Trajectrory should be Strongly Link with the Case Study Scenario - Medical Science Assignment Help

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Q1. Trajectrory should be strongly link with the case study Scenario 
2. Consider your approach to the assessment of Aleki’s pain. What type of pain/s does he describe? What elements of his pain should you assess? What assessment tool/s might be helpful to assess his pain experience?  
In the case study Aleki only mentions that his pain is "mild and persistant, and  rapid exacerbation of pain". It gives no other description of his pain. I know what tools we can use to discover this more anout this, of which i will state in my answer, but it seems such a little description to go on. Wheras when he presented a year ago the pain was described as  "Aleki presented to hospital with constant, severe ache over his right upper quadrant, unrelated to movement, with occasional sharp spasms of epigastric pain." Which is much more descriptive, can we presume that his presenting pain is the same as what wa felt a year ago but exacerbated? He Had exacerbation of pain.
Not all pain is the same. The cause - or causes - of a person's pain in PEoLC settings informs the appropriate management plan. 
There are two main types of pain in people with life-limiting illnesses:
Nociceptive pain:
somatic: damage cutaneous and deep musculoskeletal tissue
visceral: alterations to thoracic or abdominal viscera
Neuropathic pain: damage to CNS or peripheral nervous system
Each pain type presents differently and can be identified in assessment. 
However, people might experience mixed pain. 
Q.3
Think about what other social aspects may be impacting Aleki at this time. Financial is not the only one. How would his social life be, his relationships with his children and wife? How would his mental state be? What about things like leaving the house, does the research suggest he can still drive or will he need someone else to drive him to his appointments or wherever he needs or wants to go. Does he require help with his ADLs? Is he able to still attend church?

Q6.
Think about what changes may need to be made for him to be able to go home. Use your reseach to help you determine if there is anything that needs to be introduced. Maybe he might need a Nikki pump for management of pain. A community nurse may be organised to visit him on a weekly basis to track his progress and report their findings to the relevant doctor. Remember the goal of palliative care is not to cure, it is to make the persons remaining time as comfortable and painfree as possible. Have a think about what could be done for him to achieve this. 
As it was stated he received chemo after having the Whipple's procedure a year ago. But there isn't any cytotoxic medication listed.  this mean they focusing on comfort care As he has the prognosis of "perhaps three months" 

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