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Watch the following video and write a one-page journal submission regarding your thoughts about the use of palliative and hospice care as an option for health promotion. In what scenario(s) might this be applicable? Have you ever thought about palliative and hospice care promoting health? Why or why not?   

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End Of Life | Aging Matters | NPT Reports

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End of Life Aging Matters Video Transcript.

You may journal in first person, and this assignment does not require references as it is your thoughts; however, be sure to review the rubric, as a minimum of one reference is required to be considered exemplary work. If you choose to use quotes or citable material, you are expected to follow APA formatting.

Journal Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Journal Rubric – 100 Points
Criteria	Exemplary Exceeds Expectations
Focus and Content	In addition to self-reflection, the journal components are provided along with clear examples supported by course content and references that speak to how the journal content relates to the questions posed within the assignment. Cites one or more references. All instruction requirements noted. 45 points
Application of Knowledge through Critical Thinking	Critical analysis is supported with information from scholarly resource(s), offering new insight into the context of the assignment. \ Student indicates how the experience will have an impact on their professional practice. All instruction requirements noted. 45 points
Organization	Well-organized content with a clear and complex purpose statement and argument content. Writing is concise with a logical flow of ideas. 5 points
APA Referencing, Grammar, and Spelling	Correct applicable APA formatting with no errors. The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately). There are no spelling, punctuation, or word-usage errors. 5 points
Total Points	100

Please respond to at least two of your classmates that have chosen a topic from different chapters;

Chapter 20- Neoplasms and Cancer 
A tumor is manifested by a variety of conditions such as reactive inflammatory and infectious process, benign tissue mass or malignant growth of tissue which may be either benign or malignant (Hubert & VanMeter, 2018). Cancers are referred to malignant tumor due to their dangerous ability to invade and metastasize (Hubert & VanMeter, 2018). Based on pathologic categorization, cancers are identified according to the organ/cell from which they originate. By identifying patients on risk factors for onset of cancer, outcomes and survival may significantly differ from those that modify their lifestyles with teaching. Ultimately, Chin et al. (2019) set out to establish whether Synchronous colorectal carcinoma (sCRC) impact patient prognosis negatively and how this knowledge can aid in the improvement of patient care. An understanding of etiology and risk factors of cancers can compel health care practitioners and nurses to advise on risk reduction. Hence, the purpose of this paper is to critique this article by Chin et al. (2019).

Synchronous colorectal carcinoma (sCRC) has been defined as additional primary colorectal carcinoma identified in a patient at preliminary presentation (Lam et al., 2014). Numerous risk factors are associated with sCRC including genetic factors (Pajares & Perea, 2015) observed. Globally, colorectal cancer (CRC) is the third most deadly and fourth most diagnosed cancer and remained with overall survival despite the innovations in surgery and chemotherapy (Kuo et al., 2019). A study by Chin et al. (2019), explored the prevalence and risk factors of synchronous colorectal carcinoma (sCRC)s could aid in the treatment of patients with colorectal cancer (CRC). 

This critique is based on Synchronous colorectal carcinoma: predisposing factors and characteristics (Chin et al., 2019). The article was published in the Colorectal Disease journal found in the Wiley Online Library database. The research aimed at evaluating the risk factors and presentation of sCRC, and how these factors alongside their interaction with sCRC affect the management of patients with colorectal cancer. This paper did not have much in the form of a literature review. However, the authors explored some studies from the discipline of medicine to provide a background for their work.

The synthesis of available literature showed several gaps. First, while some experts have found several independent risk factors for sCRC, others suggest that these factors do not exist. Second, the authors also maintain the fact that an overlooked sCRC could result in metastases, understanding risk factors, and their impact on treatment is vital. Third, although other lifestyle diseases, including diabetes mellitus and high blood pressure, have been associated with colorectal cancer in the past, there is very limited research on if and how these illnesses are correlated with the incidence of sCRC (Chin et al., 2019).

The researchers selected their patients, a total of 17,093 individuals from a pre-identified period from January 1, 1995 to December 31, 2016. The authors assessed the risk factors predisposing one to sCRC development with the help of univariate and multivariate regression. The multivariate Cox method was used to evaluate how sCRC impacted survival. The sample and size were adequate for the project. Seeing that the researchers wanted to analyze sCRC in relation to colorectal cancer, using more than 17,000 patients treated over a long time of 21 years appears to have been logical.

At the project’s conclusion, the authors found that the clients with sCRC typically had a poorer prognosis compared to those with singular CRC from TNM in stages I to III. In addition, they identified numerous risk factors for sCRC, including liver cirrhosis and hypertension. Other aspects found to be expected in patients with sCRC are anemia, hypoalbuminemia, and abnormal CEA. The implications for future research include using patients whose record of medications for illnesses is available. Future work can also look into whether the development and progression of sCRC itself is a factor of the disease or associated with medications. 

In conclusion, the data in this article applies to advanced nursing practice as it could significantly aid in treating patients suffering from colorectal cancer. The knowledge of the impact of sCRC on illness and factors that may predispose individuals to it could be vital in preventing adverse outcomes. With this information, advanced practice nurses can make better and patient-centered decisions, with the result of improved care delivery. In this regard, I would recommend this article to others as an example to add to the understanding of this information. The knowledge presented in the study was presented in an organized and easy-to-understand manner. 

References
Chin, C. C., Kuo, Y. H., & Chiang, J. M. (2019). Synchronous colorectal carcinoma: predisposing factors and characteristics. colorectal disease: The Official Journal of The Association of Coloproctology of Great Britain and Ireland, 21(4), 432–440. 

https://doi.org/10.1111/codi.14539

Kuo, Y. H., Hung, H. Y., You, J. F., Chiang, J. M., & Chin, C. C. (2019). Common habitual behaviors and synchronous colorectal cancer risk: a retrospective case-control study. International Journal of Colorectal Disease, 34(8), 1421–1430. 

https://doi.org/10.1007/s00384-019-03326-x

Lam, A. K., Chan, S. S., & Leung, M. (2014). Synchronous colorectal cancer: clinical, pathological and molecular implications. World Journal of Gastroenterology, 20(22), 6815–6820. 

https://doi.org/10.3748/wjg.v20.i22.6815

Pajares, J. A., & Perea, J. (2015). Multiple primary colorectal cancer: individual or familial predisposition? World Journal of Gastrointestinal Oncology, 7(12), 434–444. 

https://doi.org/10.4251/wjgo.v7.i12.434

VanMeter, K., Hubert, R. J. (2018). Gould’s pathophysiology for the health professions 6th ed