Free Essay

Med Oncology

In: Science

Submitted By repoman365
Words 713
Pages 3
Abstract
Medical Surgical floor and an Oncology floor have different management skills depending on the staff that care for these patients on a daily basis. Each floor has their own way of conducting the best possible care to the patients and the outcome is the same for each department. Making sure the patients and family have the best possible experience while in the hospital. This all begins at the lowest level employee that is employed on that particular floor.

Case Study Proposal
Introduction and Preparation
Identify the Clinical Problem
Early inception of palliative care to direct pain and symptoms offers the benefit to promote good positive life care for patients that are dealing with cancer. The avenue to provide the needs to giving the best palliative care and pain management services fluctuate congruent to the patient and their needs, resources, care giver training, and the hospital setting. This paper will help in describing the management of the Oncology unit in the clinical setting. Collective efforts, planning, support from administrators, and time are necessary in implementing the care needed for the cancer patients and their families (Marchetti, P., Voltz, R., Rubio, C., Mayeur, D., & Kopf, A. 2013). To accommodate this work established by resources, staff, and management different approaches were taken, including structuring of services within oncology units; creation of an integrated partnership between oncology and palliative care departments; establishment of a multidisciplinary comprehensive service; and incorporation of nurse-based pain services to address acute, chronic, and cancer pain. These examples offer insights into how to optimize delivery of services in a variety of settings with varying resources (Marchetti, P., Voltz, R., Rubio, C., Mayeur, D., & Kopf, A. 2013).
The management of the medical surgical floor is not that different from the Oncology floor. You have the same type of personnel with patient care technicians, your nurses, doctors, and other essential personnel that makes the stay and care for the patient and the families a positive outcome. Management styles differ from person to person and provider to provider, but the care needs to be the same all the way around. On the medical surgical floor you take control and care for many different diseases and in their different stages of that disease. As a nurse, you need to be sharp and fundamentally sound when it comes to the care your patients because if you make that one mistake whether it be medication error to not conducting proper hand hygiene can set about a cataclysmic downward spiral that can cause serious illness and even death to your patient. Having good management skills will help the nurse in valuable ways. In dealing with patients on any floor you first need to have invaluable time management skills. You may be dealing with a few patients to possibly as much as 7-10 depending on the size of the staff. With this many patients time management skills become vital in making sure that all care is completed to each patient at the time they are required to receive it. If failure to provide the care or medication not provided on time can cause a serious issue for the patient and the nurse and staff in general as well.
As you can see management from floor to floor at a hospital is essential in care of our patients and their families. If people are not properly trained and educated then serious consequences will occur and a patient can in fact die. From the patient care technician all the way to the President of the hospital, everyone plays a very important part of making sure valuable care is given to all that need it in the hospital setting.
References

Barreto, G. G., Pardo, R. R., Infante, Y. Y., & Marquez, Y. Y. (2012, November). Program Design for Stress Management in a group of Administrative Employees at an Oncology Unit. CARACAS-VENEZUELA. In ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (Vol. 8, pp. 271-271). 111 RIVER ST, HOBOKEN 07030-5774, NJ USA: WILEY-BLACKWELL.

Finkelman (2012). Leadership and Management for Nurses, 2nd Edition

Marchetti, P., Voltz, R., Rubio, C., Mayeur, D., & Kopf, A. (2013). Provision of Palliative Care and Pain Management Services for Oncology Patients. Journal of the National Comprehensive Cancer Network, 11(suppl 1), S-17.

Similar Documents

Premium Essay

Michael Ignatieff's "Deficits"

...Case report Cultural differences in truth-telling to cancer patients: Chinese and American approaches to the disclosure of ‘bad news’ Dong Xue1, Jane L Wheeler 2, Amy P Abernethy 2 Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Integrated Traditional Chinese and Western Medicine, Peking University School of Oncology, Beijing Cancer Hospital, Beijing Institute for Cancer Research, Beijing, PR China, 2Division of Medical Oncology, Department of Medicine, Duke University Medical Center, Durham, NC, USA A central challenge of the palliative care clinician, and of the oncologist who sees patients with advance disease, is that of ‘breaking bad news’. As this conversation requires that the clinician divulge extremely sensitive and personal information, and usually incurs an emotional response from the patient, truth-telling to advanced cancer patients is not only a challenging task but also one likely to be handled differently in cultures according to differing norms for interpersonal behavior and communication. China and the United States, with their deepset communitarian vs. individualistic ethics, respectively, typify divergent cultures....

Words: 5891 - Pages: 24

Premium Essay

Assistant Professor of Medicine

...de Souza et al. BMC Health Services Research 2012, 12:481 http://www.biomedcentral.com/1472-6963/12/481 RESEARCH ARTICLE Open Access Unsupported off-label chemotherapy in metastatic colon cancer Jonas A de Souza1,2*, Blase Polite1,2,3, Monica Perkins4, Neal J Meropol5, Mark J Ratain1,2,6, Lee N Newcomer4 and G Caleb Alexander7 Abstract Background: Newer systemic therapies have the potential to decrease morbidity and mortality from metastatic colorectal cancer, yet such therapies are costly and have side effects. Little is known about their non-evidence-based use. Methods: We conducted a retrospective cohort study using commercial insurance claims from UnitedHealthcare, and identified incident cases of metastatic colon cancer (mCC) from July 2007 through April 2010. We evaluated the use of three regimens with recommendations against their use in the National Comprehensive Cancer Center Network Guidelines, a commonly used standard of care: 1) bevacizumab beyond progression; 2) single agent capecitabine as a salvage therapy after failure on a fluoropyridimidine-containing regimen; 3) panitumumab or cetuximab after progression on a prior epidermal growth factor receptor antibody. We performed sensitivity analyses of key assumptions regarding cohort selection. Costs from a payer perspective were estimated using the average sales price for the entire duration and based on the number of claims. Results: A total of 7642 patients with incident colon cancer were......

Words: 5524 - Pages: 23

Free Essay

Oncology

...Oral Oncology 50 (2014) 577–586 Contents lists available at ScienceDirect Oral Oncology journal homepage: www.elsevier.com/locate/oraloncology Review ACR Appropriateness CriteriaÒ thyroid carcinoma Joseph K. Salama a,⇑, Daniel W. Golden b, Sue S. Yom c, Madhur Kumar Garg d, Joshua Lawson e, Mark W. McDonald f, Harry Quon g, John A. Ridge h, Nabil Saba i, Richard V. Smith j, Francis Worden k, Anamaria Reyna Yeung l, Jonathan J....

Words: 8262 - Pages: 34

Free Essay

Hypercalcemia

...Overview Hypercalcemia is the most common life-threatening metabolic disorder associated with neoplastic diseases, occurring in an estimated 10% to 20% of all adults with cancer. It also occurs in children with cancer, but with much less frequency (approximately 0.5%–1%).[1-3] Solid tumors (such as lung or breast cancer tumors) as well as certain hematologic malignancies (particularly multiple myeloma) are most frequently associated with hypercalcemia.[4] Although early diagnosis followed by hydration and treatment with agents that decrease serum calcium concentrations (hypocalcemic drugs) can produce symptomatic improvements within a few days, diagnosis may be complicated because symptoms may be insidious at onset and can be confused with those of many malignant and nonmalignant diseases. However, diagnosis and timely interventions not only are lifesaving in the short term but also may enhance the patient’s compliance with primary and supportive treatments and may improve quality of life.[5] When a patient has a refractory, widely disseminated malignancy for which specific therapy is no longer being pursued, the patient may want to consider withholding therapy for hypercalcemia. For patients or families who have expressed their wishes regarding end-of-life issues, this may represent a preferred timing and/or mode of death (as compared with a more prolonged death from advancing metastatic disease). This option is best considered long before the onset of severe hypercalcemia......

Words: 10714 - Pages: 43

Premium Essay

Topical Morphine

...Topical morphine seems to be safe and efficacious in the treatment of ulcer-related pain.1,2 At the Medical Oncology Department of the University of L’Aquila, five patients with malignant or benign painful ulcers were observed recently. All were affected by metastatic cancer and were receiving opioids; none was receiving disease-oriented therapies. On admission, all patients reported pain localized to ulcers, which was no longer controlled by systemic treatment; pain scores were O 5 on a numerical rating scale (NRS). Morphine was topically applied to ulcers three times daily (morphine sulfate injection 10 mg in 8 g Intrasite gelÒ, Smith & Nephew, Agrate Brianza, Italy). The morphine dose was the same in all patients, regardless of the ulcer size and the scheduled systemic treatment. Ulcers were washed before treatment with a ringer lactate and metronidazole solution. Systemic treatment was not modified. Pain was assessed daily by the patients using the NRS; nurses reported local and/or systemic adverse effects related to treatment in nursing charts. Patients were observed in the hospital for seven days. Characteristics of patients and pain scores are reported in Table 1. All patients responded References 1. National Institutes of Health NIDDK/DKUHD: Excerpts from the United States renal data system 2001. Annual data report. Am J Kidney Dis 2001; 38(Suppl 3). 2. Poppel DM, Cohen LM, Germain MJ. The...

Words: 1016 - Pages: 5

Premium Essay

Mega

...(Last updated April 2010) Königinstraße 5 80539 München Tel.: (089)2888-0 http://munich.usconsulate.gov DOCTORS AND MEDICAL SERVICES – MUNICH The U.S. Consulate General Munich, Germany, assumes no responsibility or liability for the professional ability or reputation of, or the quality of services provided by, the following persons or clinics. Inclusion on this list is in no way an endorsement by the Department of State or the U.S. Consulate. Names are listed alphabetically, and the order in which they appear has no other significance. The information in the list on professional credentials, areas of expertise and language ability are provided directly by the physicians. You may receive additional information about individuals by contacting the local medical association (or its equivalent) or the local licensing authorities. NOTE: Medical service in Germany is of a high standard. Charges for private patients can be approximately the same as those assessed in the United States but vary from physician to physician. University professors are likely to charge higher fees than other doctors on the list. These fees, however, in view of the physicians’ standing in the medical community are not considered excessive. Tourists should be prepared to pay in cash when they visit a doctor. For hospital admittance, except in emergency cases, a deposit is usually required to cover a five day stay. All cities, town and rural areas in Bavaria will have University,......

Words: 7722 - Pages: 31

Premium Essay

Sanofi Example Class

...SANOFI: Example Class Lecture CBA University provides the students with an example class, in which they let them, see and experience how companies work. We were fortunate to see one of our graduate working for one of the most knowable multinational pharmaceutical company. It was motivating to see how successful she was since she graduated and I believe it was an honor to be back as a representative and to give an overall introduction to a well-known company in a class she used to take. In this example class she talked about her company SANOFI, what they do, the pharma industry dynamics, and business to business modem. At first we did not know what was SANOFI? She said it was for private reasons, because they don't promote it directly to consumers but actually though healthcare professionals. She continued talking about SANOFI which is the fourth leading pharmaceutical company with revenue of €33 billion from last year. SANOFI offer both chemical and biological molecules which is becoming 8% of SANOFI research and development. The company has a diversified offer therefor they don't just make drugs but also healthcare solutions, devices and vaccines. SANOFI is present in 100 countries including Saudi Arabia. It has over 110.00 employees all over the world and with a 112.00 industrial site. SANOFI has a long heritage it established in 1718 and it went through a lot of merges with other companies. It went from SANOFI to Sanofi-Synthélabo to Sanofi-Aventis in 2004 and......

Words: 907 - Pages: 4

Premium Essay

My Career Choices

...They can also specialize in certain nursing fields, such as: neonatal nursing, patient educator, oncology, and clinical nurse manager. The need for nurses also gives you some flexibility for your schedules, various shifts are offered, such as: four, eight and twelve hour shift and weekends only. LPN have limited skills, as an RN my skills will be unlimited. I would be able to provide more extended care, to my patients. As an RN I would be able to assess, diagnose, plan, implement, and evaluate. Upon a patient’s admission, stay and discharge RN’s are able to provide teaching and education. RNs also have...

Words: 388 - Pages: 2

Premium Essay

Tyrew.Com

...The first phase is likely to become operational without the oncology department within the next couple of months. Said Debashish Poddar, managing director, BP Poddar Hospital & Medical Research Limited, "It will not be a so called state-of-the-art hospital but a hospital, which will ensure healthcare deliver of international standards within the affordable limits of the common man. The hospital is the culmination of the dream of Arun Poddar, Chairman of the Group and his family to perpetuate the memory of his father Late BP Poddar, he added. Despite being a multispeciality unit, the focus area of the hospital will be oncology. All possible imaging facilities will be provided at the hospital. The management has applied for necessary regulatory clearances from Bhaba Atomic Research Centre (BARC) to start radiation therapy for treatment of cancer. According to Dr Subrata Das, medical director, BP Poddar Hospital & Medical Research Limited, "With a few dedicated hospitals in the region dedicated to oncology, the proposed hospital will take care of all the needs of the cancer patients. We are in the process of installing the latest equipment in the hospital to provide the best possible medical care." The management will be investing substantially on training of human resources. Said Shantanu Ray, a renowned academician and a director of BP Poddar Hospital & Medical Research Limited....

Words: 5447 - Pages: 22

Premium Essay

Smoking and Lung Cancer

...CHOVIL, MA, MB, B CHIR MPH, DAB PREy MED This paper considers modern theories of carcinogenesis as they apply to the induction of lung cancer by tobacco smoking and occupational exposure to carcinogens. Some of the known and postulated factors affecting carcinogenesis are discussed, with particular reference to syncarcinogenesis and thresholds. Factors affecting the intensity of smoking exposure are reviewed, and the generally accepted occupational lung carcinogens are listed. Relative risks for the various carcinogens according to smoking status (where known) are presented. The carcinogens are considered individually, and known or postulated interactions with smoking are discussed. It is concluded that the effects of lung carcinogens can be explained on the basis of current theories that support a rational definition of priorities for the prevention of occupational lung cancer. Cette etude s'interesse aux th6ories modernes de Ia carcinogenese telles qu'elles s'appliquent a l'induction du cancer du poumon par le tabac et par les risques du metier relie aux carcinogenes. Ouelques facteurs connus ou postules relatifs a Ia carcinogenese sont discutes, avec un interAt particulier pour Ia syncarcinogenese et les seuils de tol6rance. Les facteurs qui influencent l'intensite de l'exposition au tabac sont revus et on fait l'inventaire des carcinogenes pulmonaires relies au metier....

Words: 3797 - Pages: 16

Free Essay

Nursing Study

...The physical, emotional, cognitive and behavioral responses from an individual are likely to experience in response to a newly diagnosed condition with a poor prognosis. Imagine a person newly diagnosed with a poor prognosis and what the person response would be? Prognosis is a medical prediction of the future course of a disease and the chance for recovery.This essay will attempt to discuss responses from four aspects which are physical, emotional, cognitive and behavioral when person diagnosed with a poor prognosis. Essay will identifies response of each aspect and give examples. Identify the most of responses associated with grief. Essay introduces Kubler Ross’s Stage of dying theory and use theory to demonstrate emotional responses. A new diagnosis of life-threatening disease has a broad impact on a person's emotional, cognitive, social, spiritual, and physical well-being (Hill, Muers, Connolly, & Round, 2003) When someone confronts life-threaten illness that exceed coping resources, the reaction from emotional, cognitive, behavioral, and physiological is psychological stress. Responses are dependent on wide range of factors, such as the nature of the stressor, individual's physical and emotional capabilities, life experiences, social environment, coping skills, resources, and so on. (N.A. Kasparian.2013) Physical responses depend on disease such as painful, insomnia, headache, tachycardia, hyperventilation, anorexia, and diarrhea and so on. Other......

Words: 1245 - Pages: 5

Premium Essay

Vemurafenib: a Potentially New Standard of Care?

...Progress in this area of oncology research has been very slow with the “average prognosis for patients with stage IV metastatic melanoma being 8-18 months” (Chapman., 2011). Proven research shows that the standard chemotherapy regimens don’t actually extend the lives of these patients. The standard first line treatment for late stage metastatic melanoma is dacarbazine (DTIC), used either alone as a single agent or in combination with other chemotherapy agents, and the effects have been minimal. The dacarbazine regimen usually shrinks the tumors for a temporary period, “about 3-6 months,” and then they begin to grow again. (Melanoma Skin Cancer, 2011). Recent research in the past five years has led to some targeted immunotherapy drugs like ipilimumab and peginterferon alpha-2b which have shown some promising results in helping to extend life expectancies for these patients. On August 17, 2011 the Food and Drug Administration gave some much needed hope to these patients with the approval of vemurafenib (Zelboraf). An orally administered targeted chemotherapy agent that has shown statistically significant results in “reducing the risk of the persons illness progressing and improved short term survival rates” of people with metastatic melanoma who have the BRAF V600E mutation as compared to standard treatments of dacarbazine in a Randomized Phase III large multi-center clinical trial (Vemurafenib - New Drug for Melanoma Skin Cancer, 2011)....

Words: 1737 - Pages: 7

Premium Essay

Possible Entry Strategy of Indian Pharma Mnc Into Europe

...FUTURE PLANS Short Term (Up to 2 years) • Seek Regulatory Approval for its Oncology, HIV and Smoking Cessation products. (200-250 days process) • Buying Manufacturing Facility in Turkey. • Facilitate Export to Central and Western Europe. • Manufacturing Company to be acquired: Keymen $68 million valuation (Rs 415 Crore ) Two manufacturing facilities in Ankara...

Words: 547 - Pages: 3

Premium Essay

Gagne's Eight Distinctive Types of Learning

...REDONA WAGSTAFF 1339 Dorado Drive Apt B, kISSIMMEE, FLORIDA 34741 Home: 407-201-8857 - Cell: 407-433-5856 : redonaw10@gmail.com Career Focus Highly motivated sales associate with extensive customer service and sales experience. Experienced [RETAIL AND SALES SUPERVISOR] professional with strong leadership and relationship-building skills. Summary of Skills q q q q q q q q q q Web-based reporting tools Proficiency in E-Automate Digital Business recovery and sustainability Process development Conflict resolution Negotiation skills Complex problem resolution Strategic planning Quality assurance Customer targeting q MAINTAINS ASSISTS WITH POINT-OF-SALE OPERATIONS INCLUDING EFFICIENT CHECK OUT,POSITIVE CUSTOMER ENGAGEMENT. ASSUMES RESPONSIBILITY OF TOTAL STORE OPERATION WHEN ACTING AS MANAGER ON DUTY. PARTICIPATES IN AND/OR SUPERVISES FREIGHT FLOW,MERCHANDISE PRESENTATION AND RECONCILIATION OF ALL SALES,CASH AND INVENTORY TRANSACTIONS. Accomplishments Process Improvement q Achieved revenue objective by implementing cost-cutting measures. Data Organization q Classified, recorded and summarized numerical and financial data to compile and keep financial records. Data Verification q Checked figures, postings and documents for correct entry, mathematical accuracy and proper coding. Product Roll-Out q Responsible for marketing for product launch including public relations, direct mail pieces, trade shows, sales training and e-mail campaign. Supervision q Supervised team......

Words: 527 - Pages: 3

Premium Essay

Ound, Spirituality and Healing for the Family Experiencing Terminal Cancer: a Case Study of the Application of Mantras

...UNIVERSITY OF CALGARY FACULTY OF NURSING SPRING SESSION 2008 NURSING 607.57 ASSIGNMENT # 3 SCHOLARLY PAPER title: sound, spirituality and Healing for the family experiencing terminal cancer: a case study of the application of mantras Submitted by: Rosato, Mr. Giuseppe Date of Submission: July 18th, 2008 Submitted to: Dr. Carole-Lynne Le Navenec sound, spirituality and Healing for the family experiencing terminal cancer: a case study of the application of mantras ABSTRACT Given the growing interest in North America for CAM, complementary and/or alternative medicine (diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine) and holistic healthcare, health care professionals within the regulation imposed by their professional organization, have the ability to expand the realm of conventional medicine (medicine as practiced by holders of M.D. [medical doctor] or D.O. [doctor of osteopathy] degrees and by their allied health professionals, such as physical therapists, psychologists, and registered nurses) to a holistic healthcare system by integrating CAM modalities such as acupressure, guided imagery, humor, massage, meditation, therapeutic touch/healing touch, prayer and arts in general into their profession. This paper explores a CAM and holistic treatment/healing modality, Mantra Therapy, that conforms to three types of CAM as defined by the United States......

Words: 5803 - Pages: 24