10903nam 2200481 450 991063403120332120230417121311.09783031061011(electronic bk.)9783031061004(MiAaPQ)EBC7153752(Au-PeEL)EBL7153752(CKB)25616980900041(EXLCZ)992561698090004120230417d2022 uy 0engurcnu||||||||txtrdacontentcrdamediacrrdacarrierPromoting healing and resilience in people with cancer a nursing perspective /Mary GrossmanCham, Switzerland :Springer,[2022]©20221 online resource (670 pages)Print version: Grossman, Mary Promoting Healing and Resilience in People with Cancer: a Nursing Perspective Cham : Springer International Publishing AG,c2023 9783031061004 Includes bibliographical references.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.CancerNursingCancerPatientsCareCancerNursing.CancerPatientsCare.616.9940231 Grossman Mary 1272245MiAaPQMiAaPQMiAaPQ9910634031203321Promoting Healing and Resilience in People with 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