Children derive implicit theories in explaining actions of objects and behaviors of people. Such theories are the foundation for causal learning and much sophisticated understanding of the social and physical worlds. Young children are also keenly responsive in the things they can learn from the words and directions directed to them by other people. Such joint attention capacity is the foundation which allows humans to benefit from culturally transmitted knowledge.
When a child says “thanks” after something is given to him or her, there is an acknowledgement that there is a mutual exchange which is happening; a-give-and-take. As they go through the motions, eventually they come to learn that they should not expect the world on a silver platter. To ensure that children at school treat one another with respect, they should be allowed to get to know one another. Teaching children how to keep an open mind will serve them well throughout their lives; allowing them to discover exciting new friends, unusual activities, and new ways of looking at things. Read online custom writing for more information on this topic.
Chemotherapy Side Effects: Evidence-Based Practice for Reporting Outcomes
Clinical Guideline
Problem Statement
Chemotherapy is a viable treatment choice for many cancer patients. Chemotherapy can have a variety of side effects that range from mild to severe. Dose reductions may be avoided if toxicities are discovered and addressed early, resulting in more effective treatment and disease control or cure. According to Pearce et al. (2017), 84 percent of chemotherapy patients had at least one common side effect, 67 percent of patients had six or more side effects, and 27% of patients had a grade IV, or severe, side effect. Patients encountered more toxicities than professionals recorded throughout clinical studies, according to Di Maio et al. (2015). Patients’ symptoms are frequently explored more closely in clinical trials than in ordinary treatment. If doctors fail to notice side effects and toxicities in clinical trial patients, it is alarming to consider how many side effects may be overlooked or under-assessed in patients who are not enrolled in a clinical trial.
EBP Question
Given the importance of early detection of chemotherapy side effects and the disparity between patient-reported and clinician-reported symptoms, optimal strategies for dealing with these difficulties must be found. While it is a clinician’s obligation to treat symptoms, they will not have the knowledge they need to prescribe appropriate interventions or alter therapy if those symptoms are not successfully conveyed to or assessed by clinicians. The purpose of this work is to explore the available evidence in order to respond to the following question: What are the most effective techniques for reporting and assessing chemotherapy side effects?
Literature Review
The article by Weaver et al (2014), the researchers detailed their research on utilizing a mobile device to monitor symptoms in patients undergoing oral chemotherapy at home in A pilot study: dosage modification of capecitabine using mobile phone toxicity monitoring- assisting patients in their homes. Chemotherapy oral doses might be adjusted based on side effects experienced while undergoing treatment. The phone featured a pre-installed application that patients could use to answer questions about adverse effects. To participate in the trial, the patients were given phones. With this strategy, a 92.9 percent response rate was obtained. Shears et al. (2016) studied the use of an electronic patient-reported outcomes (ePRO) instrument for lung cancer patients, which they completed in the office on a tablet device prior to consultation.