1. Introduction

Citation/literature for support

• Define hematopoietic stem cell transplantation (HSCT).
• Importance of adaptation post-transplant.
• Thesis statement: Post-HSCT adaptation involves a complex interplay of physical, psychological, and social adjustments, requiring comprehensive support to ensure successful outcomes.

This essay will explore the challenges faced by clients who have received HSCT from physical, psychological, and social aspects, as well as the related adaptation strategies.

2. Physical Challenges and Adaptation Strategies

• GvHDExplain the nature of GvHD and its various manifestations (acute vs. chronic). Describe the physical challenges GvHD presents (skin, gut, liver, lungs). Mention management strategies and their impact on adaptation.
• ImmunodeficiencyDiscuss the compromised immune system post-HSCT and its implications for infection risk. Explain the need for protective isolation and ongoing monitoring. Describe the impact on daily life and the process of gradually regaining immunity.
• Treatment-related Side EffectsOutline common side effects like fatigue, nausea, mucositis, and neuropathy. Explain how these side effects influence the client’s ability to adapt to daily life. Discuss the role of supportive care in managing these side effects.

3. Psychological Adaptation

• Explore common emotional responses like anxiety, depression, fear, and grief.
• Discuss the impact of the intensive treatment process and uncertainty about the future.
• Mention the role of psychological support services (e.g., counselling, support groups).

4. Social Adaptation

• Impact on RelationshipsExplore the impact of HSCT on relationships with family, friends, and significant others. Discuss the challenges of managing social interactions while managing side effects. Mention the role of social support in adaptation.
• Financial BurdenAddress the potential financial strain associated with HSCT treatment and ongoing care. Discuss the impact of financial burdens on adaptation.

5. Conclusion

• Summarize the key points discussed.
• Reinforce the importance of holistic adaptation for post-HSCT clients.
• Call to action for further research or enhanced care practices.

 

Assignment Requirement

Students are required to combine the knowledge gained during the academic weeks, clinical experience, and information from the literature and web searches, to write a short essay on the following topic:

“Adaptation in clients post hematopoietic stem cell transplantation.”

The essays must be appropriately referenced and supported by relevant research.

1) This individual assignment carries a weighting of 50%.

2) The due date of this individual assignment is on 24 January 2025, Friday, by 1700 hours (Week 15) via Brightspace (BS).

3) The word limit of this individual assignment is 1500 words. It is acceptable to be 10% above or below this word limit.

Information on Assignment Submission

1) Students are required to submit the individual assignment in a Microsoft Word document.

2) Assignments must be presented in accordance with Nanyang Polytechnic SHSS Guide to Presentation of Assignment, which is available in CET Student Resources in BS.

3) Students are required to complete the online student declaration as part of the requirement for assignment submission.

4) Students are reminded that use of artificial intelligence (AI) or any automated writing assistance tools is prohibited in the completion of this assignment. Plagiarism (i.e. copying another person’s work without proper referencing) and abetment to plagiarism (i.e. sharing of your work with others) are strictly prohibited and subject to disciplinary action, if/when committed.

5) Where a student submits a late assignment (after the due date and time),

• a. Exceed stipulated submission time or part thereof of 24 hours is considered one calendar day late.
• b. 5% of the total base marks allocated for the assignment will be deducted for each calendar day the assignment is late.
• c. If the assigned work is not received within three calendar days following the due date, the assignment will be reviewed for feedback but will not be assigned a mark or grade.

6) Students are required to submit their assignment to Turnitin in BS and to ensure that the similarity index (SI) is kept ≤20%.

• a. Take note that the latest submission will override the previous submissions.
• b. SI report will be generated after 24 hours for the fourth and subsequent submissions.
• c. No alternative attempt will be given if
  •  students do not resubmit assignments despite SI >20%, or
  •  no SI report is generated in Turnitin (If the SI report takes more than 1 hour to generate, it is the student’s responsibility to inform the respective module tutor for assistance before the due date).
• d. Students are required to keep a copy of the assignment submitted and the acknowledgement email of the assignment submission as proof of work upon request.