incident took place at a local Hospital during my thirty weeks placement. In order to help me with my reflection I have chosen Gibbs (1988)‚ as the model to help guide my reflective process. This is an iterative model with six stopping points‚ using these stopping points as headings; I will be able to reflect fully on the incident. So‚ what is reflection? According to Reid (1993)‚ “reflection is a process of reviewing an experience of practice in order to describe‚ analyse‚ evaluate and so inform
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Introduction This paper describes a significant learning family interaction that occurred when I was working in a community placement as a student nurse. I would be reflecting on that family interaction and use the “One Question Question” approach and analyse how this would contribute to your learning needs and nursing practice. Critical or significant interactions can be defined as situations that make an impression or have a special meaning to an individual. The analysis of such incidents‚ a
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Ketones in insulin resistant state 1. How is glucose normally maintained in the post absorptive state? 2. Why is muscle glycogen not useful for blood glucose 3. Why may this situation have evolved 4. Under what circumstances do you think substantial gluconeogenesis will occur 5. What is necessary for the production of ketones 6. What will reduce acetyl CoA oxidation 7. When is oxaloacetate availability impaired 8. When is the regulation of gluconeogenesis disrupted
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individuals with diabetic ketoacidosis or hyperglycemic hyperosmolar states. Target range for Glycemic Control: 140-180 mg/dL 1. STANDARD DRIP DILUTION: Humulin R 100 units in 100mL 0.9% NaCl 2. Start IV Insulin therapy when glucose is above the target range. 3. Insulin infusions should be discontinued when: a. Patient has no history of diabetes and is receiving less than 1 unit/hour. b. Patient receives 1st dose of SC basal + bridging dose of fast analog. 4. Bolus
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Well‚ there is. Safe injections sites are a clean‚ safe‚ supervised environment where drug users can inject their own drugs off the streets‚ and connect to addiction‚ health and community services. InSite is the first and only supervised injection site in North America (InSite for Community Safety). InSite is located at 139 East Hastings Street‚ in the Downtown Eastside of Vancouver. More safe injection sites will greatly reduce overdose fatalities‚ notably reduce public injections‚ improving public
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Death by Lethal Injection 1 Death by Lethal Injection Nicole Beer Axia College of University of Phoenix Death by Lethal Injection 2 The first state introducing legislation allowing lethal injection as a legal method of execution was Oklahoma. On May 11‚ 1977 the state of Oklahoma permitted this form of execution to be legal. Five states had executions by lethal injection permitted by legislation by 1981. Charles Brooks was the first
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diabetes type I. This is known as insulin-dependent diabetes mellitus (IDDM). This type of diabetes includes people who are dependant on injections of insulin on a daily basis in order to satisfy the bodies insulin needs‚ they cannot survive without these injections. OVERVIEW OF DIABETES TYPE I What is diabetes type I? In order to understand the disease we firstly need to know about insulin. Insulin is a hormone. The role of insulin is to convert the food we eat into
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Insulin degludec Insulin degludec is an ultra-long-acting modified human insulin in which the B30 amino acid is omitted and a glutamic acid spacer links a 16-carbon fatty di-acid chain to the B29 amino acid. Deguldec forms multihexamers following SQ injection‚ leading to a slow release of insulin monomers into the bloodstream and a prolonged duration of action. The half-life of degludec is about 25 hours and its duration of action more than 42 hours. Flat insulin levels are seen within 3 days of
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One of the most controversial arguments when it comes to diabetes is what is better‚ the insulin pump or the insulin pen. It does come down to which one someone likes better. Both have their strengths and weaknesses‚ Cost is one of the things that the diabetic needs to consider along with‚ the risk of hypoglycemia‚ and the several times they have to inject themselves with a needle. Cost is one of the few things that the pen is able to beat the pump in but other than that the pump outweighs the pen
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Delta Initiative Guide to SQL Injection Introduction SQL injection is a hacking technique used to exploit weaknesses in applications. When programs are written‚ some parameters used in the creation of the application code can leave weaknesses in the program. The purpose of SQL injection is to convince the application to run SQL code that was not intended. SQL injection is a hacking method used to attack SQL databases; it’s usually delivered via a user input field. The input field is where
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