Prostate Cancer Guidelines

On average, the guides took 27 minutes to complete. As the results indicate, Hospital A has not implemented some of the recommended practices in the following guides: Computerized Provider Order Entry with Decision Support, Patient Identification, and Test Result Reporting. The total number of these practices are 16 which accounts for 10% of the total recommended practices. Also, there is a number of practices that has been implemented partially in some areas in hospital A. These practices fall into the following guides: Computerized Provider Order Entry with Decision Support, Clinician Communication, High Priority Practice, Organizational Responsibilities, and system interfaces which account for 11% of the total recommended practices. The only guides that hospital A is fully complied with are Contingency Planning and System Configuration guides. The total number of practices that have been fully implemented across all guides is 125 which represent 79% of the total recommended practices.

The practice of conventional medicine is regulated by special laws that ensure that practitioners are properly qualified, and keep to certain standards or codes of practice.

The outcomes studied were the effect of routine screening on patient morbidity and mortality and effect on quality

the target population (patients, public, etc.) and all pertinent professional groups, in the process of developing of the guideline.

When patients go to a doctor’s office, they need to know that the PA/NP that is treating them is highly qualified. They should feel safe and know that they are in safe capable hands. A patient should never feel like they are not getting the proper care. Patients need to know that they are being

Prostate cancer is a kind of cancer that affects the prostate gland in men. It is a common cancer that grows slowly and its treatment can be done successfully if it is detected at an early stage. Sometimes, symptoms are not visible in case of cancer limited to the prostate gland which may result into metastatic cancer. To detect the symptoms, active surveillance can be done. There are various options available

Once the medical center has diagnosed patients with cancer, treatment options and decisions are discussed thoroughly.

According to Dr. David Sackett (1996) Evidence Based Practice (EBP) is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.”

The use of evidence based practice is extremely important so that nurses can provide the best possible, and safest care to our patients. Evidence based practice can be defined as the practice of nursing in which interventions are based on data from research that demonstrates that they are appropriate and successful (Catalano pg. 6). It is required in order to achieve the highest quality and most cost –effective care for our patients.

: In a similar research on cancer patients, Cohen, Ellis, Ownby, Rude, & Bailey (2003) performed a retrospective study to determine whether application of JCAHO standards has been followed while caring for the patients with pain or not. The study was performed in 5 hospital in a large city in Southwest, USA. A total of 150 patients were selected both from inpatient and outpatient department. All patients were from diverse population with a mean age of 57 years. The sample consisted total of 117 charts, 80 from inpatient and 37 from out patients. Data was collected between August and November 2000. Review of charts were done to check for followed documentation criteria for assessment, management and reassessment of pain in patients with cancer. This

The first choice is to listen to his boss and leave the issue behind. If Milo decides to do this, he can continue on with his research but he will never know whether the patient has actually developed prostate cancer. There is a moral consequence that will result from this because there is a possibility the patient will die if they never knew they had developed prostate cancer. If they were informed, they could have been treated and even lived a longer life. If Milo goes with the first choice, he would still have his job but in expense of another person’s life. However, there is another choice. The second choice is to talk with the patient and inform them of the risk that they have developed prostate cancer. With this choice, the patient will be informed and can be tested in another medical facility with the appropriate equipment. If the patients, wishes to come back and share the results, Milo can find the root of the problem. He will know whether the medical devices actually have a technical problem or if the patient has actually developed prostate cancer. However, just like the first choice, there are consequences. By informing the patient, Milo is disobeying his boss’ instructions. Milo could place himself in risk of losing his

The prostate is a compound tubuloalveolar exocrine gland of the male reproductive system in most mammals. It differs anatomically, chemically and physiology in different species, the main function of the prostate is to secrete liquid substances alkaline in nature (urine, semen). It is located beneath bladder and in front of the rectum. The prostate also produces prostate specific antigen. Prostate specific antigen (PSA) keeps semen in liquid form so sperm can swim. Prostate cancer is cancer that starts in the prostate. Prostate cancer is slow growing in some people, while in some its shows rapid growth. The bones and lymph nodes are also affected by the cancer cells. Affecting the bones and lymph nodes cause hinders the production of red blood

Prostate cancer is cancer in the prostate gland, prostate cancer is most commonly found in men. Prostate cancer can be treated if found in early stage. Some symptoms that are found for prostate cancer are; frequently urination, difficulty controlling bladder, blood in urine, bone pain, and fecal incontinence. There’s usually no symptoms during the early stages of prostate cancer. Treatment is different for early and advanced prostate cancer, early stage prostate cancer if small and can be detected can be managed by doctor monitoring, radical prostatectomy, brachytherapy, and radiation therapy. Radical prostatectomy is surgically removing prostate, recovery time up to 10 days. Brachytherapy is radioactive seeds implanted into the prostate

The health needs assessment demonstrates some of the more immediate needs and pressing concerns of the Trinity Community Hospital. One of the most major risk factors involves oncological related needs as a result of the imminent increase in the elderly population. According to the needs assessment, a large portion of the population will be over the age of 65 in the next half a decade, and that approximately half of the men in the community and a third of the women will deal with some sort of cancer in their lives at some point; "New cancer cases are expected to grow from 3,200 this year to 4,282 in five years (+34%)" (TCH/NeedsAssess). This is extremely problematic as cancer is very much a disease of the geriatric population and cancer care specialists are direly needed to treat them. How a culture treats their elderly population reveals a great deal about the values of the collective society at large and one could argue that a civilized, organized society absolutely has an obligation to treat their aged, wise members with the highest level of deference and honor. In certain respects, this means giving this population the best form of healthcare when they need it most. According to the Journal of Clinical Oncology, in the next eight years, the number of experts practicing in the realm of oncology services will not be able to keep up with the demand for such services. "Driven principally by the aging population and an increasing number of cancer

The qualitative research article that I have chosen for critical appraisal is titled, “ Factors Influencing Men Undertaking Active Surveillance for the Management of Low-Risk Prostate Cancer”. The purpose of this research was to identify influential factors on men who chose active surveillance for their low-risk prostate cancer. I chose this article as I am currently a Genitourinary Oncology (GU) Nurse Navigator. Part of my role as a GU Oncology Nurse Navigator is to assist patients newly diagnosed with prostate cancer in treatment decision making, the research portrayed within this qualitative study was intriguing.