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1. [From 10$/Pg] 136 Electronic Patient Reported
[From 10$/Pg] 136 Electronic Patient Reported Children derive implicit theories in
explaining actions of objects and behaviors of people. Such theories are the foundation for
causal learning and much sophisticated understanding of the social and physical worlds.
Young children are also keenly responsive in the things they can learn from the words and
directions directed to them by other people. Such joint attention capacity is the foundation
which allows humans to benefit from culturally transmitted knowledge. When a child says
“thanks” after something is given to him or her, there is an acknowledgement that there is a
mutual exchange which is happening; a-give-and-take. As they go through the motions,
eventually they come to learn that they should not expect the world on a silver platter. To
ensure that children at school treat one another with respect, they should be allowed to get
to know one another. Teaching children how to keep an open mind will serve them well
throughout their lives; allowing them to discover exciting new friends, unusual activities,
and new ways of looking at things. Read online custom writing for more information on this
topic.Chemotherapy Side Effects: Evidence-Based Practice for Reporting OutcomesClinical
GuidelineProblem StatementChemotherapy is a viable treatment choice for many cancer
patients. Chemotherapy can have a variety of side effects that range from mild to severe.
Dose reductions may be avoided if toxicities are discovered and addressed early, resulting
in more effective treatment and disease control or cure. According to Pearce et al. (2017),
84 percent of chemotherapy patients had at least one common side effect, 67 percent of
patients had six or more side effects, and 27% of patients had a grade IV, or severe, side
effect. Patients encountered more toxicities than professionals recorded throughout clinical
studies, according to Di Maio et al. (2015). Patients’ symptoms are frequently explored
more closely in clinical trials than in ordinary treatment. If doctors fail to notice side effects
and toxicities in clinical trial patients, it is alarming to consider how many side effects may
be overlooked or under-assessed in patients who are not enrolled in a clinical trial.EBP
QuestionGiven the importance of early detection of chemotherapy side effects and the
disparity between patient-reported and clinician-reported symptoms, optimal strategies for
dealing with these difficulties must be found. While it is a clinician’s obligation to treat
symptoms, they will not have the knowledge they need to prescribe appropriate
interventions or alter therapy if those symptoms are not successfully conveyed to or
assessed by clinicians. The purpose of this work is to explore the available evidence in order
to respond to the following question: What are the most effective techniques for reporting
and assessing chemotherapy side effects?Literature ReviewThe article by Weaver et al

2. (2014), the researchers detailed their research on utilizing a mobile device to monitor
symptoms in patients undergoing oral chemotherapy at home in A pilot study: dosage
modification of capecitabine using mobile phone toxicity monitoring- assisting patients in
their homes. Chemotherapy oral doses might be adjusted based on side effects experienced
while undergoing treatment. The phone featured a pre-installed application that patients
could use to answer questions about adverse effects. To participate in the trial, the patients
were given phones. With this strategy, a 92.9 percent response rate was obtained. Shears et
al. (2016) studied the use of an electronic patient-reported outcomes (ePRO) instrument for
lung cancer patients, which they completed in the office on a tablet device prior to
consultation. This study discovered that the ePRO tool was simple to use for both patients
and doctors, and that it increased the number and quality of data collected. Basch et al.
(2017) conducted research on an ePRO tool that patients utilized in between visits. An
email would be sent to an oncology nurse in charge of the patient’s treatment when severe
or worsening symptoms were recorded. During clinic appointments, a report of symptoms
was also prepared for the treating oncologist to evaluate. The findings of this study revealed
that patients not only had a higher quality of life, but also had a five-month increase in
overall survival compared to the control group.Research SynthesisSynthesis of Research A
survey of the literature identified numerous critical elements of chemotherapy treatment
toxicities. Chemotherapy patients frequently face a variety of side effects, ranging from
moderate to severe. When compared to what patients say, clinicians regularly
underestimate the toxicities they suffer. Electronic patient-reported outcomes have been
proved to be a viable means of making clinicians more aware of patient-reported toxicity.
The use of ePROs has been found to improve quality of life and overall survival in
chemotherapy patients.Clinical GuidelinesPatients and clinicians will benefit from the usage
of an ePRO tool to discuss toxicities with healthcare workers. This will help patients and
doctors manage chemotherapy side effects more quickly (Weaver et al., 2014). Electronic
devices such as the iPad and iPhone enable for faster data collection, interpretation, and
recording, as well as immediate data capture and tailored self-management
recommendations, which could help significant symptoms be handled more effectively and
quickly (Weaver et al., 2014).Implementation PlanStaff and patients will need to be trained
on how to utilize the software application in order to adopt it for electronic patient
reporting of outcomes. Patients will require instructions on how to download and navigate
the application on their personal electronic device. The oncology nurse in the clinic will
provide this help prior to the start of chemotherapy treatment. Clinic staff and clinicians
will also need to be trained on how to obtain the information that patients will enter into
the app.When the clinician receives the patient’s data, he or she can make judgments about
how to control toxicities before they become severe. The patient will be presented with a
list of symptoms/toxicities from which they can choose and enter data if they are
experiencing those symptoms. Each symptom will be rated as mild, moderate, or severe by
the patients. If a patient enters that they are having a serious symptom, the app will advise
them to call their provider right away. At home, the nurse has a direct line of
communication, and data for symptom levels and clarifications is logged and distributed on
a report. This communication allows the nurse to have access to the patient’s “logged

3. profile” during treatment and analyze the dose and side effects as needed (Weaver et al.,
2014).Throughout the whole therapy cycle, the nurse can view a precise, clear picture of the
patient’s symptoms in real time (Weaver et al., 2014).Increased patient reporting of
toxicities, earlier reporting of toxicities, and improved patient quality of life will be utilized
to evaluate this evidence-based protocol. For comparison, the number of toxicities per
patient and the severity of symptoms when initially reported in the facility’s electronic
health record will be measured two months before and two months after adoption. More
symptoms are expected to be documented, and the intensity of symptoms at first
documentation will be reduced. To assess the impact of the new ePRO application on quality
of life, the FACT-G cancer-specific quality of life questionnaire will be employed (Absolom,
2017; best assignment help). The overall quality of life for all patients at the facility will be
assessed shortly before implementation and again two months later.Barriers to the
technological piece include the fact that not everyone is familiar with apps and smart
phones. Nurses and technicians are trained to help patients, and demonstrations and
helplines are available. Voice-activated devices are also available to help individuals with
debilitating arthritis who have trouble seeing tabs, buttons, and icons. Although the
majority of Americans own a personal electronic device, people who do not may be unable
to use this technique of reporting toxicity unless organizations or insurance companies
cover the expense.This new technology will be implemented with the help of staff and
patients. The development of this EBP guideline will aid patients and physicians in
reporting and analyzing chemotherapy toxicity in the most effective and efficient manner
possible. The method’s effectiveness will boost nurses’ and other oncology staff’s
confidence in appropriately monitoring and controlling toxicity effects in real time. The
ultimate goal is to improve cancer patients’ quality of life and survival. ReferencesAbsolom,
K., Holch, P., Warrington, L., Samy, F., Hulme, C., Hewison, J., Morris, C., Bamforth, L., Conner,
M., Brown, J. & Velikova, G. and on behalf of the eRAPID systemic treatment work group.
(2017). Electronic patient self-Reporting of Adverse-events: Patient Information and aDvice
(eRAPID): a randomised controlled trial in systemic cancer treatment. BMC Cancer, 171-16.
https://onlinecustomessaywriting.com/tag/finance-assignment-help/Basch, E., Deal, A. M.,
Dueck, A. C., Scher, H. I., Kris, M. G., Hudis, C. & Schrag, D. (2017). Overall survival results of a
trial assessing patient-reported outcomes for symptom monitoring during routine cancer
treatment. JAMA. 2017;318(2):197-198. doi:10.1001/jama.2017.7156Di Maio, M., Gallo, C.,
Leighl, N. B., Piccirillo, M. C., Daniele, G., Nuzzo, F., Gridelli, C., Gebbia, V., Ciardiello, F., De
Placido, S., Ceribelli, A., Favaretto, A. G., De Matteis, A., Feld, R., Butts, C., Bryce, J., Signoriello,
S., Morabito, A., Rocco, G., & Perrone, F. (2015). Symptomatic toxicities experienced during
anticancer treatment: Agreement between patient and physician reporting in three
randomized trials. Journal of Clinical Oncology, 33(8), 910-916, doi:
10.1200/JCO.2014.57.9334Pearce, A., Haas, M., Viney, R., Pearson, S., Haywood, P., Brown,
C., & Ward, R. (2017).Incidence and severity of self-reported chemotherapy side effects in
routine care: A prospective cohort study. Plos ONE, 12(10), 1-12.
doi:10.1371/journal.pone.0184360Shears, A., Bayman, N., Harris, M., Lee, L., Haslett, K.,
Wilson, B., & Faivre-Finn, C. (2016). 136 Electronic patient reported outcomes significantly
improved toxicity data collection and were acceptable to both patients and clinicians in lung

4. cancer radiotherapy outpatient clinics. Lung Cancer (01695002), 91S49-S50.
doi:10.1016/S0169-5002(16)30153-2Weaver, A., Love, S., Larsen, M., Shanyinde, M.,
Waters, R., Grainger, L., Shearwood, V., Brooks, C., Gibson, O., Young, A. M. & Tarassenko, L.
(2014). A pilot study: dose adaptation of capecitabine using mobile phone toxicity
monitoring – supporting patients in their homes. Supportive Care In Cancer, 22(10), 2677.
doi:10.1007/s00520-014-2224-1Violence and chaos turned to tragedy on Saturday, 12th
August 2017, at Charlottesville, Virginia. Hundreds of nationalist, Ku Klux Klan members,
and Neo-Nazis planned to stage what they referred to as the largest rally in decades “to take
America back”. They clashed with counter protesters in the streets, and where one person
was left dead and 19 others injured after a car plowed into crowds. According to Lithwick,
eclipses are the most dramatic tools. They are used by the universe to effect change. No one
likes change, but eclipses shake people out of their complacency and push them forward no
matter if they are ready or not. Such changes may cause conflict and turmoil. Eclipses mess
with people understands of light and darkness, both figuratively and literally. This is what
transpires the events of August 12. Use python assignment help to do an analysis of related
political data for the past ten years.The eclipse is like the violence and hatred which darkens
the hearts of people. Charlottesville experiences of diverse, polyglot city of Los Angeles
indicated that racial tolerance is far more pervasive. Human species evolved to differentiate
different clan members as in-group or not. People’s tribal minds cannot help to notice racial
differences. Charlottesville seemed like return to the bleak era. An era dominated by
widespread racial conflicts. But like the eclipse, the light of racial tolerance proves to be far
strong; more than the retreating hate and darkness. Racism still exists in America. Total
solar eclipse appears as an incredible visual spectacle. But there is also a spectacle of
communal and personal growth. The symbolism is evident because the eclipse is associated
with riots and violence in Charlottesville. Around this time, everything – feelings, events,
and thoughts, takes on a more fated quality. Eclipse symbolizes a rapid change. People of
Charlottesville are force to face this change in manner which is uncomfortable. At the time,
the sun and its light symbolizes nothing special. It sits where it must sit and burns as it must
burn. This is an effective use of symbolism (Szilágyi & Anna, 2017). Work citedSzilágyi,
Anna. “Discourse and discrimination in Charlottesville: The rhetoric of white supremacists
during the violent unrest in August 2017.” Lodz Works in Pragmatics13.2 (2017): 285-302
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