Wailed Vs. Face-To-Face Interview

Rehabilitation, what is rehabilitation? Rehabilitation is the action of restoring someone to a normal life through training and therapy after incarcerated, addiction or illness. Rehabilitation can be used for an offender who has committed a crime and is incarcerated, someone who is struggling with addiction or illness. Rehabilitation was originated in 1779 by the British Government as part of the Penitentiary Act, rehabilitation would consist of punishment along with treatment for the offenders. (Benjamin Disraeli 2004). The purpose of rehabilitation is to treat the offender in order for the offender to return to society and be able to contribute, rehabilitation is also a punishment for breaking a law.

Cancer has one of the biggest effects on the patients mental health but also the patients loved ones and friends. It is one of the hardest things to get a grip on when the doctor tells someone that they have cancer and a fifty-fifty chance of making it. "The disease can bring many changes-in what people do and how they look, in how they feel and what they value" (Dakota 4). It makes people look at the world and their lives in a different way, valuing now what they took for granted and seeing the bigger picture in every scenario. It is something that no one can actually brace, even after the doctor tells them. Through it all though, the person must remain strong and optimistic because the cancer can affect the person's moods and in return affect the outcome of the person and the chances of their making it

This chapter written by Rose and Daste provide mental health professionals with information and recommendations to establish sensitivity within the make-up of the groups supporting those with cancer (Grief & Ephros, 2010). The authors also provide insight on the complexities and differences among a group of people that have a generally similar medical diagnosis, such as cancer, but a myriad of uniqueness (Grief & Ephros, 2010).

When I spoke to the Doctor, she recommended that we have surgery, not knowing if they would diagnose the disease as advanced as my Mom. I was scared, not knowing what the outcome would be. I was just forty-nine years old, and I prepared myself for a fight and battle; I wasn’t going to let this disease win. Preparing for the treatments and keeping a positive attitude was my survivor tool. After surgery, my cancer was diagnosed as stage one and the tumor being very minuscule. The Doctor recommended for me to have 30 radiation treatments and no chemo ordered. Every day, I would wake up and say to myself “yes I am going to stay active and positive and beat this disease”. In Geneva where I live there is a facility called the Living Well Cancer Resource Center; I would drive past it daily not knowing that this facility would be part of my life for the next six months. I was recommended to check out the support cancer group meetings they held. I attended my first session by myself, and I also started my radiation treatments the same week. I never attended any type of support groups or addiction meetings, so I didn’t know what to expect. The meeting started off with a panel of ladies who are all cancer patients or cancer survivors. We each took our turn to introduce ourselves and talk about what cancer you been diagnosed with, and how long you been going for

All of the patients were evaluated for ASD within one month of receiving their confirmation of cancer, but prior to getting any primary or adjuvant treatment. The assessment used for the patients was ASDI and SCDI. Seven other questionnaires, the European Organization for Research and Treatment of Cancer-Core Questionnaire, the Mini-Mental Adjustment to Cancer Sale, the Peritraumatic Dissociative Experiences Questionnaire, the Beck Depression Inventory-Second Edition, the State-Trait Anxiety Inventory-Form Y, the Posttraumatic Cognitions Inventory, and the Duke-UNC Functional Social Support Sale, were also given to the patients. Of the 82, 56 had cancer of the head or neck and 26 had cancer of the lungs. 27% were diagnosed with stage 1, 52% with stage 2, and 11% with stage 3 cancer. At the six month follow up of the study, only 63 patients were available to participate further due to the other 19 patents succumbing to their diagnosis, being too ill, or being unable to locate. All were assessed either in person or by telephone, with no differences affecting the study. (Kangas, Henry, & Bryant,

psychological pain and discomfort. Hope has been pinpointed as a necessity in the lives of

The hair on our head has a growth rate of about one-half of inch in a month. It grows between 2 and 6 years. After accomplishing this period, it'll begin to fall out often called resting segment and might be replaced by using new hair that has began to grow from the equal hair follicle. This hair cycle goes on in our life besides for circumstances where its progress will probably be disrupted.

Distress is an unpleasant emotional experience of a psychological, social and/or spiritual nature that might interfere with the ability to cope effectively with cancer, its physical symptoms and the treatment that occurs, before, during and/or after the diagnosis (NCCN, 2003). In the Psychosocial aspect of cancer patients and their diagnosis, the distress thermometer is a tool that can help both the patients and staff in beginning a conversation with each other about difficulty going on before or after a cancer diagnosis. People who are at a higher risk of heightened distress, are people with subordinate cancer diagnosis, in reoccurring cancer patients, in younger patients, and in married people.

Multivariate models were constructed to identify demographic, socioeconomic, medical, and treatment-related factors most predictive of a symptomatic score for the outcomes of depression symptoms and somatic distress among survivors (Table 6). The best model for predicting a symptomatic score for depression consisted of female gender, exposure to intensive chemotherapy, low household income, and lower educational attainment. When considering risk for a symptomatic somatic distress score, the following risk factors are statistically significant: female gender, exposure to intensive chemotherapy, low household income, lower educational attainment, increasing age, and currently being unemployed.

The researcher will use the convenience sampling method to approach the participants and describe the study when the caregiver accompanies a patient to visit oncology clinics after discharged from the initial cancer treatment. Interested caregivers will sign up informed consent and assess with Hospital Anxiety and Depression Scale

The significance of the key words in the PICOT question of: In cancer survivors and their families residing in a Minnesota rural population (P), how does the initiation of the Distress Thermometer screening instrument to monitor psychological distress (I) compared to patient self-report (C) soften the impact of transitioning to primary care after oncology care (O) during a three-month period (T) facilitates the exploration of the research in the psychological distress after cancer survivorship.

The project data will look at the number of distresses and types of distress the client expresses utilizing the DT instrument. An underpinning through the literature review is the actual nurse/provider-patient relationship and offers a more intimate understanding of the actual and perceived distresses of the transition to care rehabilitation. The primary concern of nursing is defining the appropriate

This project seeks to improve DT instrument screening of cancer survivors and their family unit returning to primary care. All cancer patients and their family units could be eligible to participate, however the Breast Clinic (and now the Prostate Clinic) is a pilot clinic location with current development of support groups for spouses, family, and children of cancer patients; this is a quality improvement project to improve patient and family satisfaction with transition from cancer survivorship to “new normal”. The DT instrument will be tested in the Primary Provider Clinic of the rural Minnesota health care facility and the adjoining hospital on the Family Care Unit or Emergency Room, most often admitting cancer patients (see Appendix E). The intervention includes three components: Component 1) education of the primary care providers (nurses, social worker, and physicians) on the DT instrument utilizing a post- test to capture main topics of implementation, Component 2) integration of the DT instrument into the EHR, with granting permission from the NCCN (see Appendix D), and 3) data analysis of patient and their families psychological distress levels against proven psychometric parameters that may lead to further provider interaction and referral to mental health providers.

It is known that physical impairments resulting from cancer and the cancer treatment are best addressed by physical therapists and occupational therapists (Sleight & Duker, 2016).  With this being said, there is a need for more data on rehabilitation needs among oncology patients. It is

Bibliographic information: Richard C. Cardoso & Peter J. Gerngross & Theresa M. Hofstede & Donna M. Weber & Mark S. Chambers. Support Care Cancer (2014) 22:259–267 DOI 10.1007/s00520-013-1960-y.