Tuesday, February 18, 2020

Cancer Pain in End of Life Cancer Patients Essay

Cancer Pain in End of Life Cancer Patients - Essay Example This will be considered a supplementary strategy to the existing official request process. I will also need support from my peers particularly in project review and data collection. I will also need to describe the significance of the project to my peers in order to win their support. Current Problem/ Deficit Pain treatment is a significant aspect in the end of life care. Different people develop different pain symptoms and hence the need for differentiated pain management strategies. Unfortunately, the current pain management strategies concentrate on pain symptoms rather than the source of pain. For example, a doctor will concentrate on symptoms of pain such as headache and backache, rather than the actual cause of the pain. The second issue relates to the definition and scope of pain. The mainstream pain management strategies underestimate the significance of other dimensions of pain such as social and spiritual pain. A comprehensive pain management strategy needs to incorporate t he other aspects of pain. The project proposes a standardized scale to assess pain, using four basic approaches to pain relief, which include: modify the source(s) of pain(s), alter the central perception of pain, modulate transmission of pain to the central nervous system and block transmission of pain to the central nervous system (Ferrel, Levy and Paice, 2008, p.577). Moreover the project proposes an interdisciplinary intervention integrating â€Å"physical, physiological, social and spiritual well-being of the patient so that the patient experiences comfort and dignity at the end of life. The process will involve counseling and use of pain relieving medication. Medication is primarily intended to relieve physiological pain without inflicting additional... The paper throws light on pain treatment as a significant aspect in the end of life care. Different people develop different pain symptoms and hence the need for differentiated pain management strategies. Unfortunately, the current pain management strategies concentrate on pain symptoms rather than the source of pain. For example, a doctor will concentrate on symptoms of pain such as headache and backache, rather than the actual cause of the pain. The second issue relates to the definition and scope of pain. The mainstream pain management strategies underestimate the significance of other dimensions of pain such as social and spiritual pain. A comprehensive pain management strategy needs to incorporate the other aspects of pain. The project proposes a standardized scale to assess pain, using four basic approaches to pain relief, which include: modify the source(s) of pain(s), alter the central perception of pain, modulate transmission of pain to the central nervous system and block t ransmission of pain to the central nervous system. Moreover the project proposes an interdisciplinary intervention integrating â€Å"physical, physiological, social and spiritual well-being of the patient so that the patient experiences comfort and dignity at the end of life. The process will involve counseling and use of pain relieving medication. Medication is primarily intended to relieve physiological pain without inflicting additional complications on the patient.

Monday, February 3, 2020

Attributes and Primary Keys of the ERD Coursework

Attributes and Primary Keys of the ERD - Coursework Example SoniDream is the company, forming one of the entities. Within it, there several other entities, derived from their various attributes. I, therefore, consider how each of the following has different characteristics from the other (Moreira et al. 2013, p.455). Â  The company, with the main office headquartered in London. A company as an entity must have attributes such as physical location. In this case, its physical address in London. A company must also have the people who run it. Using this knowledge, I identified members of staff who fall into different categories and play different roles. They include studio managers, sound engineers, and van drivers. Â  Recording studios distributed over different parts of London. Studios are fixed entities and must, therefore, have their physical locations. In this case of the studios are in London and the other 8 are located in different parts of the UK. Â  Equipment used in the studio is an entity and must be comprised of different pieces. In this case, they included recorder, mixing desks, studio monitors, controllers, microphones, converters, musical instruments, and other music accessories. The different entities are joined by different relationships. Â  3. I identified the main relationship types for SonicDream using a hierarchical order. A relationship type is an association between two or more entity types. Relationship types may associate an entity type with itself. In such a case the roles of the entity types in the relationship type will be listed on the edges like shown in the ERD in part 1.