The raters, experienced teachers, are thoroughly trained in using model essays, known as anchor papers, at each score point level. By 24 hours Mr. The goal of treatment for Mr Jones is to lower his high blood sugar level with insulin an hour after the insulin infusion is administrated with the expected outcome of maintaining a blood glucose level in the range of 8.
Intravenous fluid resuscitation alone will reduce plasma glucose levels by two methods: Severe metabolic acidosis can lead to shock or death Dugdale, You can also cover up the score of a sample essay, read the essay, and then try to guess the score awarded.
Within the care plan relevant care interventions will be identified to prevent the possible development of shock for Mr. If hypoglycaemia occurs prior to complete resolution of DKA, the insulin infusion should not be stopped, but extra glucose should be added to the IV fluids instead JBDS, Remember that students had only 15 minutes to read the sources and 40 minutes to write; the paper, therefore, is not a finished product and should not be judged by standards appropriate for an out-of-class assignment.
Hypokalemia increases the risk of dangerous irregularities in the heart rate Dugdale, Mr Jones will need fluid and electrolyte management to clear ketones and correct electrolyte imbalance Nazario, A pH less than 7.
The development of a plan for managing fluid and Holistic essay abnormalities should start with correcting the underlying condition Rhoda, Porter and Quintini, The first intervention was the management of fluid and electrolytes put in place to achieve the goal of rehydrating Mr.
On arrival blood monitoring was performed which revealed un-recordable blood sugar levels which gave the clerking impression of diabetic ketoacidosis. Communication is identified as one of the essential skills that health care professionals must acquire NMC, In most cases, this is followed by an assessment of fluid balance with the goal of achieving euvolemia state of normal body fluid volume Rhoda, Porter and Quintini, How to Write a Summary of an Article?
It can be concluded that the care plan and treatment for Mr.
So once a diagnosis of DKA has been established, fluid replacement should be commenced immediately Park, The ACT guidelines for a 6. They also state an adult weighing Holistic essay or above presenting with DKA may be up to 7 litres in fluid deficit with associated electrolyte disturbances JBDS, For this reason, the patient included in this case study will be given the pseudonym of Sam Jones.
The purpose of this assignment is to identify one client problem and provide an evidence-based plan of care for the individual. When writing is timed, the rater has to allow for some errors that would occur in a first draft.
Jones was successful therefore he did not require escalation to the high dependency unit and additional treatment was not necessary.
Psychological intervention is also necessary to reduce his anxiety and therefore reduce potential shock Nazario, Jones lives alone in a centrally heated two bedroom semi detached house; he sleeps on the upper floor and is very independent and does not require a package of care.
This model was chosen because is it extremely prevalent in the United Kingdom and is the most widely used model familiar to nurses.
The Nursing and Midwifery Council stipulate that, within the domain for communication and interpersonal skills, all nurses must do the following: The results of the numerous tests confirmed the diagnosis of metabolic acidosis. A strict fluid balance chart will need to be in place to monitor input and output Holistic essay, Jones relatives is also important so that they develop an understanding of his condition and the care he is receiving Webb, According to Webb health professionals who can communicate at an emotional level are seen as warm, caring, and empathetic, and engender trust in their patients, which encourages disclosure of worries and concerns that patients might otherwise not reveal.
Sam Jones a pseudonym, as explained in the confidentiality statement. This type of evaluation began in the late s and became popular in the s, especially when schools began to assess writing using prompts in timed situations. He will also require pharmacological involvement which will include administrating medication that is needed to reverse the acidosis, raised blood glucose and pH levels Nazario, AP English Language and Composition Any student preparing for an AP exam should be familiar with the criteria used to come up with the final score.
Once the diagnosis was made, specific, achievable, measurable, realistic and time limited goals of care for Mr. This happens because there is not enough insulin to allow glucose to enter the cells where it can be used as energy so the body begins to use stores of fat as an alternative source of energy, and this in turn produces an acidic by-product known as ketones Diabetes UK, Actually, your essay was scored holistically.
The main activity of living that will be affected within this care plan will be maintaining a safe environment as Mr. Always review a rubric at the beginning of a writing assignment. Diabetic ketoacidosis DKA usually occurs in people with type 1 diabetes mellitus, but diabetic ketoacidosis can develop in any person with diabetes Diabetes UK, Take a look at the scoring guidelines for the essay.Holistic development is all about that, see the child as a whole developing as a whole putting the areas of development together interlinking them all.
In conclusion to this I personally think that no area of development for a child is more important than the other, as it is important that a child develops in all there areas of development in. Holistic Medicine Essays Words | 4 Pages.
Holistic Medicine Holistic Medicine, commonly referred to as “Alternative Medicine”, is a vast and rapidly growing new scientific field. It is derived mainly from ancient, traditional methods of healing that have often been practiced in the East for centuries.
Holistic scoring is, after all, intended to assess your ideas, analysis, ability to structure an essay, and, finally, your writing skills.
But infrequent lapses in one of these areas need not preclude you from earning an overall high score. What holistic and analytic evaluation can tell teachers about our students’ essay writing proficiency is quite a lot for any EFL/ESL program in any context; the choice of instrument and how we use the information obtained, depends very much upon what we in evaluating our students’ work are looking for.
- Holistic Medicine Holistic Medicine, commonly referred to as “Alternative Medicine”, is a vast and rapidly growing new scientific field. It is derived mainly from ancient, traditional methods of healing that have often been practiced in the East for centuries.
Holistic Care Nurse Essay The name and other identifying information about the patient included within this piece of work have been changed to protect confidentiality, as required by The Code of Professional Conduct (Nursing and Midwifery Council, ).Download