Should Latina Breast Cancer Survivors Be Improved Quality...

EBP Will Latina Breast Cancer Survivors Have an Improved Quality of Life if Intervention Includes Bilingual Education? Rae Barbosa College of Western Idaho Summary Very few studies have been completed on the quality of life of post-treatment Latina breast cancer survivors. The purpose of the evidence based practice study was to test whether or not the quality of life for Latina breast cancer survivors was affected by bilingual intervention. The study was composed of two groups. The control group received the usual breast cancer care. The experimental group received the usual care and some additional components including four teaching sessions completed within the first month and regular follow-up calls. Intervention†¦show more content†¦Nursing implications are that further culturally congruent studies should be completed to address the quality of life for Latina breast cancer survivorship. Culturally congruent nursing and core values should be included in health education programs. Intervention programs should be included in the preferred language of the Latina breast cancer survivor. All breast cancer survivors’ supportive needs should be met. (Juarez, Hurria, Uman Ferrell, 2013) Will Latina Breast Cancer Survivors Have an Improved Quality of Life if Intervention Includes Bilingual Education? The following paper is a review of an evidence based practice study written by Gloria Juarez, RN, PhD, Arti Hurria, MD, Gwen Uman, RN, PhD, and Betty Ferrell, PhD, FAAN called, â€Å"Impact of a Bilingual Education Intervention on the Quality of Life of Latina Breast Cancer Survivors† Background â€Å"Improving the QOL of cancer survivors has been identified as a public health priority by the Institute of Medicine (IOM) and a number other organizations.† (Juarez, Hurria, Uman Ferrell, 2013) According to Siegel, Naishadham Jemal (2012) for Latina population in the U.S., breast cancer is the primary cause of cancer related deaths. Wu et al. (2012) says that, Latinas that are diagnosed with breast cancer, in comparison to Caucasians, are younger, have a less favorable prognosis, and have a

Prenatal Development And Birth Pregnancy - 2794 Words

Chapter 4 Prenatal Development and Birth Prenatal development begins with conception †¢ Females ovulate approximately every 28 days †¢ Ovum is expelled from the ovaries through the fallopian tube, and down into the uterus. †¢ If not fertilized by sperm, the egg will be disintegrated and be passed out of the body via menstruation. †¢ If the sperm reaches the egg, all other sperm will be repelled. †¢ This connection between sperm and egg is known as a Zygote. Infertility †¢ â€Å"As many as 1 in 4 couples experience difficulty conceiving.† †¢ Possible causes of infertility include: STI, varicocele, and abnormal ovulation. Assisted Reproductive Technology †¢ Women can use medications that allow the ovaries to let down several eggs during menstruation. †¢ Next step is Artificial Insemination. This is where a man’s sperm will be inserted into the woman’s uterus. †¢ In Vitro Fertilization is when a large amount of eggs will be taken out of the woman and is united with sperm in a petrie dish, then the fertilized eggs are placed back into the woman’s uterus. †¢ Surrogacy: In instances where the woman is not able to carry the child herself, the couple can have their In Vitro Fertilized egg place into a surrogate mother until the time of birth. Pressures of Infertility †¢ â€Å"Cost of IVF is highest in the United States, where each attempt is about $12,400.† †¢ IVF success rate at highest is 42% †¢ Stressful on relationships †¢ Psychologically taxing Prenatal Stages †¢ 46 chromosomes make up the zygote †¢Show MoreRelatedThe Effects Of Air Pollution On Reproductive Health1376 Words   |  6 Pagesembryo development or fetal development is known as Teratogens. Teratogens can stop the pregnancy outright, or in cases of full term pregnancies, cause birth defects to the child. 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There are many factors that can contribute to the development of the fetus and many threats that can impact it. Most prenatal development occurs in a normal manner, however; there are many things that can go wrong during this vulnerable time and usually are caused by genetic or environmental factors. While the hazardsRead MoreThe Effects Of Birth Defects On The Development Of The Fetus899 Words   |  4 PagesPrenatal development is the process in which a human embryo or fetus gestates during pregnancy, from fertilization until birth (Prenatal Development). Most cases of unhealthy development can be avoided, however there are some genetic and environmental fa ctors that cannot. Some genetic factors that affect the development of the fetus are Phenylketonuria, Sickle-cell Anemia, Tay-Sachs Disease, and Down Syndrome (Feldman 402). Some environmental teratogens that affect the development of the fetus areRead MoreThe Importance Of Prenatal Care843 Words   |  4 PagesThe Importance of Prenatal Care Pregnancy can either be the most wonderful time in a woman’s life or the scariest and quite often it is both at the same time. One of the first things that most women do when they become pregnant or even before they become pregnant is focus on their prenatal care. This time in the womb is very important in a baby’s development and taking care of the body is something that is extremely beneficial to the wellbeing of a newborn. Prenatal care is probably one of the mostRead MoreMaternal Stress And The Birth Of A Healthy New Born Baby849 Words   |  4 Pageswritten about beliefs that the emotional state of the pregnant mother may affect her unborn child. Today, both animal and human studies support the notion that maternal stress and anxiety during pregnancy can have both immediate and long-term effects on her offspring (The Effects of Maternal Stress, n.d.). Prenatal maternal stress originates due to unforeseen circumstances that cannot be controlled or resolved within a rapid timeframe, therefore, causing the individual to become subjected to strenousRead MorePrenatal Care For Young Women Essay1082 Words   |  5 PagesPrenatal Care for Young Women Most young mothers are worried about a number of new changes that will impact them socially, physically and emotionally. Prenatal care can be neglected due to an unexpected pregnancy, not being educated on what to do, or not having resources to get care. Prenatal care is very important to a child’s early development. Prenatal care can mean several things like cutting back on caffeine and stopping smoking. It can also mean soon after conception beginning to care for yourselfRead MoreDelayed Childbearing Outcomes And Prevention1141 Words   |  5 Pagesthe infant itself. Needless to say, one, two, three or even four infants in a womb simultaneously depicts a high risk in the outcome of a birth, but the infants and the mother are more prone to circumstantial risks when the mother bearing the child is over the age of 35. Woman aged 35 or older are at 20% to 40% more prone to having an increased risk of low birth weight and preterm delivery. Countless women decide to wait for nume rous reasons, such as, late marriages, pursuing a higher education, and/Read MorePrenatal Screening And Prenatal Development1385 Words   |  6 Pagesconception, prenatal development. Prenatal development can easily be categorized as a fascinating period of great anatomical and physiological progress. Yet, as time progresses and the wonders of medical technology advance at a limitless pace, such a time has recently been viewed as a period of constant and profound examinations for unborn infants. The term, prenatal examinations, can be divided into the three categories of prenatal screenings, genetic screenings, and diagnostic screenings. Prenatal screenings

Ben Franklin and Booker T. Washington Free Essays

Benjamin Franklin and Booker T. Washington were both American personalities that assumed great importance in the history of the United States. Franklin was born in 1706, in Boston, to an English father and an American mother. We will write a custom essay sample on Ben Franklin and Booker T. Washington or any similar topic only for you Order Now Washington, on the other hand, having a family history of slaves, did not know his origins or anything about his ancestries. As the author himself says in his autobiography, â€Å"My life had its beginning in the midst of the most miserable, desolate, and discouraging surroundings. (Washington, p. 15). He only knew his mother, a brother and a sister and he did not even know the time or the place of his birth. In spite of some significant differences in their early lives and, after, along their trajectories, Benjamin Franklin and Booker T. Washington’s autobiographies reveal that similarities between them are prevalent. Even separated by a gap of a hundred and fifty years between their birth dates, they shared same thoughts, same principles and resembling aims. Since they have so much in common, it is valid to say that Washington’s â€Å"Up From Slavery† can be considered a black version of Franklin’s autobiography. Born in a family of slaves, Booker T. Washington was a typical African-American of the 19th century, used to be a working-man. After the Civil War, which had as its main consequence the emancipation of the slaves, Booker worked as a salt-miner and as a coal-miner, before he becomes a houseboy, working as a servant for the wife of the owner of the mines. After that, he applied to Hampton Agricultural Institute and had to split his time between working and studying. Benjamin Franklin was an important personality of American History, a versatile man who was an intellectual, a scientist, an inventor, a diplomat, a politician and best known for being among the political leaders who took part in the American Revolution, by signing the United States Declaration of Independence, as one of the â€Å"Founding Fathers†. Born to a middle-class family, Franklin went to a grammar school but, for financial reasons, he had to be transferred to another one to study writing and arithmetic. Yet, just like Booker, he was also a working-man during his boyhood. He left school to work as a chandler, making and selling candles with his father, who, later, noticed Franklin’s interest in books, so he was sent to work with his uncle as a printer. Perhaps because of the previous tough time they had in life, each one his particular ways and in specific situations, both of them put all of their efforts on an attempt of eaching better ways of living, and they succeeded. That is why they are considered examples of what is called the â€Å"self-made man†, the man who makes himself by what he does and command his own destiny; people who rise from poverty and bad living conditions and who are able to achieve success and recognition on their own merit. Since he was not enrolled at school, Benjamin Franklin pro vided himself a self-education, based on the Socratic method, which he ended up abandoning later on. He also was trying to improve his English. Also trying to fight for a chance of acquiring some knowledge, Booker had to cheat on his boss to be on time for school, face his classmates who were more well off than himself and invent a last name, considering it was a request of the school and, as an ex-slave, he did not have one. When he went to Hampton Institute, he was refused shelter for being black and he could not count on anybody, so he had to sleep on the streets and work for meals. He could not even afford his books and clothes, but he did not give in and he did not give up on his studies. Further on, he would say â€Å"Nothing ever comes to one, that is worth having, except as a result of hard work† (Washington, p. 135). Both Franklin and Washington believed that education and a good job would guide people to self-respect and an economic independence. Moreover, their entrepreneurial spirit was a common outstanding aspect of their personalities. Under his direction, Booker inaugurated the Tuskegee Institute, a school for black people which was focused on industrial training, praising the virtues of thrift and patience, mainly: â€Å"[†¦] by patience and hard work, we brought order out of chaos, just as will be true of any problem if we stick to it with patience and wisdom and earnest effort† (Washington, p. 60). Earlier, in 1729, Franklin had begun a newspaper called The Pennsylvania Gazette. â€Å"Lose no time; be always employ’d in something useful; cut off all unnecessary actions† (Franklin, p. 4), this is what leads people to success; industry is the way to get there. Booker T. Washington was a humble man, but he knew how to balance his modesty with a touch of ambition. However, he attributes his success to his belief in many of the virtues that were also praised by Benjamin Franklin, as selflessness, industry, pragmatism and optimism. Franklin based the course of his entire life on a list of th irteen virtues he thought were a must in the process of arriving at moral perfection. There are some of them that can summarize everything he used to preach along his life, which would be: order – â€Å"Let all your things have their places; let each part of your business have its time†; resolution – â€Å"Resolve to perform what you ought; perform without fail what you resolve†; frugality – â€Å"Make no expense but to do good to others or yourself; i. e. , waste nothing†; sincerity – â€Å"Use no hurtful deceit; think innocently and justly, and, if you speak, speak accordingly† (Franklin, p. 94); and, of course, industry. Franklin was raised by a Presbyterian family, but he turned out to become a Deist. Thus, he thought he would succeed in the pursuit of his moral improvement as an individual – by following some virtues and putting their concept into practice – not as a member of any church. Nevertheless, he believed in the existence of a deity, a God that has to do with the creation and maintenance of the world, but has nothing to do with one’s life. To this God, he thanks for the blessings that were given to him through his way to a successful life. â€Å"And now I speak of thanking God, I desired with all humility to acknowledge that I owe the mentioned happiness of my past life to His kind providence, which lead me to the means I used and gave them success† (Franklin, p. 7). Likewise, Booker also expresses his gratitude to God for the same kind of support, but, in opposition to Franklin, he was thankful to a Christian divinity and faithful to the doctrine of his church. Due to their ideal conduct, Benjamin Franklin and Booker T. Washington were considered examples of good citizens. Franklin wrote his life story as an intent of immortalize himself through his behavior, also immortalizing his actions by featuring all his great deeds. This way he could motivate and encourage people to do the same: â€Å"†¦and having gone so far through life with a considerable share of felicity, the conducing means I made use of, [†¦], my posterity may like to know, as they may find some of them suitable to their own situations, and therefore fit to be imitated. (Franklin, p. 6). And so did Washington in â€Å"Up From Slavery†, through which he intended to serve as a model for others to follow but, differently from Franklin, he didn’t have the self-promotion as one of his purposes. Booker expected his readers to feel instigated and stimulated to keep going on with his good manners and become followers of his moral principles. Besides the will of telling people their lives, the attempt of helping others to pursue their own self-making was among their objectives. In conclusion, both the autobiographies narrate two lives that, despite of the time, were founded on similar values that were regarded as tools to achieve a better future life. These two works aim to inspire people to do things that could lead them to social ascension. Besides, their authors used a literary style and a structure very much alike – enlightening some virtues and speaking with a sense of humor, employing direct prose and punctuating the narrative with lively illustrative anecdotes. The main difference between them is that Booker T. Washington was involved with black people issues, since he was born a slave and had been always dealing with the Negroes turbulent and troubled reality as a â€Å"tough-minded analyst of power who had to balance the demands of blacks with the constraints imposed on him by whites† (http://ukcatalogue. oup. com), whereas Benjamin Franklin acted in the white majority scene, with no need to be worried about any racial question as a priority. How to cite Ben Franklin and Booker T. Washington, Papers

Lower-Extremity Prosthetics Amputees Post-Traumatic Stress

Question: Describe about the Lower-Extremity Prosthetics Amputees for Post-Traumatic Stress. Answer: Introduction Every human being enjoys leading a normal life just like any other. Although it is everyones joy to have all the functional body organs, many people have failed to do so as a result of unfortunate incidences that result into limb losses (Coffey, Gallagher, Desmond, Ryall Wegener 2014). Should this happen, become vulnerable to trauma, cardiovascular diseases and congenital anomalies (Vandenbrink, Visscher Herbert 2015). Many amputees find it challenging to cope up with life after the loss. They lose independence and become victims of stereotypes in the society (Yoo 2014). Meaning, they may no longer be able to discharge their responsibilities as they used to do initially. Having recognized these challenges, the organization has come up with a plan to invent the SuperProsthetics with the sole purpose of improving the quality of life of the amputees (Gaunaurd, Spaulding, Amtmann, Salem, Gailey, Morgan Hafner 2015). The project will design and developed a modern device to be used by the amputees who have had to contend with low quality poor designed artificial limbs (Jansen, Thomas, Adams, Tai, Russell, Morrison, Clasper Midwinter 2012). Project Objectives The major objective of the project is to design and develop SuperProsthetics, an excellent device for the amputees (Bartholameuz, Abeyasinghe, Bandara, de Zoysa, Bandara 20120). Its use will help in improving the quality of life of the amputees and safeguard their psychological adjustment, acceptance, autonomy and productivity in the society (Newcombe, Dewar, Blunn Fromme 2013). Approach and Methods The entire invention, design and development of SuperProsthetics is not a simple activity. In order to succeed with the project, the organization will dedicate adequate time to consult and carry out extensive research on the basics of this great device (Fleming, ODaniel, Bharmal Valerio 2014). After this, the specialists will have to identify the model of the limbs to make in accordance with the measurements and computer design agreed upon (Vandenbrink, Visscher Herbert 2015). This will help in developing a well-fitted, sizable, and comfortable personalized SuperProsthetics to be relied upon in the improvement of the quality of life of the amputees. The SuperProsthetics will have to be developed depending on the patients own finite element simulations and MRI or CT scan results (Parvaneh, Grewal, Grewal, Menzies, Talal, Armstrong, Sternberg Najafi 2014). Better still; to improve its efficiency, the device will have to be fitted with gadgets to help in providing internal stress inf ormation especially when it is operating under excessive pressure (Tanosaki, Shimizu, Lian, Jurchak Patel 2014). Proposed Budget for SuperProsthetics ITEM COSTS (A$) 1. Equipments and Materials 340,000 2. Travel Logistics 100,000 3. Salary and Wages 160,000 4. Research Activities 200,000 5. Training 150,000 6. Miscellaneous 50,000 TOTAL 1,000,000 References Bartholameuz, N.A., Abeyasinghe, N.L., Bandara, K.M.K.C., de Zoysa, P. Bandara, J.M.U.J., 2012. The prevalence of symptoms of Post-Traumatic Stress Disorder among soldiers with amputation of a limb or spinal injury: A report from a rehabilitation centre in Sri Lanka. Coffey, L., Gallagher, P., Desmond, D., Ryall, N. Wegener, S.T., 2014. Goal management tendencies predict trajectories of adjustment to lower limb amputation up to 15 months post rehabilitation discharge. Archives of physical medicine and rehabilitation, 95(10), pp.1895-1902. Fleming, M.E., ODaniel, A., Bharmal, H. Valerio, I., 2014. Application of the orthoplastic reconstructive ladder to preserve lower extremity amputation length. Annals of plastic surgery, 73(2), pp.183-189. Gaunaurd, I., Spaulding, S.E., Amtmann, D., Salem, R., Gailey, R., Morgan, S.J. Hafner, B.J., 2015. Use of and confidence in administering outcome measures among clinical prosthetists: Results from a national survey and mixed-methods training program. Prosthetics and orthotics international, 39(4), pp.314-321. Jansen, J.O., Thomas, G.O.R., Adams, S.A., Tai, N.R.M., Russell, R., Morrison, J., Clasper, J. Midwinter, M., 2012. Early management of proximal traumatic lower extremity amputation and pelvic injury caused by improvised explosive devices (IEDs). Injury, 43(7), pp.976-979. Newcombe, L., Dewar, M., Blunn, G.W. and Fromme, P., 2013. Effect of amputation level on the stress transferred to the femur by an artificial limb directly attached to the bone. Medical engineering physics, 35(12), pp.1744-1753. Parvaneh, S., Grewal, G.S., Grewal, E., Menzies, R.A., Talal, T.K., Armstrong, D.G., Sternberg, E. Najafi, B., 2014. Stressing the dressing: Assessing stress during wound care in real-time using wearable sensors. Wound Medicine, 4, pp.21-26. Tanosaki, M., Shimizu, N., Lian, C.G., Jurchak, M. Patel, V., 2014. Purpura Fulminans Managed with Multi-Limb Amputation: Substituted Judgment and Surrogate Decision-Making in the Surgical Management of Necrotizing Soft Tissue Infections. Surgical infections, 15(6), pp.853-856. Vandenbrink, D., Visscher, D. Herbert, J., 2015. Prosthetic Mobility Outcomes of Lower-Limb Amputees. URSCA Proceedings, 1. Yoo, S., 2014. Complications following an amputation. Physical medicine and rehabilitation clinics of North America, 25(1), pp.169-178.