chronically Ill Person.”

2. Watch the videos in Video Portlet #1 on the importance and power of prayer.

3. In Guide to Culturally Competent Health Care, by Dr. Purnell, read about the spiritual and cultural characteristics of “People of Arab Heritage,” pages 61 – 76, 2nd edition OR pages 101 – 117, 3rd edition.

4. In  Guide to Culturally Competent Health Care, by Dr. Purnell, read about the spiritual and cultural characteristics of “People of Chinese Heritage” pages 88 – 101, 2nd edition OR pages 118 – 132, 3rd edition.

5. Watch the videos in Video Portlet #2 on people with an Arab and Chinese heritage.

6. In Guide to Culturally Competent Health Care, by Dr. Purnell, read about the spiritual and cultural characteristics of “People of Cuban Heritage,” pages 102 – 116, 2nd edition OR pages 133 – 147, 3rd edition.

7. In Guide to Culturally Competent Health Care, by Dr. Purnell read about the spiritual and cultural characteristics of “People of Filipino Heritage” pages 128 – 142, 2nd edition OR pages 159 – 174, 3rd edition.

8. Watch the videos in Video Portlet #3 on people with a Cuban and Filipino Heritage.

9. In Guide to Culturally Competent Health Care, by Dr. Purnell read about the spiritual and cultural characteristics of “People of Haitian Heritage” pages 169 – 185, 2nd edition OR pages 200 – 218, 3rd edition.

10. Watch the video in Video Portlet #4 on people with a Haitian Heritage.
 

 

While you must form your answers to the questions below from our assigned reading material,  it is INSUFFICIENT merely to quote from the text or video.  You must answer the questions in your own words — with supporting phrases from the assigned readings and videos.  Supporting phrases from the assigned reading must be put in quotation marks, with proper notation for the page number of the text on which they are found.  Failure to do this will result in a loss of points.

Thank you!

Question 1:  Regarding our Unit 3 assigned reading, chapter 7 of Spirituality in Nursing:

Name and discuss at least 2 key points that you found to be especially helpful in thinking about the spiritual needs of patients with an acute illness? Do you have any specific examples or questions regarding how what you have learned might be helpful to you, as you think about working with patients who have an acute illness?

Question 2:  Regarding our Unit 3 assigned reading, chapter 8 of Spirituality in Nursing:

Name and discuss at least 2 key points that you found to be especially helpful in thinking about the spiritual needs of patients with an chronic illness? Do you have any specific examples or questions regarding how what you have learned might be helpful to you, as you think about working with patients who have a chronic illness?

Question 3:The Importance and Power of Prayer

After viewing the you tube videos on prayer, name and discuss something you learned from each video, which may help you in understanding your work with patients and their spiritual need for prayer.   Were you left with any questions after viewing these videos on prayer?

Question 4:  Regarding People with an Arab Heritage:

  From our assigned reading in Guide to Culturally Competent Health Care, about persons with an Arab Heritage, coupled with the accompanying video, what key points got raised for you? How might these apply to the healthcare setting? What questions are you left with?  Are there any insights about the spirituality of this group that you felt were missing from the text’s consideration and that you would like to add for our class learning and discussion?

Question 5: Regarding People with a Chinese Heritage:

  From our assigned reading in Guide to Culturally Competent Health Care, about persons with a Chinese Heritage, coupled with the accompanying video, what key points got raised for you? How might these apply to the healthcare setting? What questions are you left with? Are there any insights about the spirituality of this group that you felt were missing from the text’s consideration and that you would like to add for our class learning and discussion?

Question 6: Regarding People with a Cuban Heritage:

  From our assigned reading in Guide to Culturally Competent Health Care, about persons with a Cuban Heritage, coupled with the accompanying video, what insights did you gain that might be helpful to you in a healthcare setting? What questions are you left with?  Are there any insights about the spirituality of this group that you felt were missing from the text’s consideration and that you would like to add for our class learning and discussion?

Question 7: Regarding People with a Filipino Heritage:

  From our assigned reading in Guide to Culturally Competent Health Care, about persons with a Filipino Heritage, coupled with the accompanying video, what insights did you gain that might be helpful to you in a healthcare setting? What questions are you left with?  Are there any insights about the spirituality of this group that you felt were missing from the text’s consideration and that you would like to add for our class learning and discussion?

Question 8: Regarding People with a Haitian Heritage:

  From our assigned reading in Guide to Culturally Competent Health Care, about persons with a Haitian Heritage, coupled with the accompanying video, what key points got raised for you? How might these apply to the healthcare setting?  What questions are you left with? Are there any insights about the spirituality of this group that you felt were missing from the text’s consideration and that you would like to add for our class learning and discussion?

https://youtu.be/krzwmhDMvv8   Video 1: Is there real power in prayer?

https://youtu.be/wFIpi-2rd2Y  Video 2: More great spiritual insight from Fr. Spitzer!

https://youtu.be/3sABZy7OwRI  Video #1 Different perspectives within Islam

https://youtu.be/-gZY4i4Kg3s  Video #2: The Three ways present in Chinese spiritual heritage

https://youtu.be/o6_A9oN7QrI   Video #1 A Look inside the country and culture of Cuba

https://youtu.be/PfuKWDOCle0   Video #2 – A look at some Filipino cultural characteristics

https://youtu.be/cZ9iojDsxkM  Video #1 : Haitian Folk Culture

 

The selected article is, “A cross-sectional study exploring the relationship between burnout, absenteeism, and job performance among American nurses” by Dyrbye et al. (2019). The purpose of the article is to explore the relationship between burnout and self-reported absenteeism and job performance among nurses.

Describe the participant protections provided by the researchers for participants.

Participants were nurses and their protection was ensured by seeking their informed consent to participate in the study, making participation voluntary, and keeping the responses anonymous.

How were the participants selected? How might this impact ethical principles within the study?

The participants were obtained from a random sample of registered nurses and these contacts were provided by Redi-Data, a company that stores postal and email addresses of all registered nurses from state licensing. However, participation was voluntary thereby making the study ethical.

Would the participants in this study be considered “vulnerable”? Why or why not?

Participants in the study are not vulnerable because they are not socially, economically, or emotionally disadvantaged. They have decision-making capabilities and can understand that their willingness to participate in the study is voluntary.

Were participants subjected to any physical harm or discomfort or psychological distress as part of the study? What efforts did the researchers make to minimize harm and maximize good?

Participants were not subjected to physical harm as the study did not involve any intervention but only sought information and feedback from the nurses. The participants were also informed about the purpose of the study so that they could make the decision on whether they wanted to participate.

Does the report discuss steps that were taken to protect the privacy and confidentiality of study participants?

The report mentions that all responses would remain anonymous and this helps to protect the privacy of participants. The researchers also did not share personal information of the participants with third parties and there was no identifying information reported.

 I NEED A RESPONSE TO THIS ASSIGNMENT

3 REFERENCES

Diagnostic criteria for Alcohol Use Disorder

The diagnostic criteria for Alcohol use disorders has recently changed with the DSM-5.  In the DSM-5 a patient can be diagnosed with an Alcohol Use Disorder on three different severities of mild, moderate and severe.  The level of severity is based on the number of presenting symptoms out of eleven total possible symptoms.  Mild presentation is two to three symptoms, moderate is four to five and severe is six or more symptoms (APA, 2013).   The eleven symptoms for criteria are as follows:

1. “Alcohol is often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
3. A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects.
4. Craving, or a strong desire or urge to use alcohol.
5. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or home.
6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol.
7. Important social, occupational, or recreational activities are given up or reduced because of alcohol use.
8. Recurrent alcohol use in situations in which it is physically hazardous.
9. Alcohol use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by alcohol.
10. Tolerance, as defined by either of the following: a) A need for markedly increased amounts of alcohol to achieve intoxication or desired effect, or b) A markedly diminished effect with continued use of the same amount of alcohol.
11. Withdrawal, as manifested by either of the following: a) The characteristic withdrawal syndrome for alcohol b) Alcohol (or a closely related substance, such as a benzodiazepine) is taken to relieve or avoid withdrawal symptoms.” (APA, 2013)

Evidenced-based psychotherapy and psychopharmacologic treatment

The treatment of alcohol use disorder is very dependent on the individual and how committed to the process they are.  The first step of treatment for each person remains the same in detoxing the individual.  Detoxing can occur with or without the assistance of medications depending on the patients’ needs and level of dependence.  Some medically assisted models are Schick Shadel and the use of a CIWA in the inpatient setting.  Once the person has detoxed the medical assistance can continue with one of two main medications depending on the patient’s willingness to stay committed to sobriety.  One medication, Antabuse, will cause an adverse reaction if the patient does drink alcohol (Stahls, 2014).  The other, Naltrexone, will help to mitigate the cravings for alcohol (Stahls, 2014).  Psychotherapy also can help the individual to address underlying issues that cause the person to drink (Sadock, 2013).  Individual and group therapy can be beneficial with CBT to help identify triggers and a new way to cope (Sadock, 2013).  Finally, a group setting that can help with accountability such as Alcoholics Anonymous can also be help for ongoing support and encouragement for sobriety.  

Clinical presenting features

A patient that I have experienced was a middle aged male who was terminated from his job and experiencing a marital separation.  He was terminated from work for attendance issues, quality of work issues and showing up to work under the influence.  His marriage was showing signs of effects of alcoholism because he was experiencing an increase in alcohol use causing strain on finances and was becoming easily agitated followed by blackout event.  The comparison of his symptoms and the DSM would reveal that he was suffering from severe alcohol abuse because of the increased use, the effect on his personal and work life as well as the increased cravings for use. 

American Psychiatric Association.  (2013).  Diagnostic and statistical manual of mental disorders (5th ed.).  Washington, DC: Author.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

Stahl, S. M.  (2014).  Prescriber’s Guide: Stahl’s Essential Psychopharmacology  (5th ed.).  New York, NY: Cambridge University Press.

I had started the discharge project on CVA stroke but it is not completed. Please complete it using the rubric and instruction. There is also a sample project from last year about diverticulitis. Please use the attached text books to assist. the patient is fictional. this is a final project and worth 20%. 

Thank you for your help.