Family Adaptation to Leukemia Diagnosis Essays

Family Adaptation to Leukemia Diagnosis Essays Family Adaptation to Leukemia Diagnosis Essay Family Adaptation to Leukemia Diagnosis Essay We all know that life is non ever just, bad things happen to good people and that we can non foretell the hereafter. This becomes distressingly apparent whenever a kid is diagnosed with malignant neoplastic disease. Harmonizing to the American Childhood Cancer Organization, approximately 12,400 kids in the U.S. are diagnosed with malignant neoplastic disease each twelvemonth. It is the taking cause of disease-related decease for kids. Leukemia is the most normally diagnosed malignant neoplastic disease in kids, accounting for 31 per centum of the instances ( McGrath, 2001 ) . This type of malignant neoplastic disease originates in the tissues that form blood, impacting the white blood cells, doing jobs contending infections and production of other blood cells. While most patients now benefit from long periods of remittal or wellness after initial intervention, the acknowledgment of new psychosocial issues has come to the head. : An person s premises, security, and position of the universe are altered dramatically when the wellness of person they love is threatened. The safety and security of kids is the primary duty of their parents. Parents Teach and steer their kids through the hurdlings of their life and protect them from being harmed by others ; but the world is that they have no control over so many things in their kids s lives including malignant neoplastic disease. When a kid is diagnosed with malignant neoplastic disease, both the parents and their households frequently feel the same sense of denial, weakness, choler, and depression similar to the fright felt by people who suffer through other traumatic events ( Horwitz A ; Kazak, 1990 ) . Frequently, they travel through these emotional provinces before geting at credence and sometimes non in neat and tidy patterned advances. Many of these emotions reappear at different times during the kid s intervention. In many instances, normal household life Mi chigans and parents are all of a sudden focused on the kid with malignant neoplastic disease, determinations about the right or best intervention, programming, trials, and fiscal and insurance issues. Additionally, many parents have other kids who require their attention and attending. Research workers estimate that 51 per centum of mas and 40 per centum of pas who have a kid with malignant neoplastic disease meet the standards for Acute Stress Disorder within 2 hebdomads of the malignant neoplastic disease diagnosing ( Kars, Duijnstee, Pool, Van Delden, A ; Grypdonck, 2008 ) . Many times the diagnosing of childhood malignant neoplastic disease comes at a clip when the household is in the early phases of its ain development. The consequence of unwellness on a household frequently changes the kineticss of that household ; these are the indispensable procedures by which the household maps, makes determinations, gives support to the single household members, and headers with day-to-day life. Based on the 10 Family Life Education ( 2009 ) content countries, the subject of household version to a leukemia diagnosing relates to the Internal Dynamic of Family content country. This content country focuses on household relationships including household strengths and failings and household interrelatednesss. Key processes of communicating, decision-making, and job resolution are included ( Bredehoft A ; Walcheski, 2009 ) . Concentrating on the countries of emphasis direction, struggle declaration, and job resolution in the husband-wife relationship and parent-child relationship will enable households to cover more efficaciously with the affects or jobs that arise with the diagnosing of leukaemia of a household mem ber. Developmental Time period This paper addresses the developmental period of early childhood development, specifically preschool elderly kids. Children in this age group, three through six old ages, are in the Freudian psychological science phallic phase, which is the 3rd phase of psychosexual development. In this phase kids are larning the physical differences between male and female , and the gender differences between male child and miss experiences, which alter the psychological kineticss of the parent and kid relationship ( Phallic Stage , 2011 ) . Preschool aged kids are able to follow simple regulations, take part in conversations, and develop concluding accomplishments. These accomplishments play a really of import function with parents when they are seeking to find what and how much information to pass on to their kid refering their leukaemia diagnosing and intervention. Preschool kids set up strong trust s on their female parent for support and attention and experience a great sense of anxiousness when separated from this health professional. This anxiousness is particularly noticeable when a parent is absent from a kid s medical visit or process ( Morrison, 2011 ) . It is good to the kid for the health professional to be at that place during medical interventions ; this allows them to go on a one on one connexion with their parent through their clip of intervention every bit good as maintaining a strong relationship with the kid as he or she continue to turn to adulthood. Thesis Although a diagnosing of childhood malignant neoplastic disease rivals most incubuss, it is critical to the wellbeing of the full household for parents to set those frights aside and concentrate their energies on what must be done to bring around the unwellness and to assist the kid header with leukaemia. Many kids, even preschool elderly kids, are able to understand the particulars of this disease. Helping the kid header with this life endangering disease will do the state of affairs easier on the whole household ( Labay A ; Walco, 2003 ) . Experience and instance surveies have found that it is best to be unfastened and honest with your kid, while supplying a reassuring and soft hope that the leukaemia will travel into remittal. How much and what type of information that is given to the kid at this point should be based upon the kid s personality and age ( Children with Leukemia , 1997 ) . Children have a better clip seting to long term intervention when they can be prepared for what lies in front. Part of that readying is assisting the kid feel comfy in the infirmary by familiarising them with the infirmary modus operandi and scene, specifically with the nurses and physicians, the installations including the location of rumpus rooms, public toilets, and waiting suites. This information will assist the kid feel comfy while undergoing intervention and stress the fact that infirmaries are non chilling topographic points but topographic points that focus on assisting them experience better. Preschool aged kids typically will believe that their leukaemia is due to a specific past action. It is of import to reassure a kid of this age group and their siblings that they did nil to do their unwellness or that the interventions and medical processs are non penalties for their actions. Behavior issues frequently occur with kids in this age class as interventions advancement. Younger ( pre-school ) kids are more likely to see higher degrees of projecting behavior jobs ( e.g. , aggression, impulsivity, or riotous behaviour ) during intervention than do striplings ( National Cancer Institute , 2010 ) . Other kids revert to more infant like behaviour, cleaving, inability to fall asleep entirely and demoing penchant for one parent. Behavior alterations are expected and sometimes can be averted by promoting the kindergartner to show how they are experiencing utilizing playthings, dolls, and graphics. This will frequently beg a more honorable revelation of emotions than will a norm al conversation. Preschool aged kids are active by nature so a major job for kids with leukaemia is seting to the physical restrictions. The kid who is ill and weakened by unwellness and intervention will by and large be unable to prosecute in traditional physical activities including out-of-door drama. Bing originative in developing alternate ways to divert a immature kid can forestall behavior issues while besides giving the kid a sense of normality to his or her twenty-four hours. While it is obvious that a kid s life will alter dramatically with the diagnosing of leukaemia, parents rapidly detect that the diagnosing non merely affects the kid but besides impacts the lives of the full household. It is non unusual for parents to reassess and do alterations in ends, outlooks, hopes, and dreams for the kid and their siblings. For many households the diagnosing of leukaemia leads to experiential daze for parents and a reversal in normal household life. Many parents face the duties of forming intervention and back uping their kid during their clip of unwellness and intervention. The research workers in this survey conducted one on one interviews with 12 female parents and 11 male parents of 12 kids. During the interviews the female parents, male parents, and kids were asked a series of inquiries to find what was the most influential support they needed to acquire through this diagnosing ( Kars, Duijnstee, Pool, Van Delden, A ; Grypdonck, 2008 ) . The research workers determined that Being there was identified as the nucleus construct. This thought allowed Dutch research workers to reason that the more the kid s female parent or male parent was at that place for them during intervention, the more likely they are to hold higher opportunities of endurance. The research workers besides concluded that the acti ons and reactions of parents increases the penetration into the implicit in inquiry ; that parents supply a higher go oning attention despite the fact that they are hurt by the diagnosing that has affected their household ( Kars et al. , 2008 ) . Equally shortly as the words your kid has malignant neoplastic disease are said, many parents face a daze of non cognizing what to make next. In a recent survey done on 45 parents with kids who were a twelvemonth or more out of intervention, research workers tried to analyse if the facets of the kid s malignant neoplastic disease diagnosing, intervention, and recovery were the hard parts of covering with and pull offing the malignant neoplastic disease experience. These parents were placed into seven focal point groups where research workers conducted interviews and concentrate groups to find which portion of the malignant neoplastic disease experience they viewed as the worst ( Papaikonomou A ; Nieuwoudt, 2004 ) . The research workers concluded that even though larning that your kid has malignant neoplastic disease was the worst feeling in the universe, it was even worse for the parents cognizing that there was nil that they could hold done otherwise ( Papaikonomou A ; Nieuwoudt , 2004 ) . Parents are placed in a state of affairs to inquire for whatever aid is available to guarantee that their kid will have the best available medical intervention. When covering with a serious unwellness, like leukaemia, support to the kid and parent is critically of import. The better the parents are supported that easier it will be for them to back up the kid and household. The can be every bit simple as aid with errands, shopping, carpooling and housekeeping. In many instances, this is where friends and household can lend. In a recent survey, research workers conducted interviews with parents during the clip their kid was at the terminal of their induction-remission 5-week period. The research workers were able to reason that the demand for support was high and that the offers of support tend to decrease over clip. The research workers besides concluded that spouses, household, friends, employers, hospital staff, and other parents in the same state of affairs were the chief beginnings the persons went to when they needed emotional and psychological support ( McGrath, 2001 ) . The research workers besides found that the more support that a ki d and the household receives, the easier it is for the household to go on medical attention. Families are more inclined to lodge with something when there is another person at that place to endorse them up along the manner. With the appropriate ejaculation of support, this clip can be a meaningful one for societal and emotional development. In households, the diagnosing of leukaemia in a kid is really hard to accept and this is compounded when the household includes a sibling. Some of the emotional challenges for a sibling are similar to those of the ailment kid and parent ; choler, denial, grief and credence. In a recent survey, 25 preschool siblings in households of kids with malignant neoplastic disease and 25 preschool siblings in households with healthy kids were assessed to find the sum of coherence and adaptability in the household ( Horwitz A ; Kazak, 1990 ) . These siblings were placed together in different suites where the research workers conducted simple trials to assist mensurate their adaptability and coherence. The siblings in the oncology group along with the healthy group had behavior and self-perceptions that were consistent with published norms. Siblings in both groups had the same behaviour and perceptual experiences of themselves as any normal kindergartners would. The consequences highlighted that 56 % of the households in the oncology group had an adaptability score classified as helter-skelter, whereas the households with the healthy siblings had a 20 % helter-skelter adaptability mark ( Horwitz A ; Kazak, 1990 ) . From these consequences, the research workers concluded that there is a demand to place factors that promote household version every bit good as ways for siblings to go more comfy with the malignant neoplastic disease diagnosing of their brother or sister. In many instances that involve a diagnosing of malignant neoplastic disease, siblings felt as though they were traveling to be left out of the state of affairs with no counsel. Their brother or sister was acquiring all the attending by their parents therefore go forthing them with feelings of weakness. They experience the loss of their brother or sister in day-to-day household modus operandis and particular state of affairss. They are placed in a state of affairs that has much uncertainness. With skilled professional support and a strong support system in topographic point sibling dealingss can be strengthen as everyone turns to each other for support and company. Bing a sibling to a brother or sister who has leukaemia is a hard experience. In a recent survey done on 29 siblings of 14 kids diagnosed with leukaemia, research workers examined how the life of a sibling was affected when their brother or sister had malignant neoplastic disease. The research workers were able to roll up the informations through questionnaires that were distributed to the siblings and the parents. The consequences of the survey showed that while siblings did non exhibit increased rates of behaviour forms, they did expose more societal and academic troubles ( Labay A ; Walco, 2003 ) . The research workers besides determined that birth order and the intimacy of the sibling besides affected how sibling adjusted with their day-to-day modus operandi while cognizing there brother or sister was undergoing life salvaging interventions. It was concluded that empathy might play an of import function in sibling accommodation following the diagnosing of malignant neoplastic di sease ( Labay A ; Walco, 2003 ) . Siting with the sibling and discoursing with them what is traveling to go on to their brother or sister may non look much but it will do the passage for them a small spot easier. The forecast and medical intervention of childhood leukaemia has evolved well over recent decennaries and is now considered a life endangering but often-treatable chronic unwellness ( Koocher A ; OMalley 1981 as cited in Horwitz A ; Kazak 1990 ) . The sick kid must postulate with the emphasiss of invasive medical processs, physical uncomfortableness, unpredictable symptoms, and separation from some household and friends. For many kids the intervention and side effects can be more painful than the existent malignant neoplastic disease itself. Therefore, the issues of quality of life for the kid and household have become turning countries of involvement ( Katz and Jay 1984 as cited in McGrath 2001 ) . It is critical to the well-being of the household to enlist in the assistance of support organisations whose exclusive intent is to back up, usher, educate and heighten the quality of life of the household, health professional and patient as they fight to get the better of their unwelln ess. Media The complete copiousness of ways in which people hear, see and read about intelligence has surely added to the information refering the diagnosing, intervention, and household accommodation for kids with leukaemia. This spread of information has expanded the resources available for preschool kids and their households in the signifier of skilled profession support, malignant neoplastic disease plans and instruction. The media is able to foreground the success of leukemia medical interventions, portion information with the populace and make an consciousness refering leukaemia. Human-interest narratives capture the Black Marias of everyone particularly those who focus on households endeavoring to convey a better life to households with ill kids. A recent poster on the ABC intelligence web site, describes how a household took stairss to convey some normality into their kid s life that was diagnosed with leukaemia. In this article Particular Preschool gives kids with malignant neoplastic disease a sense of normality , the writer states that holding malignant neoplastic disease is difficult in itself, but non being able to take part in the normal daily activities of school takes a toll on the kid ( De Nines, Hopper 2010 ) . Nancy Zuch and her hubby Rod started this particular preschool, the Morgan Center for their ill immature kid when they realized there was no preschool available to manage the particular demands of malignant neoplastic disease patients. They felt it was critical for their kid to be involved in activities that maintained the normality of their twenty-four hours. The Morgan Center prides itself on being like all other schools: crayons, drama dough, pencils and gum sticks, the lone difference is refering the p recautions that are in topographic point to cut down the menace of infections since the kids s immune systems are so vulnerable ( De Nines, Hopper 2010 ) . This school allows the preschool kid to restore a normal modus operandi but besides allows give the parents to interact with that are experiences they same test and trial. The most of import and chief thing that they want everyone to take away is that even with the hope and exhilaration of seeing the childs together, there are still cryings. However, do non be fooled ; this is non a sad topographic point ( De Nines, Hopper 2010 ) . Plans and Jobs A plan that is available for households who have a kid with malignant neoplastic disease is called Alex s Lemonade Stand ( ALSF ) . The ALSF is a foundation that grew from a immature miss s desire to assist other kids combating malignant neoplastic disease merely like herself. At the age of 4, Alexander Scott, a malignant neoplastic disease patient who lost her conflict with malignant neoplastic disease in 2004 had a desire to open a lemonade base in her front pace to raise money so physicians could assist other childs, liked they helped me ( ALSF, 2006 ) . After Alex s decease, her parents started the Alex s Lemonade Stand Foundation to go on her work and give hope to other malignant neoplastic disease patient and their households. To day of the month this foundation has raised more than $ 30 million dollars for funding research plans and supplying free plans to households. Their mission statement is: to raise money for and consciousness of childhood malignant neoplastic disease causes-especially research into new interventions and cures-and to promote and empower others, particularly kids, to acquire involved and do a difference for kids with malignant neoplastic disease ( ALSF, 2006 ) . Knowing the many battles that households face during their kid s battle to get the better of malignant neoplastic disease the ALSF has a plan in topographic point, the Alex s Lemonade Stand Travel Fund to assist households with travel disbursals as they travel for interventions that their kids need. This fund provides alleviation to the fiscal load many households face when seeking medical intervention for their kid. Alex s Lemonade Stand Foundation is acutely cognizant of the demand to supply educational resources for households of kids with malignant neoplastic disease. Each twelvemonth they host the Childhood Cancer Symposium to give households the chance to larn about issues and subjects of intervention. This symposium besides gives households a opportunity to portion experiences and support to other households confronting the same challenges. Recognizing that a kid undergoing medical intervention for leukaemia will pass the bulk of their clip in a infirmary scene has expanded the support, educational research, and services that infirmaries now offer to households. Many infirmaries offer monthly Sessionss for parents and their kids to discourse how the diagnosing is impacting them as a household. Emotional and practical support is critical for households and infirmaries offer different options such as support groups, peer support, and single guidance session. All support services offered to households are centered on the cardinal premiss to heighten the quality of life of the patient, their health professionals, and their household during their battles to get the better of their unwellness. One profession that focuses on this subject is a child life specializer. A child life specializer is a trained professional with expertness in assisting kids and their households overcome life s most ambitious events. They provide emotional support for households while besides assisting the kid header through drama, instruction, and self-expression activities. A child life specializer seeks to cut down the anxiousness and emphasis associated with medical processs assisting kids and their households to get by in a positive mode. The drama a critical function confer withing with parents and hospital staff on a kid s peculiar demands while in the infirmary. Professional Experience Cancer has ever been an point of treatment within our household. At an early age, I lost my grandma to malignant neoplastic disease, which had a great impact on all of my household. I was able to see, hear, and see the battles households encounter when get bying with the diagnosing, intervention and sometimes the decease of a loved 1. This early brush with malignant neoplastic disease gave me a sense of way in my demand for assisting people ; I became more focussed on helping people or organisations that provided support to persons who were diagnosed with malignant neoplastic disease. One of my first voluntary assignments to carry through my community service hours while in high school was at the American Cancer Society to help with general office support. While executing some really generic office activities I was able to see the importance of this organisation in the lives of households. The dedication that the staff towards assisting people who face malignant neoplastic disease was astonishing, the full office was dedicated to the end of the organisation to back up research, early sensing, intervention and instruction. The staff s committedness influenced me to go on volunteering with the organisation as clip permitted. In the past twelvemonth, because of my college class choices, I one time once more was given the chance to finish service hours at the American Cancer Society. The general office work was minimum and the bulk of my clip was spent planning, back uping, and go toing different fund-raising events. The largest event was the Road to Recovery plan, which provides malignant neoplastic disease patients with transit to and from their medical interventions. Forming the contributions, dinner, invitations, and ornaments for this event gave me a sense of fulfilment in being able to supply a little part of the support critically sick patients need. I am presently interning at Casey Cares Foundation. The mission of this foundation is to heighten the lives of critically sick kids. This includes working with households to schedule a merriment holiday, forming caring connexion parties, and assisting cod contribution to assist back up their end of bettering the lives of critically sick kids. Bing able to interact closely with households of critically sick kids can be sad at times but it has besides given me great satisfaction in cognizing that I am conveying joy into this household. This experience has made me recognize the dependance that households have on support organisation such as Casey Cares and the American Cancer Society in assisting them through the mundane tests of lasting a malignant neoplastic disease diagnosing. Annotated Bibliography Gedaly-Duff, V. , Lee, K. , Nail, L. , Nicholson, S. , and Johnson, K. ( 2006 ) . Pain, sleep perturbation, and weariness in kids with leukaemia and their parents: a pilot survey. Oncology Nursing Forum, 33 ( 3 ) , 641-646. Department of the interior: 10.1188/06.ONF.641-646 To a kid that is ill and their household one of the most of import things that they can acquire is sleep, and when that is disturbed because of the chemotherapy, households try to happen ways to assist them and their kid slumber. In this survey, which was conducted in places in Oregon and southwesterly Washington, nine kids with leukaemia, six male parents and seven female parents, where encouraged to maintain a diary that described their sleep and different activities they had done throughout the twenty-four hours. They were encouraged to maintain these journals for an drawn-out period to see if their slumber forms changed when the kid was in chemotherapy or out of chemotherapy. The research workers found and concluded that a kid s hurting, sleep perturbation, and weariness are the symptoms that are act uponing their household s quality of life. They besides stated that larger surveies need to be done to analyze the symptom forms and wellness results of kids, male parents, and femal e parents over the class of chemotherapy. This article relates to my subject because it shows how a diagnosing of leukaemia can impact the parents in the same manner that it is impacting the kid. The parents begin to demo some of the after effects of the chemotherapy, which in bend helps them, better adapt to their kid s diagnosing. Horwitz, W. A ; Kazak, A. ( 1990 ) . Family version to childhood malignant neoplastic disease: sibling and household systems variables. Journal of Clinical Child Psychology, 19 ( 3 ) , 221-228. Retrieved from: hypertext transfer protocol: //web.ebscohost.com.proxy-tu.researchport.umd.edu/ehost/detail? hid=17 A ; sid=f9f7b7e3-e95f-4c37-b23d-f871efc883ba % 40sessionmgr15 A ; vid=6 A ; bdata=JnNpdGU9ZWhvc3QtbGl2ZQ % 3d % 3d # db=aph A ; AN=6394052 In households with siblings the hardest thing that any brother or sister wants to cover with is cognizing that their sibling has to travel through intervention for malignant neoplastic disease. In this survey, 25 preschool siblings in households of kids with malignant neoplastic disease and 25 preschool siblings in households of healthy kids were assessed to find coherence and adaptability in the household. Social behavior perceptual experiences of similarity in the sibling braces were besides measured. The siblings in the oncology group had behavior, societal competency and self-perceptions that were consistent with published norms and did non differ greatly from the comparing group. The consequences added that 56 % of the households in the oncology group had an adaptability score classified as stiff or helter-skelter, whereas the households in the comparing group had a 20 % adaptability mark of stiff or helter-skelter significance that both households had jobs that would let them t o come together as a whole. The research workers concluded that there is a demand for households to place factors that promote version every bit good as ways for siblings to go more comfy with the diagnosing of their brother or sister holding malignant neoplastic disease. This survey relates to my subject because it allowed me to compare how siblings in households with malignant neoplastic disease and how siblings in households of healthy kids adapt to the milieus that they are given and how they deal with the tests and trials that they may confront. Kars, M. , Duijnstee, M. , Pool, A. , Van Delden, J. , A ; Grypdonck, M. ( 2008 ) . Bing there: rearing the kid with leukaemia. Journal of Clinical Nursing, 17, 1553-1562. Department of the interior: 10.1111/j.1365-2702.2007.02235.x The research workers in this article wanted to derive penetration into the lives of rearing a kid with leukaemia during intervention. For many households the diagnosing of leukaemia leads to floor for parent and a reversal in normal household life. Many parents face the duties of forming intervention and back uping their kid during the unwellness and intervention. The research workers in this survey conducted one on one interviews with 12 female parents and 11 male parents of 12 kids. The research workers determined that Being there was identified as the nucleus construct. This thought allowed research workers to analyze that the more the kid s female parent or male parent was at that place for them during intervention the more likely they were to hold a higher opportunity of endurance. The research workers concluded that the actions and reactions of parents increased the penetration into the implicit in inquiry that parents supply a higher go oning attention despite the fact that t hey are hurt by the diagnosing that has affected their household. This survey relates to my subject because it describes a twenty-four hours in the life of parents and how they have found ways to rear their kid that has been diagnosed with leukaemia. McGrath, P. ( 2001 ) . Identifying support issues of parents of kids with leukaemia. Cancer Practice, 9 ( 4 ) , 198-205. Department of the interior: 1065-4704/01/198-205 When covering with serious illness support is the most of import thing that any parent and kid could inquire for. In this survey, research workers had interviews with parents during the clip their kid was at the terminal of their induction-remission to the terminal of the 5-week period, which was collected over a twelvemonth. The research workers determined that the demand for support was high and that offers of support tend to decrease over clip. They besides determined that spouses, household, friends, employers, hospital staff, and other parents in the same state of affairs where the chief beginnings the persons went to when they need emotional support. The research workers concluded that the more support that an person and household receive the easier it is traveling to be for that household to go on with the interventions. Families are more inclined to vomit with something when there is another persons at that place to endorse them up along the manner. This survey relates to my subject because it shows ways that parents can acquire support in any manner that they can to assist them better understand the diagnosing. Papaikonomou, M. , A ; Nieuwoudt, J. ( 2004 ) . Researching parents narratives of get bying with their kid s malignant neoplastic disease: a qualitative survey. South African Journal of Psychology, 34 ( 2 ) , 283-300. Retrieved from: hypertext transfer protocol: //web.ebscohost.com.proxy tu.researchport.umd.edu/ehost/pdfviewer/pdfviewer? hid=17 A ; sid=f9f7b7e3-e95f-4c37-b23d-f871efc883ba % 40sessionmgr15 A ; vid=3 Covering with a diagnosing of malignant neoplastic disease is difficult in itself, but when the diagnosing involves your kid, you truly do non cognize what to make. In this survey, eight parents whose kids were diagnosed with malignant neoplastic disease who had joined a support group had their life narratives about their tests in trials with the malignant neoplastic disease diagnosing analyzed. The subjects of common job, members associating one another as equals, and member playing double functions as both suppliers and receivers of aid were seen as the ways each parent coped with the diagnosing. The research workers determined from the parents narratives that there is a demand for a displacement in which persons understand the jobs with rearing a kid with a malignant neoplastic disease diagnosing. This article relates to my subject because it depicts the existent life narratives of how households deal with the diagnosing of leukaemia on their kid on a day-to-day footing. Patterson, J. , Holm, K. , A ; Gurney, J. ( 2004 ) . the impact of childhood malignant neoplastic disease on the household: a qualitative analysis of strains, resources, and get bying behaviours. Journal of Psycho-Oncology, 13, 390-407. Department of the interior: 10.1002/pon.761 Life comes with many tests and trials, but when you least anticipate one your stopped dead in your paths until you can happen ways to cover with it. In this survey, seven focal point groups with 45 parents of kids who were a twelvemonth or more out of malignant neoplastic disease intervention were analyzed to find if the facets of the kid s malignant neoplastic disease diagnosing, intervention and recovery were the hard parts in covering with and pull offing the malignant neoplastic disease experience. The research workers used the Family Adjustment and Adaptation Response theoretical theoretical account to form the informations and determine that the most bosom twisting portion was holding to hear the physician say that their kid is being diagnosed with malignant neoplastic disease. The research workers concluded that even though hearing your kid has malignant neoplastic disease, the worst feeling is cognizing that, in most instances, it can non be fixed. Many households have a diff icult clip accepting that they need to inquire others for aid, to do certain that there child receives the right intervention to be every bit healthy as they can be. This article relates to my subject because it describes how difficult a diagnosing of malignant neoplastic disease can be on a household. It besides shows that the household needs to be unfastened to all the aid and support that they can acquire.

Free Essays on Catcher in the rye- Total Summary

The Catcher in the Rye Holden Caulfield, the narrator of The Catcher in the Rye, begins with the novel with an authoritative statement that he does not intent for the novel to serve as his life story. Currently in psychiatric care, this teenager recalls what happened to him last Christmas, the story which forms the narrative basis for the novel. At the beginning of his story, Holden is a student at Pencey Prep School, a boarding school in rural Pennsylvania; he is an irresponsible and immature boy. Having been expelled for failing four out of his five classes, Holden goes to see Mr. Spencer, his History teacher, before he leaves Pencey. Mr. Spencer advises him that he must realize that "life is a game" and one should "play it according to the rules," but the sixteen year old, who has already left four private schools, dismisses much of what Spencer says. Holden returns to his dormitory where he finds Robert Ackley, an obnoxious student with a terrible complexion who will not leave Holden alone, and Ward Stradlater, Holden's roommate. Stradlater is conceited and arrogant, a secret slob' who asks Holden to write an English composition for him. Stradlater prepares for a date. He happens to mention that his date, Jane Gallagher, knows Holden. Holden remembers Jane quite well: he spent a whole summer with her the year before (their families have neighboring summer houses in Maine). Stradlater suggests that Holden go downstairs and say hello - she is waiting for Stradlater downstairs. Holden, however, declines, although he thinks about her and considers calling her throughout the book. Holden however goes with Ackley and Mal Brossard into New York City to see a movie. When he returns, Holden writes the composition for Stradlater about his younger brother’s baseball mitt. Holden tells about how Allie, the youngest member of his fam ily, died of leukemia several years before and how he broke all of the windows in his garage out of ange... Free Essays on Catcher in the rye- Total Summary Free Essays on Catcher in the rye- Total Summary The Catcher in the Rye Holden Caulfield, the narrator of The Catcher in the Rye, begins with the novel with an authoritative statement that he does not intent for the novel to serve as his life story. Currently in psychiatric care, this teenager recalls what happened to him last Christmas, the story which forms the narrative basis for the novel. At the beginning of his story, Holden is a student at Pencey Prep School, a boarding school in rural Pennsylvania; he is an irresponsible and immature boy. Having been expelled for failing four out of his five classes, Holden goes to see Mr. Spencer, his History teacher, before he leaves Pencey. Mr. Spencer advises him that he must realize that "life is a game" and one should "play it according to the rules," but the sixteen year old, who has already left four private schools, dismisses much of what Spencer says. Holden returns to his dormitory where he finds Robert Ackley, an obnoxious student with a terrible complexion who will not leave Holden alone, and Ward Stradlater, Holden's roommate. Stradlater is conceited and arrogant, a secret slob' who asks Holden to write an English composition for him. Stradlater prepares for a date. He happens to mention that his date, Jane Gallagher, knows Holden. Holden remembers Jane quite well: he spent a whole summer with her the year before (their families have neighboring summer houses in Maine). Stradlater suggests that Holden go downstairs and say hello - she is waiting for Stradlater downstairs. Holden, however, declines, although he thinks about her and considers calling her throughout the book. Holden however goes with Ackley and Mal Brossard into New York City to see a movie. When he returns, Holden writes the composition for Stradlater about his younger brother’s baseball mitt. Holden tells about how Allie, the youngest member of his fam ily, died of leukemia several years before and how he broke all of the windows in his garage out of ange...

Response # 2 Assignment Example | Topics and Well Written Essays - 250 words

Response # 2 - Assignment Example The title was wrong for the paper as it never connoted the content of the paper at all. It was also combative in stance due to the use of an exclamation point in the title. The title is the most important part of an essay or article because it helps the writer target an audience for the papers discussion content. None of those factors exist in the title. It presented the problem from the point of view of the writer but did not include any factual data in support of her claims. Although the writer made reference to a source for what I assume to be paraphrased information, she improperly cited her source in MLA format within the paragraph. The paper was made even weaker because of her presentation of numerous theses which lacked supporting evidence and a more extensive discussion in order to cover the issues she presents. This presentation told me that she did not bother to previously outline her discussion so that she could coherently talk about her topics in the final paper. Rather, the paper had no sense of direction and left the paper chaotic in content. The paper also lacked grammar and proof reading on the part of the writer. It was almost as if the paper had been written a few minutes before it was due for submission. Most importantly, even though she had presented a source in one of her earlier paragraphs, she failed to present a works cited page for her reference at the end of the essay thus making the content of the paper questionable. Without the reference page her paper could be deemed to have been

Importance of joining a national professional nursing organization Assignment

Importance of joining a national professional nursing organization - Assignment Example This organization produces a number of publications in the form of various E-newsletters, HIMSS Books and various journals. The Journal of Healthcare Information Management is one such publication that serves the purpose of providing IT related information to its readers. This organization works to serve humanity by realizing that ambulatory practice is necessary to ensure delivery of accessible, high-quality and cost-effective treatment. Being a not for profit organization, the body engages in ventures that enhances patient care at all levels. Its publications include Care Coordination and Transition Management, Scope & Standards of Practice (Ambulatory & Telehealth) and Core Curriculum for Ambulatory care Nursing. This body takes into consideration the problems of the nursing community as a whole and aims to provide assistance to nearly all the nursing practitioners that reside in the United States. Their publications include Journal of the American Association of Nurse Practitioners, which is a scholarly peer review journal. Since occupational health services are extremely important for contribution to the health of workers of industries etc, this body takes into account the problems that are faced by nursing staff that is working in the occupational health. Its journal includes the ‘Workplace Health & Safety

The Immortal Life Of Henrietta Lacks ( summary of part 2 of the book) Essay

The Immortal Life Of Henrietta Lacks ( summary of part 2 of the book) - Essay Example Due to the fact that at its peak around 20,000 test tubes a week were being produced at Tuskeegee, it was at this juncture that the idea of personhood began to be diminished within the eyes of the researchers. HeLa became less and less of a person and more of a resource and a medical material rather than evidence of an original human being that gave rise to such cells. As with previous chapters within the book, the author runs between analyzing the medical research that is being carried out on the â€Å"still living† cells of Henrietta while contrasting this with the life that her children and family she left behind experienced. Although the medical experimentation was continuing and advancing, Henrietta’s family was experiencing trauma as a direct result of the lack of a mother. The children bounced from one location to the next, at one location the 2 year old girl was sexually abused, until they finally were reunited with Bobette and moved in with her. The author juxt aposes this personal story with the fact that HeLa was beginning to experience a great deal of discussion in the media of that time as news articles began to be published. Due to the fact that doctor-patient confidentiality was becoming an issue at the time, the patient was merely referred to in the news stories as Helen L. The author further uses this personal commentary to discuss the grave site of Henrietta. She juxtaposes the fact that the tomb itself is unmarked with the fact that the only remainder of Henrietta still in this world is her children and the cells which have continued to be kept, monitored, and multiplied. Chapters 18 and 19 tell the dual stories of trouble that the scientists faced with contaminated cell lines and the personal problems that Henrietta’s children were experiencing; no doubt as a function of her early passing (Skloot 129). Firstly, the medical experiments revealed that at some point, some of the cells in question had been contaminated with ot her lines; this meant that the rigor of the research was called into question and the researchers must go back and trace the mutations as a function of this contamination. Furthermore, the author juxtaposes these research issues with the fact that Henrietta’s children began to experience major issues of their own. The book proceeds to tell the story of the way in which HeLa’s cells have been found in 18 cell lines that have been used for cancer research. This revelation is juxtaposed with the personal story of Rebecca’s meeting with the Lacks family in early 2000. As she discusses the result of the experiments and the way in which HeLa’s cells have been used, the Lacks family is angry. First they are angry at the fact that Henrietta’s cells have been taken according to them â€Å"without her consent† and second they are angry due to the fact that they believe a great deal of money has been made on the sale of her cells. As such, the family d emands a share of that money. The darker side of humanity is herein presented as the medical advancement that has been made possible through the use of Henrietta’s cells is broken down as a function of its money making potential to the surviving family members. The analysis continues to depict a family that is not only interested in the overall privacy of their family but also worried by the fact that they

Play and pedagogy Essay Example | Topics and Well Written Essays - 3000 words - 1

Play and pedagogy - Essay Example It is this ability to play such games that such children are able to become great men and women in future. Some of the games for instance prepare great mathematicians in future. They assist such children to develop mentally in terms of the ability to perform some simple arithmetic. Apart from the metal development, games have also played a major role for the social, physical and emotional development in children. In the former category for instance, the children are able to interact with each other developing communication skills. Children who at first may appear shy are able to show confidence after they have interacted in most of these games. In addition to that, games have been imperative in ensuring that children display their different talents and gifts. It is difficult to know the talents that children have unless they are engaged in this kind of activities. To understand the role of play in children, I visited a certain kindergarten and made observation of how the children wer e responding. The following is a record of the observation that I made. The class setting Recently I visited a certain kindergarten with a view of establishing the role of play and pedagogy in children’s development. The kindergarten had one main teacher and three assistants. They had to work together for the purpose of ensuring that each child received maximum attention. The classroom setting provided an environment that fostered mental development of the children. The walls were full of the pictures that the children had drawn in including the alphabets. Each of the letters also had words and pictures drawn against them. This was for the purpose of enabling the children learn easily. For instance, a letter ‘G’ would have a picture of a guitar or a girl. This form of learning enabled the children understand better. The setting of the classroom was also in a way that it could make it easy for children to play. For instance, there was a huge empty area, which was left for the purpose of play. In the cupboard that was used to store all the toys and other materials used by the children for playing. In addition to that, there was tables and chairs that were arranged in a carefully manner to ensure that children were safe. This is in accordance with rules and regulations that demand that safety has to be ensured for such children. It is imperative that they are protected against any physical harm, by creating a harmless environment. The children The class composed of children from different social, economic and cultural backgrounds. The teachers made sure that the needs of each child were met. In addition to that, there were children with physical challenges who also benefited from the class setting that facilitated their learning and movement. The class therefore made it possible for inclusion to take place. The age of the children ranged between 3-5 years. They interacted well and each of them seemed to enjoy what was going on. The morning ses sion activities According to the teacher, all mornings began by ensuring that children sung. However, the types of songs and stories told depended on the themes that the teacher wanted to pass to the children. In this particular class, I was keenly following the response of two main children; in a view to find out how play enabled them develop mentally and emotionally. The two children were Natalie and John. They were both three years old and very jovial. When the teacher entered the classroom, it was mandatory for all the

Hinduism Essay Example | Topics and Well Written Essays - 1250 words - 1

Hinduism - Essay Example As for me, it is more than that, it should be a way of life for everyone including me and incorporated in every aspect in my life too. I believe in Hinduism as my spiritual healer and my way of living life. I belong to a Hindu family, and I am a follower of Lord Hanuman and Lord Krishna. I am not a Hindu just because my ancestral religion is Hinduism, but I have developed strong faith in its teachings and values. My family had always stressed on the importance of understanding the religious values and beliefs by reading the scriptures in order to get an in-depth and accurate knowledge. They have been the guiding force behind my perfect faith in Hinduism ideology. After a lot of research and thorough understanding, now my psychological roots are deeply attached to Hindu philosophy I chose not only to abide by the values which Hinduism incorporates but also would want to share the knowledge I have gained with as many people as possible. This paper is an attempt to provide all the important information on the birth and evolution of Hinduism and its salient features. Hinduism could be broadly described as a religion, culture and way of life. There is no specific timeline information about the origin of Hindu traditions. It can be said that it is a cumulative collection of communities, faith, beliefs and practices that have come together over the centuries. Its ancient roots are seen in the cultures of the Indus Valley, Saraswati River civilization and Indo-European people. Local traditions of these civilizations have entered Hinduism through the process of â€Å"Sanskritization,† whereby a regional deity becomes identified with pan-Indian gods and Brahmanization, the adoption of high-caste rituals by many communities (Narayanan). The stages of early Hindu history are marked not by remarkable personalities but by the composition of philosophically sophisticated and entertaining texts that were transmitted orally and through the generations primarily