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Biography | The Official Website Of Doug Fieger. Doug Fieger started, like the Monkees#8217; Davy Jones, as a child performer. Statement? Jones was the Artful Dodger in #8220;Oliver#8221; on Broadway and cover letter essay, Doug was the lead in #8220;Peter Pan#8221; at the Detroit Institute of Arts. Davy stayed small and got famous, while Doug followed suit and did the same, only thesis statement 8 taller. At age four in his hometown of Oak Park, Michigan, Doug #8220;got the news#8221; watching Elvis on the Ed Sullivan TV show. He ran to the bathroom to writing for kids, seek hair oil and a comb to emulate his new idol. #8220;You can#8217;t comb your hair like that. They#8217;ll arrest you,#8221; was his father#8217;s stern warning. And it took.
Doug didn#8217;t take on a rock roll look until 1964, prompted, again, by rock rollers on thesis statement, the Ed Sullivan show. He was only twelve but knew he had to have a guitar like George Harrison#8217;s. His little sister Beth and big brother Geoff looked on in astonished admiration as a determined Doug held his breath and pounded on admissions 2014, the floor. Actually it was simpler than that. Thesis Statement 8? His parents, Bernard, a noted labor lawyer, and June, a dynamic union organizer for texas scholarship essay, the Michigan Federation of Teachers, were quick to indulge any artistic bent in their children. They gave in quickly to Doug#8217;s request for 8, a Gretsch Country Gentleman and cover letter mla, launched, unknowingly, millions of record sales and a career for their middle child. In his senior year in high school Doug formed a band, Sky, with another Detroit native and thesis, equally young musician, John Coury. Although underage, they were good enough to snag regular gigs at a local rock venue, the Grande Ballroom where they opened for icons of that g-g-generation such as The Who, Joe Cocker and lesson, Traffic. Not lacking temerity, Doug wrote a letter to The Rolling Stones producer, Jimmy Miller, in England saying, #8220;If you#8217;re ever in Detroit, come see my band.#8221; Defying the odds, Miller countered with the offer #8220;If you#8217;ll pick me up at statement the airport, I#8217;ll come see your band.#8221; Miller traveled to Michigan, signed Sky to RCA Records and produced two albums, Don#8217;t Hold Back and for kids, Sailor#8217;s Delight . Doug was on his way, (and not just back to statement 8, the airport). Lesson? But things don#8217;t always happen linearly. The albums were warmly received but didn#8217;t sell well.
So after (the) Sky fell, Doug, now living in Los Angeles, bounced around music jobs for much of the 1970s, including being hired, and then laid off, as part of the Carpenters road show, and joining the German progressive rock band Triumvirat as bassist. Thesis Statement For Prop 8? In 1978 he was bassist for The Rats when they were signed to Ariola Records, and an album was issued, under the plan neonym The Sunset Bombers. Unfortunately for the Bombers, during this same time, Doug#8217;s side project with a couple of other journeymen session players in L.A. really started to gel. The Knack, consisting of Doug, Berton Averre, Prescott Niles and Bruce Gary, hit the stages of Hollywood running. Although rejected by every major record label, the group#8217;s impact was immense, and immediate. Crowds jammed in to their weekly Troubadour gigs, and stars (Bruce Springsteen, Stephen Stills and for prop 8, Tom Petty among them) jumped onstage to join them. The year was 1978 and cover essay mla, thanks to a fad known as Disco the Top 40 charts were as devoid of rock and roll as 1952 (the year of thesis for prop 8 Doug#8217;s birth) – and the Knack showed the teaching critical to fourth students identified as gifted and talented way back home. 8? Capitol Records saw the thinking skills grade students and talented error of their ways and won the bidding war.
The Knack#8217;s debut album, Get the Knack , went gold in only eight days and thesis statement 8, sold more than six million copies worldwide. Writing On Doctor For Kids? The single from that album, #8220;My Sharona#8221;, held the No.1 spot on thesis statement for prop, the Billboard charts for more than 5 weeks and was the #1 song of 1979. Fame and fortune followed. So did three more albums – …but the little girls understand , Round Trip and Serious Fun – and the band#8217;s inevitable fragmentation. In the early 80#8242;s the cover essay Knack#8217;s killing concert and recording schedule began to take its toll on Doug#8217;s health. And adding to that the thesis psychological strain of catcalls from essay on doctor, critics unable to understand (as the little girls did) the thesis statement for prop band#8217;s worldwide appeal, he fell into a nearly fatal period of substance abuse. In 1983 he managed a turnaround.
As ambitious in recovery as he was in music, he devoted a large part of his remaining 27 years to the spirituality and self-awareness necessary to stay on a sober path, and to helping other musicians find that path as well. When the 1994 motion picture Reality Bites used #8220;My Sharona#8221; in a soon-to-be classic scene it reminded the public exactly how much they loved that song, critics be damned. Not surprisingly, interest in The Knack was reignited. The band reformed and re-approached the music world, but Doug kept a steady hand with his work helping others. In 1998 the Knack signed to Rhino and put out an album that he considered their masterpiece, ZOOM . Two more Knack projects followed, Normal as the Next Guy and disadvantages and advantages of fast food, Live from the thesis statement for prop Rock Roll Funhouse , released on Doug#8217;s own label, Zen Records. Literary Essay? The group continued to tour throughout the first decade of the new century, but Doug#8217;s only forays into thesis, the studio were for teaching critical thinking skills to fourth identified as gifted and talented, solo projects which were never distributed commercially (that is, until now, on thesis for prop, this website) and to helm the reissue of the first four Knack albums on Capitol. His death on Valentine#8217;s Day, 2010, from the metastasis of write literary essay lung cancer that spread to his brain, and then his body, was a great loss to statement, the many friends, fans and people whose lives he had touched. As the end neared, he shrugged and felt grateful that he had led a good life and had tried to do good for other people. Surrounded by loved ones during the last days, he accepted what he couldn#8217;t change with words he lived by, #8220;It is what it is.#8221; His ashes, today, reside informally in Paris, Big Sur, Maui, and his own backyard. Available Available Now.
Download Flash Player to listen to songs by Doug Fieger. Hankerings: A Tribute To Hank Williams. One day, Doug called to ask if I wanted to be in a band. (I remember when Doug used to call me his voice was so high, I thought it was a girl.) Sky was born.
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HowTo Use rsync For Transferring Files Under Linux or UNIX. H ow do you install and use rsync to synchronize files and directories from 8 one location (or one server) to another location? – A common question asked by new sys admin. So what is college unique about the rsync command? It can perform differential uploads and thesis statement for prop, downloads (synchronization) of files across the network, transferring only data that has changed. The rsync remote-update protocol allows rsync to transfer just the differences between two sets of files across the teaching skills identified network connection. Use any one of the following commands to thesis install rsync. If you are using Debian or Ubuntu Linux, type the following command: # apt-get install rsync. $ sudo apt-get install rsync. If you are using Red Hat Enterprise Linux (RHEL) / CentOS 4.x or older version, type the following command: RHEL / CentOS 5.x or newer (or Fedora Linux) user type the following command: # yum install rsync. Since rsync does not provide any security while transferring data it is recommended that you use rsync over ssh session.
This allows a secure remote connection. Now let us see some examples of rsync command. --delete : delete files that don’t exist on scholarship essay, sender (system) -v : Verbose (try -vv for more detailed information) -e ssh options : specify the ssh as remote shell -a : archive mode -r : recurse into directories -z : compress file data. Task : Copy file from 8 a local computer to a remote server. Copy file from /www/backup.tar.gz to a remote server called openbsd.nixcraft.in. Please note that symbol. indicate the users home directory (/home/jerry). Task : Copy file from a remote server to a local computer. Copy file /home/jerry/webroot.txt from a remote server openbsd.nixcraft.in to a local computer’s /tmp directory: Task: Synchronize a local directory with a remote directory. $ rsync -r -a -v -e ssh -l jerry --delete /local/webroot openbsd.nixcraft.in:/webroot.
Task: Synchronize a remote directory with a local directory. $ rsync -r -a -v -e ssh -l jerry --delete openbsd.nixcraft.in:/webroot/ /local/webroot. Task: Synchronize a local directory with a remote rsync server or vise-versa. $ rsync -r -a -v --delete rsync://rsync.nixcraft.in/cvs /home/cvs. $ rsync -r -a -v --delete /home/cvs rsync://rsync.nixcraft.in/cvs. Task: Mirror a directory between my “old” and “new” web server/ftp. You can mirror a directory between my “old” (my.old.server.com) and “new” web server with the teaching skills identified and talented command (assuming that ssh keys are set for password less authentication) $ rsync -zavrR --delete --links --rsh=ssh -l vivek my.old.server.com:/home/lighttpd /home/lighttpd. Other options – rdiff and rdiff-backup. The rdiff command uses the statement rsync algorithm. A utility called rdiff-backup has been created which is capable of maintaining a backup mirror of a file or directory over the network, on another server. rdiff-backup stores incremental rdiff deltas with the backup, with which it is possible to recreate any backup point. Next time I will write about these utilities.
Please note if you are using MS-Windows, try any one of the program: = Read rsync man page. The author is the essay on doctor for kids creator of nixCraft and a seasoned sysadmin and a trainer for the Linux operating system/Unix shell scripting. He has worked with global clients and in various industries, including IT, education, defense and space research, and the nonprofit sector. Follow him on Twitter, Facebook, Google+. Share this on for prop 8, (or read 63 comments/add one below): Your support makes a big difference:
I have a small favor to ask. More people are reading the nixCraft. Letter Essay! Many of you block advertising which is your right, and advertising revenues are not sufficient to cover my operating costs. So you can see why I need to ask for your help. The nixCraft, takes a lot of my time and hard work to produce. If everyone who reads nixCraft, who likes it, contributes to support it with donations: I have RSYNC running to statement 8 copy files from and advantages food essays a mapped linux server (through a windows PC running cwrsync) to a remote linux server. Thesis Statement For Prop 8! Everything works fine, but the permissions and ownership changes. I added this line: and that seems to work fine in ensuring I have chmod 0755 set for my folders and disadvantages and advantages food, files.
However, it keeps reverting my users:groups from myuser:nobody to 400:401. What is the code that I add to rsync to for prop 8 have it: a) Retain the existing ownerships, or. b) Force myuser:nobody for all files and 2014, folders? Oops. Second question. For Prop 8! I’d like for all directories to retain their original ownership and permissions (rather than forcing the chmod). The reason is write lesson plan because I’d like for most directories to be 0755, but need 0777 on some specific ones for a templating system and thesis statement for prop 8, tiny_mc plug-in to work. Essay! How can i retain the thesis statement for prop original ownership and permissions? rather than having to go through and on doctor, modify them one-by-one after the Rsync, or giving a blanket 0777 for everything?
Regardless, I don’t know how to specify folder-specific privileges in rsync and would prefer to just have them remain the same as before the rsync. owever, it keeps reverting my users:groups from myuser:nobody to 400:401. You need to add myuser:nobody to thesis your local server. I donaˆ™t know how to specify folder-specific privileges in rsync and would prefer to just have them remain the same as before the rsync. Make sure files are transferred in texas essay “archive” mode, which ensures that symbolic links, devices, attributes, permissions, ownerships, etc. are preserved in the transfer. rsync -avr src/path /dest/path2. Can you give a help about. I have some unix specific setup. We have the following directories on thesis statement for prop, p1cpe, and p2cpe: I need them to be available, and in sync to both systems.
The originals should all be one p1cpe, so if you have to essay mla copy or do anything, those should be considered the thesis for prop source. The idea is, if a developer makes changes to files on p1cpe:/opt/Apps/StaticContent, I want it also available on p2cpe, without them having to essay modify it twice. All the work should be done as the user “webdude”. For Prop! You should have sudo rights to literary essay lesson webdude on p1cpe and p2cpe. Couls you please help me on that. I want to rsync 800Gb data over 4Mbps link. there are many folders which more than 100Gb, so it is keep failing rsync. i am using even –bwlimit also. i need some script which look into thesis statement for prop 8 folders and rsync one by one folder instead of one 100Gb folder. does it make sense?
any kind of cover letter essay mla script shell or php? hi, i hope someone could help me. I need to synchronize files between two servers like every few minues, but i need to do it automatedly using crontab. My problem is I need to use SSH with a different port, so i need to use the ssh n the rsync command line. Thesis Statement For Prop! If i put the command line into cronjob, it will prompt for password rite? then it will erroneous. Please help how to solve, as in it will rsync successfully in writing cronjob.
use `echo ‘your pw’ | rsync -e ssh ….` to automatically deliver the password to your rsync. You need to use password less login using ssh keys. hmm.. i found the answer here. I want to mirror our web server into a backup server. How can I use the rsync? I see –delete in the command line above and I dont know why? I am also afraid to run the rsync from the for prop 8 WRONG server putting useless files into our web server, so where do you run rsync from and what files do you copy to make a good mirror/backup server?
This is for college admissions essay, in case the web server goes down we can bring this one up(back up) and use it until the other one is thesis for prop fixed. I have setup cert on both servers so ssh-ing is no problem. Thank You Very Much! I suggest you use rsnapshot tool, which uses rsync as backup tool. rsnapshot makes hourly, daily, weekly and essay writing on doctor for kids, monthly backup. Thesis Statement 8! You can restore from any point like hourly or weekly as per your requirement. Thank You Very Much Vivek for essay prompts, quick response! I will try that. Isn’t the thesis statement 8 “r” redundant in the examples as it is implied by teaching thinking to fourth grade identified as gifted and talented, the “a” option?
A look at statement 8, the man page says that “a” is short for “rlptgoD”. how to teaching critical thinking to fourth identified do automatic backup using rsync. How to for prop 8 sync specific files (in this case *.dat) from literary essay lesson multiple directories where directory name is different? For example, I’d like to copy/sync all server1:/dir1/1*/*.dat files to thesis for prop corresponding server2:/dir2/2*/*.dat files (where 1* directory names are 101,102.. 199 and 2* are corresponding 201,202 .. 299 directories). Something like (calling rsync from write essay lesson plan server2): rsync -zrv server1:/dir1/1*/*.dat /dir2/ rsync -zrv --include=*.dat server1:/dir1/1 /dir2/
I’m trying to thesis statement for prop set up a classroom, and on my server I have a folder with virtual machine images and config files that I need to distribute to 12 classroom computers. I need to on doctor for kids make a script that “anyone” can run, including teachers with little computer experience. The teacher has access to the server, and the plan is statement for prop 8 that he/she only disadvantages of fast needs to run one script on 8, the server to update all the teaching thinking to fourth students identified classroom computers. Is rsync the right tool? Yes, it is right tool to push (from server) or pull files (from clients).
Hi Vivek. Statement For Prop! I need to make a script to send files between local linux computers. Is the easiest way is college essay prompts using rsync? Or what is your recommend? Use rsync (sync update files only) or scp (one time copy) to copy files between local or remote LAN / WAN sites. I am having 2 Server. 1 server contains Unix OS another Server contains Linux. I want to merge some data directories from thesis 8 linux PC to Unix PC.
both servers contains same named directories files. Essay Writing On Doctor! So, i want to merge all directories file without using cp -ir command, because “cp -ir” command with overwrite existing same named directories files,which i don’t want. If Unix Server don’t have “rsync” installed linux server having rsync, is it possible to merge all data using rsync from linux PC? try cp -ur command. -u, –update copy only when the SOURCE file is statement for prop 8 newer than the destination file or when the destination file is missing.
make sure backup both directories before run any commands. i hope, this will help you. Yes I want to become a download mirror for several large companies who require me to write essay lesson plan use rsync all I need to do is copy files from their server to a directory in mine I need some help here please. i am using suse linux server and windows xp as client.I am having a network connection here.I need to transfer the thesis statement database back file from the linux server to my windows xp client.please give some steps/command line arguments to transfer this. What about rsync to different port other than 22 ? We staringrting to switch from solaris to RedHat.
I created RedHat intel machine for webserver. For DocumentRoot I created directory /inet/elearning and with empty directory or with index.html (wich I transfer from sparc machine apache started and working but when I rsync all content from sparc I’m getting syntax error at start saying ‘DocumentRoot must be directory’. Disadvantages Of Fast Food! I see problem with directory format between solaris and redhat. I use rsync syntax: /usr/bin/rsync -avzp –delete -e /usr/bin/ssh [emailprotected]:inet/elearning /inet. Is any chance do reformat directory during transfer them or after? On solaris creation block is 512, on redhat probably 4096. Any clue help may help. I have some folder in statement the source machine in the format m_d_Y, now from the remote machine i need to pull only texas essay last 30 days folders using rsync. Thesis Statement 8! Both the source and disadvantages and advantages food essays, destination are linux boxes. Any help is appreciated. Is there an option to synchronize/backup/copy files from one server to for prop another every day at a certain time?
Or better yet, does rsync provide on cover, the fly replication, meaning as sson as something changes on one server, the changes are replicated to a second server? No rsync is not real time server file system mirroring tool. It is perfect for 8, making backup and other purposes. You’ve two options here for failback mirroring use DRBD (distributed storage system for the Linux which is disadvantages of fast food essays like RAID 1, except that it runs over thesis statement 8 a network between two servers) or use nfs / gfs2 / ofs2 with centralized storage for college essay prompts, cluster. This was fantastic!
I have a couple of questions: 1.) Can it show the percentage completed for each file on-screen? 2.) Is there a way to for prop dump the letter mla results into a text file instead of statement 8 on-screen? 3.) What happens if your SSH connection is accidentally terminated in mid-process? Does the texas process continue without you? 1) use -v attribute along with rsync command. rsync -varpgo /usr/local/nagios/contacts.cfg [emailprotected]: 2) We can redirect the statement for prop 8 output to cover letter essay another file adding this at the end of any command. EG: date file.txt. Thank you very much! This post along with your response on 8, how to essay store results to a text file has been most useful!
I am using rsync under ubuntu on my netbook to duplicate the contents of thesis statement 8 my /home to scholarship an SD-Card, by. rsync -av –delete /home/x/ /media/SD-Card/home.x.backup. Running this command, the program seems to statement do what it should. But when I repeat the same command immediately after, the whole lot happens again! I thought the program should be done immediately as not any changes have been made. What is wrong? (I don’t know if it plays a role how the hard disks are formatted. The source is ext4 while the SD-Card is FAT32 (or VFAT).
Could it be an explanation that FAT can’t save the information on ownership (rights) so that on disadvantages food, starting rsync a second time the program views all files as different and does the for prop 8 same job as before again?) I have one clearification on working of rsyn. how data will transfor wheather bytes leval or block leval or file leval. Very helpful post. Thanks. Lets say we wanted to copy all of the files under our local directory, “/usbdisk/” and place a copy on the machine “somemachine” under the remote directory “/backups/”. The name of the user on the remote machine is “dinesh”. Cover Letter Essay Mla! Notice we added the statement 8 “-z” argument so all data will be compressed over the network.
We could use the following line: I found this article very useful especially for beginners. I will try to write essay contribute as more as possible, so it would be helpful for others… Very Nice Article… Can You please give more details about thesis for prop 8 –delete option ? When Shall I use this option ? This is exactly what I am after. Haven’t set the second server up yet but will try this between centos5 and vista for now.
I hope this is gonna be good enough to get rid of the useless Plesk backup tool. Next step will be to learn about disadvantages load balancing so the 2 servers can be used simultaneously instead of the live/backup setup. This is a fantastic explanation of rSync and all it’s idiosyncrasies. I had been putting off syncing my sites across to another server, until I came across this. Previously, I just used LFTP (another great tool, but more difficult to automate, or use with cron). How to use rsync with a username and thesis statement for prop 8, password that is and advantages food supplied by the remote server ? I have a tar file which I need to upload to a remote server. Statement For Prop! The remote server has provided me with IP address, a username and a password. How do I use rsync with the essay writing username and password to upload the file on thesis, remote server ?? I am doing a rsync between two servers. I have put the script in crontab file so that it runs automatically everyday at night.
But the problem is essay that rsync stops once it encounters a large file. But, surprisingly, If I execute the same script from the thesis statement 8 CLI, it works perfectly right. Only, when it happens in the background via rsync, it gets stuck. Please advise what could be the issue. Do settings need to be changed somewhere. Thanks in teaching skills advance. i think you need -P option for resuming of file / folder … #128521; i have downloaded a file in one account and thesis statement for prop, want to copy the file to the other account in the same machine,i have tried to copy using scp and cp command but without success,it keeps prompting for password.please help. I am pretty sure you have your directories round the wrong way in your examples about synchronize a local directory with a remote directory and college prompts, vice versa!
I am totally fresher in Unix, and I want to cut the log files from server1 and paste them to server2. I am very much confused on the command part. Below are my understanding , Please suggest. 1.) Create public key through ” ssh-keygen -t rsa” 2.) Copy the thesis statement public key to write lesson plan Server2 – If yes, then where exactly I have to copy the key?
3.) write command in Server1 “scp -C $file Path$ [emailprotected]:/path$ – I want to cut the thesis statement for prop file from write literary plan server1, what is the exact command for that? – from where I can get the info regarding “public_key_username” as you used it in SSH example. 4.) You must have SSH running on thesis statement for prop, Server2 to make this work. 5.) write cron job to make it automatic. Require guidance on same. Thanks in advance. Can anyone assure me that the rsync –delete –delete-after parameter deletes files. only on the DESTINATION (target) that NO file deletion occurs on the SOURCE? I am copying a 2gb single file over 2MB link,
If copy is fail and cover essay, I want to start the statement for prop 8 copy again from where it left then what is the critical grade as gifted option I need. Thank you thank you thank you #128512; keep this alive. which protocol version rsync support ? Hi Vivek, Friends, Is there any way to exclude any directory from statement for prop 8 sync at essay for kids, either end ? How it is better than unison ? thanks. Thesis Statement! that was helpful. I am trying to writing use r sync to sync up files between 4 servers . The issue is all the servers would be master servers and files can come on any of the server at anytime . Can i use rsync in this case ? what i am scacred of is thesis 8 what if the file tranfer is critical thinking skills identified as gifted still going through one server and thesis 8, another file in the same time comes on that server . Thanks so much for and advantages, this intro. I’ve been meaning to start using rsync for ages, this got me straight in. i have rsync errror in my downloading system.the network ip address is to be changed.
so how to for prop 8 configure new static ip address in rsync. I’m not sure if I’m simply misreading the “Task” titles, but it seems you’ve got the “Synchronize a local directory with a remote directory” and “Synchronize a remote directory with a local directory” mixed up. To say “Synchronize X with Y” implies X is the destination and Y is the source; X is the college admissions 2014 thing being acted upon, Y is thesis 8 what is being used to admissions 2014 act. Statement For Prop 8! However, this is definitely NOT what is essay mla shown in the example command. Rsync’s first directory argument is the source, the second argument is the destination. I would like to statement for prop 8 do a schedule backup using cron job in for kids Ubuntu. If I use “rsync -ave ssh [emailprotected]_ip:/var/mail/ /tmp/backup_location/”, it will need to enter remote host password. So how can I use above command accompanied by remote host password. Thank you for 8, your help. Hi! Did you find how to do it?
Have to do exactly the same. I think you must change these with each other: Task: Synchronize a local directory with a remote directory. $ rsync -r -a -v -e “ssh -l jerry” –delete /local/webroot openbsd.nixcraft.in:/webroot. Task: Synchronize a remote directory with a local directory. $ rsync -r -a -v -e “ssh -l jerry” –delete openbsd.nixcraft.in:/webroot/ /local/webroot. the format is essay rsync source dest.
You can remove spaces, replace spaces with underscore, Uppercase/lowercase filename, add a prefix/suffix, remove/replace strings and also catalog files by adding an incremental number to the file name. In my scenario i want to take back up through rsync only changed files in remote system. lets say in my 1st system my folder is pasha and in my 2nd system folder is kalyan , when i synchronise both the folders i get complete backup , Then i added some files in pasha and again synchronise with the remote system kalyan. At this time i need only changed file in a separate folder in remote system kalyan.
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Writing Task 2 Discuss Both Views Essay Lesson. This lesson will help you answer IELTS writing task 2 discussion (or discuss both views and give your opinion) questions. These particular questions require a different approach to opinion essays because you have to discuss both sides rather than just argue in thesis for prop, favour of one side. This post will look at: Identifying the question Example Questions Structure Sample Answer Task Achievement Coherence and Cohesion Lexical Resource. Many students fail to do well in these kinds of questions because they do not do what the question asks them to do and they do not use an scholarship, appropriate structure. This post will help you overcome these problems and give you a sample answer. We will also look at ‘lexical resource’ and ‘coherence and cohesion’; two of the marking criteria IELTS examiners use when marking your essays. Understand the statement for prop marking scheme will help you to for kids get inside the head of an IELTS examiner and thesis statement, give then exactly what they want. Look at the three questions below and choose one you think is a discussion question. Computers are being used more and letter essay mla, more in education and so there will soon be no role for the teacher in statement for prop 8, education.
To what extent do you agree or disagree? Computers are being used more and more in education. Discuss the advantages and disadvantages and give your own opinion. Computers are being used more and more in education. Some people say that this is a positive trend, while others argue that it is leading to literary lesson plan negative consequences. Discuss both sides of this argument and then give your own opinion.
The first question is an opinion question and we can tell this from the instructions ‘To what extent do you agree or disagree?’. The second question is obviously an advantages and disadvantages question. The third question is the discussion question. We can tell this from the typical instructions in the question ‘Discuss both sides of the argument and for prop, then give your opinion’. You may also be asked to ‘Discuss both views and give you opinion’ or ‘Discuss both sides of the argument and give your opinion’. Each of to fourth identified, these questions is asking us to for prop 8 do different things and we therefore need a different structure for each question. Here are a few other typical discussion questions: A growing number of people feel that animals should not be exploited by people and that they should have the same rights as humans, while others argue that humans must employ animals to satisfy their various needs, including uses for food and disadvantages and advantages essays, research.
Discuss both views and thesis statement for prop, give your opinion. Blood sports have become a hot topic for debate in recent years. As society develops it is of fast essays, increasingly seen as an uncivilized activity and cruel to the helpless animals that are killed. All blood sports should be banned. Discuss the main arguments for this statement and give your own opinion. Some people think that the best way to reduce crime is to statement for prop 8 give longer prison sentences. Essay On Doctor For Kids! Others, however, believe there are better alternative ways of reducing crime. Discuss both views and give your opinion. As you can see, they typically state two opinions and then ask you to discuss both and give your opinion. Make sure you do these things in the essay.
If you only discuss both views and fail to thesis statement 8 give your opinion you will lose marks. For discussion questions, I suggest you use the following four paragraph structure. Sentence 2- State Both Points of View. Sentence 2- Thesis Statement. Sentence 3- Outline Sentence. Sentence 1- State first viewpoint. Sentence 2- Discuss first viewpoint.
Sentence 3- Reason why you agree or disagree with viewpoint. Sentence 4- Example to support your view. Sentence 1- State second viewpoint. Sentence 2- Discuss second viewpoint. Sentence 3- Reason why you agree or disagree with viewpoint. Sentence 4- Example to support your view. Sentence 1- Summary. Sentence 2- State which one is better or more important. Here is a sample answer but I have mixed up the sentences. Can you match the essay writing on doctor sentences below to the structure above? This exercise will help you understand the structure.
In conclusion, while the thesis for prop benefits of writing for kids, technology, particularly the internet, allow students to tap into limitless sources of for prop, information, some still feel that people should be wary of this new phenomenon and not allow it to curb face to face interaction. There is an ever increasing use of technology, such as tablets and write essay lesson plan, laptops, in the classroom. It is clear that the thesis statement for prop 8 internet has provided students with access to more information than ever before. Moreover, learners have the write essay lesson ability to research and learn about any subject at the touch of a button. It is thesis statement 8, therefore agreed that technology is a very worthwhile tool for education. However, many disagree and feel that technology deprives people of essay on doctor for kids, real human interaction. Human interaction teaches people valuable skills such as discourse, debate and empathy.
Despite this, human interaction is still possible through the internet and statement for prop 8, this essay disagrees technology should be dismissed for this reason. This essay agrees that an college admissions essay prompts 2014, increase in technology is beneficial to students and teachers. This essay will discuss both points of statement, view. For instance, Skype and writing on doctor, Facebook make it possible for people to interact in ways that were never before possible. For Prop 8! Wikipedia is a prime example, where students can simply type in disadvantages and advantages essays, any keyword and gain access to in-depth knowledge quickly and easily. However, as long as we are careful to keep in mind the importance of human interaction in education, the thesis statement for prop educational benefits are clearly positive. It is often argued that this is a positive development, whilst others disagree and admissions essay prompts, think it will lead to adverse ramifications. Computers are being used more and more in education. Statement For Prop! Some people say that this is essay writing for kids, a positive trend, while others argue that it is leading to negative consequences. Discuss both sides of this argument and then give your own opinion.
There is an ever increasing use of technology, such as tablets and laptops, in the classroom. Statement 8! It is often argued that this is a positive development, whilst others disagree and think it will lead to adverse ramifications. This essay agrees that an increase in technology is beneficial to students and teachers. This essay will discuss both points of view. It is clear that the internet has provided students with access to more information than ever before.
Moreover, learners have the ability to research and learn about any subject at the touch of a button. Prompts! It is therefore agreed that technology is a very worthwhile tool for education. Wikipedia is a prime example, where students can simply type in any keyword and 8, gain access to in-depth knowledge quickly and easily. However, many disagree and feel that technology deprives people of real human interaction. Human interaction teaches people valuable skills such as discourse, debate and empathy. Despite this, human interaction is still possible through the internet and this essay disagrees technology should be dismissed for this reason. For instance, Skype and Facebook make it possible for people to interact in ways that were never before possible. In conclusion, while the benefits of technology, particularly the internet, allow students to admissions essay prompts 2014 tap in to limitless sources of information, some still feel that people should be wary of this new phenomenon and not allow it to statement for prop curb face to face interaction. Literary Lesson Plan! However, as long as we are careful to keep in mind the thesis for prop importance of human interaction in education, the educational benefits are clearly positive. This is one of the four areas you will be assessed on in the IELTS writing test. Task achievement refers to disadvantages essays your ability to address all parts of the question and present a fully developed answer.
By following the structure above, we have fully discussed both sides of the argument and given our opinion. Thesis For Prop 8! This is exactly what the writing question asked us to do, no more, no less. Discourse markers (words like ‘however’, ‘despite this’ and ‘In conclusion’) are also referred to as ‘linking words’ and ‘linking phrases’, or ‘sentence connectors’. They are quite formal and are used more in thesis 8, academic writing than informal speech. You gain marks for using these under the prompts ‘coherence and cohesion’ section of the marking scheme. These words ‘stick’ the other words together and lend continuity to sentences and paragraphs. If you do not include discourse markers in your IELTS writing, your answer will appear illogical and it is more difficult to understand.
However, this does not mean that you should try to insert as many of these words in to your writing as possible. This is a common mistake in IELTS writing. Using too many of them, or using them inappropriately, can make your writing sound too heavy and thesis for prop, unnatural. They are important, but must only be used at teaching skills to fourth grade identified the appropriate time. Try to identify any discourse markers in the essay above ? Don’t look at the essay below yet. Thesis Statement For Prop 8! How many can you find? Sample Answer with Discourse Markers. Here is the thinking students as gifted and talented sample answer again with the statement discourse markers in bold . There is an ever increasing use of technology, such as tablets and laptops, in the classroom. It is often argued that this is literary plan, a positive development, whilst others disagree and think it will lead to adverse ramifications.
This essay agrees that an increase in technology is beneficial to students and teachers. This essay will discuss both points of view. It is clear that the internet has provided students with access to more information than ever before. Moreover , learners have the ability to research and learn about any subject at the touch of a button. It is for prop, therefore agreed that technology is a very worthwhile tool for education. Wikipedia is essay, a prime example , where students can simply type in any keyword and gain access to thesis statement 8 in-depth knowledge quickly and admissions prompts, easily.
However , many disagree and feel that technology deprives people of real human interaction. Human interaction teaches people valuable skills such as discourse, debate and empathy. Despite this , human interaction is still possible through the internet and this essay disagrees technology should be dismissed for this reason. For instance , Skype and Facebook make it possible for people to interact in ways that were never before possible. In conclusion , while the benefits of technology, particularly the for prop internet, allow students to tap in to limitless sources of information, some still feel that people should be wary of this new phenomenon and not allow it to curb face to face interaction. On Doctor! However , as long as we are careful to keep in mind the importance of human interaction in education, the educational benefits are clearly positive. This is also one of the four criteria you will be marked on and it refers to your ability to use a wide range of accurate vocabulary. A common mistake is to for prop 8 repeat the same words over and over on doctor again. You will lose marks if you do this. A solution to thesis for prop this problem is to use synonyms.
You can either think of synonyms as you are writing or leave time at the end to add them in. Can you identify any synonyms in the essay above? Here are some examples: Computers- the internet. Education- in the classroom. Education- students and teachers. Positive trend- positive development.
Negative Consequences- adverse ramifications. By varying your vocabulary in texas scholarship, this way you are demonstrating that you have a wide vocabulary and this will boost your band score. For Prop 8! However, like discourse markers be careful not to use inappropriate/inaccurate words. Only use words you are confident about. Mistakes will lead to writing fewer marks. Do you need me to correct your essays and give you feedback on them?
Check out our essay correction service. I hope this post helps you with discussion questions and if you have any questions please comments below. The best way to keep up to date with posts like this is to thesis statement for prop 8 like us on Facebook. Click here to and advantages of fast essays return to for prop 8 the homepage, or click one of the links below to check out more great IELTS stuff. 20 Comments on writing on doctor, Writing Task 2 Discuss Both Views Essay Lesson
In the first paragraph you have mentioned, “This essay agrees that”, instead of that can we mention “In my opinion” because in the questions they asked for an opinion. Please suggest. I’ve learnt a lot that make my eye open how to analyse questions,really so helpful that can’t express in words,Thank you Pell for your generous service to the needy who unable to pay your worth. In discussion question, is it okay if you we write one body paragraph on the view you are against and two body paragraphs on thesis statement, the view you support….so in total 3 paragraphs. Like this: paragraph 1: negative consequence 1. paragraph 2: positive trend 1. paragraph 3: positive trend 2. conclusion: supporting positive trend….since outweigh.
First of all, heartfelt thanks for your efforts and insightful posts. I have a question and I need your advice. I have noticed that in and advantages essays, your thesis statement you have mentioned your opinion. My IELTS teacher insists on statement for prop, the fact that the opinion should only prompts be mentioned in statement for prop, the conclusion. So the texas scholarship thesis statement would look like: ” Some people believe …. and others …. without mentioning MY opinion. then in thesis statement 8, the conclusion I don’t need a summary I just have to mention my opinion. Can you please advise me on this? Posterity will reward you sir. I appreciate your efforts. Home » Writing Task 2 » Writing Task 2 Discuss Both Views Essay Lesson. Check your email for the link.
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100 Easy Persuasive Essay Topics with Tips to Write a Paper Fast. VirginiaLynne has been a University English instructor for over 20 years. She specializes in helping people write essays faster and easier. 8. Why is tattoo art becoming increasingly popular? Does research done by using Mechanical Turk to post surveys for people to fill out for cover letter essay, a few cents really result in good information?
Is Facebook's decision to statement restrict access to gun sale information in order to help prevent illegal gun trafficking a good idea? If Putin and Edward Snowden can be on college admissions essay prompts 2014, the list of Nobel Peace Prize Nominees in 2014, what is the value of this award? With the statement 8 revelation that UK intelligence intercepted millions of Yahoo webcam images, should we be careful what we send over the Internet? How can we protect our privacy? Can using an iPad app which gives people tip suggestions cause people to tip more? Is Google Fiber a good idea? Will having Google Fiber change a city? How important is texas scholarship fast access to the web for a community?
What is the definition of privacy in the digital age? How will driverless cars change our lives? Which is the best city builder video game? Are E-sports gamers really athletes? What is the future of Bitcoin? How can streaming videos be made more efficient? Are products like Crowd Control Risk which monitors the use of social media by thesis for prop, a company going too far? Should law enforcement use technology like Blue Jay to monitor twitter in high profile events? How much do we really want technology to do for us?
Do we really want to become like the humans in literary essay lesson plan Wall-e? Does Apple's plan to like iPhones to car radio systems going to help keep driving safe or cause more distractions to statement for prop drivers? Are electric cars going to be the texas wave of the future? Should police be required to wear a video camera all the thesis statement 8 time in order to identified reduce the for prop 8 use of deadly force? How can drones be used for peaceful purposes? What makes a great ad for the Super Bowl? The National Highway Traffic Safety Administration has announced that they will soon be requiring all cars to come with V2V (vehicle-to-vehicle) communication technology so that cars can exchange safety data. Do we really need this technology? New apps now incorporate smells, such as the Oscar Mayer app which wakes you up to the smell of bacon.
How important will smelling apps become? Will devices like the Nymi bracelet (which uses a person's heartbeat to unlock any device requiring a password) replace other forms of online security? Could these sorts of personal devices eventually make credit cards and other forms of and advantages of fast essays identification obsolete? Should there be laws about people recording using Google glasses or other recording devices in thesis 8 public places? What about phones? Do fitness apps like UP really help people have better health? If you see a link on a topic question, it leads to an article on that topic. Many of these articles have further links for more research help. Cover Letter. Pick a topic that you already know something about. That makes it easier to write. Write an answer to that question.
That is your thesis. 8. Write 3 reasons you would give that answer. Those reasons are your main points. Texas. With a thesis and 3 main points, you've already got a simple outline. What examples can you think of? Write these down.
Those can be used for thesis 8, the introduction, conclusion or to back up your main points. Now, all you need to do is to look up some research for examples and disadvantages of fast food, evidence, or if you don't have to research, then you can just think up some more examples from: Your personal experiences. People you know. Media examples from movies, T.V., or videos. News or current event examples. Literary examples from books, plays or poems. Example Thesis Question: Say you are a student who has studied abroad and you think that is thesis statement for prop a great idea for other students. So you pick the question: Is studying abroad good for students? Thesis Answer : Studying abroad is a great idea for for kids, college students because it gives them a better education and helps them in their career.
Why? (These are your three main topic sentences for the Body of Your Paper) Students who study abroad get to know more about the world and other cultures. Studying abroad makes students more independent and teaches them to thesis statement 8 solve problems. Admissions. Employers like to hire students who study abroad because they know they are adaptable and mature. Examples and thesis, Research: You can write about your own experience, interview fellow students who have studied abroad, talk with the study abroad coordinator at your school and texas scholarship, look up some statistics about students who study abroad and how they get a better career. If you need additional research you can look for some academic studies that discuss the benefits of studying abroad.
Introduction and thesis statement for prop 8, Conclusion: Start with your own story about studying abroad. Conclude with some of the things you've taken away from the mla experience. Does building a new stadium really help a city attract more business? Do successful football or basketball programs really help Universities? Should wrestling continue to be included in the Summer Olympics? What kinds of sports should be included in the Winter Olympics? What changes should be considered? Is it a good idea for parents to sacrifice to thesis for prop 8 help their child become an Olympic athlete?
Do the dangers of highly competitive athletic sports outweigh the risks of injury? What is the optimal lifestyle for the college athlete for scholarship essay, them to do their best in both their sport and their studies? What are the best diets for high school and for prop, college athletes? What are the health risks in middle age for people who played competitive athletics in college? Is it worth it? Are academic standards for high school and college essay prompts 2014, college athletes important?
How should they be enforced? Is the National Security Administration's (NSA) use of surveillance an abuse of the thesis 8 rights of America? of the rights of other countries? How will the college 2014 Trump Administration change national U.S. policy toward Mexico? (or choose any other country). How should the for prop world respond to missile tests by North Korea? How important is the Latino vote going to be in the next U.S. presidential election? Is the essay writing development of for prop a country's agriculture the most effective way to alleviate poverty? How should immigration law be re-written?
Should the U.S. Scholarship. continue to use drones to target and kill? What caused the Great Recession of 2008? Should prisons work to rehabilitate prisoners? How harsh should prisons be? Do mandatory sentences for certain crimes really help? Does having the death penalty really prevent crime? Has the United States kept the values of the Founding Fathers? What makes the thesis for prop United States different from other countries?
Should the U.S. stop intervening in other country's wars? Does lowering the Federal Corporate Income Tax Rate create jobs? What is the best way to stimulate the economy? Are American family farms dying off? Should the U.S. Cover. continue to give subsidies to farmers? How can the U.S. best ensure that farmers grow the crops needed each year? Should the death penalty be outlawed nationally? How important is balancing a government's budget, or decreasing the statement for prop Deficit? Can you use news articles and journals for your essay?
If so, go to Google and type in your topic and see if any articles come up from: Newspapers (such as New York Times , The L.A. Times , The Washington Post, The Guardian) News broadcasting networks (BBC, NPR (National Public Radio), NBC, ABC, FOX, CNN) News Magazines ( Time, Newsweek, U.S. News and writing on doctor, World Report ) Specialty Magazines ( Discover, Psychology Today, The Economist, Fortune, Scientific American Mind, National Geographic, Science News ) You can also go to the web page of any of statement these sources and type in your search word to see if you can get the article. Cover Mla. If your assignment requires you to use peer-reviewed articles, you can use your library system to get articles. However, you can also find many articles online that are from thesis statement for prop 8, a peer-reviewed professional journal or otherwise authoritative source. Just be sure you check with your professor to make sure the teaching thinking skills to fourth grade students sources you've found are appropriate for your assignment. Try using: Google Scholar as a search tool . This will let you do the same sort of search you would usually do on Google, Bing or Yahoo, but it will only bring up articles that are done by professors and published in on-line journals that you will be able to access without going through your library. Google for subject journal online . This will often get you to statement for prop 8 the website of a journal where you can search for your topic. Admissions. For example, Psychology Journals Online brings up the thesis for prop APA (American Psychological Association) website which has topics you can search and online journal articles or links to an article on topics like autism, ADHD, and Eating Disorders. Google Search for Government Resources : Try typing in critical thinking skills to fourth grade identified as gifted and talented your topic issue and gov or statistics. When you do that is statement for prop 8 autism gov you get the Health and Human Services government site about autism which includes links to essay peer-reviewed articles on the topic, as well as a good overview of the topic.
Government Websites : if you know the for prop government website, you can go straight to it and then type in your topic. At U.S.A. Literary Essay. gov., there is a list of different U.S. Government Departments and agencies that you can scan. UK gov. Thesis Statement 8. has statistics as well as topics, worldwide and departments to look through. The United Nations Statistics database gives good information about international issues and also has publications you can search. If you are writing on a topic that involves another country like India, Pakistan or Australia, then search the government websites from critical thinking skills to fourth identified, those countries. Thesis 8. Use Google Translate to put the website into your own language.
Are romantic movies damaging to college prompts real relationships? Is studying abroad good for students? Which are better, public or private schools? Do students from private high schools get into better colleges? Do people graduating from statement for prop 8, private colleges get better jobs? Does belonging to a fraternity or sorority help you get a job after graduation? Are fraternities and sororities racist?
Does belonging to a fraternity or sorority make your college education better? Does studying abroad help people to get a better job after they graduate? Do tests like the and advantages food SAT or the ACT really predict how well students will do in thesis statement 8 college? Are they better than grades? Are the 2014 changes to the SAT going to improve the test?
What do Disney Princesses Teach Girls? Boys? Does living together before marriage help or hurt the long-term success of a marriage? Is micro-enterprise loans the letter mla best way to 8 help women in teaching critical skills to fourth grade and talented developing nations? Does the viewing of television shows in poor rural areas help or hurt poor women? What is the thesis for prop best way to prevent the abortion and neglect of write plan females in statement India? Is abortion ever the right thing to do? Are beauty pageants beneficial to women in essay on doctor them?
Should the fashion industry change their way of thesis statement for prop 8 advertising so that models are more like real women? How does media (like movies, music, and video games) cause violence against women? Do we need to continue to encourage women to go into science and engineering fields with events like the Wikipedia edit-a-thon writing more articles on women in science? Why do women still not earn as much as men? How are women in cover mla politics different in their interests and legislation than men? Should Barbie continue to be a patch Girl Scouts can earn? Is Barbie a good or bad role model for young girls?
Do the statement 8 Disney Princesses movies and merchandise offer innocent dreams for young girls or a racist and sexist image that warps young minds? Can people lose weight and keep it off? How? What is the best way to keep people healthy? How should the disadvantages of fast food Affordable Care Act be changed to statement ensure more Americans get better health care?
What is the college prompts best way for thesis statement for prop 8, morbidly obese people to lose weight successfully? What is the best diet for a young adult? How can schools encourage children to have a healthier lifestyle? Should schools be required to provide PE and recess for college admissions essay 2014, a certain number of minutes each day? Is there really a fit beer that can help your workout? Is the thesis 8 new popularity of electronic cigarettes going to disadvantages and advantages of fast food essays help or hurt health? Will CVS and other companies that decide to stop selling tobacco products make a difference? Will this hurt the company or help them?
How can we prevent community health crisis like the spill of chemicals into thesis statement for prop West Virginia Water or the explosion of the cover letter essay West fertilizer plant? Does marijuana really have health benefits? Is it really in the benefit of healthy young people to sign up for Affordable Care Act health insurance? Should people who are terminally ill with cancer continue chemotherapy to prolong their lives a bit longer? How much sugar is too much? The World Health organization says 5% of calories should be from sugar each day, but most Westerners have about 15%. What role does race play in 8 American identity? Should first generation immigrants teach their children mostly in English or their native language? Why are more boys than girls autistic? Is environment or genetics the cause of write literary lesson brain disorders like ADHD and autism in children?
How should parents react when their child tells them they are gay? Is teaching suicide prevention in schools helpful? Which is better, foster care or group homes? Should the laws be changed so that parent rights are terminated for people who go to jail so that their children can be adopted by someone else? How should animals raised for thesis statement, food be treated? What is the biggest cause of fatal traffic accidents? How can fatalities be prevented? How can teenage drivers be best educated to admissions essay 2014 prevent them from getting into accidents their first year of driving?
Should firemen get paid more? Should parents have the right to genetically engineer their children's appearance, talents, intelligence and other attributes? Should people who text while driving (TWD) be cited and fined in the same way as drunk drivers? How important will 3-D printing be in our future? Will 3-D printing business models succeed? Should parents be able to opt out of having their children take standardized testing? by Virginia Kearney 1. How to Write a Proposal Essay/Paper. by Laura Writes 40. For Prop 8. 100 Current Events Research Paper Topics with Research Links. by Virginia Kearney 16. Texas Essay. How do you Write an A+ English Paper or Essay: Outline and Procedure. by for prop, Brittany Kennedy 12.
100 Problem Solution Essay Topics with Sample Essays. by Virginia Kearney 42. Teaching Critical Thinking Skills To Fourth. Easy Words to for prop 8 Use as Sentence Starters to Write Better Essays. by Virginia Kearney 127. 100 Cause and Effect Essay Topics. by Virginia Kearney 37. Virginia Kearney 17 months ago from cover mla, United States. Thanks Heidi!
I am always happy to get people to thesis 8 share my work! Heidi Thorne 17 months ago from write essay lesson, Chicago Area. Wow! Good topic ideas for papers OR blog posts. Congrats on thesis statement for prop 8, Hub of the Day! Sharing on on doctor for kids, Twitter. Andrew Spacey 17 months ago from Near Huddersfield, West Yorkshire,UK. What an excellent resource for those who want to write an essay. Helpful, easy to follow and full of links to more relevant info. Perfect for the student, useful for the interested occasional essay writer. An all round top class effort Virginia.
Chitrangada Sharan 17 months ago from New Delhi, India. Thesis. Congratulations for the HOTD, so well deserved! Your excellent tips will make writing persuasive essays so easy. Very useful and helpful hub. Mla. Pinning it for thesis statement for prop 8, future reference. Thank you! Devika Primic 3 years ago from essay on doctor, Dubrovnik, Croatia. Your ideas are so helpful and statement, informative. A way to write more and to texas scholarship essay be able to cope with the for prop easy topics.
Virginia Kearney 3 years ago from United States. Thanks so much teaches. I love coming up with topics and critical thinking skills to fourth students identified and talented, many of my ideas come from my students. It is always interesting to hear what are the current argument topics they are discussing and thinking about. Dianna Mendez 3 years ago. I can always count on you to add interest to essay writing. Statement For Prop 8. You can be sure I will refer to this when I teach my next English Comp class. Voted up++. Jacqui 3 years ago from New Zealand. Essay Writing For Kids. Thanks for this! I've been looking for thesis statement for prop, more inspiration to get back into writing!
This is just what I needed! Thanks! Virginia Kearney 3 years ago from United States. Essay Lesson Plan. Glad you find these helpful Donna! I'm actually enjoying coming up with new topics and I've learned a lot as I've done research and statement for prop, as my class and I have been investigating current events and especially all the new technologies already available or soon to be a part of college admissions essay prompts 2014 our lives. My students are always up on the latest trends! Donna Caprio Quinlan 3 years ago from Newburyport, MA. Virginia - thanks for the essay topic ideas!
There are so many creative ones. I struggle to come up with ideas. The more I write, I find the ideas come a little easier. I bookmarked your article. The writing and researching tips are very helpful!
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Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): diagnosis and management. The following guidance is based on the best available evidence. The full guideline ('CFS/ME: diagnosis and management of adults and children') gives details of the methods and the evidence used to thesis statement 8 develop the disadvantages and advantages essays, guidance (see section 5 for details). 18.104.22.168 Shared decision-making between the thesis for prop, person with CFS/ME and healthcare professionals should take place during diagnosis and all phases of care. The healthcare professional should: Acknowledge the reality and impact of the condition and the symptoms. Provide information about the range of interventions and management strategies as detailed in this guideline (such as the benefits, risks and likely side effects).
Provide information on the possible causes, nature and course of college admissions 2014, CFS/ME. Provide information on returning to work or education. Take account of the person's age (particularly for thesis for prop children younger than 12 years), the severity of their CFS/ME, their preferences and experiences, and the outcome of previous treatment(s). Offer information about of fast local and national self-help groups and statement for prop support groups for people with CFS/ME and their carers (see also the NHS Expert Patients Programme  ). 22.214.171.124 When providing care for children and young people, healthcare professionals should follow best practice as described in the national service frameworks for children for England or for Wales  . 126.96.36.199 Healthcare professionals should be aware that – like all people receiving care in the NHS – people with CFS/ME have the right to refuse or withdraw from any component of their care plan without this affecting other aspects of their care, or future choices about care. 188.8.131.52 Healthcare professionals should recognise that the person with CFS/ME is in charge of the aims and goals of the overall management plan. The pace of essay, progression throughout the course of any intervention should be mutually agreed. 184.108.40.206 Healthcare professionals should provide diagnostic and therapeutic options to people with CFS/ME in ways that are suitable for thesis 8 the individual person. This may include providing domiciliary services (including specialist assessment) or using methods such as telephone or email. 220.127.116.11 To facilitate effective management of the cover essay mla, condition, healthcare professionals should aim to establish a supportive and collaborative relationship with the thesis for prop 8, person with CFS/ME and their carers. Engagement with the family is particularly important for children and young people, and for people with severe CFS/ME.
18.104.22.168 A named healthcare professional should be responsible for coordinating care for each person with CFS/ME. 22.214.171.124 Healthcare professionals should provide accurate information to people at all stages of CFS/ME, starting from when a diagnosis is first being considered. This should be tailored to the person's circumstances, including the stage and duration of the disadvantages and advantages of fast, condition, symptoms experienced and thesis statement 8 relevant personal and social factors. 126.96.36.199 Information should be available in a variety of formats if appropriate (printed copy, electronic and audio), which people with CFS/ME and their carers can refer to at home and in the clinical setting. 188.8.131.52 Healthcare professionals responsible for caring for people with CFS/ME should have appropriate skills and expertise in texas scholarship the condition. 184.108.40.206 Every person diagnosed with CFS/ME should be offered: information about the illness (see section 1.1.2) acceptance and thesis statement for prop understanding. assistance negotiating the healthcare, benefits and social care systems. assistance with occupational activities including work and education if appropriate (see section 1.4.5). 220.127.116.11 An individualised management plan should be developed with the scholarship, person with CFS/ME, and their carers if appropriate. The plan should be reviewed and changes documented at 8, each contact.
It should include: relevant symptoms and history. plans for care and treatment, including managing setbacks/relapses. information and essay mla support needs. any education, training or employment support needs. details of the healthcare professionals involved in care and their contact details. 1.2.1 Presenting symptoms suspicious of 8, CFS/ME. 18.104.22.168 CFS/ME is recognised on scholarship, clinical grounds alone. Primary healthcare professionals should be familiar with and be able to identify the characteristic features of CFS/ME. 22.214.171.124 Healthcare professionals should consider the possibility of CFS/ME if a person has: fatigue with all of the following features: new or had a specific onset (that is, it is not lifelong) persistent and/or recurrent. unexplained by other conditions.
has resulted in a substantial reduction in activity level. characterised by statement for prop 8, post-exertional malaise and/or fatigue (typically delayed, for example by at least 24 hours, with slow recovery over several days) one or more of the college admissions essay 2014, following symptoms: difficulty with sleeping, such as insomnia, hypersomnia, unrefreshing sleep, a disturbed sleep–wake cycle. muscle and/or joint pain that is multi-site and without evidence of inflammation. painful lymph nodes without pathological enlargement. cognitive dysfunction, such as difficulty thinking, inability to concentrate, impairment of short-term memory, and difficulties with word-finding, planning/organising thoughts and information processing. physical or mental exertion makes symptoms worse. general malaise or 'flu-like' symptoms.
dizziness and/or nausea. palpitations in the absence of identified cardiac pathology. 126.96.36.199 Healthcare professionals should be aware that the symptoms of CFS/ME fluctuate in severity and may change in nature over 8, time. 188.8.131.52 Signs and symptoms that can be caused by other serious conditions ('red flags') should not be attributed to scholarship CFS/ME without consideration of alternative diagnoses or comorbidities. In particular, the following features should be investigated  : localising/focal neurological signs. signs and symptoms of statement 8, inflammatory arthritis or connective tissue disease. signs and symptoms of disadvantages, cardiorespiratory disease. significant weight loss. clinically significant lymphadenopathy.
1.2.2 History, examinations and investigations. 184.108.40.206 A full history (including exacerbating and alleviating factors, sleep disturbance and intercurrent stressors) should be taken, and statement for prop a physical examination and assessment of psychological wellbeing should be carried out. 220.127.116.11 A child or young person who has symptoms suggestive of CFS/ME should be referred to write essay lesson a paediatrician for statement assessment to exclude other diagnoses within 6 weeks of presentation. 18.104.22.168 The following tests should usually be done: urinalysis for on doctor for kids protein, blood and glucose. full blood count. urea and electrolytes. erythrocyte sedimentation rate or plasma viscosity.
random blood glucose. screening blood tests for gluten sensitivity. assessment of serum ferritin levels (children and young people only). 22.214.171.124 Tests for thesis statement serum ferritin in adults should not be carried out unless a full blood count and other haematological indices suggest iron deficiency. 126.96.36.199 Tests for vitamin B 12 deficiency and folate levels should not be carried out disadvantages and advantages essays unless a full blood count and mean cell volume show a macrocytosis. 188.8.131.52 The following tests should not be done routinely to aid diagnosis: the head-up tilt test. auditory brainstem responses. 184.108.40.206 Serological testing should not be carried out statement for prop unless the history is indicative of an infection. Depending on the history, tests for cover letter essay the following infections may be appropriate: chronic bacterial infections, such as borreliosis. chronic viral infections, such as HIV or hepatitis B or C. acute viral infections, such as infectious mononucleosis (use heterophile antibody tests) latent infections, such as toxoplasmosis, Epstein–Barr virus or cytomegalovirus.
1.2.3 Advice on thesis, symptom management before diagnosis. 220.127.116.11 Advice on symptom management should not be delayed until a diagnosis is established. This advice should be tailored to on doctor for kids the specific symptoms the person has, and be aimed at minimising their impact on daily life and statement for prop 8 activities. 1.2.4 Re-assessment before diagnosis. 18.104.22.168 If symptoms do not resolve as expected in a person initially suspected of having a self-limiting condition, primary healthcare professionals should listen carefully to the person's and their family and/or carers' concerns and be prepared to reassess their initial opinion. 22.214.171.124 If considering the possibility of CFS/ME or another serious alternative condition, primary healthcare professionals should consider discussion with a specialist if there is uncertainty about the interpretation of signs and symptoms and whether a referral is needed. This may also enable the primary healthcare professional to communicate their concerns and a sense of urgency to secondary healthcare professionals if symptoms are unusual. 126.96.36.199 A diagnosis should be made after other possible diagnoses have been excluded and literary the symptoms have persisted for: 4 months in an adult.
3 months in a child or young person; the diagnosis should be made or confirmed by a paediatrician. 188.8.131.52 When a diagnosis of CFS/ME is made, healthcare professionals should provide honest, realistic information about CFS/ME and thesis statement for prop encourage cautious optimism. Most people with CFS/ME will improve over time and some people will recover and be able to resume work and normal activities. However, others will continue to experience symptoms or relapse and admissions essay 2014 some people with severe CFS/ME may remain housebound. The prognosis in children and young people is more optimistic. 184.108.40.206 The diagnosis of CFS/ME should be reconsidered if none of the following key features are present: post-exertional fatigue or malaise. 1.4 General management strategies after diagnosis. 220.127.116.11 There is no known pharmacological treatment or cure for CFS/ME.
However, symptoms of statement for prop, CFS/ME should be managed as in disadvantages of fast food usual clinical practice. 18.104.22.168 No research evidence was found to support the experience of some people with CFS/ME that they are more intolerant of drug treatment and thesis 8 have more severe adverse/side effects. However, if people with CFS/ME have concerns, healthcare professionals may consider starting drug treatment for CFS/ME symptoms at a lower dose than in usual clinical practice. Texas Scholarship! The dose may be increased gradually, in agreement with the patient. 22.214.171.124 Specific drug treatment for children and young people with CFS/ME should be started by a paediatrician. Statement For Prop 8! However, prescribing may be continued in admissions 2014 primary care, depending on the preferences of the patient and their carers, and for prop 8 local circumstances. 126.96.36.199 If a person experiences nausea as part of CFS/ME, this should be managed conventionally, including giving advice on eating little and often, snacking on dry starchy foods and sipping fluids. Essay On Doctor For Kids! The use of anti-emetic drugs should be considered only thesis 8 if the nausea is severe. 188.8.131.52 Although exclusion diets are not generally recommended for managing CFS/ME, many people find them helpful in managing symptoms, including bowel symptoms. If a person with CFS/ME undertakes an disadvantages of fast essays, exclusion diet or dietary manipulation, healthcare professionals should seek advice from a dietitian because of the risk of malnutrition. 1.4.2 Function and quality-of-life management.
184.108.40.206 Healthcare professionals should provide tailored sleep management advice that includes: Explaining the role and effect of disordered sleep or sleep dysfunction in CFS/ME. Identifying the common changes in sleep patterns seen in CFS/ME that may exacerbate fatigue symptoms (such as insomnia, hypersomnia, sleep reversal, altered sleep–wake cycle and statement for prop 8 non-refreshing sleep). Providing general advice on write literary essay, good sleep hygiene  . Introducing changes to sleep patterns gradually. 220.127.116.11 If sleep management strategies do not improve the person's sleep and thesis statement for prop rest, the possibility of an underlying sleep disorder or dysfunction should be considered, and interventions provided if needed. 18.104.22.168 Sleep management strategies should not include encouraging daytime sleeping and naps. People with CFS/ME should be advised that excessive sleep does not generally improve physical or mental functioning, and excessive periods of writing on doctor, daytime sleep or frequent napping may further disrupt the sleep–wake cycle. 22.214.171.124 Restperiods are a component of all management strategies for CFS/ME. Healthcare professionals should advise people with CFS/ME on the role of rest, how to introduce rest periods into their daily routine, and the frequency and length appropriate for each person. This may include: Limiting the length of rest periods to 30 minutes at thesis statement for prop, a time.
Introducing 'low level' physical and cognitive activities (depending on the severity of symptoms). Using relaxation techniques (see recommendation 126.96.36.199). 188.8.131.52 Healthcare professionals should review the use of rest periods regularly as part of the patient's management plan. 184.108.40.206 Relaxation techniques appropriate to the person with CFS/ME should be offered for the management of pain, sleep problems and comorbid stress or anxiety. There are a number of different relaxation techniques (such as guided visualisation or breathing techniques) that can be incorporated into rest periods. 220.127.116.11 People with CFS/ME have reported pacing to college essay be helpful in self-managing CFS/ME.
However, healthcare professionals should advise people with CFS/ME that, at present, there is insufficient research evidence on the benefits or harm of for prop, pacing. See also recommendations on write literary essay, managing nausea (18.104.22.168) and bowel symptoms (22.214.171.124), and use of supplements (126.96.36.199–4). 188.8.131.52 Healthcare professionals should emphasise the importance of a well-balanced diet in line with 'The balance of good health'  . They should work with the thesis statement for prop, person with CFS/ME to develop strategies to minimise complications that may be caused by nausea, swallowing problems, sore throat or difficulties with buying, preparing and eating food. 184.108.40.206 Healthcare professionals should emphasise the importance of eating regularly, and including slow-release starchy foods in meals and college admissions prompts snacks. The physiological consequences of not doing so should be explained to thesis statement 8 the person with CFS/ME. 1.4.4 Equipment to maintain independence. 220.127.116.11 For people with moderate or severe CFS/ME, providing or recommending equipment and adaptations (such as a wheelchair, blue badge or stairlift) should be considered as part of an overall management plan, taking into account the risks and benefits for the individual patient. This may help them to and advantages of fast food essays maintain their independence and improve their quality of life. 18.104.22.168 Having to stop their work or education is generally detrimental to people's health and well-being. Therefore, the ability of a person with CFS/ME to continue in education or work should be addressed early and reviewed regularly. 22.214.171.124 Healthcare professionals should proactively advise about fitness for work and education, and recommend flexible adjustments or adaptations to work or studies to help people with CFS/ME to return to statement 8 them when they are ready and fit enough.
This may include, with the informed consent of the college admissions 2014, person with CFS/ME, liaising with employers, education providers and support services, such as: occupational health services. disability services through Jobcentre Plus. schools, home education services and local education authorities. disability advisers in thesis for prop 8 universities and colleges. 126.96.36.199 For people with CFS/ME who are able to and advantages food continue in or return to education or employment, healthcare professionals should ensure, with the thesis statement for prop 8, person's informed consent, that employers, occupational health or education institutions have information on the condition and skills to fourth grade students identified as gifted and talented the agreed management plan. 188.8.131.52 Healthcare professionals should follow the guidance from the Department for Children, Schools and Families  on education for children and young people with medical needs, or equivalent statutory guidance. 184.108.40.206 Healthcare professionals should work closely with social care and education services to ensure a common understanding of the goals of the person with CFS/ME.
The use of statement 8, a flexible approach should be discussed, including home tuition and use of equipment that allows a gradual reintegration into write literary lesson plan, education. 220.127.116.11 Time in education should not be used as a sole marker of progress of CFS/ME, and education should not be the only activity a person undertakes. There should be a balance between time spent attending school or college and thesis statement for prop doing homework, and time spent on home and social activities. 18.104.22.168 If possible, and teaching critical thinking to fourth as gifted and talented with the statement 8, informed consent of the person with CFS/ME, healthcare professionals should discuss employment issues with occupational health professionals, who will communicate with the prompts 2014, person's manager or human resources representative. If there is statement for prop 8, no access to occupational health services, the responsible clinician should liaise with the college, employer directly  . 1.4.6 Strategies that should not be used for CFS/ME. 22.214.171.124 The following drugs should not be used for the treatment of CFS/ME: monoamine oxidase inhibitors. glucocorticoids (such as hydrocortisone) mineralocorticoids (such as fludrocortisone)
126.96.36.199 The following strategies should not be offered to people with CFS/ME: Advice to for prop undertake unsupervised, or unstructured, vigorous exercise (such as simply 'go to the gym' or 'exercise more') because this may worsen symptoms. Specialist management programmes (see section 1.6) delivered by practitioners with no experience in the condition. 188.8.131.52 Although there is considerable support from college admissions 2014 patients (particularly people with severe CFS/ME) for the following strategies, healthcare professionals should be aware that there is no controlled trial evidence of benefit: Encouraging maintenance of activity levels at statement for prop, substantially less than full capacity to write literary lesson reserve energy for the body to heal itself (sometimes known as the envelope theory). Encouraging complete rest (cognitive, physical and emotional) during a setback/relapse. 184.108.40.206 Strategies for managing CFS/ME should not include: Prolonged or complete rest or extended periods of thesis for prop, daytime rest in response to a slight increase in critical thinking to fourth identified as gifted symptoms. An imposed rigid schedule of activity and rest. 1.4.7 Complementary and supplementary therapies.
220.127.116.11 There is for prop 8, insufficient evidence that complementary therapies are effective treatments for CFS/ME and therefore their use is not recommended. However, some people with CFS/ME choose to use some of these therapies for symptom control, and essay prompts 2014 find them helpful. 18.104.22.168 There is statement 8, insufficient evidence for the use of literary essay lesson plan, supplements – such as vitamin B 12 , vitamin C, co?enzyme Q10, magnesium, NADH (nicotinamide adenine dinucleotide) or multivitamins and minerals – for people with CFS/ME, and statement for prop 8 therefore they should not be prescribed for thinking skills to fourth grade identified as gifted treating the thesis statement for prop, symptoms of the condition. However, some people with CFS/ME have reported finding these helpful as a part of and advantages food essays, a self-management strategy for thesis their symptoms. 22.214.171.124 People with CFS/ME who are using supplements should be advised not to scholarship essay exceed the safe levels recommended by the Food Standards Agency  . 126.96.36.199 Some people with CFS/ME need supplements because of a restricted dietary intake or nutritional deficiencies. Healthcare professionals should seek advice from a dietitian about statement any concerns.
1.5 Referral to specialist CFS/ME care. 188.8.131.52 Any decision to refer a person to specialist CFS/ME care should be based on their needs, the type, duration, complexity and severity of their symptoms, and cover the presence of comorbidities. The decision should be made jointly by thesis statement, the person with CFS/ME and the healthcare professional. 184.108.40.206 Referral to specialist CFS/ME care should be offered: within 6 months of presentation to people with mild CFS/ME. within 3–4 months of presentation to people with moderate CFS/ME symptoms. immediately to people with severe CFS/ME symptoms. 220.127.116.11 After a patient is referred to specialist care, an initial assessment should be done to confirm the writing on doctor for kids, diagnosis. 18.104.22.168 If general management strategies (see section 1.4) are helpful for a person with CFS/ME, these should be continued after referral to specialist CFS/ME care.
1.6.2 Cognitive behavioural therapy, graded exercise therapy and activity management programmes. Choosing and planning treatment. 22.214.171.124 An individualised, person-centred programme should be offered. to people with CFS/ME. The objectives of the programme should be to: sustain or gradually extend, if possible, the person's physical, emotional and cognitive capacity. manage the physical and statement 8 emotional impact of their symptoms.
126.96.36.199 The rationale and content of the different programmes, including their potential benefits and risks, should be fully explained to the person with CFS/ME. Healthcare professionals should explain that no single strategy will be successful for all patients, or during all stages of the condition. 188.8.131.52 Healthcare professionals should recognise that the person with CFS/ME is in charge of the aims of the admissions prompts 2014, programme. The choice of the programme, its components, and progression throughout the programme should be mutually agreed and 8 based on: the person's age, preferences and needs. the person's skills and college essay 2014 abilities in 8 managing their condition, and their goals (such as improvement or treatment of deterioration of symptoms, prevention of relapse or maintenance) the severity and complexity of symptoms. physical and college cognitive functioning. 184.108.40.206 Cognitive behavioural therapy (CBT) and/or graded exercise therapy (GET) should be offered to people with mild or moderate CFS/ME and provided to those who choose these approaches, because currently these are the interventions for which there is the thesis for prop, clearest research evidence of benefit. 220.127.116.11 If a full CBT or GET programme is inappropriate or not available, components of CBT or GET should be offered, either individually or more effectively in combination with: activity management strategies (see 18.104.22.168) sleep management (see 22.214.171.124–3) relaxation techniques (see 126.96.36.199). 188.8.131.52 The choice of essay writing for kids, programme, its components and progression through it should be reviewed regularly, taking into account the goals and abilities of the thesis 8, person with CFS/ME, and college essay prompts other approaches agreed as necessary.
184.108.40.206 Healthcare professionals should advise people with CFS/ME to contact them if they experience an increase in symptoms that lasts for longer than a few days after starting the specialist programme, or if symptoms are severe or distressing. Cognitive behavioural therapy (CBT) 220.127.116.11 A course of CBT should be delivered only by a healthcare professional with appropriate training in CBT and statement experience in CFS/ME, under clinical supervision. The therapist should adhere closely to empirically grounded therapy protocols. 18.104.22.168 CBT should be offered on a one-to-one basis if possible. 22.214.171.124 CBT for a person with CFS/ME should be planned according to the usual principles of CBT, and should include: Acknowledging and validating the person's symptoms and condition. Explaining the CBT approach in CFS/ME, such as the relationship between thoughts, feelings, behaviours and symptoms, and the distinction between causal and essay writing perpetuating factors. Discussing the thesis for prop 8, person's attitudes and on doctor expectations.
Developing a supportive and collaborative therapeutic relationship. Developing a shared formulation and understanding of factors that affect CFS/ME symptoms. Agreeing therapeutic goals. Tailoring treatment to the person's needs and level of functioning. Recording and analysing patterns of thesis statement for prop, activity and scholarship essay rest, and thoughts, feelings and behaviours (self-monitoring). Establishing a stable and maintainable activity level (baseline) followed by a gradual and mutually agreed increase in activity. Challenging thoughts and expectations that may affect symptom improvement and outcomes. Addressing complex adjustment to diagnosis and acceptance of current functional limitations. Developing awareness of thoughts, expectations or beliefs and defining fatigue-related cognitions and behaviour. Identifying perpetuating factors that may maintain or exacerbate CFS/ME symptoms to increase the person's self-efficacy (sense of thesis statement for prop 8, control over essay, symptoms).
Addressing any over-vigilance to symptoms and 8 related checking or reassurance-seeking behaviours by providing physiological explanations of symptoms and using refocusing/distraction techniques. Problem solving using activity management and homework tasks to test out alternative thoughts or beliefs, such as undertaking pleasure and write essay lesson plan mastery tasks (tasks that are enjoyable and give a sense of accomplishment). Building on existing assertion and communication skills to set appropriate limits on activity. Managing sleep problems, for example by addressing any unhelpful beliefs about sleep, behavioural approaches to sleep disturbance, stress management, and/or relaxation training (see recommendations 126.96.36.199–6). Treating any associated or comorbid anxiety, depression or mood disorder according to thesis statement NICE clinical guidelines on and advantages of fast essays, these conditions (see section 6). Offering information on for prop, managing setbacks/relapses (see section 1.7). 188.8.131.52 GET should be delivered only by a suitably trained GET therapist with experience in CFS/ME, under appropriate clinical supervision. 184.108.40.206 GET should be offered on a one-to-one basis if possible.
220.127.116.11 People with mild or moderate CFS/ME should be offered GET that includes planned increases in on doctor for kids the duration of physical activity. The intensity should then be increased when appropriate, leading to thesis 8 aerobic exercise (that is, exercise that increases the pulse rate). 18.104.22.168 GET should be based on the person's current level of activities (such as physical activity, daily routines, sleep patterns and frequency of setbacks/relapses) and emotional factors, vocational or educational factors and individual goals (details of these may be obtained from an activity diary). The programme should also include sleep and relaxation strategies (see recommendations 22.214.171.124–6). 126.96.36.199 When planning GET, the healthcare professional should: Undertake an activity analysis to ensure that the person with CFS/ME is not in a 'boom and bust' cycle before they increase the time spent in exercise. Discuss with the person the ultimate goals that are important and relevant to them. Cover! This might be, for example, a twice-daily short walk to the shops, a return to thesis for prop a previous active hobby such as cycling or gardening, or, for people with severe CFS/ME, sitting up in bed to eat a meal. Recognise that it can take weeks, months or even years to achieve goals, and scholarship essay ensure that this is taken into account in the therapy structure (for example, by thesis statement, setting short- and medium-term goals).
Explain symptoms and the benefits of exercise in a physiological context. 188.8.131.52 When starting GET, the healthcare professional should: Assess the food essays, person's current daily activities to determine their baseline. Agree with them a level of additional low-intensity exercise that is sustainable, independent of daily fluctuations in symptoms, and thesis statement for prop 8 does not lead to 'boom and on doctor bust' cycles. This may be sitting up in bed or brushing hair, for example, for people with severe CFS/ME, or gentle stretches or a slow walk. Encourage them to undertake this exercise for at statement for prop, least 5 days out of 7, or build up to literary essay this level if and when possible. Advise them that this level of exercise may mildly increase symptoms for for prop 8 a few days (for example, a mild to thinking grade students identified as gifted and talented moderate increase in stiffness and fatigue), explain why this may occur and statement for prop discuss strategies to mitigate it.
Offer information on the management of setbacks/relapses (see section 1.7). Progressing with GET. 184.108.40.206 When the low-intensity exercise can be sustained for scholarship essay 5 days out of for prop 8, 7 (usually accompanied by a reduction in perceived exertion), the duration should be reviewed and increased, if appropriate, by critical thinking skills grade students identified, up to thesis 8 20%. For example, a 5-minute walk becomes 6 minutes, or a person with severe CFS/ME sits up in bed for a longer period, or walks to another room more often. The aim is to reach 30 minutes of literary essay plan, low-intensity exercise. 220.127.116.11 When the duration of low-intensity exercise has reached 30 minutes, the statement 8, intensity of the exercise may be increased gradually up to an aerobic heart rate zone, as assessed individually by a healthcare professional. A rate of 50–70% maximum heart rate is recommended. 18.104.22.168 Exercise intensity should be measured using a heart rate monitor, so that the person knows they are within their target heart rate zone. 22.214.171.124 If agreed GET goals are met, exercise duration and mla intensity may be increased further if appropriate, if other daily activities can also be sustained, and in statement agreement with the person with CFS/ME. 126.96.36.199 After completing a GET programme, the healthcare professional and the person with CFS/ME should continue working together to develop and build on on doctor for kids, strategies to maintain exercise. Statement 8! Support should be available, if needed, to enable the person to reinforce the learning and lifestyle changes made and continue GET beyond discharge.
188.8.131.52 Activity management is a goal-oriented and mla person-centred approach tailored to the needs of the 8, person with CFS/ME. Essay! It should include: Understanding that activities have physical, emotional and cognitive components, and identifying these components. Keeping a diary that records cognitive and physical activity, daytime rest and sleep. This will help to set baseline levels of activity (a stable and sustainable range of functioning), identify patterns of 8, over- and underactivity, and letter essay develop an activity/exercise strategy. Establishing a baseline; specific activities may need to thesis statement 8 be increased or decreased while this is happening. Gradually increasing activity above the baseline in agreement with the person. Planning daily activities to allow for and advantages food a balance and for prop 8 variety of on doctor for kids, different types of activity, rest and sleep. This may include making a weekly activity schedule. Spreading out difficult or demanding tasks over the day or week.
Splitting activities into for prop 8, small achievable tasks according to the person's level of ability/functioning, followed by gradual increases in the complexity of the tasks. Monitoring, regulating and essay 2014 planning activities to 8 avoid a 'boom and bust' cycle. Goal setting, planning and texas prioritising activities. Explaining the role of rest in CFS/ME and for prop 8 helping the person work out cover letter mla how to statement 8 build in rest periods and achieve a productive day (see recommendations 184.108.40.206–6). Regularly reviewing activity levels and texas essay goals.
Offering information on the management of setbacks/relapses (see section 1.7). 1.6.3 Pharmacological interventions for symptom control. 220.127.116.11 If chronic pain is a predominant feature, healthcare professionals should consider referral to a pain management clinic. 18.104.22.168 Prescribing of thesis statement 8, low-dose tricyclic antidepressants, specifically amitriptyline, should be considered for people with CFS/ME who have poor sleep or pain. Tricyclic antidepressants should not be offered to people who are already taking selective serotonin reuptake inhibitors (SSRIs) because of the prompts, potential for serious adverse interactions. 22.214.171.124 Melatonin may be considered for children and for prop 8 young people with CFS/ME who have sleep difficulties, but only under specialist supervision because it is not licensed in the UK. 1.7 Management of setbacks/relapses. 1.7.1 Preparing for a setback/relapse.
126.96.36.199 People with CFS/ME should be advised that setbacks/relapses are to be expected as part of CFS/ME. 188.8.131.52 Healthcare professionals and people with CFS/ME should develop a plan for managing setbacks/relapses, so that skills, strategies, resources and support are readily available and accessible when needed. This plan may be shared with the person's carers, if they agree. 184.108.40.206 Setbacks/relapses may be triggered by factors such as unexpected/unplanned activities, poor sleep, infection or stress. Write Literary Plan! Healthcare professionals, in discussion with the person with CFS/ME, should try to identify the thesis statement for prop, cause(s) of a setback/relapse, but it should be recognised that this may not always be possible. 220.127.116.11 When managing a setback/relapse, the management plan should be reviewed. Healthcare professionals should discuss and cover agree an appropriate course of action with the person with CFS/ME, taking into thesis statement, account: the person's experience. possible causes of the setback/relapse, if known. the nature of the symptoms.
the severity and duration of the setback/relapse. the current management plan. 18.104.22.168 When managing setbacks, healthcare professionals should put strategies in place that: Include relaxation and breathing techniques. Maintain activity and exercise levels if possible, by write literary essay lesson, alternating activities with breaks and pacing activities, as appropriate. Involve talking to for prop families and thinking to fourth identified as gifted carers, if appropriate. Recognise distressing thoughts about setbacks/relapses such as 'this means I'll never get better', but encourage optimism.
Involve reconsidering and thesis statement for prop revising the levels and thinking to fourth grade identified as gifted types of symptom control. 22.214.171.124 In some setbacks/relapses, it may be necessary to statement reduce, or even stop some activities and increase the texas, frequency and/or duration of statement for prop, rest periods to stabilise symptoms and re-establish a baseline activity level. This should be discussed and agreed with the person with CFS/ME. 126.96.36.199 People with CFS/ME should be advised to minimise daytime sleep periods. However, healthcare professionals should recognise that this is not always possible, depending on the severity of a person's symptoms and the setback. 188.8.131.52 After a setback/relapse, healthcare professionals should review the person's activity levels to essay mla re-establish a baseline and statement for prop review the college essay 2014, management plan. A gradual return, when possible, to previous exercise and functional routines should be encouraged. Thesis Statement! Activity should be increased gradually. 184.108.40.206 Healthcare professionals should advise on:
Slowly decreasing the critical skills to fourth students and talented, frequency and duration of rest periods. Continuing the use of relaxation techniques, even when the person with CFS/ME is beginning to feel better. 220.127.116.11 After a setback, healthcare professionals and people with CFS/ME should review the experience to determine, if possible, whether triggers can be managed in the future, and put strategies in place to do this. 18.104.22.168 Regular, structured review should be undertaken for all people with CFS/ME. The review should include, if appropriate: Assessing improvement or deterioration in symptoms.
Assessing any adverse or unwanted effects of therapy. Considering the need to repeat investigations (for children and young people, repeating investigations should be considered if there is no improvement after 1 year). Reviewing the diagnosis, especially if signs and symptoms change (see recommendation 22.214.171.124). Considering referral to specialist CFS/ME care. Reviewing equipment needs. Assessing any additional support needs (see sections 1.1 and 1.4). 126.96.36.199 The timing of the statement, reviews should depend on the severity and complexity of symptoms, the effectiveness of any interventions, and the needs of the person with CFS/ME. 1.9 Key principles of care for people with severe CFS/ME.
188.8.131.52 Management of severe CFS/ME is difficult and complex and healthcare professionals should recognise that specialist expertise is needed when planning and providing care for people with severe CFS/ME. 184.108.40.206 Diagnosis, investigations, management and follow-up care for people with severe CFS/ME should be supervised or supported by a specialist in CFS/ME. 220.127.116.11 People with severe CFS/ME may need to teaching critical thinking skills to fourth students identified as gifted and talented use community services at times. These services may include nursing, occupational therapy, dietetics, respite care, psychology and physiotherapy (see the 'National service framework for long-term conditions'  ). The input of different professionals should be coordinated by a named professional. 18.104.22.168 People with severe CFS/ME should be offered a summary record of every consultation because of their cognitive difficulties. 22.214.171.124 Most people with CFS/ME will not need hospital admission. However, there may be circumstances when a planned admission should be considered.
The decision to admit should be made with the thesis for prop, person with CFS/ME and write literary essay their family, and for prop be based on an informed consideration of the benefits and disadvantages. For example, a planned admission may be useful if assessment of on doctor for kids, a management plan and for prop investigations would require frequent visits to the hospital. 126.96.36.199 When making decisions about prolonged bed rest, healthcare professionals should seek advice from a specialist experienced in the care of college essay prompts 2014, people with severe CFS/ME. The significant physical and psychological risks associated with prolonged bed rest should be taken into account. 188.8.131.52 Healthcare professionals working with people with severe CFS/ME who are in 8 bed most (or all) of the time, should explain the associated risks (such as postural hypotension, deep venous thrombosis, osteoporosis, pressure sores and deconditioning) and monitor these. 184.108.40.206 People with severe CFS/ME should be offered an individually tailored activity management programme (see recommendation 220.127.116.11) as the cover mla, core therapeutic strategy, which may: be delivered at home, or using telephone or email if appropriate. incorporate the statement 8, elements of recommendation 18.104.22.168 and draw on the principles of CBT and critical grade identified and talented GET (see recommendations 22.214.171.124–21). 126.96.36.199 An activity management programme should be reviewed regularly and frequently.  Available from the Department of thesis for prop, Health (England; this framework includes an exemplar pathway for CFS/ME) and NHS Wales.  Follow 'Referral guidelines for suspected cancer' (NICE clinical guideline 27) or other NICE guidelines as the symptoms indicate.
 For general advice on texas, sleep hygiene, see the statement for prop 8, NHS Direct website.  Food Standards Agency (2006) 'The balance of good health'. London: Foods Standards Agency.  NHS Plus has produced guidance on college prompts, the occupational aspects of the management of thesis, CFS/ME (search for 'chronic fatigue syndrome'). NICE [year]. All rights reserved.
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