A daring step

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Halloween is coming really soon and somehow I felt like experimenting with makeup. Therefore, I decided to start my own YouTube channel under the name: Miwa Uno(keeping my real name confidential). I am a big fan of cute things, DIY and japanese culture too. So my channel will focus on aspects like fun, makeup, DIY, art, travel and fashion. In my free time I get really bored so I thought making videos can keep me entertained. Meanwhile if you’re looking for Halloween makeup ideas:

I will aim to make a new video each week. Please, don’t be mean if you don’t like it. I’m an extremely shy and anxious person. Do comment, like, share and subscribe if you please. Your feedback is more than welcome!

Link to YouTube channel: https://www.youtube.com/channel/UCtt3CeI2UZ6wKY-CSV63KgQ

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Peace.

【Social media】
Twitter: https://twitter.com/miwa_style_
Instagram: https://instagram.com/miwaunochannel/
Google+: https://plus.google.com/u/0/118178062464982662439/posts

#miwauno #miwaunochannel

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Clinical report exam

Tomorrow is my summative exam which consists of watching a 15 min video and writing a clinical report.Eeek!

The video shows a conversation between a nurse and a patient on a certain health issue, for example, high blood pressure, cardiovascular diseases, smoking, alcohol addictions, obesity, diabetes etc.
While you are watching the video, you are allowed to make rough notes.When the video is over you are given one hour to write a clinical report based on the video. This is a PASS or FAIL exam. The report should:
– Establish the context and focus of the consultation
– Clearly identify presenting needs including any risks that have arisen
– Outline interventions provided including details of information given
– Include the patient/client perspective
– Identify any ongoing or future care arrangements
– Be clear and accurate

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An example of a clinical report would look something like this:

Patient contact record                                      Baytree Medical Centre

Name

 

Caroline Smith
DOB

 

24/06/63
Address

 

 

 

8 Meadow Drift

Baytree

Telephone number

 

68423862
Date of contact

 

6th October 2015
Time of contact

 

1500
Reason for contact today (including any previous test results and observations) 

 

 

 

  • ·Referred to alcohol nurse by G.P. Dr. Phillips due to increasing alcohol consumption
  • ·Blood screen – normal
  • · AUDIT score 18 – ‘higher risk’
Context and focus of the consultation

Mrs. Smith attended a planned appointment at the Health Centre today to discuss concerns raised by her G.P. Dr. Phillips regarding Mrs. Smith’s increased alcohol consumption.

Presenting needs including any risks that have arisen

I informed Mrs. Smith that her recent blood results for anaemia have been returned as ‘normal’ and advised her to continue taking her prescribed medication until it has been reviewed by her GP in two weeks time.

Mrs. Smith had filled in an AUDIT form and had brought this with her to the appointment today.  I clarified my role and the focus of the appointment.  We discussed the information included in the form:  Mrs. Smith confirmed that she is drinking alcohol every day, 1 or 2 medium glasses of wine and 1 gin and tonic before bed;  Mrs Smith introduced the nightly gin and tonic 4-6 weeks ago following having problems with sleeping; this equates to 5 units a day.  Mrs. Smith told me that she drinks higher levels of alcohol at weekends, particularly when socialising, usually Saturday evenings, when she may also drink shots of spirits, and some Sunday lunchtimes.  Over the week, she is drinking an approximate average of 7-9 units per day. Mrs. Smith occasionally feels that she cannot stop drinking – about once a month at the weekend.  She has not experienced any amnesia following alcohol use.  Mrs. Smith said she never drinks in the mornings. She complained of gastric disturbances, heart burn and stomach aches, however, did not attribute them to alcohol use. Mrs. Smith shared that her husband describes her as ‘argumentative’ when drinking alcohol.  Her husband drinks ale but reasonable quantities only.  Mrs. Smith’s AUDIT score is 18, which I explained, puts her at ‘higher risk’ of developing alcohol related physical, social and psychological harms.

Summary

I explained the link between alcohol and sleep disturbance to Mrs. Smith. I also provided her with advice regarding the Government’s recommended safe limits, including having 2 alcohol free days a week, and suggested that she might find the use of a drink diary useful. I gave Mrs. Smith a unit calculator, a drink diary and an alcohol information sheet. Mrs Smith responded that she would like to change her alcohol drinking habits.

Mrs. Smith and I agreed on the following action plan:

• To reduce daily alcohol intake to within recommended limits.
• To aim for 1-2 alcohol free days
• To consider the materials given and to return for a further appointment in one week.
• To feel free to telephone for advice at any time.

Anatomy of the heart

Nursing students at UEA study Anatomy and Physiology (A & P) during year 1 and year 2. And at the end of year 2 they get examined. Each organ and part of the human body needs to be studied in detail. Let’s study the heart and prepare for the A & P exam at the end of the year. Each week I will study anatomy and physiology in order to pass.

One of the most fascinating and important organs of the human body is the heart.

Size, Location and Orientation
– approximately the size of the person’s fist, weighs less than a pound
– at the level of the fifth intercostal space, flanked by the lungs, rests on the diaphragm

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(Marieb, 2012)

Coverings and walls of the hear
– lined by the ‘pericardium
– the surface of the heart is the ‘epicardium
– inner layer of the heart wall is the ‘myocardium‘, also know as the ‘skeleton of the heart
– the inner layer of the heart is ‘endocardium

Chambers
– the heart consists of four hollow chambers
– the two upper (receiving) chambers are called right and left ‘atrium
– the two lower (discharging) chambers are called right and left ‘ventricles

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(Marieb, 2012)

Vessels, valves and blood flow
– deoxygenated blood from the body enters the right atrium via the superior and inferior vena cava, passes through the tricuspid valve and into the right ventricle
– deoxygenated blood then passes through the pulmonary valve, and via the left and right pulmonary artery (known as the pulmonary trunk) travels to the lungs where it becomes oxygenated
– oxygenated blood from the lungs then enters the heart via four pulmonary veins, flows into the left atrium, passes through the mitral valve into the left ventricle, passes through the aortic valve and travels to the body rest of the body via the aorta
pulmonary circulation is when blood travels to the lungs and back to the heart
systemic circulation is when blood travels to the rest of the body/all body tissues and back to the heart
Watch KhanAcademyMedicine’s ‘Lub dub’ video explaining how valves work and the ‘lub dub’ sound of the heart:

Function
– acts as a double pump
– pumps blood to the lungs and the rest of the body
– the heart is cover with arteries which provide it with nutrients and oxygen in order to work, if any of these gets blocked then this causes a ‘heart attack’ or heart damage

Nodal system of the heart
– the heart is a muscle, and like any muscle when electric impulses pass through it it contracts
– atrial cells contract once every second or 60 times per minute
– ventricular cells contract slower, about 20-40 times per minute
– the SA node is a mass of cells which starts each heartbeat, also known as ‘pacemaker’

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(Marieb, 2012)

That’s all for this week. Will study more next time.
References:

Marieb, E. N.(2012) ‘Essentials of human anatomy & physiology‘; 10th ed.;  Boston, [Mass.] ; London : Benjamin Cummings, p. 360-366,

Japan society

Are you a fresher? Wondering which society to join? If you like asian culture then join Japan society! This is my second year to be part of it and it’s really fun. You can learn Japanese language and culture by first hand experience. The membership for 1 year costs only £5. Join here: http://www.ueastudent.com/groups/japan–2 Facebook page: https://www.facebook.com/UeaJapanSociety

Last Monday we had a welcoming party for all Japan society members! More than 70 people came and it was great to catch up with old friends, as well as, meet new people.

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There was japanese food: okonomiyaki, onigiri and udon. The team worked all day to prepare the food which was great if you have never tried before.


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So what is the society up to?

They are organising a few events:

1) First LCR(lower common room) social on 13 October 2015

Basically, the LCR is where all gigs and night parties are happening. The theme is Kids TV Fancy Dress Shindig. Link to event: https://www.facebook.com/events/761462463981505/ The Japan society are planning on dressing as Japanese cartoon caracters.

2) Japan society are joining Go Global Party, held by the UEA Students Union, with a Soranbushi dance! The aim of Go Global Party is to celebrate and experience the richness of different cultures. The event will give you the chance to taste international food , see creative performances from around the world and learn more about other cultures.  For more information e-mail:  union.community@uea.ac.uk

Have you joined any societies?

What’s PAL?

To begin with, PAL is an acronym for Peer Assisted Learning. The earliest scheme was set up at the University of Missouri, Kansas by Dr Deanna Martin in 1973. Since then similar learning schemes have been adopted by over 800 universities and colleges throughout the world. PAL aims to support new students to adjust to the new environment of university. The major challenges new students face are academic (learning and teaching styles, grading structure, study skills etc.), social (making new friends, finding support networks etc.)  and practical (managing finances, managing time, accommodation, traveling and navigation).

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PAL consists of PAL mentors (senior students – 2nd, 3rd, 4th year and even PhD students) and PAL mentees (new students/freshers/juniors). Last year I was a new student and my PAL mentors were really helpful. They greatly reduced the levels of anxiety and demystified exams and assignments. They also gave us tips and advice on how to study, how to self-organise our time and meet new people. This year I underwent a training to become a PAL mentor. WP_20151003_002

As a PAL mentor my role is to provide a clear view of course direction and expectations, as well as help new students overcome challenges of different nature. My first session will be next Tuesday and I can’t wait to meet them. This is really exciting for me and hopefully they make the most of the session.

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Wish me luck! Find out more about PAL here!