Wednesday, February 26, 2020

The laboratory diagnosis, monitoring and management of the diabetic Essay

The laboratory diagnosis, monitoring and management of the diabetic patient - Essay Example This disorder is known as hyperglycemia. Many other metabolic abnormalities occur, notably an increase in ketone bodies in the blood when there is severe lack of insulin (Jacobs, 1996). Glucose measurement in an accredited laboratory should be the rationale of ant diagnosis of diabetes. In the laboratory, glucose tolerance test is not norm ally required in regular clinical practice. It can only be carried out if uncertainty exists in younger patients, or to find out an exact diagnosis in pregnancy. For, results that can be counted on, glucose tolerance tests should be carried out in the morning after an overnight fast, with the patient being required to sit calmly and not smoking. In addition, the patient should have normal meals for the previous three days and should not have been dieting. Inaccurate results may be achieved if the patient has been ill recently or has had prolonged bed rest (Fine, 2008). During glucose tolerance test, blood glucose concentrations are determined and are measured fasting and then one and two hours after a drink of 75g of glucose in a volume of waster, approximately 250-350ml. it is recommended that the water be flavored, for example, with pure lemon juice. Further, urine tests should be carried out before the glucose drink and at one and two hours. According to WHO, ADA, and diabetes UK, the criteria for the diagnosis of diabetes states that: symptoms of diabetes plus casual venous plasma glucose11.1mmol/1. They define casual as any time of the day without regard to time since the last meal was taken. Some of the classic symptoms include polyuria, polydipsia, and unexplained weight loss. Secondly, fasting plasma glucose should be or whole blood. Fasting is defined as no calorie intake for at least eight hours. Another criterion for diagnosis is: 2 hour plasma glucose during oral glucose tolerance test using 75g

Monday, February 10, 2020

Reflective Report Coursework Example | Topics and Well Written Essays - 500 words

Reflective Report - Coursework Example Different activities or roles are performed throughout a meeting to assist partakers in attaining the meeting objectives. Enabling or simplification of successful outcomes is the duty of both executives and members. Executives who are equipped to be competent, productive, and self-confident are capable of accomplishing tasks, cultivate a solid, unified group environment, and form strong relationships (Dwyer, 2012). They enable the attainment of goals and encourage the full involvement of others at the meeting. Specifically, I have learned that an executive with competent meeting skills is capable of guiding and strengthening the meeting at every phase. At the start of the meeting, the executive should explain and obtain agreement on objectives, specify conditions, rules, and duties, and promote a strong group environment. For the duration of the meeting, the executive should assist the team in adjusting and implementing the programme, achieve the task goals, formulate action plans, make decisions, create and sustain positive relationships, and make sure the team environment is productive (Dwyer, 2012). At the end of the meeting, the executive should sum up and specify any aspect that demand future response and call the attention of participants about the important details of the meeting. After the meeting, the executive should distribute or communicate outcomes in a prompt way; assess the success of the meeting; observe execution of the action plan; and recommend adjustments for prospecti ve meetings. Open and effective communication and competent executive meeting skills result in a successful meeting that facilitates decision-making and implementation of actions in order to attain desired outcomes. Moreover, developing a vision, making preparations early on, establishing goals throughout the meeting and setting requirements for feedback or follow-up and evaluation later on are crucial. Simply put, an