Neutropenia in the Chemotherapy Patient Essay Example | Topics and Well Written Essays - 1000 words

Neutropenia in the Chemotherapy Patient - Essay Example The study by Cameron (2009) suggests that one of the most effective ways of lowering the incidence of mortality from neutropenia is educating the patients. The paper suggests that letting the patients know what the signs of (febrile) neutropenia are and how they can be recognized will allow patients to understand when to contact their healthcare provider to ensure that they receive treatment for the condition as soon as possible, lowering the mortality of the condition. There are many different side-effects of chemotherapy that can be confused with the development of neutropenia (Nirenburg et al, 2006), but patients should be informed to check for a fever over 37.5C, mouth ulcers and general malaise (Cameron, 2009). The study by Cameron (2009) then goes on to suggest that educating the healthcare providers when the risk of neutropenia is highest and the white blood cell count is likely to be lowest is most imminent during the chemotherapy course. It has been suggested that most chemo therapy treatments are most effective and thus neutropenia risk is highest at the 10-14 day stage of treatment (Hall, 2005) and thus providers and patients alike would benefit from understanding this fact. However, different chemotherapies have different apexes, and thus both patient and provider should understand that the risks may be different dependant on type of treatment received (Cameron, 2009). It has also been shown that the duration of febrile neutropenia in patients with solid tumours can be predicted (Matias et al, 2010). The only data needed to provide this information to a patient or a member of healthcare staff is the aggressiveness of the cytotoxic agents used in that chemotherapy (Matias et al, 2010). This has the benefit of allowing both patients and healthcare staff to predict the severity and duration of neutropenia before the chemotherapy is started, and if the system was imposed thoroughly it could lead to a reduction in the cases of neutropenia. It could also a llow physicians to make more informed choices about the chemotherapy regimen chosen for the patients which could reduce the chances of neutropenia. There is more evidence for the development of a risk assessment tool for those at risk that may help to reduce the rates of chemotherapy-related neutropenia. Donohue (2006) has shown that giving those at risk a colony-stimulating factor (CSF) before chemotherapy is started can give the patients an increased risk of survival and reduced risks of neutropenia (p349). This is more evidence that education would be a useful factor in many situations, as nurses and physicians would need to be educated in using the risk assessment tool, and then understand the results given by this tool. However, after this it would decrease rates of neutropenia in many patients (p350) and thus achieve the goals set out by the PICO-formatted question outlined above. Crawford et al (2004) have also shown that there are assorted risk-factors for chemotherapy patie nts. It has been shown that 'combined cyclophosphamide, methotrexate, and 5-fluorouracil is less toxic than AC or combined cyclophosphamide, doxorubicin, and 5-fluorouraci

Enterprise security plan Research Paper Example | Topics and Well Written Essays - 1250 words

Enterprise security plan - Research Paper Example nes of the proposal are pertinent to information security and privacy that are currently put forward by bodies of the state, federal regulators, and the state. New technologies are coming up in the market daily. Therefore, there is need to safeguard the evolving technologies. In the case where MEMATECH Solutions limited has this need, I have proposed to develop and install a new security plan for the company. The idea behind the plan is to come up with a network that connects all the machines in the organization in protecting the plan from being publicized during the stage of development and research. The paper therefore, discusses the proposal of MEMATECH Solutions limited security plan proposal for the connections that dwells on the authentication mechanisms, policies of password, and the plan’s proposed cost (Pipkin, 2000). I have proposed a security plan for MEMATECH Solutions limited for the connection that will safeguard their new products when researching and developing stages are carried out. The paper proposes a comprehensive plan that deals with password policy, network policy, authentication of data, and the project’s cost. To safeguard the project it is imperative that all information and data are kept on different network, and on servers that are not within the success of the general corporate. This can be achieved by developing new networks through the appliances of Cisco Terascale router or Cisco ASA security, VMware, VLANS, and windows 2008 with the help of IPV6 private addressing. Employing the appliances of ASA security and Terascale, I will be able to monitor and control the entire network and access traffic on the corporate network subset through the firewall features. In conjunction with MAC address, I will implement through filtering to offer more security. The IPV6 IP mechanism will be employed to help it from attempts of network intrusion and brute force. I will use private address to ensure that all the IP address are internal free