Perspective Surveillance Model

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The results supported the constructs of attitude, subjective norms and perceived control for the nurses’ promotion of PA to patients. Their beliefs about benefits, risks, and barriers (including their knowledge about PA interventions) of PA promotion significantly impacted the content of patient education activities (p. 241). TPB has strong potential to support the development of interventions addressing health care professional’s perceptions of lymphedema risk. The constructs of attitude, perceived control, and professional social norms can influence patient education content and plans. If patient engagement in symptom management activities (lymphedema assessment and prevention) can be influenced by subjective norms, as TPB proposes, then the beliefs and attitudes of the professionals could shape the knowledge base and skills given to breast cancer patients who live with this disease process.
Perspective Surveillance Model One model to address the need for early and ongoing assessment and intervention for cancer treatment associated side effects is the PSM. Stout et al. (2012) applied the model constructs to the physical rehabilitation and exercise components of cancer care, to include survivorship care. By
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(2016) examined the effectiveness of a surveillance plan for lymphedema management (SLYM) compared to the current standard of care. Their results showed a significant decrease in development of lymphedema over a five-year interval (SLYM-6.4%, standard care-15.1%) when a surveillance program was implemented. Two other factors were shown to be significant for the effectiveness of surveillance: 1) patient compliance with the program and 2) the amount of self-monitoring for lymphedema development. Timing of surveillance visits was also shown to be significant; the first visit less than 30 days after surgical treatment and increased frequency of follow-up visits support early and frequent assessment to minimize risk of lymphedema
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