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.

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).

The feedback from weSpark participants was so positive and encouraging that I started researching the positive effects of exercise on cancer patients and cancer survivors, as well as its effects on osteoporosis, depression, fatigue, and stress. Every week there seem to be more studies supporting this. Out of my research, I developed a 6-week Walking to Wellness Program.

The problem as stated appeared to be of profound significance for determining how to best benefit children with cleft type who have a learning disability in reading. While this may be true, the study resonates that there are signs of inconclusiveness. To specifically address shortcomings to the study, however, the stated problem was not clearly visible to an average reader. The article required several readings to establish the direction the researchers were going with the study. As well as, why the researchers felt this study needed to be done. Undoubtedly, it was limited to the

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

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.

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.

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.

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

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.

A journal article critique refers to the process through which a journal article is examined, explored, and objectively reviewed to establish its strengths and weaknesses as well as highlight how it can be applied to practice (Yeong, 2014). Regardless of the profession that one pursues, the dynamic nature of the modern world means that it is imperative for professionals everywhere to be able to recognize current practice, and the ability and competency to assess and utilize published research is critical to the attainment of this goal. The purpose of this paper is to provide a comprehensive critique of Chen and Li’s (2013) article Assessing the spiritual leadership effectiveness: The contribution of follower's self-concept and preliminary tests for moderation of culture and managerial position.

A qualitative study by Drageset et al (2015) described various women’s experiences following their first year after having primary breast cancer surgery. While some coping mechanisms can have a negative impact upon health, those who ‘take action’, for example, by physical activity experience a positive effect by improving health and overcoming the negative side effects associated with chemotherapy (Loprinzi & Cardinal, 2012). Physical activity is well-known for its positive effects on both health generally and emotions.

Understanding contraindications with post-operative surgery and surgical stress responses in patients with pre-existing diseases or conditions, is the key pathogenic factor to understand. Post-Surgical stress responses include: Pain, Nausea, Hypoxemia, Muscle loss, Immobilisation and Sleep disturbance etc. Increase on the demand of organ functions and activation of other biological responses in the body, is the result of post-operative surgical stress. These changes due to stress on body functions are believed to be induced by endocrine metabolism and activation of several other biological systems in our body. Although these changes are important for survival, if left prolonged, they may give rise to loss of body cell mass and

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