Introduction
250 words is really setting the context.
1.Place of work/meeting place
2.Initial contact with patient and refer reader to appendix

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3.How long were you in contact with patient for and  in what capacity
4.Acknowledgment of confidentiality issues and consent from patient.
5.References here relate to confidentiality and consent.
ADD 1.I’m working in one of the London’s Neurological hospital as a Health Care Assistance in Private Ward.I admitted patient witch we are going to tolk about for the insertation of a Ventriculo Peritoneal Shunt but this Patient is DIABETIC -this is the topic.So we are writing about DIABETES  but not generaly about Diabetes.
ADD 2.Every thing is About THE PATIENT which is DIABETIC.The Patient profile you will find in the APPENDIX.So don’t describe the patient in essay if you tolking about patient you Must send the reader to the Appendix.
ADD 3.I Addmited this patient in my Ward and I was lokking after him 3 weeks.
ADD 4. Maintain that patient name has been changed acording to the NMC -to maintain confidentiality.
ADD 5. references
PLEASE FOLLOW EXACTLY THE INSTRUCTION DON’T PUTT ANY NEW THINGS

Main Body

This forms the bulk of your assignment, all of the relevant information and dissection is included in this section. It therefore gets the  majority of the marks. Support with literature.
Normal Anatomy and physiology -750 words
WE are tolking about Diabetes type 2-so focus on pancreas not whole of G.I/endocrine system.Explain which system the organ is part of and what it’s role is within the system but then focus your discussion around the organ.
Altered physiology in relation to chosen patient-750 words
This should provide an overview of the altered physiology that is taking place in the patient you are caring for.

Effect of diseases process/normal condition -500 words
1. This is where you start making the links between what the literature says and what you are seeing in practice.The type of patients you care for vary, the conditions you meet will vary and the impact these conditions have on your patientswill be very individual.
SO DON’T WRITE GENERALY EVERYTHING MUST ME LINKED TO THE PATIENT!!!!!!!!
2. the literature provides generic information this asks you to make it specific to your chosen patient.
3. This is the assigment probably becames more personal to you and your patient so in 500 words
4. What you are actually seeing
5. What is your patient complaining of
6. What are they telling you
7. Literature hereis looking at the what and why(2-3 references)
Student involvement in caring for/ supporting patient and others-500 words
1. Within the remit of your job describtion what was your role in providing care/ support for the choosen patient.
2. What did you do only to relation to the topic your are discusing)
3. Whay
4. How effectively do you feel you carried this care out
5 .    2-3 references
Conclusion- 250 words –Look back over your involvement in caring for the patient. What where the main things you lern  from this experience and how will you use this new or develop knowledge in the future. NO NEW INFORMATION.

Specific points
The section on normal anatomy and altered physiology are very factual but avoid simply copying chunks of text from A&P  books Look at a range of literature and make  comparisons between what is said, put the text  into your own words and make properly formed sentences and paragraphs. Do not use bulleted lists.

Depending upon the subject area it may be that instead of discussing a whole system it is more valuable to talk  about an organ.
Remember about limit words and for 750 words need to be 3-4 references.

Altered Physiology
Discussion around example
Talks about altered physiology –normal- abnormal. Explore range of literature within this section to discussion what is happening and aims to use between 3-4 different sources of information to support your discussion.

Relationship to chosen patient
This will make links around the general to the patient.
For example how is the patient managing their diabetese
1. PLEASE FOLOW EXACTLY THE INSTRUCTION!!!!!
2. DON’t TRAY WRITING GENERALY PLEASE BECAUSE I WILL NOT PASS THIS MODUE!!!!!!!!!!THIS IS MY LAST CHANCE TO WRITE THIS ESSAY.SOMEONE FROM ANOTHER COMPANY WROTE THIS ESSAY FOR ME AND I DIDn’T PASS BECAUSE THE PERON DIDN’T FOLOW THE INSTRUCTION.
3. IF YOU HAVE ANY QUESTION ABOUT THE PATIENT OR CARE WHICH I GIVE TO HIM LET ME KNOW PLEASE!!!!!!!
APPENDIX -Patient profile
Age 45
General
– No smoking
– Drinking occasionally

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– Family- mother died of heart attack at 60 yr.
– GCS 15/15
– Pupils- equal on both sides reactionstolights
– Patient admitted for brain steam gliome for VPS
Current medical history
– Presented with balance problem and nausea
– vomiting twice per week
– headache (7/10 score) top of head pain
– dizziness
-no visual disturbance
-no weakness in limbs
-no urinary and bowel problems
– hypotension on med: Amlodipine
– diabetic type 2 – blood sugar on admission 14 mmol -med: insulin
Previous relevant medical history
•    Endoscopic 3 rd ventriculostomy in March 2011
•    21/03/12 Astrocytoma with early progression to grade III
•    Chemo radiation completed 14/06/2012
•    history of diabetece in familly- father and mother
Relevant social history
Patient lives with wife and 2 kids. Happy Social live.
PLEASE WRITE THIS ESSAY IN SIMPLE ENGLISH DON’T TRAY COMPLICATE .KEEP IT SIMPLE!!!!!!