Breast Cancer Treatment and Guidelines in Older Women - Free Essay Example

Sample details Pages: 4 Words: 1144 Downloads: 1 Date added: 2019/02/06 Category Medicine Essay Level High school Tags: Breast Cancer Essay Did you like this example? Many people in today’s society are getting cancer from many things we consume. There are many methods and results I will be talking about. There was a study population of 1,568 that were 55 years old or older. Don’t waste time! Our writers will create an original "Breast Cancer Treatment and Guidelines in Older Women" essay for you Create order This study was happening at M.D. Anderson Cancer Center. They treated these people at the center during the time 1997-2002 for stage Stage IIA and I. Stage I and Stage IIIA are cancers that are present and the higher the number the larger the cancer or tumor has spread. What the center did was look at the treatments to determine guidelines. The treatments they used to determine were definitive surgical therapy, adjuvant radiation therapy after breast-conserving surgery, post mastectomy radiation, adjuvant chemotherapy, and adjuvant hormonal therapy. Age, level of education, race, marital status, and disease score were included in all final people was an impact in the treatment. â€Å"Treatment dates were used to determine which guideline was applicable at the time a patient was being treated if there were any changes in treatment recommendations.† (By) Accurate surgical treatment was characterized as lumpectomy, fractional mastectomy, segmental mastectomy, altered radical mastectomy, subcutaneous mastectomy, skin-sparing mastectomy, or radical mastectomy. Many calculated investigations were performed to decide the process between age and rule agreement, change of potential factor. Results In the result about 1,568 women were included in the study. Ladies at 65 years old or older were more likely to be white, unmarried, and have only a high school education. As they believed, each older group of women had a higher had a higher percentage of women with sufficiently conditions, steady with the ageing process. â€Å"Significant differences were detected in estrogen receptor status, nuclear grade, and presence of intramammary lymphatic invasion, with older women less likely to have estrogen receptor-negative tumors, high-grade tumors, or tumors with intramammary lymphatic invasion.† (By) â€Å"The results were high for surgical therapy (90.4%), adjuvant radiation after breast-conserving surgery (94.2%), and adjuvant hormonal therapy (93.7%). However, overall concordance was lower for adjuvant chemotherapy (70.7%) and for adjuvant post mastectomy radiation (54.1%).† (By) Surgical therapy, adjuvant radiation after breast conservation, adjuvant chemo therapy, and adjuvant hormonal therapy was a low score for women. In univariate examination, low tumor arranges, tall score, and understanding age 75 year old or more seasoned was related with need of conclusive surgical treatment. Ladies with stage II or III infection at determination had 4.33 times the chances of having conclusive surgery compared with ladies with organize I disease. â€Å" Women who were age 75 years or older were also significantly less likely to receive definitive surgical therapy.† (By M.D. Anderson Cancer Center). A disease score of 1 to 2 was too related with a diminished probability of being treated with radiation. Additionally a disease score of 3 or higher was related with diminished chances of accepting radiation, but was not factually critical. Nonwhite race was associated with decreased probability of being treated with radiation after breast-conserving surgery. â€Å"In the unadjusted analysis of concordance with chemotherapy guidelines, higher clinical stage, lower comorbidity scores, estrogen receptor-negative tumors, high nuclear grade, and younger age were all significantly associated with guideline concordance.† (By M.D. Anderson Cancer Center) Ladies who had tumors that communicated the estrogen receptor were essentially less likely to be given chemotherapy than ladies with estrogen receptor-negative tumors. â€Å"After adjusting for other known predictive factors, low tumor stage and advanced age were still significant predictors of discordance with hormone therapy guidelines, although marital status was not.† (By M.D. Anderson Cancer Center) Stress and Self esteem during treatment The essay I will be talking about is a study on â€Å"identify common stressors faced by breast cancer survivors involved in dragon boating, (2) examine the conceptual and statistical factor groupings of the stressors, (3) identify differences in stressor factors based on treatment characteristics, and (4) examine the associations between stressor factors and two indicators of self-esteem.† (By Journal of Women’s Health) Many women 1 in 9 will be diagnosed with breast cancer during their lifetime and 1 in 27 women will die from breast cancer. â€Å"Over the past 20 years, survival rates have improved considerably throughout the western world, contributing to many women living with the identity of a cancer survivor.† (By Journal of Women’s Health) A popular activity that many breast cancer survivors is dragon boating. â€Å"In dragon boating is associated with stressful experiences, including body-related anxiety and reminders of death, illness, and recurrence.† (By Journal of Women’s Health) The main focus on the study is how dragon boating racing is in common with stress and self esteem with breast cancer survivors. In the study there were 470 females that were in dragon boating and were given ten dollars to participate in the study. The women were between ages 20 and 80 years old. â€Å"Social stressors include making social connections with other survivors, difficulty discussing health information with family or friends, experiencing stress in social settings, and loss of friendships and social connections.† (By Journal of Women’s Health) The encounters of stress may not be the same for breast cancer survivors have experienced particular cancer medications and for those ladies who were analyzed with cancer for five years long compared with ladies analyzed not long ago. â€Å"Secondary aim of the current study was to quantitatively examine differences in stress experiences for diverse cancer characteristics, such as treatment types and time since diagnosis.† (By Journal of Women’s Health) During this study they had had this dragon boating group fill out this questionnaire. The 28 stressors physical, emotional, and intentions. â€Å"Additional stressors were participating in physical activity, participating in dragon boating, feelings of increased muscularity, and forming relationships with other survivors involved in physical activity.† (By Journal of Women’s Health) On the questionnaire when it asked about how often they are stressed and peoples answers ranged from 5 points scale from never to often. The next question was â€Å"if you have experienced breast cancer, how positive or negative are your emotions related to this experience?† (By Journal of Women’s Health) People had a score of -3 to positive 3. â€Å"Total score was used to examine the possible grouping of stressors, as scale scores (as opposed to factor scores) are easier to interpret and can allow comparisons with future studies using this scale.† (By Journal of Women’s Health) Self worth and self-esteem were made into a questionnaire from self-description questionnaires. â€Å"Participants were asked to think about themselves both physically and generally and respond to the items on 6- point scales ranging from 1 (false) to 6 (true).† (By Journal of Women’s Health) The highest score was on psychological wellbeing. Loss of companions or social associations, restricted contact with the healthcare framework, feeling underweight, and having lymphedema were never experienced by the slightest half of the ladies. â€Å"Survivors reported higher scores for exercise-related stressors than for the other categories of stressor, with these stressors being primarily positively appraised by the women.† (By Journal of Women’s Health) Lastly many women got high scores on physical self worth.

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Lee Valley Regional Park Free Essays

Leisure is time off from the pressures of work to relax, enjoy life and go do things you normally cannot do at work. It seems that in today’s society, it is hard for us to get away from the hectic schedules of work to enjoy life. We crave time for leisure, and value the time that we do get for leisure. We will write a custom essay sample on Lee Valley Regional Park or any similar topic only for you Order Now Yet there are many different types of leisure such as Indoor- fitness activities, sports clubs, health farms, cinemas, pubs, and restaurants, as well as outdoor leisure such as sports, walking and enjoying the scenery, and parks. With the aid of different types of parks- national parks (located in remote areas), country parks (in urban areas, with havens of greenery), and regional parks (a mix of both national parks and country parks), the leisure moments are valued even more because it become more exiting and interesting. Regional and country parks allow people who live in the city to witness and enjoy leisure in the outdoor form. This is due to the countryside atmosphere, numbers of leisure centres, and the outdoors, natural environment. An example of a type of Regional Park is The Lee Valley Regional Park. The Lee Valley Regional Park is located on the lower Lee Valley River. The river creates a boarder between Essex and Hertfordshire. It also flows through several boroughs of London. The River Lee is a tributary of the River Thames During the Industrial Revolution, the River Lee was used as one of the many transport links. Consequently, the River Lee and its valley became polluted and then derelict. Then in 1963, ten authorities around the Valley discussed, in depth, the future of the Valley. The meeting was held because the pollution of the valley effected the neighbouring areas. The authorities discussed and agreed that the valley was a perfect area to develop into a recreational area. The parks governing body was set up in 1965, after a bill was promoted in parliament. On the first of January 1967, The Lee Valley Regional Park authority was established due to the Royal Assent. It is easy to access The Lee Valley Regional Park as the M25 cuts through the park. The park is ten thousand acres (approx.) in land. The regional park has various features such as holiday areas – caravan parks and camping sights, water activities- fishing, swimming, etc., and other sights such as picnic areas, large sums of greenery, and fields for sports as well as sport centres. Due to certain water activities, reservoirs were developed around the region, to insure the usage of water. The Lee Valley Regional Park ‘provides leisure activities while conserving and enhancing the environment.’ The purpose of the enquiry is to collect information and evidence, from a field study, to see if the hypothesis is true. I must agree or disagree with the hypothesis. From the field study I will understand if the park meets all it requirements as well as if the park conserves and enhances the environment. To prove the hypothesis is correct or not I will need to study The Lee Valley Regional Park carefully. I will take a map of the Lee Valley Regional Park and plot data such as assessments, economic activity, signs, facilities, damage and neglect on the map in code. Then I will note the data and what it means on notebook paper. I will assess and evaluate both sides of the river. Then, using the map on the trip I will create two maps. One will be for assessments and the other of economic activities, signs, facilities, damages and neglects. I will produce lists. With this information I will create evidence towards my answer of the hypothesis by producing pie charts and divided bars. Using the maps, pie charts, and divided bars I will analyse and conclude whether or not the hypothesis is correct. Analysis of Results To help me reach a decision about whether the hypothesis is true or not, I constructed pie charts, dividing bars, lists, and maps on the data collected on the trip. From the map of assessments, I have analysed that on the near bank, there are more assessments ranging from 1-5 while on the far bank the assessments range only from 3 and 4, mostly consisting of 3. The near bank consisted of 4% of assessment 5. The far bank consisted of 8% of assessment 5. Similarly the near bank consisted of 8% assessment 1 and the far bank consisted of 0% of assessment 1. On the assessment map, it seems to have large sections of the same assessments. There are long strips of assessment 3 stating that the landscapes around the Lee Valley Regional Park are very similar. Yet a 3 in assessments counted as a nothing special in the landscape for the public to enjoy nor is it enhancing and conserving the environment. Overall I had a 50% of assessment 3 (69% on the far bank and 38% on the near bank) Towards the end of the route, there seemed to be longer strips of assessment 4 on the near bank. There were also many facilities and economic activities at this point. For example there were car parks, picnic areas, and restaurants. Similarly, during the beginning of the trip, there seems to be many facilities and economic activities compared to the middle of the trip. Facilities Data collected and transferred on map 2 (Signs, Economic Activities, Facilities, Damage, and Neglect) shows that there are many facilities for the public at the Lee Valley Regional Park, yet these facilities are close together at each end of the route. These facilities include car parks, picnic areas, pubs, and restaurants. However, there are facility locations in the middle of the route. Yet these facilities are little thing such as rubbish bins. There also seems to be more facilities on the near bank, than there is on the far bank. Economic Activities Facilities such as The Crown Pub, the boat hire, and the caravan site were also economic activities. Yet privately owned economic activities such as the factory (E6) seemed to make the Lee Valley Regional Park polluted with rubbish. The economic activities were distributed evenly on the near bank, however this was not the case on the far bank. Neglects and Damage In total, there were 6 numbers of neglects that I recognised on the route. However there seemed to be no neglects after the first lock. This shows that some care has been taken to maintain the park, but not as much to conserve the environment. There was only one neglect on the far bank, which was the resurfacing and painting of lines in the car park. However there were 5 on the near bank. There were a total of 7 damages that I recognised. Damages such as graffiti, litter, noise, and pollution coming from buildings. Using the neglect and damage dividing bar, there are more damages that neglect. Signs Overall there were a total of 42 signs. Most of these signs were on the near bank, probably because most of the public uses the near bank. The signs are fairly distributed. There were a handful of signs, which were neglected, yet it did not seem that those signs were any help to the public. Some of the signs were really helpful and informative. These signs included maps, and lots of colour, which attracted a lot of attention. However, all the results, which I collected, were based upon a small bit of the park. This is because we only followed the near bank. The far bank was seen from a distance, so maybe if I had taken the far bank route, I would have found more assessments, signs, facilities, etc. Conclusion From the data that I collected on the trip, and the graphs and maps which I have created using the data, I have come to the conclusion that the Lee Valley Regional Park IS NOT up to the standard of its main purpose which is ‘to provide leisure activities while conserving and enhancing the environment’. 50% of the assessments were 3. This means that there wasn’t anything for the public in this area as well as that area wasn’t conserving or enhancing the environment. If 50% of what I saw was assessed as a 3, than The Lee Valley Regional Park is failing its main purpose. ‘To provide leisure activities,’ is one of its main purposes. However, from the evidence collected, this does not seem to be the case. There are only 16 facilities that I recognised. Out of those 16 there are only the caravan parks, children’s play area, and the picnic areas are leisure facilities. With only 3 leisure facilities, the rest of the facilities are not leisure related. Also the Caravan Park is very dirty, with a lot of waste from people who stay there. The authorities do not seem to take care of the environment around the Caravan Park. It seems that unless the authorities stop neglecting the Caravan Park, there will be a decline in people staying at the Caravan Park. Since the Caravan Park is an economic activity, The Lee Valley Regional Park will start to loose some money. Most of the facilities are close to the ends of the route. It seems to be like this as the authorities know that people will not walk a long distance, and so the will only walk a little further from the car park, where most of the facilities are. Yet if they are to provide leisure activities, it should be throughout the route. ‘Conserving and enhancing the environment’ is another purpose of The Lee Valley Regional Park. Yet with a lot of assessment 3, this purpose is not falling through. With private development such as Gravel Pits (E7) and Factories (E6), conserving and enhancing the environment is not possible. These types of developments cause pollution and destroy the environment. It is understandable that these are private developments. However, The Lee Valley Regional Park authority do have control and a say of whether or not they want these private companies developing on their land. With the air and land pollution comes sound pollution from these development areas. The noise disturbs the environment around it. For example, people will become irritated from the noise that a development area brings e.g. machine noises. Also the wildlife are effected, as they will move away from the noise. The Lee Valley Regional Park does need more land in order to create more facilities for leisure purposes. This is not possible if there are many private lands owned around the area of the park. For The Lee Valley Regional Park to meet its requirement, which is to provide leisure activities while conserving and enhancing the environment, it will have to invest money to buy private land, to increase facilities. They will also have to fix damages and neglect. They should also fix the route. How to cite Lee Valley Regional Park, Papers