Use of Exercise Treatments to Cancer Patients

Section D – Solution Description
Your Name
Subject and Section
Professor's Name
April 16, 2021
Understanding the relationship between healthcare treatments and the well-being of patients is essential in the provision of care. It allows him to appreciate the various interventions that could be made to ensure holistic treatment for the patient. In this Evidence-based study, the PICOT Question is as follows; “In cancer patients that have fatigue (P), what is the effect of exercise (I) on their fatigue level and quality of life (O) versus not exercising (C) after six months?”. Accordingly, one of the 'factors' that healthcare professionals should consider is the possibility of 'cancer-related fatigue (CRF) on Duke University's outpatient oncology treatment center (chemotherapy infusion).   Proposed Solution Solution Description             In this case, the solution proposed by the author is the use of exercise (non-pharmacological) treatments for cancer patients who are undergoing chemotherapy infusions. According to Poort et al. (2017), palliative and exercise treatments for cancer patients can improve their capability of adapting to their situation. However, one of the reasons that prevent the careful implementation of exercise procedures is costs, especially for ‘in-patient’ sessions where the facilities and the personnel are paid for (Naghavi et al., 2019). In contrast, exercise treatments for outpatients could also be done with the help of the family members after the patients are discharged. This provides several benefits such as decreasing the costs of treatment, increasing compliance, and reducing staff workload thereby improving healthcare provision processes (Hanney, Masaracchio, Liu, & Kolber, 2016).   Feasibility of Intervention             The intervention process lasts for approximately 6 months. Moderate-intensity exercises could be done for around "20–40 min/day for five days/week" to gradually improve the patient's capabilities (Patel & Bhise, 2017). While direct provision and supervision of exercise treatments would be difficult to achieve, nursing professionals could teach basic aerobic exercises designed by physical therapists, which could then be taught to the patients' families (Zhang, Li, Zhang, Yu, & Cong, 2018). As compared to regular in-patient sessions, this reduces the need for additional manpower while also possibly increasing compliance rate due to the reduction of overall costs. Since the ratio of physical therapists and nurses in Duke University are one-to-six and one-to-three, respectively, this means that the additional workload may also be mitigated. This makes it more feasible given considering that workforce ratio (Waller, et al., 2018).   Consistency with Culture             Understanding ‘culture-fit’ of Evidence-based Interventions is necessary for the success of such practice. As according to Li et al. (2018), organizational culture is one of the most influential factors in the determination of intervention effectivity. Nonetheless, the...