Essay Instructions: this is a bioethics class the text is- catholic health care ethics: a manual for practioners.
This report should set forth a moral analysis of specific topic- Hospice Care.
the content should include: an opening statement-the question being addressed in the chapter in the book, philosophical foundations,quotes from church documents listed in appendices, conclusion statement answering the above question and why, case study to analyze in light of conclusion
the purpose of the paper is to apply the philosophical, pratical moral principles and specific application to the issue chosen.
I work in a surgical/trauma unit and getting BA in nursing
any problems feel free to email me
Excerpt From Essay:
Essay Instructions: The proposed research is examining how referral and admission to hospice care can lead to a reduction in hospital re-admissions. This author proposes to look at the current hospital referrals to hospice in 2013 (control) and hospital 30 day re-admission rates of current local level II trauma center for patients with chronic disease. Purposal is to add "Hospice and Palliative medicine consult" to current standing orders. Outcome measure will be to evaluate if intervention increased number of hospice refferals and reduced 30 day hospital re-admission.
The literature resources provided are only for consideration for inclussion as they are articles gathered over my time in researching the topic.
A literature review examines the existing academic literature to:
a) place the proposed or current work with the stream of academic development and history, and/or
b) to discover the strengths and weakness in the literature, uncovering gaps which may justify the significance of the current work.
A thorough review of literature provides the backdrop to, and reasons for, conducting the research. In addition, the discussion sets up the items in the methodology in a 1:1 correspondence. For example, if a researcher wants to query variable A in a particular population, their review of the literature should discuss the importance of, or other research that has studied variable A
There are faxes for this order.
Excerpt From Essay:
Essay Instructions: Please use the paper from order A2080061 and help to revamp the Design for Change. With the additions, this paper has to be 5-7 pages excluding title and reference page.
Changes and add on are as follows please---------------------
In step 3: SYNTHESIZE THE BEST EVIDENCE
The last paragraph, this should be a review of the literature in narrative form. The
resources are listed below and can also use the ones from the draft order
A2080061. I don't think we have to use all of my literature review resources, just
need to write the literature review in a narrative analyzing the literature we found.
In step 4: IMPLEMENT AND EVALUATE THE CHANGE IN PRACTICE
Needs to include how the staff will be trained. Also include what types of education
they need. It needs more specific information here.
Integrate the above steps in the "Change Plan" steps 1-3: Please write the literature review
in a narrative analyzing the literature found in milestone 1.
Here is a list of my references used for milestone 1 to be included in my paper. I think I sent them for the last assignment but cannot remember so here are my literature review. But still include the ones from the first "Change Plan".
1). Kohara, M., Miyauchi, T., Suehiro, Y., Ueoka, H., Takeyama, H., & Morita, T. (2004). Combined modality treatment of aromatherapy, footsoak, and reflexology relieves fatigue in patients with cancer. Journal of Palliative Medicine, 7(6), 791-797. doi: doi:10.1089/jpm.2004.7.791. This article is peered reviewed. This article talks about the effectiveness of aromatherapy, foot soak, massage and reflexology against fatigue in cancer patients and hospice patients. This applies to the chosen topic. This article describes quantitative research by the open study performed to test the effectiveness of the treatments. This is significant to the project because it gives a good picture of the study and the measured outcome. An open study was performed on 20 terminally ill patients rating their CFS, (cancer fatigue scale) before, 1 hour after and 4 hours after treatment. Their CFS scores improved significantly. The study was conducted to investigate the effectiveness of combined modality treatment. The study recommendations can be used as a guide for future research but randomized investigation on terminally ill patients is warranted as well.
2). Heath, J., Oh, L., Clarke, N., & Wolfe, J. (2012). Complementary and alternative medicine use in children with cancer at the end of life . Journal of Palliative Medicine, 15(11), 1218-1221. doi: 1218-1221. doi:10.1089/jpm.2012.0150. This article is peer reviewed. This article talks about the use of complementary and alternative medicines during the end of life period. This applies to the chosen topic. This article was a qualitative interview with parents of children with end of life expectancy. The interview included 96 parents of children who died from cancer to establish the prevalence of CAM, (complementary and alternative medicines), use during the end of life period. The study recommendations can be used as a guide for future research. The conclusion of the study found CAM beneficial when administered to patients with end of life expectancy.
3). Cummings, K. (2011). End of life and hospice care. Informally published manuscript, Center for Spirituality & Healing and the Life Science Foundation., University of Minnesota, Minneapolis, MN, , Available from Life Science Foundation. ( http://lifesciencefoundation.org/)Retrieved from http://www.csh.umn.edu/ The article is peer reviewed. This article talks about the importance of comfort and support provided to the patients admitted to palliative and or hospice care and helpful therapies available. This applies to the chosen topic. This article describes a quantitative study; however, some may argue that it is qualitative as well because the studies are can be measured by the outcome and differences in quality of life using alternative therapy. This is significant to the subject because it gives a good picture of the study outcome. This article studied more than 300 hospice patients and according to the National Center for Complimentary and Alternative Medicine, massage therapy, reflexology, healing touch Reiki and music therapy provided pain relief, alleviated nausea and fatigue as well as decreased anxiety and depression. The study recommendations can be used as a guide for future therapy and research.
4). Kowalski, L. (2002). Use of aromatherapy with hospice patients to decrease pain, anxiety, and depression and to promote an increased sense of well-being. American Journal of Hospice and Palliative Care, 19(6), 381-386. doi: PMID: 12442972 [PubMed - indexed for MEDLINE] This article is peer reviewed. This article talks about the use of aromatherapy in hospice patients to decrease pain, anxiety, and other symptoms they experience with an end of life expectancy. It talks about creating a sense of well being with the use of alternative medicine combined with Western medicine. This article applies to the chosen topic. This article describes quantitative analysis using lavender oil aromatherapy. This type of research is significant to the project because it shows positive results in decreasing pain, decreasing blood pressure and creating a better sense of well being. The study sample was conducted using 11 hospice patients. It was a small study but it is a very clear example of the positive effects aromatherapy can have on a patient and their symptoms. The study recommendations can be used as a guide for future studies and treatment.
5). Rees, H. (2004). The prevalence of complementary and alternative medicine use among the general population: a systematic review of the literature. Complimentary Therapies in Medicine, 8(2), 88-96. doi: 10.1054/ctim.2000.0353 This article is peer reviewed. This article is a systemic review of published research investigating the use CAM in the general public. It may not apply to my population of hospice patients but it does apply to the knowledge and the prevalence of complementary and alternative medicine among patients in general. The article describes quantitative analysis by which a protocol which was developed to conduct a systemic review of published research. Twelve studies were reviewed from research. This article reviewed twelve studies and included six countries. The most aggressive studies were conducted in Australia and the US, showing a high proportion of the population using CAM. This study was large and global enough to be able to use as a guide for use in future studies and use.
6). Bardia, A., Barton, D., Prokop, L., Bauer, B., & Moynihan, T. (2006). Efficacy of complementary and alternative medicine therapies in relieving cancer pain: A systematic review. American Society of Clinical Oncology, 24(34), 5457-5464. doi: 10.1200/JCO.2006.08.3725 This article is peer reviewed This article is a systematic review of randomized controlled trials (RCTs) evaluating CAM therapies. This applies to the chosen topic. The article describes quantitative analysis from RCTs using CAM interventions for pain control. These were abstracted using Medline, Embase, Cinahl, Amed and Cochrane databases. This type of research is significant to the project because there is a lack of evidence based about their efficacy. In this article, eighteen trials were identified with a total of 1499 patients. The study sample is not large enough and there is paucity of multi institutions evaluating RCTs for CAM here. The short term promising effects of hypnosis, massage, acupuncture cannot be recommended from this study due to the shortage of rigorous trials according to the American Society of Clinical Oncology.
Excerpt From Essay:
Essay Instructions: My research paper will focus on the hospice care community. I will address the challenges of treating terminal disease and maintaining quality of life standards that medical professionals, patients and their families face. Hospice care is becoming more relevant in our society as terminal diseases become a more significant cause of death. This is why it is important to understand the community involved in hospice care and its history.
Do need 8-10 cited sources MLA 12 page double spaced research paper.
Describes and analyzes hospice Community Who are its members? What of their values? What History they share? how the community formed where and what boundaries? and when? For the Santa Cruz County, California.
Mission or Rational
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