Scholarly Journal Critique Paper

This manuscript is about the impact of participation in a community based exercise program on sleep quality in breast cancer survivors. While this is an important topic and the authors did a great job in describing the intervention, there are still a few issues that need to be addressed.

• You can return to your regular activities and diet unless instructed otherwise by your health care provider.

I learned more about what puts these patients at risk for impaired skin integrity, such as using soap around the peristomal skin when cleaning, accurately measuring before flange placement, and emptying the ostomy before it becomes any more than half full. In regards to nutrition, I learned that patients having an ileostomy are at risk for inadequate absorption of iron, magnesium, folic acid, fat, and vitamin B12. These patients are also at risk for an increased loss of water and sodium. They are more likely to develop stones in the kidneys and gallbladder as well. Knowing these details alerts me as to what nutritional supplementation and education the patient might need. For those with urostomies, I learned that it is necessary to monitor hydration status and to encourage the use of vitamin C or cranberry juice to decrease urine pH. This promotes a clean site around the stoma. Lastly, Schreiber’s article taught me more about the patient’s need for education and assistance (possibly financial) with caring for his or her own ostomy after discharge. Because the patient is likely to be discharged quickly, it is important to implement teaching and encourage the patient to share concerns. I am now aware also of education that can be beneficial in relation to body image and returning to one’s usual lifestyle.

The exercise group showed improved sit to stand performance one week after surgery with the control group having no change in their sit to stand performance and showed an increase in pain. One

Casey, A., & Goldman, E. (2010). Enhancing the Ability to Think Strategically: A learning model. Management Learning, 41, 167–185.

this, moderate-to-severe postoperative pain impaired a range of necessary daily functioning activities as walking ability, general daily activity, motivation, social relationships,

After 27 physical therapy visits post surgeries in a period of 6 months the patient reported no perceived disability with work after 52 weeks. Although, some functional disability was experienced when it came to general activities and sports between 4 to 13 percent based on the QuickDASH. Pain levels reported by the VAS remained considerable low. The subject reported pain level between 0-4 on a 10 scale; pain decreased to zero by week 10.

Globally, around 31% of adults aged 15 and over were insufficiently active in 2008 (men 28% and women 34%). Approximately 3.2 million deaths each year are attributable to insufficient physical activity (WHO, 2013). Physical activity is defined as any bodily movement produced by skeletal muscles that require energy expenditure (WHO, 2013). Physical inactivity is estimated to be the main cause for approximately 27% of those who have diabetes (WHO, 2013). In order to globally take control over this worldwide epidemic of type 2 diabetes, physical activity needs to become a daily activity in each and everyone’s lives. Physical activity is extremely important as it helps keep blood glucose, blood pressure, HDL cholesterol and triglycerides in check. It helps lower the risks of type 2 diabetes (WHO, 2013).

Your health care provider may recommend that you limit physical activity for a few days after the procedure. Ask your health care provider what activities are safe for you.

1. Armstrong, Elizabeth A. et al. (2014). “Good Girls”: Gender, Social Class, and Slut Discourse on Campus. Social Psychology Quarterly, 77(100), 100-122. Doi: 10.1177/0190272514521220.

2017, p.1334). The Stoma Therapy Nurse will be an important part of and will direct Simon’s preoperative and postoperative care (Crisp et al. 2017, p.1334). In addition, the Stomal Therapy Nurse is trained to care for Simon’s stoma whilst in the hospital (Burch 2013b). They will be able to answer any questions or queries Simon has about his preoperative and postoperative care (Burch 2013b). Additionally, providing educatation for Simon about practical care teaching him what is normal, abnormal and what he should do should a problem occur, information about diet and any diet changes Simon would need to make to prevent complications from occurring, let Simon know how to obtain stoma supplies in the community and general information such as hobbies, exercise and work (Burch 2013b). The Stomal Therapy Nurse is an important part of the inter-professional collaboration in helping Simon post-operatively as they can help educate Simon about stomas and changing of stoma appliances (Fleming & Mortensen 2015). Should any complications or difficulties occur the stoma nurse can offer advice to Simon, and allow for the problem to be resolved (Fleming & Mortensen 2015). Due to the expertise of Simon’s Stomal Therapy Nurse, they are vital to his stoma management and post-operative recovery (Fleming &

Although exercise is usually beneficial for your overall health; refrain from vigorous exercise the day before your surgery.

The objective of this article critique is to review and evaluate several empirical studies which have examined mathematics perception cross-culturally. The main study that focuses on examining mathematics perception cross-culturally is a study that was done in 2004 by Dr. Yea-Ling Tsao. In this study, researchers proved that Taiwanese students consistently score higher in cross-national studies of achievement than American students. Several other studies were done that also support this theory. Therefore, the main purpose of this article critique is to evaluate Tsao’s study in order to properly assess both the validity of Tsao’s design and the inferences drawn from the study. This critique will also show that, while

2) There is a significant decline in physical activity levels in women after they receive the diagnosis of breast cancer.2

My week was long and a bumpy rollercoaster. I was sick towards the first half of the week which made my days drag. However, I remained energetic for my class because this week was Read Across America week. The school had a Dr. Seuss book theme each day. I dressed up and the kids dressed up. It was so sweet and we delved into Dr. Seuss. We discussed his stories messages, the rhymes, real words vs. made-up words, and connections to our lives. The only downside was that a handful of our students were sick this week. On Wednesday, our class started out at fourteen and by 12:45 we had eight students left. It made classroom management easier, but I missed the smiling faces of the absent students.