Saturday, January 25, 2020

Effect of Nursing on Stress Levels of Cancer Patients

Effect of Nursing on Stress Levels of Cancer Patients Does good nursing management can influence the nursing care to reduce stress, anxiety and difficult behaviour in cancer patients as compare to ineffective management plan to achieve better therapeutic outcomes? Search terms that can be used for relevant literature will be nursing management plans for patients with cancer, stress, anxiety, good nurse patient relationship, and challenging behaviours. The research is to explore and summarize the literature based on the published information such as journals, articles, books. The purpose of this review is to identify best practice evidence that examining the cancer patients. The literature review will give direction to plan the study and understand the outcomes. (Burns Grove 2009). The difficult patient behaviour versus good nursing strategies based on the research question (Emold et al 2011). Inclusion criteria included the all publications based on the difficult patient behaviour and good nursing management plans to reduce stress and anxiety in patients. The strength of evidence was based on the hierarchy of evidence with randomised controlled trial and meta-analysis being considered the best evidence as the primary source if available. Other research and levels of evidence was included where evidence was not that much strong. The literature review was undertaken using electronic data bases and catalogues such as CINAHL, science direst, PubMed, for the period of 2007 and 2014. Using the original question the key phrases ‘difficult patient behaviour in oncology’ and good nursing management strategies, stress and anxiety pain, and some psychological factors those can lead to negative outcomes on patients health outcomes and nurses attitude. These search terms highlighted the number of articles on different types of cancer patients then advanced search engine w as used to narrow my search to find out the good sourced information. Going through the abstracts of each of the articles were considered the relevance and quality. Exclusion criteria includes the key words and points those will not be covered in research such as good communication strategies, challenging behaviour and comparison between effective and ineffective management plans. The good literature review and databases mostly covered the qualitative and quantitative criteria based on the clinical question and case scenario. Develop a summary table based on your 15 selected studies (500 words). Based on your summary table, provide a synthesis of the key findings and conclusions in relation to your PICO question (250 words). Support your summary from relevant literature (use in text referencing) Good nursing management plans is one of the most effective and appropriate option for the hospitalised cancer patients. Various research studies have been conducted and analysed the difference between effective and ineffective nursing care plans. Therefore, Evidence from a variety of resources indicate that staff communication, family support, working environment those factors positively influence the patient prognosis according to Rosenzweig et al 2011; Kvale 2007; Karvien et al 2013; Emold et al 2011. However, patients diagnosed with cancer causes significant distress such as mentally and physically strains to themselves and family members (Emold et al 2011). Therefore good communication skill, availability of continued support, involvement of families required to overcome these difficult emotions (Kvale 2007 Vilet et al 2013). Karvinen et al. (2013) Whitaker et al. (2009) identified the relationship between stress, anxiety, intrusive thoughts and compliance to medical care. Cer tain psychological factors such as feelings of hopelessness, physical and mental strains affect the nursing care and patient’s prognosis (Remmers et al 2010). Different intervention strategies have also been discussed in literature such as mindfulness, self-efficacy, emotional support has the beneficial effects to the general health of patients according to Tsang et al. (2012). There are certain factors those influenced the nursing care such as workload, emotional exhaustion, and decision making skills among staff may lead to negative response and affect the patient’s well-being (McCormack et al 2011). However, the literature lacks some efficacy based on the good intervention strategies for staff to overcome the difficult patient’s behaviour. Overall effective nursing management can be structured to enhance physical, psychological, and emotional wellbeing that assists in promoting positive behaviour and good health outcomes among cancer patients.

Friday, January 17, 2020

A look into Brave New World Essay

Many times there is an underlying topic to a novel and what it truly means. For Brave New World, there are many underlying ideas as to the makeup of Aldous Huxley’s novel. For example, themes like science, sex, power, freedom and confinement, drugs and alcohol, society and class, and dissatisfaction as different themes that Huxley produces in the novel. Also there could be many symbols in the novel including, bottles and Ford. Not only are these themes and symbols throughout the novel, but there also could be a direct tie to Brave New World with Freud. Aldous Huxley’s novel, Brave New World is about a futuristic society where humans are made from bottles that go through a brainwashing after their growth in a bottle. Each citizen is instructed to serve the community, they are there to be consumers and workers and to do their job. The bottles are placed in a caste, and according to each caste is how they are to grow up and become a part of society. For example, the Alphas are one of a kind; they are smart, tall and muscular. Contrasting, the Epsilons are grown in batches of 100 identical dumb, ugly and short humans. In order to keep the five castes separate, all but the Alphas are given harmful substances to keep them â€Å"stupid.† In the novel, Mustapha Mond states â€Å"The optimum population†¦ Is modeled on the iceberg- eight-ninths below the water line, one-ninth above (Huxley, 223)† Mond claims that those under the water line are actually happier than those above it, another reason being that those in the upper castes are more seen and are the face of the society whereas those in the lower casts are of non-importance. In both Brave New World and in Freud’s studies, there is a lot of focus on the sexual aspect of human life. In Brad Buchanan’s article â€Å"Oedipus in Dystopia: Freud and Lawrence in Aldous Huxley’s Brave New World† Buchanan claims that throughout Huxley’s life, he often rejected Freud and his ideas, however, the tone of Brave New World speaks otherwise (Buchanan, 75). Freud studies the psychosexual stages throughout a child’s life; this idea relates to the life that Huxley portrays in his novel. In Brave New World, sex is a major focus in the community’s day-to-day activities, no one gets married, and everyone can â€Å"have† everyone. There are no direct ties to each other, and there is no problem of over population because of all the babies being made in bottles on the assembly line. This creates a power in the makers’ ability, because the babies are made to their specification. Power is another theme in Brave New World. In the novel, the citizens are brainwashed to be happy with the laws and not to â€Å"fight the man† when it comes to changing the laws because they have been programmed to love the laws and their entirety. This power is bolstered by the endless supply of drugs, the ability to be promiscus, the denial of history or future as any alternative to the present, and with the brainwashing at a young age. This is directly influenced by the freedom and confinement theme within the novel. Citizens are always in a state of imprisonment, but because they have been conditioned to love their servitude, no one seems to have any problems with it. This also creates the theme of dissatisfaction. This society leaves something to be wanted, mostly individuality, passion and love because individuals have been programed to be happy, those who do feel this dissatisfaction are confused by it and completely unsure of how to act. Most of the individuals that are experiencing dissatisfaction are often turned to drugs. In Brave New World, soma is used quite frequently throughout the novel. Soma is described as the perfect drug; for example, it has all of the benefits (calming, surrealistic and 10-hour long highs) without all of the negatives (no guilt or hangovers). Like the early brainwashing, the citizens are also conditioned to love this drug, and they use it to escape any momentary bouts of dissastification. Along with the many themes throughout the novel, there are also many symbols that correlate with them. One symbol is the bottle, if taken in a way that we see these bottles today, this could be an extreme designer baby technique. This symbol of the bottle could be that if designer babies become even larger than they already are, that an entire society will be completely made up of these â€Å"designer babies†. Ford as a symbol in the novel reveals the new world’s value system. Henry Ford is famous for the perfection of mass production and the assembly line. In the new world, humans are mass-produced and grown with the help of the assembly line. With Ford as the new world’s deity, efficiency, production, and consumerism are the most important values whereas with a more traditional deity, morality, compassion and piety are the most important values. Even though, the new world may seem like a place of happiness and carefree living, it is warped beyond all being. There are many themes in the novel with a symbol that could correlate to the true meaning of what the novel means. Works Cited Buchanan, Brad â€Å"Oedipus in Dystopia: Freud and Lawrence in Aldous Huxley’s Brave New World† Journal of Modern Literature. 25.3/4. (2002) 75-89. Print Huxley, Aldous Brave New World. New York: 1946. Print.

Thursday, January 9, 2020

Throughout My Life I Have Struggled With My Weight,...

Throughout my life I have struggled with my weight, depression, anxiety, and attention defecit disorder. I have narcolepsy, which causes me to always be tired. If I didn’t exercise, I would be so much more tired. It’s amazing to read all the many ways exercise affects the body in a positive way. Regular exercise helps with alertness in people of all ages. Regular exercise by a pregnant mother can even help with the brain development of the newborn. John Hatey is a selfless, generous, heroic man who found a problem and needed to solve it. Why are kids in Physical Education not actually exercising and then falling asleep in classes? Book Choice The book I chose to read and review is â€Å"Spark the revolutionary new science of exercise and the†¦show more content†¦It is selfless, heroic, and generous of him to do the research in order to help students. In the end, more people were educated on his theories of the benefits of exercise and this information helped them as well. John Ratey believed a P.E. class was pointless for children. Many were shy and didn’t partake in the activities. He noticed the alertness and higher grades of the students that did participate and wanted to help the students who weren’t very alert and had poor grades. His selflessness is very admirable. He didn’t perform case studies at several different schools for himself, but to help others. I knew exercise was beneficial in lowering depression, boosting your immune system, and a really great de-stressor. I didn’t know the impact it has on newborns whose mothers exercised regularly throughout pregnancy. There’s a lot of arguments about the safety of exercising while pregnant. James Clapp, an obstetrician and professor of reproductive biology at Case Western Reserve University, did a case study with 65 newborns who were each 5 days old; 34 newborns whose mother exercised regularly throughout pregnancy and 31 newborns whose mother did not. 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Wednesday, January 1, 2020

Expressing an Opinion in German

If youve got an opinion, the German language has a ton of ways to express it. Not all are as straight forward as Ich stimme zu  (I agree). Some are phrases and idioms you need to memorize to carry on a natural-sounding conversation.   Here are some common ways to your opinion in German.   Expressing Agreement and Disagreement Das ist zweifelhaft.  Ã¢â‚¬â€œ   That is doubtful.Das stimmt (nicht).  Ã¢â‚¬â€œ   Thats (not) right.Da haben Sie (Un)Recht. –   You are (not) right.Das finde ich auch. –   I think so, too.Sie haben (nicht) recht. –   You are (not) right.Da bin ich ganz Ihrer(anderer) Meinung. –   I completely (dis)agree with you.Ich teile Ihre Meinung. –  I share your opinion.Natà ¼rlich/Selbstverstà ¤ndlich (nicht)!  Ã¢â‚¬â€œ Of course (not)!Darà ¼ber sind wir uns einig.  Ã¢â‚¬â€œÃ‚  Were in agreement with that.Genau/Eben. – Exactly.Da stimme ich mit Ihnen à ¼berein. – I completely agree with you.Da muss ich widersprechen.  I have to disagree with that.Ganz und gar nicht.  Not at all/Absolutely not.  Keinesfalls. – No way.Auf keinem Fall. – Absolutely not.Wir sind damit einverstanden. - We agree on that.Ich bin fà ¼r/gegen ... – I am for/against ...Ich bin pro/contra ... – I am for/against ...Da liegen Sie và ¶llig falsch. – Youre completely wrong with that.So ein Quatsch/Was fà ¼r ein Blà ¶dsinn! – What nonsense/rubbish! Expressing Indifference Das ist mir egal.  Ã¢â‚¬â€œ Its all the same to me/I dont care.Es ist mir và ¶llig gleichgà ¼ltig. – I dont care at all.Das macht mir nichts aus. – It doesnt matter to me.Macht nichts. – Doesnt matter.Das ist mir wurscht. – I couldnt care less.Ich habe nichts dagegen. – I have nothing against it.Meinetwegen †¦ – As far as Im concerned ...Von mir aus †¦ - As far as Im concerned ...   Asking for Somebodys Opinion Was halten Sie von †¦? – What do you think of ...?Was denken Sie à ¼ber ....? – What do you think about ...?Wie ist Ihre Meinung à ¼ber ...?  Ã¢â‚¬â€œ What is your opinion on ...?Wie ist Ihre Ansicht à ¼ber ...? – What is your view on ...?Wie finden Sie ...? – What do you think of ...?Sind Sie der Meinung, dass ...? – Are you of the opinion of/that ...?Sind Sie der Ansicht, dass ...? – Are you of the view that ...?