This document discusses how character and emotional behavior can affect recovery from cancer based on observations at the San Jorge Children's Hospital. Younger patients between ages 6-7 who maintained positive attitudes during treatment recovered quickly after chemotherapy. In contrast, older patients ages 18-19 struggled more - one with pre-existing depression, the other with varying moods during treatment. The conclusion is that while many factors influence recovery, maintaining a positive outlook can promote psychological adjustment and potentially extend survival for cancer patients.
The role of illness perceptions and medicine beliefs in adherence to chronic ...epicyclops
Presentation given by Dr Leanne Ramsay & Dr Martin Dunbar to the West of Scotland Pain Group on 7th October 2008 at the Royal College of Physicians and Surgeons of Glasgow.
Palliative care is about providing well-being and the highest quality of life to patients with serious, progressive, chronic life-limiting illness, including during the dying process.
The role of illness perceptions and medicine beliefs in adherence to chronic ...epicyclops
Presentation given by Dr Leanne Ramsay & Dr Martin Dunbar to the West of Scotland Pain Group on 7th October 2008 at the Royal College of Physicians and Surgeons of Glasgow.
Palliative care is about providing well-being and the highest quality of life to patients with serious, progressive, chronic life-limiting illness, including during the dying process.
Enabling Spatial Decision Support and Analytics on a Campus Scale with FME Te...Safe Software
University and College Campuses are complex environments. The campus comprises many physical sub-systems, such as buildings, outdoor spaces, utilities, transportation, which are maintained by several divisions using multiple IT tools and different formats. Making campus-wide analytics requires bringing all these data elements and different formats (CAD, GIS, BIM) together to create a comprehensive common operating picture. In this presentation we will demonstrate that FME Technology is a key and crucial component in data automation and integration on Campus scale.
Using FME to Automate Lidar QA\QC ProcessesSafe Software
Manitoba Hydro has developed a number of FME workbenches that allow it to automate a variety of QA\QC checks when receiving lidar data from external sources. These checks are necessary to ensure that lidar data meets specifications before it is accepted for use wihtin Manitoba Hydro. These workbenches allow for a standardized, efficient, and methodical approach to reviewing large amounts of data, and aid in quickly highlighting potential issues with the data.
Patient Directed Care; Why it’s important and what does it really mean?Spectrum Health System
Understanding the importance of effective patient centered communication for patient engagement and improved health outcomes. Will discuss the importance of patient directed care and its relationship to the quadruple aim. Will discuss the barriers and a framework for conversations that are critical to patient directed care and cultural competency.
A presentation given by Prof. David Croaker & Eunice Gribben at the CHA Cofnerence in October 2012, The Journey, in the 'innovations in supporting chronically unwell children, young people and their families' stream.
Mt. Washington Pediatric Hospital Annual Report FY 2011Kathleen Lee
This report takes the reader through 90 years of Mt. Washington Pediatric Hospital history. The place formerly known as Happy Hills, started as a convalescent home for children in the 1920s but over the years transformed into a leading specialty hospital for children in the Baltimore region. It is affiliated with both Johns Hopkins Medicine and the University of Maryland Medical System.
How treating psychological and social needs can improve the daily lives of the chronically ill, creating a new model for outpatient care, quality of life and aging, humanization of care, streamlining responsibilities of hospital staff and news around the world.
How useful are advance directives in directing end of life care and do people really understand or want to know the true status of their health as the end nears?
Why do some individuals develop addictive disorders while others don’t? The relationship between trauma and addiction can provide valuable insight. The adverse childhood experiences (ACES) study helped define and shape our understanding of this complex issue and research demonstrates that higher ACE scores are linked with higher rates of future substance use. It is critical that the health care workforce understand the impact of trauma on addiction and how this relationship impacts treatment and recovery. Explore what it means to be trauma-informed and how providers can integrate trauma-informed care into recovery services and other work with individuals who experience addictive disorders.
Global Medical Cures™ | Epilepsy
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
PEDIATRIC NURSING/March-April 2014/Vol. 40/No. 2 59
F
or 10 years, Zaki’s family tried
to combat his syndrome with
17 different pharmaceutical
medications, a specialized diet,
and alternative forms of therapy, such
as acupuncture. The various medica-
tions caused weight gain, incoheren-
cy, extreme cramping, and sleepless-
ness; they never stopped the seizures.
Today, Zaki is among more than 180
Colorado children currently being
treated with a special strain of med-
ical cannabis known as “Charlotte’s
Web,” named for 7-year old Charlotte
Figi, whose successful treatment was
featured in a 2012 CNN documentary
called “Weed.” In the year since Zaki
began treatment, he has been seizure-
free (Schwartz, 2014).
Should Children Have
Access to Medical
Marijuana?
Medical marijuana for adults has
gained acceptance across the United
States. A recent survey of a random-
ized sample of over 1,000 registered
voters revealed that 85% of
Americans think adults should be
allowed to use marijuana for medical
purposes if a physician prescribes it
(Fox News Poll, 2013). Today, 20
states and the District of Columbia
(see Figure 1) have legalized medical
marijuana (ProCon.org, 2014).
What about children? Should
they, too, have legal access to medical
marijuana? Certainly, Zaki’s life-alter-
ing story would make one think so.
Anecdotal evidence indicates the
effectiveness of medical marijuana in
the treatment of various disorders or
diseases. For instance, a liquid, non -
psychoactive form of marijuana was
found to reduce seizures for children
with Dravet’s syndrome, a rare form
of childhood epilepsy (Melville,
2013). Reports have suggested possi-
ble benefits of using marijuana in the
treatment of children with autism
(Gillette, 2013), cancer (Szalavitz,
2012), attention-deficit hyperactivity
disorder (Centonze et al., 2009), as
well as other conditions.
Unfortunately, there is limited
high-quality evidence about the effi-
cacy of medical marijuana. For exam-
ple, a 2012 Cochrane review of all
published randomized-controlled tri-
als involving the treatment with mar-
ijuana or one of marijuana’s con-
stituents in people with epilepsy stat-
ed that no reliable conclusions could
be made at present regarding the effi-
cacy of cannabinoids as a treatment
for epilepsy (Gloss & Vickrey, 2012).
All of the reports were of low quality.
Importantly, there are virtually
no data about the safety of using mar-
ijuana or cannabinoids with children
(Melville, 2013). While some experts
caution that the effects of the drug on
child development are unknown,
others point out that the same is true
for other medications used to fight
pain and nausea that are currently
given to children with cancer, as well
as for powerful antipsychotic drugs
that are used in long-term treatment
of childhood mental illness (Szalavitz,
2012). Morphine, oxycodone (Oxy -
contin®), and other opioid drugs that
are sometimes used to treat the severe
pain that accompanies life-threaten-
ing cancer a.
The course of death and dying has changed tremendously in the past.docxarnoldmeredith47041
The course of death and dying has changed tremendously in the past few decades because of social and technological advances. Increases in average life expectancy due to advances in medical science and technology (National Center for Health Statistics, 2010) have influenced our beliefs and attitudes about life and death. The course of illness and dying has changed; at one time, the onset of illness and subsequent death from certain illnesses was sudden and rapid, but now the typical death may be more prolonged. The place where death occurs has moved from the home or community to the hospital, nursing home, or institutional setting. These changes have posed enormous challenges in end-of-life and palliative care.
PALLIATIVE CARE
Palliative care is an interdisciplinary care model that focuses on the comprehensive management of physical, psychological, and existential distress. It is defined as “the active total care of patients whose disease is not responsive to curative treatment.” Control of pain and other symptoms and psychological, social, and spiritual problems is paramount. “The goal of palliative care is the achievement of the best possible quality of life for patients and their families” (World Health Organization [WHO], 1990, p. 7). Palliative care aims to improve the patient's quality of life by identifying physical, psychosocial, and spiritual issues while managing pain and other distressing symptoms. Palliative care “affirms life and regards dying as a normal process; is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated” (WHO, 2004, p. 3).
The palliative care model applies throughout the entire course of illness and attempts to address the physical, psychosocial, and spiritual concerns that affect both the quality of life and the quality of dying for patients with life-limiting illnesses at any phase of the disease. It includes interventions that are intended to maintain the quality of life of the patient and family. Although the focus intensifies at the end of life, the priority to provide comfort and attend to the patient's and family's psychosocial concerns remains important throughout the course of the illness. In the model's ideal implementation, patient and family values and decisions are respected, practical needs are addressed, psychosocial and spiritual distress are managed, and comfort care is provided as the individual nears the end of life.
Palliative medicine is the medical specialty dedicated to excellence in palliative care. Palliative care specialists, including social workers, typically work on teams and are involved when patients’ disease is advanced, their life expectancy is limited, and medical and psychosocial concerns become complex and more urgent. In practice, these problems ofte.
The course of death and dying has changed tremendously in the past.docxrtodd643
The course of death and dying has changed tremendously in the past few decades because of social and technological advances. Increases in average life expectancy due to advances in medical science and technology (National Center for Health Statistics, 2010) have influenced our beliefs and attitudes about life and death. The course of illness and dying has changed; at one time, the onset of illness and subsequent death from certain illnesses was sudden and rapid, but now the typical death may be more prolonged. The place where death occurs has moved from the home or community to the hospital, nursing home, or institutional setting. These changes have posed enormous challenges in end-of-life and palliative care.
PALLIATIVE CARE
Palliative care is an interdisciplinary care model that focuses on the comprehensive management of physical, psychological, and existential distress. It is defined as “the active total care of patients whose disease is not responsive to curative treatment.” Control of pain and other symptoms and psychological, social, and spiritual problems is paramount. “The goal of palliative care is the achievement of the best possible quality of life for patients and their families” (World Health Organization [WHO], 1990, p. 7). Palliative care aims to improve the patient's quality of life by identifying physical, psychosocial, and spiritual issues while managing pain and other distressing symptoms. Palliative care “affirms life and regards dying as a normal process; is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated” (WHO, 2004, p. 3).
The palliative care model applies throughout the entire course of illness and attempts to address the physical, psychosocial, and spiritual concerns that affect both the quality of life and the quality of dying for patients with life-limiting illnesses at any phase of the disease. It includes interventions that are intended to maintain the quality of life of the patient and family. Although the focus intensifies at the end of life, the priority to provide comfort and attend to the patient's and family's psychosocial concerns remains important throughout the course of the illness. In the model's ideal implementation, patient and family values and decisions are respected, practical needs are addressed, psychosocial and spiritual distress are managed, and comfort care is provided as the individual nears the end of life.
Palliative medicine is the medical specialty dedicated to excellence in palliative care. Palliative care specialists, including social workers, typically work on teams and are involved when patients’ disease is advanced, their life expectancy is limited, and medical and psychosocial concerns become complex and more urgent. In practice, these problems ofte.
1. Cancer: How does character and emotional behavior affect it’s recovery 3
Cancer: How does character and emotional behavior affect its recovery
San Jorge Children’s hospital was founded as a general hospital in 1962. On December,
1998 the United Medical Corporation, Inc. took the hospital and transformed it on the first
hospital in the private hospital industry specialized for kids. With Dr. Pedro Rosselló and
medical director, Dr. Manuel Gomez Disdier made this dream come true for thousands of
children around the island. With the affiliation of the Pavia Hospital they developed strategies to
encounter the services that are making this hospital successful. It counts with the following
services: Pediatric Intensive Care, Emergency Pedriatic Services, Induction Rooms, among
others. In 1994 San Jorge takes possession of the first CT SCAN, making it one of the most
competitive on the market. On this same year they continue building new facilities and develop
medical services for patients who lack economical stability, given the name of San Jorge
Children’s Foundation. They also count with a diabetes center that helps children get through
the disease by providing activities and providing economic help for their parents. They donated
around twenty four insulin bombs for several patients in need and provided training among 450
schools around the island for teachers and professionals about the management of a diabetic
young child. On 2008 San Jorge made an investment of around 2 million dollars to open it’s
doors to the no MRI center for children and adult. Finally San Jorge counts with one the most
complete Oncological Services among the island and is known for curing eighty percent of
young oncological patients. The hospital is mainly known for recognizing the importance of the
family on every patient’s case, for this reason parents and such are also part of the health care
their children are given.
2. Cancer: How does character and emotional behavior affect it’s recovery 4
On a daily basis we are exposed to different situations that can lead us to take a certain
attitude or behavior towards it, but it is up to us to choose the kind of character we think
necessary in order to solve or get through whatever challenge or obstacle that's intervening in
our journey. This paper will demonstrate a concrete example of how a positive or negative
behavior can affect our well being or recovery of any disease, in this case, cancer.
As you may know cancer is a terrible disease scientifically explained as the uncontrollable
growth of abnormal cells in the body. These patients not only have delicate immune system, but
they are also emotionally affected by the severeness of their state. As volunteer of the San
Jorge Children's Hospital in Santurce, I, had the privilege to observe and have a close glance at
several cases in which their emotional behavior influenced their state and recovery.
As well observed and scientifically proven, negative attitude can influence one way or
another the recovery of the patient. On the hospital, the oncological patients varied in ages from
three to eighteen. The type of cancer they carried also varied (not all couldn’t be revealed do to
the hospital’s confidential terms). Luckily, all of these patients counted with an amount of
different social activities, including games, movies and arts and crafts among others. But most
importantly throughout my observation I could see these people counted with a great emotional
support not only from professionals, but from their loved ones.
As a result of the observation it turned out that younger patients recovered faster than
the older ones. Their were two specific cases where a six year old and a seven year old rapidly
recovered after their treatment and both maintained a positive behavior during their stay, plus
counted with their parent’s support. From my point of view this should be applauded since
depression is one of the risk factors this disease may bring. On the other hand there was a
nineteen year old boy who had a hard time dealing with his condition and his emotional state
often varied. An eighteen year old boy suffered from depression before he was installed on the
3. Cancer: How does character and emotional behavior affect its recovery 5
hospital facilities and was having a hard time recovering regarding the fact all of his family was
always by his side.
Even though many factors are considered in order to determine the attitude the patient is going
to adapt, it is important to maintain patiently during their lapse of acceptance, every patient has
their own way of adapting and accepting, no matter how long it takes, their condition.
“Is it finally time to retire the hypothesis that personality is a significant causal factor in cancer?
The hypothesis can be traced to the writings of Hippocrates and Galen, but, in modern times, it
has become embedded in a matrix of strongly held cultural beliefs about mind-body relations,
including beliefs that personality traits such as optimism and fighting spirit can not only promote
the psychological adjustment of persons diagnosed with cancer but also extend their survival”
(Ranchor,Adelita,2010).
Patient Age Attitude
behavior
Recovery
Gabe 6 playful Right after
chemotherapy
Alexandra 7 Playful, active and
passionate for the
arts
Right after
chemotherapy
Juan 19 Varied Remained on the
hospital
Ricardo 18 Depressed Remained on the
hospital
4. Cancer: How does character and emotional behavior affect it’s recovery 4