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End-of-Life & Palliative Care

What is spiritual care is ethical and efficacious for nurses to provide?

The Joint Commission requires spiritual assessments and support. The AACN requires BSN students be taught to do this. The National Consensus Project and HPNA include spiritual care within the purview of nurses.The momentum for nurses to provide spiritual care has increased remarkably over the past few decades. Yet there is scant attention to the ethics of this aspect of care. When is it appropriate for a nurse? What is ...more »

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Other

How does nurse worldview/religion impact care delivered?

The life experiences and beliefs of a nurse assumedly influence the way the nurse addresses suffering, provides care. How might these potentially harm or help the nurse-patient therapeutic relationship? Eg, a RN who believes pain is to be endured for spiritual reasons is less likely to quickly push morphine? This relates to a previous question about exploring how nurses can be healers in a hi-tech culture. (Submitted ...more »

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Symptom Science

Could an infectious disease lab panel be effective as a screening tool in the primary & secondary prevention of certain cancers?

Recommendations for surveillance and medical or surgical intervention are vastly different for those with a hereditary cancer gene mutation. There are also clinically actionable infections that increase risk for a number of cancers; e.g. HPV for cervical / anal cancer, HEP B & C for hepatocellular carcinoma, H.Pylori for malt lymphoma, and more. Geographical, age, gender, and behavorial health criteria will need to be ...more »

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Symptom Science

Could an infectious disease lab panel be effective in the primary or secondary prevention of certain site-specific cancers?

Recommendations for surveillance and medical or surgical intervention are vastly different for those with a hereditary cancer gene mutation. There are also clinically actionable infections that increase risk for a number of cancer; e.g. HPV for cervical/anal cancer, Hep.B & C for hepatocellular carcinoma, H. Pylori for malt lymphoma, and more. Geographical, age, gender, behavorial health criteria will need to be established ...more »

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