Complementary Therapy to Relieve Pediatric Cancer Therapy-Related Symptoms in the USA

Children undergoing treatment for cancer often receive chemotherapy or radiation therapy and may experience many symptoms linked to these treatments. This study examined complementary therapies and self-care or dependent-care methods used by pediatric patients and parents to alleviate symptoms during cancer treatments. The specific purposes of this study were to assess symptoms and the complementary therapies and self-care or dependent-care methods used by pediatric patients and parents during cancer treatments. Orem’s self-care/dependent-care concept was used to guide the analysis of the care pediatric patients received. Secondary analysis was done on data collected from a cross-sectional, multi-site study in the Midwestern and Southwestern USA. The sample included 92 parents/children ages 1-17 years old; 52% were females; 16 were less than 5 years old; 53 were 5-11 years old, and 23 were 12-17 years old. Of the cancer diagnoses reported, 56% had leukemia and 44% had other cancer types. The 30-item Therapy-Related Symptom Checklist for Children (TRSC-C) was used to record patients’ symptom occurrence and severity on a 5-pt scale (0, no symptom; 4, “A whole lot”). The Symptom Alleviation: Self-Care Methods (SA:SCM) tool was used to identify methods parents used to alleviate therapy-related symptoms. To address the study purposes, descriptive data and content analyses were conducted. Symptom occurrences of 19 symptoms were reported by 40% or more of the patients and had a mean severity of “2” or “Quite a bit.” The top five symptoms included nausea, feeling sluggish, hair loss, loss of appetite and vomiting. Of the six categories of self-care or dependent-care methods and complementary therapies, four were found useful; herbal treatments were not mentioned. The two categories most utilized were Prescribed Medications and Mind Body Control. Assessing patient-reported and parent-reported symptoms and the use of self-care and dependent-care methods and complementary therapies help parents cope and help their children.University of Kansas School of Nursing. Bachelor of Science in Nursing Honors Progra

Complementary therapy and care to relieve pediatric cancer therapy-related symptoms in Thailand

Patients undergoing treatment for cancer, whether it includes chemotherapy and/or radiation, experience many side effects that are linked to the treatment. The specific purposes of this study were to examine (a) what Thai parents report they do to help alleviate symptoms that the child experiences during cancer therapy; and (b) what categories of dependent care and/or complementary therapies were those methods reported. Orem’s self-care/dependent-care concept was used to guide the analysis of the care pediatric patients received. Secondary analysis was done of data collected from a larger study at the National Children’s Hospital in Thailand. The sample included children ages 5-17 years (N=100). Of the 100 patients, 71 were male and 29 female; while 75 patients were 5-11 years old, and 25 patients 12-17 years old. Cancer diagnoses can be divided into the following: 63% leukemia, 12% nervous system tumors, 10% solid tumors, 6% lymphoma, and 9% Other. The 34-item Therapy-Related Symptom Checklist for Children (TRSC-C) was used to record patients’ symptom occurrence/severity (0, no symptom; 4, “A whole lot”); and the Symptom Alleviation: Self-Care Methods (SA:SCM) tool was used to identify methods parents used to alleviate chemotherapy-related symptoms. To address the study purposes, descriptive data and content analyses were done. Symptom occurrence of 16 symptoms were reported by 45% or more of patients; and mean severity “2”, or “Quite a bit” of the top five reported symptoms included hair loss, nausea, vomiting, fever, loss of appetite. Of the six categories of self/dependent-care methods/complementary therapies, all were found useful; and, Diet/nutrition/life-style and Mind/Body Control were the most utilized. Assessing patient/parent-reported symptoms and use of self/dependent care and complementary therapies help Thai families cope during pediatric cancer treatments.UNIVERSITY OF KANSAS SCHOOL OF NURSING BACHELOR OF SCIENCE IN NURSING HONORS PROGRAMSELF REPORTED HEALTH PROMOTION BEHAVIORS OF INDIVIDUALS WITH PSYCHIATRIC DISABILITIES IN A WEIGHT LOSS INTERVENTION Biethman, E Hamera, E PATIENT SATISFACTION FOR THE ADULTS WITH DOWN SYNDROME SPECIALTY CLINIC Bowman, S Peterson, M BUILDING STUDENT RESOURCES FOR THE KANSAS CENTER FOR NURSING SCHOLARSHIP & LEADERSHIP Feighny, M Teel, C EXPLORING BARRIERS TO EXCLUSIVE BREASTFEEDING AMONG ADOLESCENT LATINA WOMEN Hansen, L L Wambach, K FAMILY CAREGIVER STRAIN AND RESIDENT DISTRESS IN THE DEMENTIA POPULATION OF NURSING HOME FACILITIES Harris, B Bott, M J COMPLEMENTARY THERAPY/CARE TO RELIEVE PEDIATRIC CANCER-THERAPY RELATED SYMPTOMS IN THAILAND Shanberg, R Williams, P D Piamjariyakul,

Study Protocol of Coaching End-of-Life Palliative Care for Advanced Heart Failure Patients and Their family Caregivers in Rural Appalachia: A Randomized Controlled Trial

Background Heart failure (HF) afflicts 6.5 million Americans with devastating consequences to patients and their family caregivers. Families are rarely prepared for worsening HF and are not informed about end-of-life and palliative care (EOLPC) conservative comfort options especially during the end stage. West Virginia (WV) has the highest rate of HF deaths in the U.S. where 14% of the population over 65 years have HF. Thus, there is a need to investigate a new family EOLPC intervention (FamPALcare), where nurses coach family-managed advanced HF care at home. Methods This study uses a randomized controlled trial (RCT) design stratified by gender to determine any differences in the FamPALcare HF patients and their family caregiver outcomes versus standard care group outcomes (N = 72). Aim 1 is to test the FamPALcare nursing care intervention with patients and family members managing home supportive EOLPC for advanced HF. Aim 2 is to assess implementation of the FamPALcare intervention and research procedures for subsequent clinical trials. Intervention group will receive routine standard care, plus 5-weekly FamPALcare intervention delivered by community-based nurses. The intervention sessions involve coaching patients and family caregivers in advanced HF home care and supporting EOLPC discussions based on patients’ preferences. Data are collected at baseline, 3, and 6 months. Recruitment is from sites affiliated with a large regional hospital in WV and community centers across the state. Discussion The outcomes of this clinical trial will result in new knowledge on coaching techniques for EOLPC and approaches to palliative and end-of-life rural home care. The HF population in WV will benefit from a reduction in suffering from the most common advanced HF symptoms, selecting their preferred EOLPC care options, determining their advance directives, and increasing skills and resources for advanced HF home care. The study will provide a long-term collaboration with rural community leaders, and collection of data on the implementation and research procedures for a subsequent large multi-site clinical trial of the FamPALcare intervention. Multidisciplinary students have opportunity to engage in the research process. Trial registration ClinicalTrials.gov NCT04153890, Registered on 4 November 201

Multidisciplinary Group Clinic Appointments: The Self-Management and Care of Heart Failure (SMAC-HF) Trial

Background—This trial tested the effects of multidisciplinary group clinic appointments on the primary outcome of time to first heart failure (HF) rehospitalization or death. Methods and Results—HF patients (n=198) were randomly assigned to standard care or standard care plus multidisciplinary group clinics. The group intervention consisted of 4 weekly clinic appointments and 1 booster clinic at month 6, where multidisciplinary professionals engaged patients in HF self-management skills. Data were collected prospectively for 12 months beginning after completion of the first 4 group clinic appointments (2 months post randomization). The intervention was associated with greater adherence to recommended vasodilators (P=0.04). The primary outcome (first HF-related hospitalization or death) was experienced by 22 (24%) in the intervention group and 30 (28%) in standard care. The total HF-related hospitalizations, including repeat hospitalizations after the first time, were 28 in the intervention group and 45 among those receiving standard care. The effects of treatment on rehospitalization varied significantly over time. From 2 to 7 months post randomization, there was a significantly longer hospitalization-free time in the intervention group (Cox proportional hazard ratio=0.45 (95% confidence interval, 0.21–0.98; P=0.04). No significant difference between groups was found from month 8 to 12 (hazard ratio=1.7; 95% confidence interval, 0.7–4.1). Conclusions—Multidisciplinary group clinic appointments were associated with greater adherence to selected HF medications and longer hospitalization-free survival during the time that the intervention was underway. Larger studies will be needed to confirm the benefits seen in this trial and identify methods to sustain these benefits

The Journal of BSN Honors Research, Volume 5, Issue 1, Summer 2012

University of Kansas School of Nursing. Bachelor of Science in Nursing Honors ProgramExploration Of Health Care Needs Among Sudanese Refugee Women - Albin, J M, Domian, E. Is There An App For That? Developing An Evaluation Rubric For Apps For Use With Adults With Special Needs - Buckler, T, Peterson, M. The Relationship Between Nursing Characteristics And Pain Care Quality - Davis, E, Dunton, N. The Relationship Between Sleep And Night Eating On Weight Loss In Individuals With Severe Mental Illness - Huynh, Thu Nhi, Hamera, E. Examining Nurse Leader/Manager-Physician Communication Strategies: A Pilot Study - Jantzen, M, Ford, D J. Comparison Of Personal, Health And Family Characteristic Of Children With And Without Autism - Martin, A, Bott, M J. Association Between Obstructive Sleep Apnea And Postoperative Adverse Events - Nielsenshultz, Y, Smith, C, Bott, M, Schultz, M P, Cole, C. Challenges Associated With Partnering With Sudanese Refugee Women In Addressing Their Health Issues - Pauls, K L, Baird, M B. Complementary Therapy To Relieve Pediatric Cancer Therapy-Related Symptoms In The Usa - Slaven, A, Williams, P D

The effect of nurse- led group discussions by race on depressive symptoms in patients with heart failure

Background—African Americans with heart failure (HF) have the highest rates of depression among all ethnicities in the United States. Objectives—To compare the effects by race on depressive symptoms and topics discussed in the first clinic appointment after HF hospitalization. Methods—This study is a secondary analysis of data obtained from a randomized clinical trial that tested a patient group discussion of HF self-management intervention with 93 Caucasians and 77 African Americans. Results—The reduction in depressive symptoms was significantly greater among African American patients within the intervention group (F = 3.99, p = .047) than controls. There were significant differences by race in four topics (dietitian referral, appointment date, help preparing discussion questions, and what to do about worsening HF symptoms) concerning patient-physician discussions. Conclusion—The intervention groups had a greater effect in reducing depressive symptoms among African Americans than Caucasians. Preparing patients for discussions at physician appointments on diet, depressive symptoms, and HF symptoms is recommended

Gender Differences In the Associations of Multiple Psychiatric and Chronic Conditions With Major Depressive Disorder Among Patients With Opioid Use Disorder

Purpose: The study examined the associations of multiple psychiatric and chronic conditions with the self-reported history of major depressive disorder (MDD) among patients with opioid use disorder (OUD) and tested whether the associations differed by gender. Methods: We conducted a secondary data analysis of baseline data from a clinical trial including 1,646 participants with OUD, of which 465 had MDD. A variable cluster analysis was used to classify chronic medical and psychiatric conditions. Multivariable logistic regression analyses were used to estimate their associations with MDD in subjects with OUD. Results: Nine variables were divided into three clusters: cluster 1 included heart condition, hypertension, and liver problems; cluster 2 included gastrointestinal (GI) problems and head injury, and cluster 3 included anxiety disorder, bipolar disorder, and schizophrenia. The overall prevalence of MDD in participants with OUD was 28.3% (22.8% for males and 39.5% for females). Gender, anxiety disorder, schizophrenia, liver problems, heart condition, GI problems, and head injury were significantly associated with MDD. Gender-stratified analyses showed that bipolar disorder, liver problems and individuals with one chronic condition were associated with MDD only in males, whereas heart condition, hypertension, and GI problems were associated with MDD only in females. In addition, anxiety disorder, head injury, individuals with one or more than two psychiatric conditions, and individuals with more than two chronic conditions were associated with MDD regardless of gender. Conclusions: Treatment plans in patients with OUD should not only address MDD but also co-morbid psychiatric and chronic medical conditions that occur with MDD