A young woman with advance cancer with a young family who wants to end Essay

A young woman with advance cancer with a young family who wants to end her life on her terms. There is a scenario given and a te - Essay Example Nowadays, caring for cancer patients is becoming more complicated requiring the work of a health professional. This article explains the sickness connected to cancer and the nursing activities done to reduce and prevent the effect of such sicknesses in a 34 year old woman, Frankie, who is suffering from rectal cancer. Issue Identification (Noticing) Typically, oncology related ailments go with persistent health issues. Such illnesses usually have multiple symptoms as were diagnosed in Frankie; she was anxious, and was suffering from further progressive disease in her lung liver and peritoneum. Other ailments found in her were, abdominal distension, leg edema and uncontrolled rectal pain. When such sicknesses are combined, they amplify the care complexity of cancer patients. Nevertheless, early detection of these conditions and their effective management can enable the cancer individuals to become comfortable and responsive to treatment. A formal capacity assessment on admission demon strated that Frankie was competent according to the Mental Capacity Act (2005) and she has remained competent. Frankie’s husband is unaware of his wives’ expectations and as much as he may need her to stay in a hospital facility and get the necessary care, his wife has different wishes which she would also want her husband to be kept out of it. Frankie says that her husband is ‘already dealing with enough.’ Chronic condition managers of cancer patients direct that they have to live on more than a single medication that has been regularly prescribed. For example, Frankie's drug therapy includes Capecitabine a chemotherapy drug used to treat the rectal cancer, Oxycodone (subcutaneous) and Fentanyl (patch) used to treat the pain, Midazolam to treat Frankie's insomnia and Escitalopram a selective serotonin uptake inhibitor used to manage Frankie's anxiety. In Frankie’s case, the individuals providing for her health care away from the hospital, i.e. her husband and children, are not health care experts specialized in handling her conditions; as an alternative, they are just alimentary health care providers. It is even probable that these health care providers have no specialized skills in such areas as oncology. Her health care providers are also either older or younger than she is; this is a regular incident in health care for the terminally ill. Nevertheless, Frankie’s elder health care provider, her husband, is given a chance to learn. Formulation Development The formulation of the disease was data based. The information collected together with the assessment of the patient’s health was sufficient for diagnosis. It relies on set up questions as well as processes (Drescher, Jotzo, Goelz, Meyer, Bacher & Poets, 2008); Patient’s Identity – it is a female who is tall and slender. Patient’s name is Frankie. She is now in her mid life years and he appears weak. Diagnosis – Frankie is ailing an d was diagnosed as suffering from advanced rectal cancer with liver, lung and Para aortic metastasis. Since then Frankie has received palliative chemotherapy, a partial lung resection, palliative radiotherapy to her pelvis, a right hepatectomy, radiofrequency ablation of her liver, and further liver resections for metastasis r4(Funnell, Koutoukidis & Lawrence, 2009). Precipitating

Inland freight exam qns Assignment Example | Topics and Well Written Essays - 1750 words

Inland freight exam qns - Assignment Example If any two shops require the stocks and if they are located nearby to each other in the adjacent sectors (east and south), then one vehicle will be sufficient to replenish the stocks to the two shops. The same can be extended to two, three, etc., number of shops considering the distance and the load. Another most important factor to be considered is the traffic in the city which will delay the delivery resulting in the dissatisfaction of the customers with the factory. The distance of the shop outlet to be recorded in the sheet must be the shortest distance with free of heavy traffic. A delivery to a shop outlet can have various traveling path but while locating the path for the delivery, it should be taken care that a traffic free path is chosen which will be better than getting into traffic path. In case, there are many shop outlets located in a single sector (any one region), then the number of vehicles to complete the delivery will be reduced. From the above points, it is very cl ear that the delivery plan depends on four factors namely location of the shop outlets, number of shop outlets in a location, various travel paths and distance of the shop outlet from the factory. 2. Explain the techniques used to retain firm control of transport costs The transport costs can be controlled by efficiently planning the deliveries with respect to the shop location, number of outlets in a location, travel distance, travel path, availability of vehicle and availability of vehicle drivers. Each time when a delivery is initiated, it can be made a regular task of recording the start time, distance in kilometers traveled acknowledged by the shop outlet to the factory so as to be aware among few drivers who will simply record more distance for higher pay. A cost benefit analysis can be made with these details on periodical basis which will be useful to track the cost controlling. The recording of kilometers will help to minimize the diesel fuel cost and also avoid being cheated by the drivers. The pay to the drivers for delivering the stocks should be reasonable. At the same time, it should not be the case of committing a unreliable driver who is ready to accept low pay. The pay should be made in such a way that driver is reliable all the t ime. The vehicles should undergo periodical maintenance to reduce the cost on repairs. Even if the vehicle is operating for a long time (beyond one year) without any problem, the maintenance on the particular stipulated date should be done and reported since it might result in accumulated repairs which will result in increase of the maintenance cost per year. The training cost for the drivers should be the least one and for that drivers who are well trained and aware of the routes in the city can be selected. This may include some cost of testing the driver. The temporary use of staff will be affecting the costs more since the drivers demand more pay when they are asked to make an immediate delivery. At that time of demand, it becomes essential to use them so as to satisfy the customers and to retain their