Tuesday, April 14, 2020

Sample Essay For Special Circumstances For Needed A Scholarship

Sample Essay For Special Circumstances For Needed A ScholarshipWhen you have a need for a scholarship but are unsure of how to write a sample essay for special circumstances for needed a scholarship. This article will help you get the right words out there in order to find the scholarships that match your situation. You can find that even though you may not be a college student, a large number of scholarship programs for college students exist.The first thing that you need to do is determine the need. This may seem like a very easy thing to do, but many times people forget about this important part of their essay. How do you know if you really need a scholarship? Knowing this can help you figure out how you are going to go about writing a special circumstance for needed a scholarship.The next thing that you want to think about is how much time you have available to devote to your essays. Many people will simply write a page or two and then they are done with it. But they never take t he time to really sit down and get it right the first time.The final part of this is going to be the content of the essay. Make sure that you come up with a really good title for your document. This title needs to be something that you can remember for quite some time. It is usually easier to use the word or phrase that you are writing to make it more memorable to you than it is to write a completely random title for your essay.You are going to want to use proper nouns throughout your essay. This is the best way to go about using proper names throughout your essay. You want to use different pronouns for the specific people that you are addressing. Using people as proper nouns will help you accomplish this goal.You will also want to include pronouns that you want to use throughout the essay. But you should avoid using double or plural pronouns when writing about several people. Instead you want to use singular or plural pronouns for each person that you address. This is something tha t you need to remember when you are writing a sample essay for special circumstances for needed a scholarship.Finally, you want to pay attention to the sentence structure that you are using in your essay. People tend to focus on different parts of a sentence, so make sure that you use all of the parts of a sentence that you need to use. Do not limit yourself to using just one or two of the sentences.You are going to need to make sure that you write a good essay. Make sure that you apply for as many scholarship opportunities as you can and to write a sample essay for special circumstances for needed a scholarship. You do not want to miss out on any opportunity that you have for getting money to help pay for school.

Sunday, April 12, 2020

Pain Medicine Essays - Pain, Acute Pain, Morphine, Hospice

Pain Medicine IMPLANTABLE INFUSION DEVICES FOR LONG TERM PAIN MANAGEMENT; EXAMINATION OF ITS EFFECTIVENESS AGAINST OTHER MEASURES I reviewed 36 available articles up to date in order to answer the above question. In my presentation I will start by giving background information about chronic pain. I will discuss different types of delivery systems available, their benefits to the patient, as well as disbenefits, and cost. Chronic pain reduces the quality of life in many patients and restricts their ability to engage in normal daily activities. Although many pain patients may be managed in the long term on oral medications, there is percentage of this population that needs additional or alternative means of treatment. Many side effects of the medications themselves, such as depression, drowsiness, confusion may contribute to the intractable nature of the problem. For the past 18 years, administration of opiates by the spinal route has been one of the palliative treatments available for intractable cancer pain or non-malignant pain, which is resistant to other methods. The goal of the morphine pump is not to deal with the underlying disease but to control the pain symptoms. Intrathecal and epidural administration of narcotics relieves pain by stimulation of stereospecific opiate receptors in the spinal cord and brain stem. Several types of intraspinal opioid delivery systems are now in use, and they are selected based on the patient's life expectancy. Less than 5% of cancer patients require invasive approaches for the treatment of cancer pain. However, it is theoretically possible to use these technologies for all chronic pain patients, and the market could be enormous. Patient management guidelines that were published in 1993 in the Journal of Pain and Symptom Management suggest that patients with cancer related pain who have undergone sequential strong opioid drug trials, who have intractable, unmanageable side effects, and who have undergone a successful spinal opioid efficacy trial and patients with none cancer related chronic pain who failed all conventional syndrome specific therapies before neuroablative surgical procedures, including sequential strong opioid drug trials, who have intractable, unmanageable side effects, and who have undergone a successful spinal opioid efficacy trial, ?are? candidates for implantable spinal infusional therapy. During my literature review, I was surprised to discover that there are no controlled research data available on this technology; all reports to date have been case reports or studies of relatively small series of patients. Many studies do not give information about disease status or progression during the trial. There is very little information regarding patients who discontinued treatment. There are no direct comparisons of effectiveness of intraspinal morphine vs. other delivery systems in matched subjects. Little discussion is present regarding patient satisfaction data nor the incidence of side effects. In terms of patient benefits IIPs have been stated to offer a number of possible advantages over other therapies: enhanced activities of daily living and increased activity level, the therapy can be easily tailored (non invasively) to meet changing patient needs, reversible therapies (non destructive), and long term cost effectiveness. Chodekiewitz has suggested in 1995, that with better pain control, patients are likely to return to a more active life and decrease their use of ineffective alternative treatments. In terms of disbenefits, there are problems that can arise after the implantation of a pump. These problems can be broadly categorized into surgical, mechanical and pharmacological. Long term, and immediate follow up are required in regard to infection, CSF leakage, neural damage and perhaps tolerance, dependence and safety aspects; in my literature search I found that two patients have died from overdose. The cost of the implantable infusion devices is high. There is also the cost of the operation to implant the system, plus the cost of repeated filling and trouble shooting. It could also mean an outpatient visit at least every three months until the pain resolves. Only one attempt has been made to estimate the likely cost of using pumps for long term pain management and this was a very small case series of nine patients (Horisberger et al. Socioeconomic aspects of an implantable drug delivery device. Recent Results in Cancer Research 1991; 121: 223-232.) To summarize, implantable infusion devices are used to administer drugs to treat chronic malignant or non-malignant pain. They have been developed primarily