Day: August 29, 2018

Assessment Task 2: Case Scenario

Melanie Johnson is a 63 year old woman who has been admitted to your surgical ward for the drainage of a

Bakers Cyst. She was diagnosed with Type 2 Diabetes Mellitus (T2DM) 6 months ago, during a routine workup

for surgery. She takes no specific medication for her diabetes, and has been told by her GP to ‘watch what she

eats’. She was devastated to discover her diagnosis of T2DM, as she was aware of the risks due to her family

history. She has not returned to her GP since her initial diagnosis. She has no other past medical history of

note. Melanie says tearfully “I have been trying to eat right and exercise, but I can’t walk because of the pain in

my knee and I was feeling down and eating ice cream. I have hardly eaten anything in the last week because I

am trying to lose weight and get my blood sugar down”.

Her mother and older sister were both diagnosed with T2DM in their early 50’s.

Melanie tells you she has had the Bakers Cyst for about 2 years. It has been increasing in size over the last 8

months, restricting her movements. The planned surgery is drainage followed by two follow up cortisone

injections.

On Admission at 0800 – her blood glucose level (BGL) was 22.9 mmol/L; HbA1c: 11%. She has been fasting

since midnight. She notes that she is feeling quite “stressed” about the surgery. On admission the following

were recorded:

Height: 167cm

Weight: 105kg

Blood Pressure: 140/80 mmHg

Pulse rate: 95 beats/min

Respiratory Rate: 22 breaths/minute

Temperature: 36.7 ºC

SpO2: 97%

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NURBN2016 2018

Assignment

Part 1 Questions (1000 words)

Melanie is distressed that her blood glucose level is elevated and asks you for help in understanding her

diabetes. She tells you that she has a friend who is very overweight, eats lots of cake and hardly ever

exercises, and he does not have diabetes.

1. Describe the pathophysiology of T2DM with links to Melanie’s case. Include in your answer

risk factors for T2DM, the pathogenesis of T2DM, possible complications of T2DM and

outline the 3 levels of treatment options for T2DM. (600)

2. Differentiate between T2DM and T1DM (at least 6 differences). (100)

3. Identify at least 2 reasons Melanie’s BGL is high on admission. Discuss how each reason you identify effects

BGLs. (300)

Part 2 Questions (700 words)

The surgery is successful and Melanie comes to see you in the outpatient clinic for cortisone injections

(Kenacort-A 40). She has been commenced on metformin (APO-Metformin Tablets) and glipizide (Minidiab

Tablets) to help control her diabetes. Her blood test on this visit were BGL 8.8 mmol/L; HbA1c: 8%.

1. Discuss the three medications Melanie is on. Include in your answer the action, complications/side

effects and nursing considerations linked to Melanie’s situation. (500)

2. Discuss the two blood results, one from prior to surgery and one from the clinic visit of Melanie’s BGL

and HbA1c. What are they? What do they measure and why have they changed? (200)

Part 3 Questions (300 words)

While Melanie is waiting to see the doctor, she starts talking to you about her condition. She asks if she has

insulin dependent diabetes or early onset diabetes. She is also unsure of how to use her BGL machine and BGL

strips.

1 Discuss why the terms insulin dependent diabetes mellitus/ non insulin dependent diabetes

mellitus and early onset/mature onset are misleading. (100)

2 You need to teach Melanie how to use her BGL machine. Discuss the “teach back” method

for patient education (include evidence from peer reviewed sources). Discuss how you

 

would use this method to teach Melanie how to use her BGL machine. (200)

Assignment 2: Annotated Bibliography
Instructions
Task:       Create an annotated bibliography of four sources that could be used for your research project, including at least two articles from scholarly journals.  Length:   Four citations, each with an annotation of approximately 150 words Sources: Four sources related to your research question, including at least two from scholarly journal articles. All four sources should be high-quality sources that you can use in your research project. Outcomes you should achieve by completing this assignment The annotated bibliography contributes to the research project by helping you collect  and analyze your sources. The outcomes for this assignment are listed below,  with the associated course outcomes in parentheses: ·         Identify valid and reliable sources that can be used in the composition of a research ·          essay ·         Explain the nature of selected sources and their relevance of sources to the research ·          essay ·         Set up an annotated bibliography in APA format ·         Demonstrate accurate grammar and mechanics in writing Topic The annotated bibliography is part of your research project, which examines a current  issue or event in the news from the perspective of your field of study. The annotated bibliography builds on your work from the first few weeks of class selecting an appropriate topic and then developing a more focused research question.  Indicate your research question at the top of your annotated bibliography, just below  the title. What to do create an annotated bibliography of four sources For each source, include: ·         Reference citation in APA format ·         Annotation of 150 ±25 words, with o    summary o    evaluation o    use You may (but do not have to) use CiteFast to create your reference citations. Formatting your assignment Incorporate these elements of APA style: ·         Use one-inch margins. ·         Double space. ·         Use an easy-to-read font between 10-point and 12-point. ·         Reference entries should be formatted with a hanging indent. Note: Title page is not required, but make sure you include your name and a title that  reflects your topic at the top of the first page. Below the title, indicate your research  question.

 

This is a Theology Essay for the subject Anglican Foundations the essay title is “It has sometimes been said that Anglicanism is like a three-legged stool resting on Scripture, Tradition and Reason. Discuss whether the legs should be given equal weight.”

Essay Title “It has sometimes been said that Anglicanism is like a three-legged stool resting on Scripture, Tradition and Reason. Discuss whether the legs should be given equal weight.”

This assessment task will assess the following learning outcome/s:

be able to discuss critically major developments within the history of the Anglican communion from its early origins in England to its current global expressions
be familiar with and able to articulate distinctive features of Anglican theology and theological method, particularly in relation to an understanding of the church and its ministry, ethics and spiritual disciplines
be able to demonstrate knowledge of a variety of recent interpretations of the significance of Anglican contributions to contemporary world Christianity
be able to discuss Anglicanism in the Australian context
have a detailed and critical appreciation of the work of either a major Anglican theologian or a significant movement within Anglicanism
demonstrate selfguided learning, including research, writing and communication skills
This assignment is designed to:

allow you to select and critically develop an extended treatment of a particular theological theme within Anglican theology;
encourage you to research and read as widely as possible in the literature relevant to the theme of the essay selected;
test how well you grasp the central ideas associated with this theme;
demonstrate how well you understand and employ the major warrants appropriate to arguing a theological case in relation to Anglican theology;
develop your ability to write theology well.

Traceability Systems Assessment in UK

What is traceability, what’s are the problems in the UK in food industries small , medium , large sizes. What kind of traceability systems there are using, what is the main challenge, what are the solutions, how we can help to make it better. I have visited 7 food industries in the Uk and will send you my research done which you can use to complete the dissertation. You will need to do the research and find how other companies do the traceability.