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Types of Diet Trends Cancer Survivors Follow After Treatment and What Influences Their Nutrition Choices: A Cross-Sectional Survey
No full textBackground: The nutrition care experience, attitudes, and beliefs of cancer survivors have rarely been studied despite the evident ability of nutrition to impact symptoms experienced during cancer treatment. The current study aimed to evaluate diet-related issues, access and sources of nutrition information, perceived importance of nutrition, and current diet trends within the cancer survivorship population. Methods: This survey was distributed by accessing a variety of different cancer survivor groups on multiple social media platforms. Survivors who had been diagnosed and treated for cancer in the United States at least six months prior to completing the current survey were asked to complete 41 questions about the nutrition experience they have had during and after treatment. In total, 12 valid responses were used. Results: Most participants (75%) experienced significant unintentional weight loss (16.6% total body weight average) during treatment, and the same amount rated nutrition as being moderate to extremely important during their treatment. However, most participants (75%) reported never seeing a dietitian and sometimes/rarely/never being asked about nutrition by a health professional. Half of the survivors reported wanting to lose weight currently during survivorship, yet most (91.7%) have not been asked about nutrition by their primary care providers. More than half of participants (58.3%) follow specific diets; intermittent fasting (28%), and ketogenic lifestyle (27%). Participants report hearing about these diets from friends, family, and social media (85.7%). Most of the survivors also consume supplements every day (73%). None of the participants chose the option “inadequate food sources” as a reason for taking supplements. Conclusion: While nutrition is considered important by cancer survivors and a high proportion experience potentially serious diet-related problems including weight and muscle loss, most participants did not have access to a dietitian during treatment. Most participants are also pursuing fad diets and utilizing supplements that they have heard about from non-evidence-based, non-professional sources. Nutritional screening and referral to dietitians should be implemented into the continuum of care for cancer patients into cancer survivorship. With these implications, we can improve the quality of life and lifestyle of cancer survivor
Servant Leadership and Organizational Stewardship in Selected Corporations: A Literature Review
No full textWhile there is no shortage of research, either qualitative or quantitative, on the subject of servant leadership within organizations, there seem to be few organizations publicly stating their practice of servant leadership. A comprehensive literature review investigated the connections between servant leadership and the practice of organizational stewardship to determine if practice of or participation in organizational stewardship may be an indicator of servant leadership. Three different companies were evaluated: The Toro Company, Tractor Supply Company, and John Deere, for evidence of organizational stewardship that may be an indicator of servant leadership practice. Many researchers have explored the distinctive nature of servant leadership. This literature review used the characteristics of servant leadership combined with various leadership frameworks. Having reviewed the distinctive characteristics of servant leadership proposed by Grisaffe, VanMeter, & Chonko (2016), which include serving first and selflessly focusing on others� needs, evidence of organizational stewardship was then sought which benefited all the stakeholders proposed by the research of Lemoine, Eva, Meuser and Falotico (2019). New public expectations to deliver value not just to shareholders, but to all stakeholders highlight the important of the revised role of corporations in practicing organizational stewardship. It seems that the two distinctive characteristics of servant leadership set apart those organizations practicing organizational stewardship from others demonstrating transactional or transformational leadership. Conclusions suggest that continued practice of organizational stewardship combined with clear statements of purpose will enable organizations to create profits as a result of serving first and focusing on others� needs � the key characteristics of servant leadership practice
Reducing Readmissions Using a Standardized Discharge Bundle
No full textInpatient readmissions signals potential failure by healthcare providers to adequately address the transition of a patient to the home setting. The quasi-experimental study aimed to determine the efficacy of the Project RED discharge bundle on reducing readmissions by 10% in patients aged 45 years and older with a medical diagnosis discharging to home for self-care. A retrospective review of patient discharges meeting the studies inclusion criteria captured pre-intervention data for later comparison. Nine project registered nurses (RNs) were then identified and provided with education on the Project RED bundle. The RNs then utilized the bundle for qualifying discharges over 6 weeks. The comparison results of rate of readmission for the pre- and post- intervention groups were non-significant (?2 (1, N = 159) = 1.98, p = .159) even though there were no readmissions in the intervention group. Comparison of readmission rates for participants who received the full intervention bundle to rates of participants who did not receive all components of the bundle revealed reduced readmissions for the full intervention group (?2 (1, N = 22) = 4.71, p = .030). Future exploration on the effectiveness of the Project RED bundle on reducing readmission should inclusion of a variety of care settings, diversity in patient characteristics, and increased sample size
Comparing Antiseptic Vaginal Preparation Solutions Used in Hysterectomies
No full textTo compare chlorhexidine and iodine antiseptic vaginal preparation solutions used in hysterectomies for infection prevention
Caffeine Education
No full textThe purpose of this study is to determine the beneficial effects of patient education regarding caffeine, in addition the provision of a united nursing consensus on the adverse effects of caffeine use
Environmental Effects on BDNF, its Detection and Use In Neuron Plasticity
No full textDisorders such as Depression and Anxiety have been shown to be directly linked to stress in the brain and the effects of chronic stress and how it sets the stage for depression and anxiety to start due to the lack of maintenance of the neurons allowing for it to progress. Specifically, the lack of being able to reorganize the neuron has been shown to allow for these disorders to develop quicker. It has been shown that this is linked to the lack of a protein produced in the brain called, brain derived neurotropic factor (BDNF). BDNF is a growth factor that is used by the cell's dendrites to enhance the survival of the Neuron cells. (Bathina and Das 1164-1178) The use of BDNF in both developmental treatments and therapy have been thoroughly documented and used from general inflammation to type 2 diabetes and general neurological disorders. BDNF in particular is very clinically important due to its large signaling cascades where a single action leads to hundreds of others such as how BDNF is attributed with making the neuron have more malleable plasticity. Its use in treatment is well known overall but its use in development isn't. We set up two populations of rat's in enriched and standard environments that were both under the same stressors, and then examined the BDNF levels in their prefrontal cortex and their hippocampus via a western blot. (More than 20 Blots) We were only able to detect BDNF once due to the nature of western blots, and due to this have started to set up a robust framework for western analysis of rat BDNF
Post-Kidney Transplant Weight Gain: An Opportunity For Improved Outcomes
No full textWeight gain following kidney transplantation is a common issue which has negative health impacts on outcomes and graft function. Type 2 diabetes (T2DM) is one of the leading causes of chronic kidney disease, having both disease processes increase the mortality risk significantly. This research project aimed to identify reasons for weight gain by identifying T2DM disease burden, psychological, and physiological factors on weight gain to provide insight into interventions that could improve patient care and outcomes post-transplant. A non-experimental retrospective descriptive research design was used. Charts were reviewed for inclusion criteria on those who underwent a transplant between August 2020 to December 2020. A survey consisting of the Diabetes Distress Scale (DDS), B-Wise Scale, and EQ-5D-5L scale to measure diabetes distress, psychosocial adjustment, and health related quality of life was compiled and sent to those who met inclusion criteria. From the data collected, common themes emerged which included those who gained weight also identified a lower B-Wise score, indicating mild psychosocial issues compared to those who did not gain weight. Those who gained weight also reported a higher level of distress with diabetes management and had an increased HbA1c. Overall quality of life was rated lower for those who gained weight as well
The Importance of Understanding Cultural Differences for Pain Assessment and Management
No full textThe purpose is to understand how cultural differences and language barriers affect the accuracy of pain assessments and the quality of pain management in the hospital setting
CNA LIFE: How the COVID-19 Pandemic Impacted CNAs Views of Life and Death
No full textCertified nursing assistants (CNAs) are a key component in health care today. They provide care behind the scenes that help patients in medical facilities to live their lives in healthy and safe environments. They provide care that helps patients recover fully or help them live their lives in the most comfortable way possible. Without CNAs, the healthcare field would be greatly devastated but how does this work affect CNAs? This study explored religious, spiritual, moral, and other beliefs, concepts, and practices in college-age certified nursing assistants (CNAs) working in nursing care facilities during the COVID-19 pandemic. Purposive sampling and the snowball technique were used to identify potential interview subjects who were current college students or recent college graduates employed as a CNA between March 20, 2020, and the present. Interview participants (n=22) were drawn from the South Atlantic, Southeast, and Midwest regions. Semi-structured interviews (60 – 90 minutes) focused on a wide variety of topics including their CNA experience, changes they experienced during COVID-19, challenges of CNA work, the impact of religion and spirituality in their work, the impact of death, their view on the afterlife, and the different types of support they received during this time. Interviews were transcribed, coded, and analyzed for themes. This poster focuses on the impact on college-aged CNAs of resident and patient deaths. Three main themes emerged in the analysis: emotional impact, cognitive impact, and the different means of coping they used to deal with death. Through these themes, it was discovered CNAs can be affected by a death they might see in many ways and have different means of how they cope with their experiences. Some of the participants were greatly affected by their experiences with death while at work, while others were not as affected. The means of coping with these difficult times also differ among the participants. Collectively, the findings from this study reveal CNAs are affected by the death of their patients or residents in a variety of ways and have different methods of coping