[Paula Trahan, 450]
Genetic Nurse and Genetic research

Asides these important aspects of care giving for a cancer patient, an oncology nurse is now also involved in the proactive approach of screening for potential cancer patients. Since the successful mapping of the human genome and the identification of genetic components that cause the onset of cancer, oncology nurses have taken on a new and important role in preventive diagnostics. They gather family history, construct pedigree and interpret them based on the genetic predisposition to cancer. The oncology nurse also offers counseling service to people thus identified to be at risk. Thus there is an emergence of the oncology nurse as a genetic service provider. oth the international Society of Nurses in Genetics (ISONG) and the ANA (American Nurses Association) have already formulated credentialing standards for genetic nurses keeping in view the quality concerns in this new and evolving role of the…...

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Bibliography

Michele Gaguski, MSN, RN, (Aug 2006) 'Oncology nurses play a pivotal role in cancer prevention', ONS vol 21, No 8

Paula Trahan Rieger (April 2001), 'The role of oncology nurses in gene therapy'

The Lancet Oncology - Volume 2 Issue

Connie Henke Yarbro, Margaret Hansen & Michelle Goodman, (2005) "Cancer Nursing: Principles and Practices," Jones and Bartlett Publishers, Sixth edition

Operational Plan and Correlating Budget
Project Description

The 4 West is an organization that delivers health care for the community. ecently, the organization has decided to replace the existing medical-surgical unit into a new acute care oncology unit. The oncology is a specialty in medicine that deals with cancer. The CNO (Chief Nursing Officer) has informed the nurse director that 4 west is to become a specialized oncology unit. Since the hospital is planning the transition from the medical-surgical unit to the oncology unit, the hospital will need a new operational plan and correlating budget to assist the hospital to deliver high quality healthcare at lower costs.

Objective of this project is to develop an operational plan and correlating budget for the hospital to assist in effective transition from the medical-surgical unit to the oncology unit,

Project Details and Data

To start the budget plan, it is critical to use the organizational previous salary expenses…...

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Reference

Bureau of Labor Statistics.(2014). Healthcare Occupations. Occupational Outlook Handbook. USA.

Clarke, S.P. & Donaldson, N.E. (2010). Chapter 25. Nurse Staffing and Patient Care Quality

and Safety.

Goodman, A.(2012). Oncology Nurse Staffing Is Variable and Multifactorial. Nursing News.

The study was reported as qualitative and to have been conducted by the 'Australian National Health and Medical Research Council' research study. It is stated as follows of the study: "The nursing insights indicate that an understanding of end-of-life care in hematology needs to be set in a trilogy of overlapping models (labeled functional, evolving, and refractory) that address the complexity of issues associated with professional and hospital culture." (McGrath, 2007)

Findings include the development of a working model focused on enabling the "integration of palliative care into adult hematology. The model is accredited the development of a new language for understanding and fostering the integration of palliative care and hematology." (McGrath, 2007)

One reason that palliative care is so important for hematology patients are necessary provisions of informed consent and other end-of-life issues. That is because many of these issues have to do with factors related to survival and its priority…...

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Bibliography

Finlay, Ilora (2001) UK Strategies for Palliative Care. JR Soc Med 2001;94. Online available at: http://jrsm.rsmjournals.com/cgi/reprint/94/9/437.pdf

Audrey, Suzanne et al. (2008) What Oncologists Tell Patients About Survival Benefits of Palliative Chemotherapy and Implications for Informed Consent: Qualitative Study. BMJ 2008, 337:a752. Online available at:  http://www.bmj.com/cgi/content/full/337/jul31_3/a752 

McGrath, Pam D. (2007) Description of an Australian Model for End-of-Life Care in patients with Hematological Malignancies. Oncology Nursing Forum. Vol.43 No.1 2007. Online available at:  http://ons.metapress.com/content/w1l1mx43646772k3/ 

Maganto, Vincente Valentin, Gonzalez, Maite Murillo and Moreno, Maria Valentin (2004) Continuous Care in the Cancer Patient: Palliative Care in the 21st Century. Clinical and Translational Oncology. Vol. 6 No. 7 October 2004.

Sampling method -117 patients with primary breast cancer; all who had same-day surgery as part of their treatment.

Appropriateness of sample -- Appropriate for circumstances under consideration.

Results (when applicable: credibility, transferability, dependability, & conformability)

Study found significant differences between the control and experimental group in terms of post-surgery mood, confusion, tension, and home management.

Ethical considerations -- All ethical considerations; privacy, etc. followed- professional study.

Relative strengths of each publication -- Peer reviewed strong work and sense of issues surrounding pain, fatigue and emotional disturbances after surgery.

Relative weaknesses of each publication -- Larger sample than previous study, but still limited in scope, demographics, psychographics and geographic extrapolation.

Application of each article in nursing practices -- Using any intervention that helps patient's after a traumatic surgery is helpful; especially if that patient can ventilate their emotions, angst, and stages of healing. Short-term telephone intervention using the AFSMI technique proves quite helpful in most cases. This was…...

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Yarbo, C., Wujcik, D., Holmes-Gobel, B. (2010). Cancer Nursing: Principles and Practices.

Philadelphia, PA: Jones and Bartlett Learning.

5 | Page

McMillan, S.C., & Small, B.J. (2007). Using the COPE intervention for family caregivers to improve symptoms of hospice homecare patients. Oncology Nursing Forum, 34(2), 313-21.
Are there any HIPAA concerns that are evident in this study?

Both caregivers and patients were required to sign informed consent documentation in order to participate in the study. Were any concerns related to HIPAA indicated in the protocol or procedures for conducting the study, those concerns would need to be delineated in the consent documents and explained to the participants. Since caregivers were an integral component to the hospice care and quality of life measures for patients, patient privacy could be maintained just as with any other medical or healthcare services.

What methods were put in place to ensure that the subjects were giving true informed consent?

The inclusion criteria and protocol for participating in the study required that patients and caregivers both be able to read…...

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References

McMillan, S.C., & Small, B.J. (2007). Using the COPE intervention for family caregivers to improve symptoms of hospice homecare patients. Oncology Nursing Forum, 34(2), 313-21.

Rosedale, M., & Fu, M.R. (2010). Confronting the unexpected: Temporal, situational, and attributive dimensions of distressing symptom experience for breast cancer survivors. Oncology Nursing Forum, 37(1), 28-33.

Pharmaceutical industries have to operate in an environment that is highly competitive and subject to a wide variety of internal and external constraints. In recent times, there has been an increasing trend to reduce the cost of operation while competing with other companies that manufacture products that treat similar afflictions and ailments. The complexities in drug research and development and regulations have created an industry that is subject to intense pressure to perform. The amount of capital investment investments required to get a drug from conception, through clinical trials and into the market is enormous. The already high-strung pharmaceutical industry is increasingly investing greater amounts of resources in search of the next "blockbuster" drug that can help them gain market position and profits. Laws, regulations and patents are important to the industry while spending billions of dollars in ensuring the copyright of their products.
It is the intention of this thesis…...

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Bibliography

Ansoff, H.I. (1957). Strategies for diversification. Harvard Business Review, 35(5), 113-124.

Ansoff, H.I. (1965). Corporate Strategy. New York, NY: McGraw-Hill.

Ashour, M.F., Obeidat, O., Barakat, H., & Tamimi, A. (2004). UAE Begins Examination of Patent Applications. Tamino.com. Retrieved January 18, 2004, from the World Wide Web:  http://www.tamimi.com/lawupdate/2001-01/intprop.htm 

Bain, J.S. (1954). Economies of scale, concentration, and the condition of entry in twenty manufacturing industries. American Economic Review, 44, 15-36.

Hospital Report
Dermatology- The dermatology department deals mostly with skin related illnesses. The most common issues within this department pertain to skin, scalp, hair and nails. Many of our clients are female with more cosmetic needs. Many would like to retain their youthful appearance and believe minor surgery is the best solution. As such, our departments offer many cosmetic treatments including hair removal, hair transplants, laser therapy and tattoo removal. This past fiscal year has been quite difficult as many of our affluent clients have postponed treatment due to economic concerns with the U.S. We believe this trend to be transitory in nature, with a steady increase in treatments to occur in early 2012.

Oncology- The oncology department pertains mostly to cancer, its detection and diagnosis. The most common diseases in this department are various forms of cancer with the most common being breast cancer. We have recently overhauled our cancer detection…...

The sample population for the stomach cancer trials included 594 patients that were Her2 positive. It is not known if patients in the stomach cancer trial included both males and females. Exclusionary criteria were not made available for either of the studies. All of the patients were receiving standard chemotherapy treatments, in addition to receiving Herceptin (Pollack, 2009). The sample populations for these studies were large for a clinical trial. Many times, it is difficult to find patients that fit the criteria for inclusion in the study. This was not a problem for these studies. The sample population of the study improves the validity of the study and confidence in the drug to be effective in patients that meet the criteria for administration of Herceptin.
The study design in both cases used a comparative study. One group was the test group and would receive the treatment being tested, in this…...

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References

F. Hoffman-L Roche Ltd. (2009). Herceptin (Trastuuzumab). Retrieved June 6, 2009 from  http://www.roche.com/products/product-details.htm?type=product&id=102 .

Pollack, A. (2009). Promising Results in Stomach and Breast Cancer Drugs. The New York

Times. May 31. 2009. Retrieved June 7, 2009 from  http://www.nytimes.com/2009/06/01/business/01drug.html

Unexpected: Temporal, Situational, and Attributive Dimensions of Distressing Symptom Experience for Breast Cancer Survivors
Describe the data collection procedure.

The researchers for the study conducted a secondary analysis of data that was collected for an earlier study, Survivor Loneliness of Women Following Breast Cancer (osedale & Fu, 2010). The data collection procedure for the earlier study was based on interviews of volunteer participants. The interviews, which lasted approximately 90 minutes, included the participants completing a questionnaire, speaking freely on their experiences, and sharing any personal written or artistic material they wished, such as diary entries or poetry (osedale, 2009). The interviews were recorded and the researcher also recorded notes with their own impressions of the participants' demeanor, nonverbal behavior, and emotional responses (osedale, 2009).

How did the authors address the reliability and validity of their methods?

To address reliability and validity, the authors implemented a series of checks and balances that entailed different…...

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References

American Cancer Society. (2010). Reach to Recovery. Retrieved from  http://www.cancer.org/Treatment/SupportProgramsServices/reach-to-recovery 

Rosedale, M. (2009). Survivor loneliness of women following breast cancer. Oncology Nursing Forum, 36(2), 175 -- 183.

Rosedale, M., & Fu, M.R. (2010). Confronting the unexpected: Temporal, situational, and attributive dimensions of distressing symptom experience for breast cancer survivors. Oncology Nursing Forum, 37(1), 28-33.

Indeed, dental issues are a big problem, but in fact they are just the top of the iceberg which is the American medical system. Even if there have been serious attempts to reform the system and introduce a universal means of publicly financing medical care for all people, "Americans have fewer doctors per capita than most Western countries. We go to the doctor less than people in other Western countries. We get admitted to the hospital less frequently than people in other Western countries. We are less satisfied with our health care than our counterparts in other countries. American life expectancy is lower than the Western average. Childhood-immunization rates in the United States are lower than average." (Gladwell, 2005) Indeed, given the fact that the U.S. is considered to be the most advanced country in the world it is rather peculiar the lack of a reasonable medical care system,…...

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References

Ellis, J, and Celia Hartley. (2004). Nursing in today's world: challenges, issues and trends. New York: Lippicott Williams&Wilkins.

Gladwell, M. (2005) The moral hazard myth. The bad idea behind our failed health-care system. In The New Yorker. Retrieved 15 January 2007, at  http://www.newyorker.com/fact/content/articles/050829fa_fact 

Jarvis, W. (2001). Infection Control and Changing Health-Care Delivery Systems, in Emerging Infectious Diseases, Vol 7, No 2. Retrieved 15 January 2007 at  http://www.cdc.gov/ncidod/eid/vol7no2/jarvis.htm 

Kikuchi, J, and Helen Simmons. (1994). Developing a philosophy of nursing. New York: Sage Publications.

GLAXOSMITHKLINE (GSK) - SUCCESSFUL INTENAL INNOVATION ead case study answer 4 questions . Do write a report. 1. Based GSK's past performance, critical implementation issues GSK internal innovation? Justify answer.
GlaxoSmithKline (GSK) -- Successful Internal Innovation

Critical implementation issues for GSK with regards to internal innovation

Implementation processes are complex endeavors which need to be thoroughly assessed and carefully decided upon. This is true in any situation and in the case of virtually all economic agents, but while this necessity is valid, it is to be differently approached and resolved across companies. In other words, the dimensions of a strategy to be implemented are sensitive to a wide array of organizational and situational particularities, including, among other things:

The size of the economic agent

The availability of resources (capitals, labor force, commodities and technologies)

The intellectual capitals possessed and the ability to gain, transfer and capitalize on knowledge

The access to information

The critical elements of the strategy…...

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References:

McDavid, J.C., hawthorn, L.R.L., 2006, Program evaluation and performance measurement: an introduction to practice, SAGE

Schulman, J., 1969, Remaking an organization: innovation in a specialized psychiatric hospital, SUNY Press

Sitkin, S.B., Cardinal, L.B., Bijlsma-Frankema, K.M., 2010, Organizational control, Cambridge University Press

2010, GlaxoSmithKline Plc., Hoovers, last accessed on December 22, 2010http://www.hoovers.com/company/GlaxoSmithKline_plc/crkxri-1.html

Intervention
Nursing esearch

Using the COPE Intervention for Family Caregivers to Improve Symptoms of Hospice Homecare Patients: A Clinical Trial

This study was designed to test an intervention for hospice caregivers in order to help them better manage symptoms experienced by patients with cancer. The authors maintain that research indicates caregivers are unable to accurately assess and report the intensity of symptoms and overall quality of life (QOL) of patients with cancer and patients in hospice care.

Three symptoms, pain, dyspnea, and constipation, are commonly are seen in patients with advanced cancer. However, the author's site research that asserts that these symptoms are assessed inadequately and managed poorly in many patients. Pain and dyspnea have been found to create symptom distress, significantly affecting patient QOL.

The authors claim that caregivers must develop the skills needed to function effectively as part of the healthcare team. Building the knowledge base and teaching an orderly problem-solving approach…...

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References

McMillan, S.C. & Small, B.J. (2007, March). Using the COPE intervention for family caregivers to improve symptoms of hospice homecare patients: A clinical trial. Oncology nursing forum, Vol. 34, Issue 2, 313-321. Retrieved January 20, 2012, from  http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=3&hid=14&sid=b3e07ee7-388a-4d19-97ef-163b481297fd%40sessionmgr15

Range Nursing Theory
A clinical nurse is generally involved with specialized research; for example, a clinical nurse specializing in oncology would likely be heavily involved in the treatment of patients with cancer, according to Andrea Santiago. That clinical nurse specialist (CNS) working with cancer patients may also create helpful protocols or other strategies to improve the delivery of services in a hospital (Santiago, 2013). This paper delves into the reasons why the CNS can (and will) benefit from the use of the middle range theory.

hat are middle range theories?

Judy Davidson (RN, DNP, CNS) explains that middle range theories are designed to "guide practice" for nurses (including clinical nurse specialists) and are "more focused than grand theories" because they zero in on a "single aspect of practice" and are not as general as grand theories (Davidson, 2010, p. 28). Moreover, because grand theories only offer a framework in terms of descriptions…...

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Works Cited

Andershed, Birgitta, and Olsson, Kristina. (2009). Review of research related to Kristin

Swanson's middle-range theory of caring. Scandinavian Journal of Caring Sciences, 23(3),

598-610.

Davidson, Judy E. (2010). Facilitated Sensemaking: A Strategy and New Middle-Range Theory

Personal Statement: Radiologic Technology Program
To me, there is nothing more fulfilling and exciting than being part of a team that alleviates the suffering of others. Unknown to many, mostly those serving in other professions, working in the medical field has its own unique challenges. It is the realization that mine is a unique role - a role that involves helping others -- that motivates me to keep working in this noble field. It is this same reason that motivates me to become a radiologic technologist. In addition to matching my skill-set, the radiologic technology field does, to a large extent, match my experience -- spanning over seven years in a healthcare setting. In the final analysis therefore, successful completion of the Radiologic Technology Program at GAMA will be a logical step towards the further development and enhancement of my career in the medical arena. Indeed, professional growth in the medical…...

obert, T.E., Pomarico, C.A. & Nolan, M. (2011). Assessing Faculty Integration of Adult learning needs in second-degree nursing education. Nursing education perspectives, 32(1), 14-17.
obert, Pomarico and Nolan (2011) have presented a model for assessing the learning needs of second-degree nursing education. The study was essentially designed In a way that assessment of interactive teaching model was made possible. The second-degree BSN students were taken as the sample of study. The main research question being investigated was that whether or not the teaching strategies being used at the second-degree nursing education level met the needs of nursing students. The literature review being conducted by the authors is somewhat precise and short and identifies the existing gap that exists in the learning need assessment of nursing students. It was identified in the start of study that for program development for this student segment in nursing, it is essential to evaluate the outcomes…...

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References

Cabaniss, D.L. (2008). Becoming a school: Developing learning objectives for psychoanalytic education. Psychoanalytic Inquiry, 28(3), 262-277.

Dhara, R. (2002). Advancing public health through the assessment initiative. Journal of Public Health Management and Practice, 8(4), 1-8.

Jo Brixey, M., & Mahon, S.M. (2010). A Self-Assessment Tool for Oncology Nurses: Preliminary Implementation and Evaluation. Clinical journal of oncology nursing, 14(4), 474-480.

Jones, S., & Watty, K. (2010). Vignette 6 Pluri-disciplinary learning and assessment: Reflections on practice. International Perspectives on Higher Education Research, 5, 195-207.

1. The most effective treatment options for breast cancer patients in remission include hormone therapy, targeted therapy, and immunotherapy, which have shown significant improvements in survival rates and quality of life.

2. Integrative approaches to cancer care, such as acupuncture, massage therapy, and yoga, can provide complementary support to traditional medical treatments for breast cancer patients in remission, leading to better outcomes and reduced side effects.

3. Follow-up care and monitoring are crucial for breast cancer patients in remission, as early detection of recurrence or metastasis can greatly impact treatment options and overall prognosis.

4. Diet and nutrition play a....

1. Surgical resection remains the cornerstone of breast cancer treatment and offers the best chance for a cure in patients with localized disease.

2. Adjuvant radiotherapy significantly reduces the risk of local recurrence and improves overall survival in patients with early-stage breast cancer.

3. Chemotherapy is an effective systemic treatment option for patients with metastatic or locally advanced breast cancer, improving survival and reducing symptoms.

4. Targeted therapies, such as tamoxifen and trastuzumab, have revolutionized the treatment of breast cancer by blocking specific molecular pathways involved in tumor growth and progression.

5. Immunotherapy harnesses the power of the immune system....

1. The importance of blood in the human body and its significance in hematology.
2. The role of hematology in diagnosing and treating blood disorders.
3. The connection between genetics and hematology disorders.
4. The impact of diet and lifestyle on blood health.
5. The advancements in technology and research in the field of hematology.
6. The challenges and ethical considerations in blood transfusions and donations.
7. The relationship between hematology and other medical specialties, such as oncology and immunology.
8. The history and evolution of hematology as a medical specialty.
9. The potential future developments in hematology and their implications for healthcare.
10. The impact of environmental....

I. Introduction

1. Overview of Laryngeal Squamous Cell Carcinoma

   1. Laryngeal squamous cell carcinoma is a type of cancer that originates in the cells lining the larynx.
   2. Common risk factors include smoking, alcohol consumption, and exposure to certain chemicals.

2. Importance of Early Detection

   1. Early detection of laryngeal squamous cell carcinoma leads to better treatment outcomes.
   2. Regular screenings and prompt diagnosis are crucial for improving prognosis.

II. Treatment Options

1. Surgery

   1. Removal of the tumor may be necessary for localized cases.
   2. Laryngectomy, partial or total, is performed in advanced....