1.

Record Nr.

UNINA9910634031203321

Autore

Grossman Mary

Titolo

Promoting healing and resilience in people with cancer : a nursing perspective / / Mary Grossman

Pubbl/distr/stampa

Cham, Switzerland : , : Springer, , [2022]

©2022

ISBN

9783031061011

9783031061004

Descrizione fisica

1 online resource (670 pages)

Disciplina

616.9940231

Soggetti

Cancer - Nursing

Cancer - Patients - Care

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di bibliografia

Includes bibliographical references.

Nota di contenuto

Intro -- Preface -- The Gap Between Research Findings and Clinical Practice -- The Clinical Need for a Conceptual Model of Practice -- Why This Book -- What the Handbook Offers -- How to Use the Handbook -- What Distinguishes This Book from Others -- Reclaiming Nursing's Legacy -- Acknowledgments -- Contents -- Part I: The Stress, Healing, and Resilience Nursing Model of Whole Person Care -- Introduction -- 1: Theoretical Underpinnings -- 1.1  Theoretical Underpinnings -- References -- 2: The Stress, Healing, and Resilience Nursing Model of Whole Person Care -- 2.1  Introduction -- 2.2  Objectives -- 2.3  Core Values and Assumptions of Practice -- 2.4  Goals of the Practice Model -- 2.5  The Whole Person and the Environment (See Part II, Chap. 3 -- Part IV Chaps. 8 and 11) -- 2.6  Psychological Stress (See Part II Chaps. 3, 4 and 5) -- 2.7  Health as an Essential Property of the Whole Being -- Health-Related Outcomes -- Key Internal Processes of Health -- Processes of Development -- Processes of Resilience (See Part II) -- Processes of Innate and Self-Induced Healing (Review Part IV) -- 2.8  Personal Strengths and Social Resources (Supportive Relationships) (See Part IV, Chaps. 8-11) -- Social Resources (Supportive Relationships) (Review Part IV Chaps. 8 and 11) -- 2.9  Healthy Lifestyle Behaviors -- 2.10  Epigenetics -- 2.11  Homeostasis -- 2.12  Energy and Metabolic Processes -- 2.13  Sense of Coherence (See Fig. 2.1) -- 2.14  Nursing



Approaches (See Parts IV and V) -- Quality of the Nurse-Patient Relationship (Part IV Chaps. 8 and 19) -- Timing of Interventions -- Format -- References -- Part II: Resilience -- Introduction -- 3: Psychological Stress -- 3.1  Introduction -- 3.2  Definitions -- Properties of Psychological Stress -- Benefits or Harmful Effects (Review Parts II and III).

3.3  Acute Stressor Effects (Review Part II Chaps. 4 and 5) -- 3.4  Prolonged Psychological Stress (Review Part III, Chaps. 6 and 7) -- Early Childhood Adversity (ECA) -- Summary -- 3.5  Need for Measurable Terminology for "Stress" -- 3.6  Cumulative Measures of Stress (Table 3.2) -- 3.7  Nursing Implications -- References -- 4: Biological Processes of Resilience -- 4.1  Introduction -- 4.2  Objectives -- 4.3  Definitions -- Resilience -- Allostasis -- Flexibility -- Stressors (Review Part II Chap. 3) -- Good Stress and Resilience -- Tolerable Stress and Resilience -- 4.4  Key Neural Structures and Mediators -- Brain Plasticity -- The Stress-Related Systems and Mediators (Review Also Part III Chap. 6) -- Negative Glucocorticoid Feedback System -- 4.5  The Biphasic Process of Biological Resilience -- The First Phase: The Process of Stress-Induced Neural and Physiological Adjustments -- The Second Phase, Healing, and Restoration -- 4.6  Other Processes That Influence Biological Resilience -- Age -- Sex Differences (Review McEwen [3, 4]) -- Epigenetics -- Circadian Rhythm -- Energy -- 4.7  Nursing Implications -- References -- 5: Psychosocial Processes of Resilience -- 5.1  Introduction -- 5.2  Objectives -- 5.3  Definition: Psychological Resilience -- 5.4  Theoretical Tenets and Model of Psychological Resilience: The Emotion-Regulating Stress-Coping Adaptation System of Psychological Resilience -- Antecedent Factors -- Cognitive and Emotional Schemas or Representations -- Cognitive and Behavioral Coping Strategies -- Hope -- Personal Resources, Social Resources, and Risk Factors -- Personal Resources (PR) -- Social Resources -- Risk Factors -- Health-Related Outcomes -- 5.5  Research Findings among the Key Variables of the Stress Adaptation Coping System of Resilience (Review Part IV Chap. 9) -- A Meta-Analyses Based on the CSM.

The Stress-Coping Adaptive Process of Resilience (e.g., [6, 13, 14, 16]) -- Stress, Coping Strategies, and Health Outcomes -- Coping Clusters Over Time -- Personal Resources -- Mediating and Interactional Coping Effects -- Social Resources (Support) (See Part IV Chap. 11) -- Support and Personal Resources -- 5.6  Nursing Implications -- References -- Part III: Poor Resilience -- Introduction -- 6: Poor Resilience -- 6.1  Introduction -- 6.2  Objectives -- 6.3  Definitions -- Poor Resilience -- Allostatic Load (AL) [2-5] (See Table 6.1) -- Allostatic Overload (See Part II Chap. 3) -- 6.4  The Four Conditions of Chronic Stress -- 6.5  Pervasive Neurobiological Maladaptive Disruptions (Review [1, 29]) -- Brain, Neural Circuitry, and Threat to Brain's Plasticity -- Prefrontal Cortex (PFC) -- Amygdala -- Hippocampus -- 6.6  Impaired HPA Axis, ANS, and Immune Functioning -- Impaired Negative Feedback Inhibition System and Damaged Glucocorticoid (GR) Receptors -- Impaired PNS Healing Processes -- Dysregulated Immune System -- 6.7  Other Dysregulated Mediators -- 6.8  The Impaired Dopaminergic Reward System -- 6.9  Dysregulated Circadian Rhythm -- 6.10  Chronically Stress-Induced Epigenetic Changes -- 6.11  Systemic Inflammation -- 6.12  Metabolic Oxidative Stress -- 6.13  Weakened Bioelectromagnetic Field -- 6.14  Behavioral Indicators of Poor Resilience [11, 48] (Review Part II Chaps. 3-5) -- 6.15  Nursing Implications -- References -- 7: Cancer -- 7.1  Introduction -- 7.2  Objectives -- 7.3  Chronic Illness -- 7.4  Cancer -- Definition -- 7.5  Factors Conducive to the Development of Cancer -- The Microbiome --



7.6  The Development of Cancer -- Cancer Stem Cells (CSCs) -- The Role of ROS in Tumorigenesis and Cancer Progression (Review [13, 22]) -- Cancer and Antioxidant Capabilities -- The Tumor Microenvironment (TME).

Cancer-Associated Fibroblasts (CAFs) (See Table 7.5 for Definitions) -- Immune Evasion -- 7.7  Progression, Invasion, and Metastases -- Chemoresistance -- Epithelial-to-Mesenchymal Transition (EMT) in Tumor Progression and Recurrence -- Metastases -- 7.8  Nursing Implications -- References -- Part IV: Fostering Healing and Resilience -- 1.1  Introduction -- 8: The Quality of the Nurse-Patient Relationship -- 8.1  Introduction -- 8.2  Objectives -- 8.3  Why Patients Need a Quality Relationship with the Nurse -- 8.4  Definition -- 8.5  The Quality of the Nurse-Patient Relationship -- Clinical Research -- 8.6  Relational Characteristics of the Nurse-Patient Relationship -- Being Present -- Communication -- Skills of Communication (Table 8.2) -- Facilitating Personal Narratives -- Clinical Research -- Compassion -- Clinical Research -- A Sense of Connectedness with Patients and Family Caregivers -- Being Known -- Momentary Encounters -- Enhancing Support (See Part IV, Chap. 11) -- Evidence-Based Practice (EBP) (Review Part V, Chap. 19) -- References -- 9: Promoting Emotion-Regulating Coping Resilience -- 9.1  Introduction -- 9.2  Objectives -- 9.3  Definitions: The Emotion/Self-Regulating Coping System of Psychological Resilience (Review Part II, Chaps. 4 and 5 -- Appendix in this Chapter and Appendices A and B) -- 9.4  Randomized Controlled Intervention Studies (RCTs): Enhancing Coping Efforts (Appendix in this Chapter, Appendix in Chaps. 10, 11, 13, and 14, and Appendices A-C) -- Cognitive-Behavioral Strategies (CBS) (Review Appendix in this Chapter) -- Self-Management Interventions (SMI) (Appendix A) -- 9.5  Suggested Nursing Approaches -- Nursing Assessment -- Emotional Distress -- Coping Efforts (Review Appendix B) -- Self-Management Interventions -- Other Relevant Contextual Patient and Caregiver Information to Assess.

A Clinical Assessment Strategy: Patient/Caregiver Narratives (Also Review Patient Narratives in Part IV Chap. 10, Section "Cognitive Restructuring and Distorted Beliefs" and Table 10.2) -- Nursing Interventions: Promoting Emotion-Regulating Coping Efforts (Review Part IV Chap. 10 -- Appendix in this Chapter and Appendix B) -- The Nurse's Essential "Resilient-Promoting Toolbox" -- Reframing [6] -- Cognitive Restructuring and Distorted Beliefs [6, 67] -- Cognitive Restructuring Steps Typically Involve [6, 67] -- Identifying Distorted Beliefs -- Help the Person Distinguish between a Belief and a Fact -- Link Thoughts to Emotions (and to Behaviors) -- Another Use of Cognitive Restructuring (for Illustrative Purposes) -- Explore the Patient's Assumptions and Beliefs about the World and Self -- Explore the Emotional and Behavioral Costs Versus Benefits of Holding onto a Distorted Belief (Review Chap. 12) -- Based on This Clinic Anecdote, the Nurse May Consider Many Clinical Strategies -- Summary of Coping-Promoting Strategies -- Break Down Generalizations into Smaller Manageable Components (Fig. 9.2) [6] -- Use Metaphors and Literary or Music-Related References -- Encourage Positive Affirmations [6, 67] -- Commendations [6, 67] -- Protecting Patient Hope (See Part II, Chap. 5 -- Part V Chap. 18) -- Promote a Sense of Personal Control -- Acceptance -- Facilitating Self-Management Strategies [1, 14] -- 9.6  Final Thoughts -- Appendix: Psychosocial Interventions-Cognitive-Behavioral Therapy/Cognitive-Behavioral Stress Management Interventions/Self-Efficacy -- References -- 10: Fostering Meaning Making -- 10.1  Introduction -- 10.2  Objectives -- 10.3  Definitions -- 10.4  Emotional and Existential Distress (See Part II



Chap. 3) -- Emotional Distress -- Existential Distress -- 10.5  Conceptual Underpinnings -- Global Meaning-Orienting System.

Situational Meaning.