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NURSES’ KNOWLEDGE AND PRACTICE OF PALLIATIVE CARE AND ASSOCIATED FACTORS FOR MANAGEMENT OF CANCER PATIENTS IN SELECTED HOSPITALS IN ANAMBRA STATE, NIGERIA

CHAPTER ONE

 INTRODUCTION

 Background to the Study
 Cancer is a global health problem. It is a leading cause of death and a major burden of disease worldwide (Cancer fact sheet 2014). Each year, tens of millions of people are diagnosed of cancer around the world, and more than half of the patients eventually die from it (Yale, 2006). According to Ahmedin, Melissa & Desantis (2010), cancer has an estimated worldwide incidence of 10million new cases per year, 46% of which are in developed countries. According to World Cancer Research Fund International (2013) there are an estimated 14.1 million cancer cases around the world in 2012, of these 7.4 million cases were men and 6.7 million women. This number is expected to increase to 24 million by 2035. Cancer has been identified as a leading cause of death in economically developed Countries and the second leading cause of death in developing countries (American Cancer Society, 2011). As elderly people are most susceptible to cancer, and population of aging continues to grow in many countries, cancer will remain a major health problem around the globe (Xiaomei, & Herbert, 2007). The disease burden of cancer is partly carried more by countries that lack the resources for cancer awareness and prevention, early detection, treatment or palliative options to relieve pain and human suffering (Jeffrey, 2008) Palliative Care (PC) a specialized type of care emerged as a response to the unmet needs of patients with life threatening illnesses such as cancer. Palliative Care as described by the World Health Organization (WHO, 2009) is “an approach that improves the quality of life of patients and their families facing the problem associated with life threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual”. Palliative care is a specialized type of health care that focuses on providing relief whatever the prognosis. Palliative care is caring for those who are seriously sick with advanced sickness and is all about patient first. It is inclusive of immediate family members. Palliative care is a continuous care that addresses the totality of the physical, emotional, spiritual and social needs of the patient. As stated in Cancer Fact Sheet (2014), relief from physical, psychological and spiritual problems can be achieved in 90% of advanced cancer patients through palliative care; it is a humanitarian need for people with cancer and other chronic fatal diseases worldwide. PC is a whole person care provided by interdisciplinary team of physicians, nurses, social workers, chaplains and other health professionals. Palliative care is now being offered to many patients with chronic illness but the majority of patients treated in palliative care programme are still cancer patient (Morrow, 2010). The benefits of PC for cancer patients is significant, they have the greatest need of the special care because they are often in pain and emotionally affected by fear, depression, anxiety and discomfort(Morrow, 2010). There has been a great need for improved palliative care for cancer patients. Expert palliative care often times helps patients tolerate cancer treatment for longer periods of time with less discomfort.

Project detailsContents
 
Number of Pages124 pages
Chapter one Introduction
Chapter two Literature review
Chapter three  methodology
Chapter  four  Data analysis
Chapter  five Summary,discussion & recommendations
ReferenceReference
QuestionnaireQuestionnaire
AppendixAppendix
Chapter summary1 to 5 chapters
Available documentPDF and MS-word format


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