The psychological effect of drug shortage on clients and health personnel in two oncological centres in Trinidad and Tobago.

“An approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual.”(WHO, 2010).
Students, you are required to refer to the clinical Oncology experience, analyzing the elements of Palliative care that you have studied. Chose any one (1) Oncology site from the clinical practicum listing and select a Palliative Care initiative/issue that you have an interest in, in the clinical Oncology setting and write a comprehensive paper outlining the merits and challenges of the initiative/issue and recommendations of how it can be improved.
Please include in your paper a background of the selected Oncology site with a brief analysis of the philosophy of the organization and the services provided. Your clinical analysis paper must be within the context of appropriate Principles and Practice of Palliative Care and Supportive Oncology literature.
Please note that strict APA referencing style must be used throughout your Clinical Analysis Paper.
Length of paper 2500-3000 words (8-10 pages).
Paper must be a maximum of 10 pages, double line spacing with size 12 fonts and referencing must be done using APA reference style format throughput the paper.
Assignment will be evaluated using the following criteria:
Clearly articulated background to the issue/problem 5marks
Evidence of critical analysis of the problem or issue 15 marks
Use of supporting literature in analyzing the problem or issue 10marks
Selection and application of appropriate theory in Palliative care – 5 marks
Relevant conclusion and recommendations 5 marks (TOTAL 40 MKS)

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Problem: Drug shortage in two oncological centres
The psychological effect of drug shortage on clients and health personnel in two oncological centres in Trinidad and Tobago.

Introduction
I chose to examine the psychological effects of the non-availability of drugs on both the clients and the health professionals in two oncological centres in Trinidad and Tobago: the Oncological suite in Sangre Grande Hospital and the National Radiotherapy Centre located in the St. James medical complex. According to the Ministry of Health, (2017) it was declared that cancers are a leading cause of illness and death in Trinidad and Tobago. The Oncological suite located in the Sangre Grande Hospital was started in 2009 by then Chief Executive Officer (CEO) Ronald TsoiaFatt to facilitate the clients who lived in the rural areas within the Eastern Regional Health Authority (ERHA). The ERHA provides health care for the catchment population of approximately 120,000 from Matelot in the North to Guayaguayare, Rio Claro and Brothers Road in the South to Valencia in the East (see appendix) (Ministry of Health, n.d.). There was an initiative that the health centers within the ERHA were to set up satellite clinics to accommodate the clients located in this region because at the then time clients were expected to seek treatment in the National Radiotherapy Centre, in St. James.
According to Nurse Kathy Graham, the second in command in the oncology suite, she stated that the Sangre Grande Hospital took up the mantle in providing care for clients within the catchment area. She further stated that when the suite was started in 2009 the average number of client seen were between the numbers of twelve (12) and thirteen (13) per day where five (5) of which would be receiving active chemotherapy however as of today approximately forty (40) clients are seen daily and eight (8) of which would be seeking cytotoxic intervention.
However, the National Radiotherapy centre was the forerunner in the country’s fight against cancer, in 1974 two nurses become Oncology trained. There was a further demand for such specialty nurses, in 2001-2002 twelve nurses from Trinidad and Tobago attained a scholarship to attend the McMaster University in Hamilton to study in the adult oncology certificate programme. Thereby setting the initiative for the University of the West indies, under the faculty of Medical Sciences to start their own Bachelor of Sciences (BsN) in Oncology nursing in 2007, with the first group of nurses from around the Caribbean.
This brief historical account was given by Dr. Hess Benjamin (consulting oncologist) who has been an employee of the St. James medical complex for over thirty (30) odd years. The St James Medical complex is governed by the North west regional health authority, (NWRHA) (see appendix) which is responsible for the most populated area of Trinidad and Tobago and is therefore charged with the tremendous responsibility of safeguarding the welfare of approximately 500,000 individuals (Ministry of health, n.d.). The catchment areas under the jurisdiction, including the capital city of Port of Spain and e

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