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Through a standpoint feminist perspective (Harding 2009) I conducted a situational analysis (Clarke, 2015) that examined academic literature and cancer support discussion boards (DBs) to identify how Western biomedicine, specifically oncology, can integrate complementary and alternative medicine (CAM) to improve cancer treatment in children. The aims of this project were:

Through a standpoint feminist perspective (Harding 2009) I conducted a situational analysis (Clarke, 2015) that examined academic literature and cancer support discussion boards (DBs) to identify how Western biomedicine, specifically oncology, can integrate complementary and alternative medicine (CAM) to improve cancer treatment in children. The aims of this project were: 1) to identify the CAM treatments that are being used to alleviate the side effects from oncological treatments and/or treat pediatric cancers; 2) to compare the subjective experience of CAM to Western biomedicine of cancer patients who leave comments on Group Loop, Cancer Compass and Cancer Forums, which are online support groups (N=20). I used grounded theory and situational mapping to analyze discussion threads. The participants identified using the following CAM treatments: herbs, imagery, prayer, stinging nettle, meditation, mind-body therapies and supplements. The participants turned to CAM treatments when their cancer was late-stage or terminal, often as an integrative and not exclusively to treat their cancer. CAM was more "effective" than biomedical oncology treatment at improving their overall quality of life and functionality. We found that youth on discussion boards did not discuss CAM treatments like the adult participants, but all participants visited these sites for support and verification of their cancer treatments. My main integration recommendation is to combine mind-body CAM therapies with biomedical treatment. This project fills the gap in literature that ignores the ideas of vulnerable populations by providing the experiences of adult and pediatric cancer patients, and that of their families. It is applicable to areas of the social studies of medicine, patient care, and families suffering from cancer. KEYWORDS: Cancer; Complementary and Alternative Medicine; Situational Analysis; Standpoint Feminism
ContributorsEsposito, Sydney Maria (Author) / Martinez, Airín (Thesis director) / Hruschka, Daniel (Committee member) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
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Chemotherapy refers to the use of chemical agents to inhibit or stop the growth of rapidly dividing cancer cells. There are many side effects of systemic chemotherapy, which are caused because the drug not only kills cancer cells but healthy cells as well (American Cancer Society, 2017). Common side effects

Chemotherapy refers to the use of chemical agents to inhibit or stop the growth of rapidly dividing cancer cells. There are many side effects of systemic chemotherapy, which are caused because the drug not only kills cancer cells but healthy cells as well (American Cancer Society, 2017). Common side effects include fatigue, hair loss, bruising/ bleeding, infection, anemia, nausea and vomiting, appetite changes, constipation, diarrhea, oral sores, nerve and muscle pain, dry skin and color change, kidney dysfunction, weight loss, cognitive difficulties, mood changes, sexual dysfunction, and fertility problems (American Cancer Society, 2017). Research shows that complementary and alternative medicine (CAM) may help relieve some of the side effects of chemotherapy. Examples of CAM include herbal medicine, dietary supplements, acupuncture, yoga, Tai Chi, massage, electromagnetic therapy, meditation, biofeedback, music, dance, and guided imagery (Johns Hopkins Medicine, 2017). The aim of this creative project was to design a third-party website to provide information to patients undergoing chemotherapy and their family members regarding the use of CAM for the treatment of chemotherapy-induced side effects. Rationale for this project stemmed from a preliminary research step. We analyzed and coded for presence or absence of CAM-specific information on the websites of 20 National Cancer Institute-designated comprehensive cancer centers across the United States. Fifty percent of websites were double-coded. Inter-rater reliabilities (kappa values) for coding of the presence or absence of specific CAM therapies ranged from 0.38 for acupuncture to 1.00 for exercise and yoga, expressive arts, and herbs (mean kappa = 0.75). Fourteen of the 20 websites mentioned meditation or mindfulness; 13 mentioned nutrition; 12 mentioned acupuncture; 11 mentioned exercise or yoga; 11 mentioned massage; 8 mentioned expressive arts; and 3 mentioned herbs. Frequencies for presence of either a description of the specific CAM therapy or an explanation of how the therapy works were lower. We then conducted a literature review using PUBMED to find peer-reviewed research on the efficacy of the previously described seven CAM therapies. The literature search focused on systematic reviews and meta-analyses published within the past 10 years. Based on the literature obtained, we created summaries of the scientific evidence for each CAM therapy. This information is now provided on our third-party website in tabular form with summative statements. The website describes in lay language: chemotherapy, chemotherapy side effects, CAM, seven specific CAM therapies, and evidence for the efficacy or lack thereof of each. Per the American Nurses Association (2015), it is our responsibility to advocate for our patients through education and holistic treatment. The role of the nurse is to educate the patient about treatment options; however, it is not within the nurse's scope of practice to prescribe a treatment. As such, this website should not be viewed as a prescription for CAM therapies, but instead as a user-friendly and easily accessible resource for informed decision-making regarding the adjunctive use of CAM therapies.
Created2017-12
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There are many claims made in the essential oil industry, and not all of them are backed up by a sufficient amount of peer-reviewed research. Thus, the purpose of this thesis project was to sort through the claims made in the essential oil industry and present an evidence-supported review of

There are many claims made in the essential oil industry, and not all of them are backed up by a sufficient amount of peer-reviewed research. Thus, the purpose of this thesis project was to sort through the claims made in the essential oil industry and present an evidence-supported review of the health benefits of lavender, peppermint, and citrus essential oils. Interviews were conducted to compare the literature findings to the knowledge and experiences of individuals using essential oils in their daily lives. Lavender essential oil was shown to improve agitated behavior, fatigue, cardiovascular parameters, sleep quality, anxiety, PONV, and quality of life. Peppermint essential oil was shown to improve cognitive performance, reduce mental fatigue, and reduce PONV and antiemetic drug requirements. Finally, Citrus aurantium can improve anxiety, mental symptoms of PMS, and quality of life, and Citrus sinensis can reduce postoperative abdominal pain. All of these results were achieved in medical settings with low costs, little to no reported side effects, and generally high participant satisfaction with each intervention. By comparing the literature findings to the information collected from interviews with current essential oil users, it can safely be assumed that essential oil practice and research align in many relevant cases. Most notably, lavender essential oil aids in sleep quality and anxiety disorders and peppermint essential oil aids with cognitive function and gastrointestinal concerns.
ContributorsSandoval, Karenna (Author) / Forouzeshyekta, Marjon (Thesis director) / Grozier, Darren (Committee member) / Barrett, The Honors College (Contributor) / Medical Studies (Contributor)
Created2022-05
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An increasingly urgent issue in healthcare is the scarcity of available organs for transplant procedures—both live and cadaveric. Recent proposals have pushed for fiscal incentives and a monetary scheme to encourage live donation, specifically for kidney and liver donations. Such propositions are inherently unethical, contradicting the three guiding principles of

An increasingly urgent issue in healthcare is the scarcity of available organs for transplant procedures—both live and cadaveric. Recent proposals have pushed for fiscal incentives and a monetary scheme to encourage live donation, specifically for kidney and liver donations. Such propositions are inherently unethical, contradicting the three guiding principles of organ donation: utility, justice, and respect for persons. Furthermore, these additional economic elements will perpetuate the exploitation of vulnerable communities. The intersecting low socioeconomic quintile populations are threatened the most by a monetary scheme; their need to better their financial status allows them to be taken advantage of easily by third parties. This instigates a cycle in which the vulnerable individuals who volunteer to donate for compensation are actually pushed deeper into poverty. In advocating for monetization, it would permit the public sale of human organs—the commodification of the human body. Alternative solutions must be considered in which the donors and recipients are treated not as a means, but as an end in themselves.
ContributorsNair, Nimisha (Author) / Barr, Emily (Co-author) / Forouzeshyekta, Marjon (Thesis director) / Grozier, Darren (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2022-05