Mastectomy for Ductal Carcinoma insitu, impact on patient Essay

Mastectomy for Ductal Carcinoma insitu, impact on patient - Essay Example In fact, DCIS accounts for approximately 20% of all new breast cancer and precancerous condition diagnoses (Clause Stowe & Carter 2001). With or without treatment, DCIS patients have a very high survival rate; and, for most women diagnosed with DCIS, it is not considered to be a life-threatening condition. Mastectomy is the preferred, and most effective, treatment option for DCIS patients (Katz et al. 2010). However, there is currently very little research regarding how patients are actually affected by choosing mastectomy to treat DCIS; and, since the number of new DCIS diagnoses is continuing to increase, much more research is needed. DCIS, also called intraductal carcinoma, is a condition whereby the cancer cells develop in the milk ducts of the breast and have not moved out of the duct into any of the surrounding tissue (National Institute of Health 2009). As mentioned above, there is disagreement as to whether or not DCIS should be called cancer; and, some experts often refer to it as "stage zero breast cancer" ( Harris & Morrow 2009). Even though DCIS itself is not considered to be harmful, it is a known risk factor for invasive breast cancer (Zuckerman 2009). While most DCIS patients do not develop invasive breast cancer, approximately two percent (2%) of DCIS cases show evidence of metastases and an even smaller percentage of cases do actually develop into invasive breast cancer (Cornfield et al. 2004). Certain biomarkers may help to identify whether DCIS patients are at high or low risk of developing invasive breast cancer; however, more research is necessary to make more accurate risk predictions (Welch et al. 2008). Currently, however, there is no way to determine or predict which DCIS cases will in fact develop into invasive breast cancer. This paper will try to determine the available information on the rationale for selecting this modality; explore literature regarding the physiological/biological basis of the treatment or how the treatment manage s the disease, critic the impact this treatment had on the individual and the nurses’ role in addressing this, and consider how the patients’ experience could have been improved. Discussion Overview: Even without treatment, most women diagnosed with DCIS do not go on to develop invasive breast cancer. DCIS patients that do opt for treatment have surgical options, the most common being lumpectomy (with or without radiation therapy) and mastectomy. Lumpectomy followed by radiation therapy and mastectomy have the same high survival rate of 96% and above; however, mastectomy does have a slightly lower recurrence rate than lumpectomy with radiation which has a lower recurrence rate than lumpectomy alone (Holmberg et al. 2008; Hughes et al. 2009). Other factors have been found to affect DCIS recurrence rates

Sociology class Essay Example | Topics and Well Written Essays - 750 words

Sociology class - Essay Example Hence, a human being has a never ending list of roles to play in coinciding with the social groups they belong to (Ferrarte, pg 15-18). A man may be a father, a brother, and a husband at the same time. Along with this, his identity may also constitute being an African-American, middle aged, Christian, and a Masters in Philosophy, and other social categories that he may belong to include being a tennis player, a stamp collector, and a huge fan of the Beatles. Hence, the man has several roles to fulfill in his life that are part of his identity and personality and he acts differently in each role. Sociology is the study of society and social groups. Sociology aims to understand human behavior collectively in order to determine the roles that human beings hold and how these roles function in the development of society. All human behavior and all human interaction are upheld by the roles human beings play, the perceptions they hold, and the way they act. Society is formed by human behavi or and the world functions and develops through society (Ferrarte, pg 62). Shakespeare’s famous line, â€Å"All the world’s a stage, and all the men and women merely actors†, holds true when discussing the functioning of society. All human beings hold several roles that they play during their lifetime and their roles determine their identity. The roles that human beings play form society and vice versa. However, how do human beings understand the behavior expected of them in each role? Sociology aims and enables the understanding of human behavior and social roles. It defines the behavior and actions expected of each human being in each particular role which enables a human being to identify themselves. There are several roles that a human being plays which include gender roles, relationship roles, and professional roles. Sociology enables a human being to understand the behavior associated with their role in a societal context (Ferrarte, pg 16-32). Human beings may understand their behavior individually but may not understand what their role in society holds and how they are to use this role to influence society. Hence, unless and until they are able to understand their behavior on a collective scale, they are unable to understand their societal role and their identity within society. A person is identified in society through the roles he holds and the behavior he/she exhibits. To illustrate an example, the concept of gender roles entails identifying the traits belonging to the male or female gender or to neither. The concept of gender is the social context of a person’s sex. While sex entails describing the biological identity of a person, gender seeks to identify the sociological identity of a person. If a person inhibits the traits of being female, then her gender is female. Therefore, once a person identifies him/herself as belonging to a certain gender, he/ she then understands the roles that other genders play and how they af fect society and the individual (Ferrarte, pg 83). An example is the feminist movement, which occurred after females identified the role they played in society and how society viewed females. Hence, they learnt that the perception that society held towards females and the role that males played in this society was unfair and biased. Therefore, they aimed to collectively change this perception and the role description that was given to females by society (Wilson, pg 82). Roles

Speech Essay Example | Topics and Well Written Essays - 2750 words

Speech - Essay Example for charting all of the pertinent information specific to their patients and single handedly act as the liaison between the doctors and their patients. One would think that it would be the nurses who receive upwards of a half a million dollars a year along with private offices and reserved parking spaces. This is in fact, far from the reality of how the health care industry works. It is not an uncommon scenario to find an E.R. with full occupancy of its bays while still more patients poor through the door via ambulance. These patients are often stuck in the halls on cardiac monitors or in wheelchairs as they wait for the next bed to hopefully open up. While there is always an E.R. attending physician, it is the many R.N’s and L.P.N.’s that juggle the mass of sick patients which most hospitals never seem to be at a loss for. Nurses are essentially on the front lines of the medical industry and are paid little more than laborers and in some cases, they are paid less than laborers such as auto mechanics. It is relatively normal for an L.P.N. to make in the neighborhood of $16.00 an hour while an R.N. can command about $26.00 depending on years of

Health care marketing Essay Example | Topics and Well Written Essays - 250 words - 1

Health care marketing - Essay Example This is because of the parental care at the tender age and the lack of the children’s legal capacity to make decisions. The legal duty of care and parents’ moral obligation to care for their children also means that the children are subjected to their parents’ preferences. As a result, parents are the right decision makers that should be targeted as the audience. The statement is valid because the 4Ps are elements that are within a management’s control and are instrumental in creating value and enlisting a desired response from the customers. Products that meet consumers needs as well as fair prices relative to perceived quality adds value to customers’ utility while successful promotion and a convenient place ensures awareness and accessibility of the created value in quality and fair prices towards consumers’ response. The 4Ps therefore facilitates creation of value and generation of a positive

Trial by jury has no place in modern Britain Essay

Trial by jury has no place in modern Britain - Essay Example The system of jury trial has been related to the common law. In fact, Norman kings have promoted the specific process sending their judges ‘to preside at jury trials’ (Spooner 2006, p.88). In the above context, the objectivity of the court was ensured through the following practice: the public could choose ‘four people to sit with them’ (Spooner 2006, p.88). Magna Carta has enforced the specific rule in order to ensure that judge will not influence the jury (Spooner 2006). Saxons did not accept the interference of king’s judges with the jury, aiming to keep the court independence from the ruling of the king (Spooner 2006). Today, a similar approach can be used for justifying the non-appropriateness of jury trial in English law. Due to its structure, the English legal system ensures the objectivity in trial, at least at higher level than other legal systems worldwide where the use of jury in trials often causes severe problems in the court procedure. The presence of juries in trial has been, traditionally, considered as a measure for ensuring equality in terms of law, i.e. to ensure that the decision of the court will be fair both for the perpetrator and the public, meaning that no punishment will be imposed unless the person considered as the perpetrator has, indeed, committed the offense involved. It is for this reason that in trial with juries the defendant is given plenty of time in order to present all the evidence available; in this way it is ensured that the crime will be fairly and appropriately evaluated by the jury. In practice, the participation of juries in trials has led to ‘verdicts, which have protected the personal rights’ (Hosterttler 2004, p.155). However, it cannot be stated that trial by jury always lead to the correct verdict or that juries ‘protect the law’ (Hosterttler 2004, p.155). Such perception cannot be acceptable taking into consideration the involvement of other individuals in critical parts of each trial, especially the judge in directing the trial and the lawyers in presenting/ analyzing the evidence involved. From this point of view it could be noted that juries are not indispensable part of criminal law. In the English legal system this view could be also applied, especially since in the particular system, due to its structure and its principles is quite difficult to lead to failures in regard to the evaluation of evidence, minimizing the risks for wrong verdicts. Currently, criminal trials in the English legal system are based on the trial jury, but not necessarily. In minor offences, these that are heard before the magistrate’s courts, the offender has the right to choose between ‘a trial before the magistrate court and a trial by jury before the Crown Court’ (Erastus-Obilo 2009, p.41). On the other hand, in more serious offences, the offender does not have such option. The trial is heard necessarily ‘by judge and the ju ry’ (Erastus – Obilo 2009, p.41). Moreover, the power of jury as factors determining the cases cannot be ignored. In fact, the verdict cannot replace the judgment of the court, but the verdict is the basis for the development of the judgment. From this point of view, the current role of jury in the English legal system is critical. 3. Benefits and implications of the trial by jury The use of the jury system in England has been combined with the principle of liberty; more specifically, the presence of juries in trials in England reflected the liberty of people to participate in important issues related to the law, which, as its name notes, is common among all people in terms of

System Development - Tools and Techniques Essay

System Development - Tools and Techniques - Essay Example The causes of information systems failure may therefore include: - lack of research, risk management criteria as well as long term commitment. In terms of costs and their required functions, the implementation of information systems becomes more complex day by day. Mere assumptions that an individual is in the position of managing and IS project without conducting thorough prior research, formal training, and the engagement of required expertise would be a lie (Korac-Boisvert and Kouzmin 1995). In line with the same, all the stakeholders of an information systems management right from the management, Information technology staff and the leadership ought t be engaged. Risk determination with regards to the project needs to be undertaken as well as factors such as budget overruns and delays needs to be researched and distributed normally before the project is initiated (Westrup 1998). The facilitation of this elaborate plan is majorly only possible when the management engage all partie s in setting a more realistic period under which any given form of information system is delivered. The second cause of failure is the, â€Å"acceptability† of failures. ... Despite being involved in repeated high profile failures you will find that a health institution still succeeds in winning over 60% of government contracts with the only looser being the taxpayer. The training given the high demand for their services at present does not seem to be of any significance as failure seems and order of the day and hence acceptable or to an extent is even expected. The third cause is the lack of user buy-in and ownership. It should be noted that despite an introduction of change, there is need to convince the users of the efficiency that is likely to arise out of a given new system. These would include the onset of better work practices and better patient in the unique environment of the National Healthcare System (Slater 1996). Due to the pragmatism portrayed by most clinicians, the above factors may be of much value to them as well as the convenience brought about by the use of information technology system. Overlooking the end users of a system may be qu ite detrimental; consulting them should therefore be of priority since this would enable the establishment of systems, which are of great relevance to the users of such information (ParA and Elam 1998). An example in the healthcare system would be the implementation of the Computerized Physician Order Entry Systems. Such a system is of much benefit to the management since they provide them with detailed information to enable their scrutiny of the physicians. On the other hand, there is no addition to the daily practice of the physician since with the slowdowns of the systems what results is more frustration (Westrup 1998). The system becomes even more redundant

Policy Problem Statement Assignment Example | Topics and Well Written Essays - 250 words

Policy Problem Statement - Assignment Example Hansen (2013) asserts that the state allocates funding to older adults acre givers that any other population group. An increase in their population would increase the budgetary allocation of funds to this population group. Walshe & Ham (2011) are also of the assumption that the consumption of health services by older adults may be significantly altered by a major population growth. The author supports the argument by pointing out that, the shortage being experienced in the health workforce may have native effects to the growing population of older adults (McKenzie, Neiger & Thackeray, 2012). The number of increased older adults can be a matched to the decrease in the number of caregivers. The development of these two trends may decrease supply and increase the demand of health services (Perlino, 2006). Considering the forecasted growth by 2050, the government and health stake holders should put in place measures to limit negative effects that may be caused by the growth of the older adult