Process information: Pharmacologic concepts in glycaemic management
Q2. What specific information do Tony and his family need to know about insulin absorption in order to manage the insulin regime at home?
Discuss your answer in relation to:
a) The ‘Time-course of formulations’ of insulin and the effect on absorption of insulin
b) The appearance of different types of insulins
c) The principles underpinning a ‘basal-bolus’ regime of insulin
d) The practical skills and knowledge Tony needs to self-administer insulin
Q3. From your knowledge of pharmacodynamics, explain how insulin works to reduce blood glucose level.
Q4. Identify 3 objective tests that may be used to assess Tony’s current glycaemic status ie. how would you know if Tony was stable or unstable?
Section 2 – Decision-making
Synthesise the information
Q5. Examine the information that you have about Tony’s presentation to hospital and identify two possible nursing diagnoses from the following options.
a) hypoglycaemia possibly related to excessive carbohydrate intake
b) hyperglycaemia possibly related to inadequate carbohydrate intake
c) hyperglycaemia possibly related to excessive carbohydrate intake
d) hypoglycaemia possibly related to inadequate carbohydrate intake
e) hypoglycaemia possibly related to inadequate insulin administration
f) hypoglycaemia possibly related to inappropriate insulin administration
Q6. Before initiating any actions, it is important to be clear about your goals for Tony.
(i) What goal would you set regarding Tony’s Blood Glucose Levels (BGLs)?
(ii) What goals would you set regarding Tony’s knowledge deficit?
Q7. What are your nursing actions in the event that Tony is found to be:
(a) hypoglycaemic (BGL <3.5mmol/L) and conscious?
(b) hypoglycaemic (BGL <3.5mmol/L) and unconscious/altered consciousness?
Give a rationale for your clinical decisions and actions in Q7a and Q7b.
Section 3 – Professional standards
Q8. Choose 2 ethical value statements and 2 standards for practice that will guide your nursing care of Tony and his family whilst in hospital and/or in discharge planning activities.
Give examples of how the 2 value statements and the 2 standards apply to this case.
Q9. The central principles of social justice in the health care context are self-determination, equity, access and rights and, participation. Health professionals have an ethical obligation to ensure that patients are treated fairly.
Discuss how psycho-social factors in Tony’s life might impact on how he participates in his own health care (including medication adherence), and interacts with health professionals?
Q10. Write down what actions will you take in your future practice because of what have learned from this scenario?
Section 4 – Conveys scientific information
Check your answers and ensure that you have used professional language throughout your assignment. Proof read for logical structure, accuracy and clarity.
Research Proposal Research particular point The point of the examination is “States of mind towards Air Pollution among University Students”. Method of reasoning of the investigation Ramanathan and Feng (2009) assert that “All aspects of the world is associated with each other part through quick climatic transport.” This has influenced us to surmise that the negative impacts of air contamination won’t just occur in one locale, yet in addition happen in different territories. Air contamination causes numerous reactions on wellbeing, condition and economy. As indicated by the WHO, in 2012, 7 million individuals kicked the bucket because of air contamination. Besides, the WHO appraisal found the lion’s share of air contamination passings were connected with cardiovascular malady, coronary illness, stock, constant obstructive aspiratory infection and lung malignancy. We feel that not all that numerous individuals worry of this issue. Therefore, we choose to lead an exploration on the theme of “Demeanors toward Air Pollution among University Students” as we trust that college understudies may have examined a few subjects with respect to this issue. Also, the real reason that urged us to direct an exploration on this subject is to find how much college understudies think about air contamination. Another factor is to investigate the viable strategies that college understudies can consider to keep themselves from the negative impacts of air contamination. Over that, giving the best answer for take care of the whole issue by college understudies is likewise another fundamental motivation behind doing this examination. The examination finding will urge college understudies to get included more in this issue and spread the data to general society with the goal that more individuals will participate in tending to this issue. Research point The point of the investigation is to think about demeanors towards air contamination among college understudies. Research targets and research questions Research goals To discover the college understudies’ observation towards air contamination To decide the ways that understudies can keep themselves from the negative impacts of air contamination To find out the arrangements that college understudies can consider to address this issue Research questions How do college understudies consider air contamination? In what capacity would university be able to understudies keep themselves from the negative impacts of air contamination? What are the answers for this issue raised by college understudies? Writing audit Operational definition “Air contamination was characterized as the nearness in the open air and/or indoor air of at least one contaminants or mixes thereof in such inquiries and of such length as possibly or may have a tendency to be damaging to human, plant or creature life, or property or which irrationally meddles with the agreeable delight throughout everyday life or property or the direct of business” (Wark, K., et al 1998). Demeanor is an inclination or feeling about something or somebody. Hypothetical system Among the most squeezing of the present ecological issues is the contamination of the air we inhale, that the world is worried about. There are numerous nations that are influenced and some are being put on. “In excess of 10 million individuals in eight distinct nations are at genuine hazard for wellbeing since they live in the contaminated spots” (West, 2014). In this manner, it has turned into an issue which numerous analysts have been considering and finding the causes and additionally the arrangement. As indicated by the Environmental assurance Agency, there are an incredible number of kinds of air contamination, for example, contamination from businesses, vehicles, stationary things and so forth. This demonstrates air contamination is extremely a concerning issue that we can’t disregard, and more research about the arrangement is expected to improve its comprehension. A few people have definitely thought about air contamination. Groot (1967) claims that “In the most as of late finished examination; notwithstanding, a cross-example of the entire United States uncovered that 48% surprisingly thought air contamination to be no less than a to some degree major issue for their territory of home.” All the more essentially, a few scientists tend to lead an examination on the mentality of understudies towards air contamination, which is an appealing element. The examination on understudies’ states of mind has been doing to investigate the variables which incite to discover the arrangement since they may have learned about condition. “Research has demonstrated that college understudies who have examined courses having some expertise in the earth keep up more professional ecological states of mind than different understudies” (Meinhold and Malkus 2005). “It was additionally discovered that statistic factors, for example, sex and years of instruction may have some impact on one’s mentality and genius natural practices” (Fernandez Rodriguze, and Carrasquier, 2007; Tuncer, Ertepinar, Tekaya, and Carrasquier, 2007). In the wake of acknowledging about this, analysts can go further to distinguish how college understudies consider air contamination. Some college understudies have communicated their worry about air contamination. Al. Rabaani and Al-Mekhlafi (2009) assert that “Air contamination is an issue which has as of late turned into a reason for worry, because of quickened monetary improvement, an expansion in transportation; this may represent understudies’ expanding worry with the issue.” We have endeavored to locate the other scientists’ finding about the view of college understudies toward air contamination, the techniques to keep themselves from the negative impacts of air contamination and their answers for take care of the issue, yet we can discover just their recognitions. Applied structure The investigation will center around just mentalities of college understudies towards air contamination since despite everything we trust that college understudies’ recognition will lead other college understudies and individuals to get included more in this issue. Meinhold and Malkus (2005) assert that college students doing the course identified with condition have communicated a bigger number of responses toward air contamination than the individuals who don’t. Statistic factors, for example, sexual orientation and years of training may make one’s response and expert natural practices change” (Fernandez Rodriguze, and Carrasquier, 2007; Tuncer, Ertepinar, Tekaya, and Carrasquier, 2007).The quickened monetary advancement and the ascent of transportation have made air contamination move toward becoming and increment college’s worry (Al. Rabaani and Al-Mekhlafi, 2009). The exploration instrument Inside this exploration, poll will be utilized as the instrument for information accumulation. The reason we at long last select poll is that it is less demanding than directing meeting with respondents; they simply read the inquiries, decipher what is normal at that point record their answers. What’s more, understudies at IFL will’s identity respondents are occupied with their examination, so they don’t have enough time to be met. The survey comprises of three areas. The main area is about the respondents’ sex, age, statue, the living condition, and how they travel. The second area center around whether they worry about air contamination or not. The last area is about their demeanor to air contamination, how it happens and how to take care of the issue. We foresee that the survey will require significant investment around 10 minutes since we surmise that they will have enough time to think profoundly to comprehend the inquiries. A few understudies will presumably simply answer the inquiries while others may expand their data. Notwithstanding, we may confront a few issues; some of them may very well tick the appropriate responses and some simply keeping clear on the appropriate response spaces since they may believe that it is an exercise in futility. Consequently, if that case happens, we should search for others to achieve our 200 respondents. We will give the polls to alternate class, however this time we will build 5 minutes more for them to answer the inquiries. Respondents The investigation populace of this examination is the college understudies from year two to year three at the Department of English, Institute of Foreign Languages, Royal University of Phnom Penh. The reason is that the courses at IFL give themes about condition and there are numerous projects that are identified with the sparing condition like tidy up day and so on. The aggregate example estimate is 100 understudies, who are 50 understudies in year two and 50 understudies in year three and concentrate early in the day move. Information gathering methodology The polls will be done specifically at Institute of Foreign Languages (IFL). Members will be given the inquiries previously the break time in their classrooms. For the information gathering process, we will separate our individuals into two unique gatherings and each gathering has two individuals. Gathering one will be in charge of year two understudies and gathering two for year three understudies. Every part in the gathering will sit tight for respondents to complete their answers and help understudies to comprehend the inquiries. Be that as it may, before we give poll, we should request authorization from the instructors first.>