Sedation and analgesia management for mechanically ventilated adults: literature review, case study and recommentations for practice.

The quality of sedation management in mechanically ventilated patients has been a source of concern in recent years. This paper summarises the literature on the principles of optimal sedation, discusses the consequences of over and undersedation, highlighting the importance of appropriate pain management, and presents a case study using the results of an audit of 48 mechanically ventilated adults. As a result of the review and audit, we are implementing changes to practice.

The most important recommendations from the literature are the use of a sedation scale, setting of a goal sedation score, appropriate pain management and implementation of a nurse initiated sedation algorithm. Other recommendations include use of bolus rather than continuous sedative infusions and recommencing regular medications for anxiety, depression and other phychiatric disorders as soon as possible. A recommendation arising from our audit was the need to identify patients at high risk of oversedation and undersedation and adopt a proactive rather than reactive approach to management. The practice goal is to provide adequate and appropriate analgesia and anxiolysis for patients. This will improve patient comfort while reducing length of mechanical ventilation and minimising risk of complications.

Planning and teaching mathematics lessons as a dynamic, interactive process

We are researching actions that teachers can take to improve mathematics learning for all students, with particular attention to specific groups of students who might experience difficulty. After identifying possible barriers to learning, we offered teachers mathematics lessons structured in a particular way. Teachers’ use of the model outlined in this paper seemed productive and their resulting planning and teaching proved to be dynamic and interactive. This paper uses excerpts from a conversation between two teachers to illustrate specific aspects of the model.

Becoming a physical education teacher : contemporary and enduring issues

The only current Australia/New Zealand text designed for students studying in this secondary Key Learning Area. This title offers a contemporary approach to the subject by combining a strong focus on issues of practice with an accessible theoretical perspective.

P(ICT)ures of English : teachers, learners and technology

The increasing challenges presented by information and communication technologies (ICTs) and the need for English curriculum to prepare young adults for the digital world are raised in this work. Viewed from the standpoint of current theoretical debates on the subject among educators, it draws on a wide range of classroom and real-world experiences to explore how technology affects the instruction of English. Teachers' knowledge of these technologies and their practices in assimilating them into English curriculums are celebrated and exciting scenarios for the future are presented.

Becoming a physical education teacher : contemporary and enduring issues

The only current Australia/New Zealand text designed for students studying in this secondary Key Learning Area. This title offers a contemporary approach to the subject by combining a strong focus on issues of practice with an accessible theoretical perspective.

Language learning : an introduction for teaching

The fourth edition ... continues to provide an accessible and comprehensive explanation of language acquisition and use, written specifically for Australian teacher-education students and teachers.

Montessori place-value and number expander cards

Montessori Cards are shown in the recently reprinted classic curriculum handbook (yellowcovered) 'Guidelines in Number' (1985, p 18). Unfortunately, exactly what this small, and limited sketch-picture might mean, in practice, is not necessarily clear. The use of Montessori number cards is discussed.

Halving, and beyond

This article provides examples of the teaching of fractions, particularly halves.