Date: 5.16.2017 / Article Rating: 5 / Votes: 2174 #Essays composed nina cohen

Recent Posts

Home >> Uncategorized >> Essays composed nina cohen

Do My Essay Uk - essays composed nina cohen - University of Houston

Dec/Mon/2017 | Uncategorized

Why Buy Local? - How to start off an essay with a thesis - 213 Loft… - Gonzaga University

Dec 18, 2017 Essays composed nina cohen,

Buy Personal Narrative Essay - Who we are | composed - University of Saskatchewan

Buy Essay Now and essays composed Facilitate your Academic Life. Order essays now from experts for the american essay affordable prices and essays save your time. Comparative Rubric Ap Central! Buy an Essay Online from Professional Academic Writing Service with years of Experience and Thousands of Satisfied Customers. We assure you, that our service corresponds to the highest level. If you buy essay online now you’ll see that our works are original and without plagiarism. Our firm is so strong in composed nina, its work that will fulfil any task, regardless of the level of complexity and the level of write on indian culture your institution. Order essay right now and receive top-quality content worth of A-grade. You will not regret concerning us not make a mistake because we are worthy of your problems. Essays Cohen! Our company is and effect essay, greatly valued by essays cohen all who order an caused, essay. We have friendly USA and UK writers who are willing to essays composed nina cohen communicate with you in dbq 3 what the american revolution, chat and composed nina cohen listen to comparison sentence all your wishes and cohen conditions of work. They are ready to culture work for you at any time of day or night, 24/7.

We will work until such time until you're satisfied with our work. Essays Composed! We will answer any questions in essay rubric ap central, case you will buy essay here. Essays Composed! Believe that you get what you want! YOUR SATISFACTION IS OUR MAIN GOAL. We will carry out your work efficiently, on ap central, time, and so good to show you how well we take our responsibilities.

We will exceed your expectations. We have guarantees regarding refunds in case if some condition is not met. Composed Nina! All the research on emotional intelligence and motivation, information we receive from you is nina cohen, strictly confidential according to a raisin essay our Privacy Policy. Buy essay at nina professionals and in the sun critical essay be sure about its quality! To buy an essay is nina, one of the a raisin essay, brightest ways to essays nina simplify the task of your learning life. Research On Emotional! And assures you such duration of the essays composed nina, training period. You sometimes think that perhaps no man in which you ought to buy essay online and ignore all the essay, learning troubles. However, at present, it is possible everything even the composed, poorest learner can afford himself to buy essay because our company has thought through everything to the smallest detail. Testing! What can we offer if someone is willing to relax and buy essays online? First of all, we provide the composed cohen, appropriate safeguards. You can rest easy because of the money back guarantee, we just write your tasks perfectly.

We write only original work without plagiarism. We are not interested in the views of sun critical essay others authors, except if it is well-known writers with their published books. In this case, we use their thoughts as a quote in composed, the required format and restaurant descriptive style. If you buy an essay, we select books, explore it, re-read interesting articles, write down the essays nina, key phrases of research interest related to cohen the subject of your essay. We are thinking about the dbq 3 caused the american revolution, theme well, write all the thoughts that come to mind, then we create from composed cohen them an unbeatable essay. What Caused The American Revolution! We give the opportunity to talk with writers and choose a nice and most suitable for your tasks; We are the superior firm where it is not terrible to order essay online. Essays Composed Nina! We have created all conditions to write culture easily order a job and essays composed nina cohen then load it on time. We are worthy of comparative rubric your attention and do everything for a sense of confidence in your upcoming training. You will see that your friends will be captured with our work. Essays Composed Nina Cohen! So do not forget to restaurant descriptive essay tell them about essays composed cohen, our existence so they were able to buy essay here relax and get rid of the american essay failure fear.

Purchase essay right now and nina cohen Get your Paper Done. Culture! Put your order when you like. If you want to buy an essay do not forget that we offer our assistance for any kind of essays work: essays, thesis, master's, and so on. Everything you want will be done efficiently, successfully and on dbq 3 what caused essay, time, adhering to cohen all your requirements. Write An Essay! Welcome to our essay writing service here you can find peace and get help with any academic task by essays composed highly skilled professionals. If you have a question: “Where I can purchase essays?” Don’t worry, you’ll find the comparison essay thesis, best assistance at Nina! Our writers have a great experience in on emotional, writing very well-graded texts for school, study and nina profession! Need help with writing a research paper?

You CAN get it right NOW! Click here to learn more. Write An Essay Culture! We re-read a lot of literature, select the most reliable source, write many arguments, hold an internal dialogue, give examples and all this so that your term paper has been perfect and differed in quality from essays composed nina other classmate’s works. A Raisin Sun Critical Essay! If you want to purchase essay online or any other work such as the writing personal statement, so you ought to know that it is an composed nina cohen, integral part of your application process, when you are applying for college or job, you should support your CV/Resume with the personal statement. Dissertation for students is a complicated type of scientific work and its availability requires not only education, but also certain qualifications, scientific degrees and academic titles.

A good literature review, accordingly, is research paper intelligence and motivation, pointed of what has been written, distinguish areas of arguments, elevate questions and identifies areas, which need forth investigations. If you want to essays composed nina cohen buy essay online, know that always happy to see you. We look forward to your tasks. Authors often sad when they do not find a suitable job. Our company will provide you with everything you need, and it is a raisin in the, incredibly reasoned or persuasive essay, dissertation, seminar papers, term papers, etc. Here you will find first-class Professional writers with many years of experience in composed nina cohen, writing service, offering only a raisin in the, quality, high-grade unique written assignments for school, study and profession! team understands, that our main customers are college students, who don’t really have a lot of money, but they want to purchase essays for essays nina college thus, our prices are lower than on other similar websites. Words In Thesis! Along with the essays nina cohen, affordable prices, for words in thesis our customers, we have a great discount program, which will really save your money in our further cooperation. Who will actually write assignment for you? We successfully have built a great team of composed professional writers that can apply for your order, once you place it and offer their price for the completed task.

All writers at are with Bachelor's, Master's or PhD's degree in different subjects starting from writing an essay to completing entire dissertation for a raisin you. Essays Composed! Our company, with more than 5 years experience in writing service market cares about comparative essay ap central, every customer. first priority is essays composed cohen, your confidentiality. An Essay On Indian Culture! You can buy essay and essays composed nina cohen be calm because we will never pass any information about our customers to what caused the american revolution essay any other people, organisations or services. Essays Composed! We want aware you, that only comparison, our finance department can see all your personal and payment information. If you want to buy an essay here, you must fill in general information on an order card writing assignment / select the deadline /upload additional files if required. Essays! 2. Comparative Essay Rubric Ap Central! Receive offers from essays nina our Pro Writers. Comparison Thesis Sentence! Once we receive all the requirements for your order, you will receive offers and essays composed nina cohen suggestions regarding your assignment from caused revolution essay our professional writers.

Choose the composed, expert from the list with the research paper on emotional and motivation, writers applied for essays composed cohen your order and a raisin wait for composed cohen the A-Grade assignment. Our writers are tested that confirm their level of knowledge. Essay! Thus they prove ourselves, us and you that they deserve to work here and keep it fair, no plagiarism and in composed nina, all your recommendations. We have only paper on emotional intelligence, experienced and essays composed English-speaking writers with Bachelor's, Master's or PhD' degree. Write On Indian Culture! Master of essays composed nina Science in the american essay, Accounting and Financial Management. Literatures Cultures, B.A.- in Lit. Composed Nina! of the English Speaking World (UCM) Thank you orderessaynow support team and a raisin in the my writer for the research paper I have ordered. Composed! Because of work I forgot about the deadline and humbled myself that will fail the dbq 3 what revolution, class , but you saved me and essays cohen completed my research paper less than in revolution, 24 hours. Essays Composed Nina! Thank you so much and I am for sure will use your services again.

Graphic Designer Student. Cause And Effect Essay! I have ordered essay assignment and was really surprised with the fast service and A-grade that I received for essays composed nina cohen it. Restaurant! Very convenient platform and composed cohen responsive support. Thank you for words in thesis your help and nina will definitely recommend to sun critical essay my friends and classmates. Graphic Designer Student.

8300 Farm to Market 1960 Rd W Suite 450, Houston, TX 77070.

do my essay for me - Math Homework Help - Who we are | composed - Hofstra University

Buy an Argumentative Essay Online - Methodological Nationalism, the Social Sciences, and the Study… pdf - Harvard University

Dec 18, 2017 Essays composed nina cohen,

Help Me Do My Assignment Online For a Good Price - Composed | college essay writing support - University of New Hampshire

Beat the Applicant Tracking Systems (ATS): How to essays cohen, Survive Resume Reading Robots. By Resume Genius / September 29, 2014. Here’s an experience you’ve probably had: You write a solid resume for the perfect position at a big-name company, and send it off with an earnest cover letter. Words In Thesis. Unfortunately, besides an automated email reply, you hear absolutely nothing back. You feel crushed — you think some hiring manager on the other end actually read through the entirety of your resume and concluded that you weren’t qualified for the job. But here’s the composed nina twist — chances are, no human has even laid eyes on your application. The truth?

You were probably rejected by resume reading robot called an Applicant Tracking System (ATS). You were probably rejected by resume reading robot called an Applicant Tracking System (ATS). Welcome to the 21st century. Large and even medium sized firms are using ATS to essay, deal with the hundreds, if not thousands of applicants who are applying to the same positions every day. Essays. This resume reading software allows these companies to to automate, streamline, and manage the hiring process. Why are companies allowing robots to make human resource decisions? Going through resumes to screen applicants is tedious work. But the ATS speeds up this process by identifying candidates whose resumes contain key experiences and skill sets that match the words in thesis qualifications employers are seeking. According to a popular study conducted by search services provider Preptel, as many as 75% of the candidates don’t make it past the essays ATS screening. It may seem brutal, but this screening process does the job of whittling down a cumbersome applicant pool into just a handful of applicants that the human hiring managers can review more closely. Here’s the restaurant descriptive takeaway for living in cohen, the age of resume reading robots — a well-crafted, ATS friendly resume is absolutely critical to a successful job hunt.

Here’s the takeaway for living in the age of resume reading robots — a well-crafted, ATS friendly resume is absolutely critical to a successful job hunt. Qualified candidates that fail to make an ATS friendly resume will get rejected, period. Here are 4 reasons that even the most qualified candidates can fail to After combing the web and consulting some of our in-house experts at Resume Genius, we zero in on the most common reasons why resumes of even the most qualified candidates fail to what essay, pass screening. Reason #1: The ATS can’t actually process your resume. Warning: The ATS will fail to read your artistic additions to your resume . Essays Nina Cohen. Although a human hiring manager might appreciate a little flair, the resume robot will simply incinerate your resume without a second thought. It would be a shame for dbq 3 what caused the american, your resume to get screen out because the ATS is essays composed nina, unable to paper and motivation, read it. Basic rule of thumb: keep your fonts and essays cohen, formatting simple. Scrap inventive layouts, graphics, or artifacts that affect the readability of your resume. Sometimes the ATS will use a built-in optical character recognition (OCR) software to processes your digital resume. It scans your file, converts it into a text format, then extracts your information and experiences from words in thesis, there.

While the ATS is getting better at essays nina cohen, reading PDF files, it’s still safer to feed the system a Word or Text file. Do away with any adjusted spacing, newsletter formatting, lines. Go with the clean, standard fonts like Arial, Verdana, and Times New Roman. Scrap inventive layouts, graphics, or artifacts that affect the readability of your resume. Reason #2: The ATS doesn’t recognize the headings you used. Applicant Tracking System software is built to sort your experiences based on the resume’s section headings. If you’ve written a different heading than normal — say “Major Abilities” instead of “Skills,” it will skip over that section if it is unable to determine what your heading stands for, the CIO reports. People like to get creative with headings, thinking that it will help their resume stand out.

Unfortunately, unconventional headings can actually hurt it. Help the intelligence software do its job. Use the standard headings “Work Experience”, “Skills”, “Publications” so you don’t stand the risk of the resume bot placing your qualifications under the wrong categories, or misreading your headings altogether. Reason #3: Your resume lacks targeted keywords. By now, you’ve formatted your resume properly, and nina, used normal headings. Caused The American Essay. Here’s the meat of how an ATS actually reads your resume. It’s looking for targeted keywords. First, the essays composed nina hiring manager will input certain keywords and key phrases into the software, each relevant to the role they need filled. For example, an software company hiring manager might use these keywords: Next, the ATS software will read through each resume, and determine whether the it has enough keywords and key phrases to pass through the screening.

If the percentage is write culture, high enough, your resume will successfully be reviewed by an actual human. Your ability to use the right keywords depends on two things: Do you actually have the relevant skills, abilities, education, and work experiences? If you do have all or some from #1, doing good research and giving your resume a hard look-over will get you through the essays composed ATS. The best place to on emotional intelligence, begin is to read the hiring manager’s very own job description. Essays. From that job description, you can see what keywords and what caused essay, key phrases they emphasize a potential applicant should have. If they include them in the job description, it’s highly likely they’ve also input them into the ATS. The image below contains a real example of a librarian job description, and the image next to it reflects what we believe are important keywords a librarian applicant should include on their resumes: Normal Job Description.

Job Description with ATS Keywords Highlighted. GREEN HIGHLIGHT: Keywords that are CRITICAL to getting past the ATS. YELLOW HIGHLIGHT: Keywords that will please the human hiring manager, or are ATS keywords of lower importance. The job post gives you good clues about composed nina, keywords and thesis, experiences employers are seeking. Nina Cohen. It’ll serve you well to read those job descriptions closely, and identify important competencies and skill sets. Place emphasis on restaurant descriptive essay these matched experiences in your resume. It’s also helpful include both specific and general keywords in the mix. ATS uses all of these keywords into certain job functions. Essays Composed Nina. For your previous position as “team leader”, include job-specific buzzwords such as “coordinate”, “manage”, but having the what the american essay general keyword “project coordinator”, “project manager” will help to strengthen your resume. Be sure to try out our ATS-friendly resume building software that comes with over 50,000 professionally-written phrases and job-specific keywords.

Reason #4: Your resume has too many nonspecific keywords. Some have suggested “hacking” the resume bot by nina cohen, submitting two or three-page long resumes that exhaust all keywords that are relevant to the job. That’s not a good idea — even if it did work (it doesn’t), it certainly won’t impress the human hiring manager. you can’t stuff your resume with an exhaustive list of write, experiences and hope to game the essays cohen system into thinking you’re a perfect match. According to a report from essay sentence, The Ladders, ATS software ranks your candidacy based on how specifically your resume matches keywords and phrases in a job description. Some software even looks for how uniquely the work experiences you listed match the job requirements. Here’s the rub — you can’t stuff your resume with an exhaustive list of experiences and hope to game the essays cohen system into thinking you’re a perfect match. Having off-target keywords can score your resume down on on emotional intelligence and motivation relevancy. Use the instruction from #3 to research relevant keywords and ensure that your resume is concise and essays nina cohen, targeted. To the greatest extent possible, your resume should uniquely match the requirements in essay, the job description. To sum it up: the bots are getting better at contextualizing resumes, and recruiters are always aiming to composed, interview candidates whose experiences adhere the most closely to dbq 3 what caused the american essay, positions they’re seeking to composed, fill.

Therefore, having targeted, job-specific keywords throughout your resume is more important than ever. Reason #5: Your resume lacks industry and restaurant descriptive essay, company jargon or abbreviations. Experts suggest that adopting industry jargon or even including a company’s corporate lingo within your resume is a smart choice. If you think about it, it’s only logical for the hiring manager to input industry jargon and abbreviations into an ATS. Therefore, you will need to optimize your resume to essays nina, include these terms wherever possible.

Fortunately, this is words in thesis, very simple to do. Weave relevant jargon and terminology into your resume, and spell out the abbreviations and acronyms. DO NOT ever simply include an acronym or abbreviation by nina, itself on on indian a resume. You should always spell them out completely, followed by composed nina cohen, their abbreviation or acronym. Acronyms with Spelled out Examples. Federal Bureau of Investigation (FBI) agent with 10+ years of research on emotional, experience. Nina. Optimized and purchased Pay Per Click (PPC) ads for a major software company Maintained plant operation’s perfect record of zero Operation Safety Health Administration (OSHA) recordables.

If you’re unfamiliar with a certain industry’s lingo, you can research jargon and what the american revolution essay, abbreviations specific to the field, sector, or industry in which you’re seeking employment. To sum it up: a resume with clean formatting and clear, targeted language gets you through ATS screening. Once you land that interview, however, it would be advisable to essays, have a more descriptive and eye-pleasing version of words in thesis, your resume ready for essays cohen, your human recruiters. Thanks… this really was useful. Thanks for your comment Rasana! Glad we could help! Feel free to ask us any questions. I have found that in order to get your resume even considered, you must really target each position for words in thesis, the relevant key words. Also, do the cohen same for your cover letter or add those that were missed in the resume. You are absolutely correct about targeting each position for relevant key words. One of the best places to pinpoint relevant key words is in paper on emotional, the position’s job description.

Great comment Jamie! I’ve been reading articles on cracking the ATS for a couple months now, just confounded at what I was doing wrong, or what I could do differently. Cohen. this article has been more helpful than ALL the intelligence others! Thanks for cohen, that. Bookmarked! Thanks for your comment Pert!

Glad that you found our article useful. Good luck on the job hunt! This is very useful information, thanks for sharing. Glad you found it helpful. Be sure to share it with your friends and get the word out. Thanks for the comment. High Quality Candidates: If a company doesn’t care enough about dbq 3 essay, you and your far superior talents, capabilities and experience that they throw an ATS software program in your way DON’T reward them with an application! ATS software and all similar crap will be avoided by companies IF there’s a large enough movement among the highly qualified and nina, most talented employee pool. Concentrate on those companies that treat you like a real human and avoid the automated people processors whenever possible! Companies will catch on words in thesis to the detrimental nature of this “time and essays, cost saving software” and realize it’s costing them everything!

Many already have. Imagine, as with myself, you work in a totally “visual” industry where picture representations of your work tell virtually your whole story! Applying for a graphic design, art director or illustrator job has been rendered orders of magnitude more difficult with the advent of ATS processing! The situation is about as insane as trying to get a singing job with no recordings of your voice being allowed and comparison essay sentence, no chance for a personal audition! Companies with H.R. people who have virtually no expertise in the commercial art field are already at essays cohen, a huge disadvantage in intelligence, making any kind of composed nina, qualified decisions regarding such applicants. Add to that a totally intrusive, opaque and “dumb” software program placed strategically as a final barrier to any chance of rubric ap central, actually communicating your amazing talents and, well, you have the “perfect storm” of employment failure – both for the employer and cohen, potential employee. Agreed. Comparison Sentence. However, my line of work is not with the essays smaller companies that seem to actually read a resume but within the larger corporations and they ALL use ATS!

Buzz words (key words) are definitely the secret and one must learn this and use the job description in the posting and customize the dbq 3 what caused the american revolution resume accordingly or else be among the roughly 75% that are automatically not reviewed and receive the proverbial computerized canned rejection letter from a “do not reply” to email address! Definitely, if your are in composed cohen, the design and arts profession, ATS is surely the Antichrist! Preach!! I 1000% get what you’re saying!! I’ve been in the advertising industry for 25 years, 13 years on staff, and the last 12 years as a freelancer. How in the world do you include 12 years of significant freelance work with several different clients on a multitude of an essay on indian culture, different accounts with all kinds of essays composed cohen, varying calendar timing through an sentence ATS and expect it to spit out anything resembling a solid, successful overall career?? Despite the fact that so many highly qualified candidates are finding the ATS to be their ultimate challenge in the job search, the “sheeple” continue to nina cohen, just follow the guidelines to words in thesis, gaming the composed nina system via keyword dumping rather than avoiding companies who rely on filtering human beings through their ATS. Unfortunately for the likes of you and me, we don’t really have the luxury to NOT play along at least a little bit or get utterly left behind, but I agree completely that if more people just stop playing along, companies will finally get exactly what you said: it’s costing them everything! That’s easy to say if you have a job. But if you are unemployed, you have little choice.

This software should be outlawed. No wonder the nitwits in HR claim they ‘can’t find qualified people’, their ATS screened them out beforehand. Woww. Write An Essay Culture. Having the right information at the tip of composed nina cohen, your finger can actually ease the endless pain of words in thesis, job seeking and resume submission without consideration. Thanks, your article is encompassing and indeed rich. Keep it up.

Glad we could help! Thanks for you comment. While I found this article very helpful as a job seeker, it is composed nina cohen, a sad commentary on sentence the state of corporate hiring today. We are being dehumanized and reduced to automatons in nina, the new world order system. This article is so very. useful. It really helped me a lot to rubric, understand what I was doing wrong.

Just few. questions: 1) do you advise to mold my resume to match every single job I am. applying to? 2) In situations where one does not possess all of the required. skills of a job posting, but one knows it will not take long to essays composed cohen, acquire them; how. do you suggest one should handle such situation? Ignore the job post, and move. to the next one?

Any advice is greatly appreciated. Yes, your resume should always be tailored to paper intelligence, the specific job post. Composed Nina. As far as skills go, check out this page for more advice: Thanks for you comment. Dude seriously?? and here I thought even after knowing whatever was the demand of our beloved employer I wasn’t getting hired because I had no skill. Dbq 3 Caused Revolution Essay. On top of essays composed, that I didn’t even know ATS existed, I always thought living human beings reject me :p. Bravo…. and comparative essay ap central, lamentation.

In these days of big data, it’s laughable that job matching is still such an outrageously resource wasting game of hide and composed nina, seek. Resumes and comparison essay, job postings are still crafted as for a single pieces of paper formatted to composed cohen, communicate all pertinent information in the 10 or so seconds of attention that conventional wisdom says they may receive. Dbq 3 Caused Revolution. While an ATS attempts to tweak that Cretaceous period bottleneck, clearly there’s something missing. I’m considering starting a company that would provide the mirror analog of an cohen ATS to job seekers for free, with the ultimate goal of what caused the american revolution essay, steering development of the essays composed cooperative, common have/need data platform that would evolve once the inevitable war between the two systems runs its course (I’d rather just skip to the common platform, but sometimes you’ve got to kick the mule). Who’s with me? How should I handle the resume I post on job boards (e.g. Monster, Dice)?

That resume can’t be tailored to a specific job description. Paper. Should I use keywords common to many of the cohen job descriptions for my target position? And then use a customized resume when I apply for comparison sentence, a specific job? BINGO! Sounds like you know what you’re doing. Best of luck! Thanks for your help and for essays nina, the great article. Cheers! Thanks for the comment! You bring up a good point — it’s important to create a resume that both gets through the ATS and restaurant descriptive, appeals to hiring managers once it lands in their hands. Share Beat the Applicant Tracking Systems (ATS): How to Survive Resume Reading Robots

Our code geeks and HR experts are proud to introduce our new Free Resume Builder software to help you land more interviews in essays composed nina cohen, today’s competitive job market. Words In Thesis. We provide HR-approved resume templates, built-in job description bullet point phrases to choose from, and easy export to MS Word and PDF. Get awesome job opportunities sent directly to composed cohen, your inbox. By clicking Send Me Job Alerts, I agree to the Resume Genius Terms of Use and essay, Privacy Policy. Play the One-Minute Game That’ll Show You How to Improve Your Resume. Think you can judge the quality of a resume within 6 seconds? The answer may surprise you. Cohen. Put your skills to the test, and dbq 3 what the american revolution essay, learn how to make your resume 6 second worthy! 3 Reasons Why I Wouldn't Hire Tom Brady. Tom Brady’s resume is a couple yards short of composed nina cohen, a touchdown.

There are tons of comparison essay sentence, errors throughout. See why. How to Modify and Maximize your Resume Template. Need a resume template? Feel free to download one, but be sure to make small modifications to unlock your. Would You Rather Work for a Man or a Woman?

Do people still care whether they work for a man or woman, or do most people simply look for a nice job. Resume Builder Comparison | Resume Genius vs. LinkedIn Labs. What are the differences between the major online resume builders? Here's an in depth analysis of nina cohen, what. Resume Genius' builder, resources, advice and career tips are regularly featured on some of the world's leading online and offline publications including:

Our code geeks and HR experts are proud to introduce our new Free Resume Builder software to help you land more interviews in today's competitive job market. HR-proven resume templates, built-in job description bullet point phrases to choose from, and easily export to dbq 3 caused the american revolution, MS Word and PDF.

Do my history essay - Argumentative essay on plan b - Shale Lodging - University of Cape Town

Dec 18, 2017 Essays composed nina cohen,

Do My Homework Online - Who we are | composed - McGill University

The three different types of IELTS essay question. The first rule of IELTS essays is to answer the question. Cohen? One problem in doing that is there are different types of IELTS essay questions each of which poses its own problems. On Indian? In this post, I talk you through the three main types of essay questions and show you how to identify them and what problems they pose. I strongly suggest that you practise writing essays on each type of question before you get to the exam. Essays Cohen? You will find a selection of essay questions organised by question type on my sample essay question page. Here you are given a social issue or problem and asked directly to discuss it and very often asked to suggest a solution for it. In this type of question you are given the problem (here in red) and then told how to discuss it/your task (in blue). In many countries schools have severe problems with student behaviour . What do you think are the causes of this?

What solutions can you suggest? Many universities charge higher fees for foreign students. Why do they do this? Do you believe that it is fair? “Why do they think that?” “What solutions can you suggest?”

There are 2 typical problems with understanding this type of essay question. You are being asked for your personal opinion: it is not enough to talk generally about the topic. You must give your personal view . Very often you given two tasks: for revolution, example, to discuss the causes and the solution. Essays Composed? If you discuss only one of words in thesis, these, you will be penalised on Task Achievement. The question does not give you much help with ideas: you may need to composed cohen spend more time planning and thinking of ideas. Here you are given an opinion about some social issue to write on indian discuss. Typically, you are asked whether or to cohen what extent you agree with it. In this type of question you are given an research paper on emotional intelligence and motivation, opinion (in red) and then told how to discuss it/your task (in blue). Essays? Sometimes the question is longer and dbq 3 what caused essay you are given some background information (in green), then the opinion and then the task.

Fatherhood ought to be emphasized as much as motherhood. The idea that women are solely responsible for deciding whether or not to have babies leads on to the idea that they are also responsible for essays composed nina cohen, bringing the children up . To what extent do you agree or disagree? Currently there is a trend towards the use of alternative forms of medicine. However, at best these methods are ineffective, and at worst they may be dangerous. To what extent do you agree or disagree? “What is descriptive you opinion?” “Do you agree that…” “To what extent do you agree?” Discuss. There are three typical problems with understanding this type of essay question:

The questions are simply longer to read and sometimes harder to understand. Essays Cohen? Spend plenty of time reading the question and underlining the key words and ap central making sure you understand what words like “this” and “these” refer to. It can be easy to confuse the background information from the opinion. Composed Cohen? You must discuss the opinion (the bit in write on indian, red). If you only discuss the nina topic (the bit in green), you will be penalised on Task Achievement. You need to discuss the opinion in the question.

You cannot only give your opinion. Here you are given a problem or issue and two different solutions or opinions about it. Typically, you are then asked to decide which solution/opinion is the better. The argument type essay question has two main types. In the first type, you get two different situations or opinions (red) and then your task (in blue) is to decide between them. In some countries people pay different rates of tax depending on their salary , in other countries everyone pays the same rate . Which do you believe is the best system? In the essay rubric second type, you get a solution (in red) to a situation (in green) and you then your task (in blue) is to essays discuss the words in thesis advantages and disadvantages of that solution. Unemployment is one of the most serious problems facing developed nations today . What are the composed cohen advantages and/or disadvantages of words in thesis, reducing the working week to thirty five hours ? “What are the essays composed nina advantages and disadvantages of this” There are two typical problems here: The essay discusses the problem generally and doesn’t talk about advantages or disadvantages or make a choice between the two options. Again this will be penalised under Task Achievement.

The essay only words in thesis, looks at the advantages or the disadvantages. It needs to look at both sides of the question. I would like to emphasise that you may well find questions that could fall into two different categories. That is not so important. What really matters is learning to look at each question and deciding what precisely it is asking you to do and what possible problems it poses. This is my very simple checklist to help you decide which type of question you are looking at:

1. Does it ask me what my own opinion is about a topic? > Discussion question > Use my own opinions. 2. Does it ask me to discuss a particular proposal? > Proposal question > Discuss that proposal. 3. Does it ask me to essays decide between two different opinions or look at the advantages and disadvantages of a topic > Argument question> Discuss both sides and write on indian come to a decision. Look at these reported recent IELTS questions and nina cohen decide which type of essay you need to write: Many people have an research on emotional intelligence, unhealthy diet and do not take enough exercise. What do you think are the reasons for this and what can be done to cohen encourage people to lead a more healthy lifestyle? Although countries with long average working hours are economically successful, this often has some negative social consequences.

To what extent do you agree or disagree? Some people think that paying taxes is enough to contribute to society. Others argue that being a citizen involves more responsibilities. Discuss. Many people argue that children should stay in research paper on emotional, school until the age of eighteen. What are the advantages and disadvantages of making school compulsory until the essays nina age of 18?

Many people nowadays leave their county to work abroad and take their family with them. Rubric? What are the essays composed nina cohen advantages and comparison thesis disadvantages in terms of family development? Get more essay advice in your inbox. How to like it, share it and share it. Get more help with IELTS preparation on the main pages of my site. Keep up with me on Facebook - all the updates and essays composed even more advice there.

Or just get all my free lessons by email. 46 Responses to research on emotional The three different types of IELTS essay question. I have a question about the essays composed checklist above. 1. Words In Thesis? Does it ask me to give my own opinion about a topic? > Discussion question > Use my own opinions. — It seems to me this is a proposal question. 2. Essays Composed Nina? Does it ask me to discuss a particular opinion about a topic? > Proposal question > Discuss that opinion. Thanks for your highly intelligent comment. I have rewritten that section slightly now in the hope that it is clearer. There is perhaps a slight difficulty with terminology here. I’m tying to avoid the word “opinion essay” as much as possible.

This post is not so much about the type of essay you write, as about understanding the problems of the essay question. For me, this is words in thesis a necessary first step. I will in due course be looking at essays nina cohen, different types of essay. My point in distinguishing between proposal and discussion questions is what caused the american essay this: in the “Proposal Question”, you are “discussing” someone else’s point of view whereas in essays nina cohen, the “Discussion Question” you need to write find your own solutions to a problem. Essays Composed Cohen? For some candidates, the “Discussion Question” is nasty as it gives them less help with ideas. When you come to write the essay, you will of comparison, course need to give your own opinions. From that point of view it doesn’t matter what type of essay question you get. Thank you for essays nina, further explanations and rewriting. Now I understood that you are telling about understanding the problems of the essay question and key points when I answer to words in thesis different type of questions. I have a slightly irrelevant question. Is it okay to essays composed nina cohen involve some ‘invented’ statistical data to an essay, when writing an essay, example.

For instance: It has been proved scientifically that over 40 % of essays, people hate their jobs. thank you in advance. No problem whatsoever. There is no lie detector test in an essay, IELTS – it is essays cohen after all only a test of the american revolution, your English. Composed Cohen? I would advise you, however, to be slightly careful not to be carried away when you do it. It certainly helps to an essay culture keep your “data” plausible and you need to make sure that it fits in with the essay question. In some ways it could even be seen as a “good thing” as it makes your writing more academic. Although in truth the IELTS essay is not a particularly academic piece of writing and I would generally advise you to essays composed keep your writing fairly plain and restaurant essay simple, as opposed to trying to show off academically. Essays Nina? IELTS examiners are not academics!

Here are some sample phrases for you to restaurant essay consider: It has been demonstrated that. Research has shown that. A recent opinion poll showed that. thanks, this clarifies a lot. hello again, Mr.Cole. There’s one thing that’s unclear to essays nina me about the proposal essay.

Here’s the descriptive example. “Education should be free. To what extent do you agree or disagree? ” Should I take a firm position about only one side ( agree or disagree) and nina then devote the essay whole essay to proving this particular side, or should I describe both plus and essays nina cohen minus of the statement and then say what i think in comparison thesis, the conclusion ?? My overall band score is 7.5! Partly, this is your merit as well, since I was using plenty of information from your website when trying to figure out the essay question type or developing my reading strategy. Thaks alot!

I wish you further sucess. Need your help in ielts . My test is on 24 sep 2016. 4 weeks back i suddenly got the essays nina idea of attempting ielts, so i booked a slot and had a descent 2 weeks of time to prepare . But due to various reasons ( and most importantly laziness) the amount of time left to me for preparation got reduced to 2 days.. jus 2 days to go for IELTS and i din had any idea about paper intelligence it..i was going through the sample tests provided my British council but it hardly gave me any confidence… it was during that time when i accidentally came across your website.(Serendipity. )) and i was amazed.. All the information provided here were so organized and the instructions you provided were so simple but yet very effective.. i concentrated the last 2 days before my exam on your website..following all your guidelines.. ( especially the way you described the working of essays composed, brain under pressure was cool..) and dbq 3 caused the american essay did my best at the exam.. And today i got my overall band of 7.5.. Essays Nina? thanks a lot sir. ):)

Thank you very much! I’ve struggled to picture the 3 types, and they are clear to me now. This is Ajay from India. I have taken IELTS 5 times till now any everytime I am getting 6.5 ..I disparately need 7 score but I am not able to write on indian understand where I am loosing that much needed 0.5. Can you help me to understand this. Also is essays nina there anyway you can review my essays.

I’m simply too busy yo help sorry. It’s partly for this reason I’ve added online tutors to the site. They all look at essays. So I suggest you contact one of them. Good luck with the 7. how could u got 6.5band in yur ielts. In advantages and disadvantages essay, can be take one side either of advantages or disadvantages in conclusion paragraph. please reply soon because my ielts test is coming soon.

This will depend slightly on an essay culture how the question is worded. Always always read the question very carefully. If the question is “Discuss the advantages and disadvantages of this proposal”. I would suggest you need to essays nina mention both sides of the argument in your conclusion. Dbq 3 What The American Revolution? This is essays composed nina because your conclusion should reflect your whole essay. You can of course also say that in your opinion the advantages are greater than the disavantages and so write more about them. Another common form of advantage/disadvantage essay question is “To what extent do you agree or disagree with this proposal?” Here you have 3 basic options: 1. You can agree. 2. You can disagree.

3. You can agree and research intelligence disagree. In this case, you must make your position clear in the conclusion. hello Mr cole i realy want to thank you for sending me this amazing email But i have one question ihave taken ielts exam thrice and on every exam 5 without any develope idont know why the same mark. i have only 1 day for my exam still iam confused about essays composed cohen writing can plzzzzzzzzzzz help so dat i can get a band 7 in writing. Comparison Thesis? infact while searching on net i came to know about ur site and essays composed i really found it very helpul but still give me tips for d last minute preparation plzzzzzzzz. One day before is too late to do anything serious. the best thing you can do is relax and clear your head. It helps to comparative ap central have a clear strategy for each paper – particularly for timing.

If you feel in control, you feel better and composed cohen should perform better. I have recently written IELTS and was given a problem to discuss in writing. The topic was :now-a-days the natural beauty like rivers, mountains and lakes are getting damaged by garbage and waste by people. Comparative Rubric? Why do people do that? What do you think should be done to prevent this? I have explained it well(I guess) with an introduction paragraph followed by two paragraphs emphasizing two reasons why people doing this with one reason in each paragraph. These two paragraphs are followed by essays cohen two paragraphs explaining what should be done to culture prevent this with one solution in each paragraphs.

I forgot to write a conclusion paragraph. Do we really need to give conclusion for a problem task in the end? Thank you and awaiting for your reply. Yes, i’m afraid you do. An essay without a conclusion is not an essay and you will have been penalised for task response. It is not perfect but the advice is to write a sentence conclusion if you are running out of time so that at least you have something there for the examiner to look at. For me, a good conclusion does make an essay better. It is a skill worth practising. Composed Cohen? It need not be a long/complex conclusion, but if you can briefly summarise the essay and return to the introduction, it does help your task response. I have recently written IELTS and was given a problem to discuss in writing.

The topic was :now-a-days the natural beauty like rivers, mountains and restaurant essay lakes are getting damaged by garbage and waste by people. Why do people do that? What do you think should be done to prevent this? I have explained it well(I guess) with an introduction paragraph followed by two paragraphs emphasizing two reasons why people doing this with one reason in each paragraph. These two paragraphs are followed by two paragraphs explaining what should be done to prevent this with one solution in each paragraphs. I forgot to essays cohen write a conclusion paragraph. Words In Thesis? Do we really need to give conclusion for cohen, a problem task in paper on emotional and motivation, the end?

Thank you and awaiting for your reply. Yes, sadly for you the conclusion is needed. It is an essential part of an essays nina, essay. I would like to Thank you and all the words in thesis Blog participants for clearing out essays nina, many confusions for IELTS candidates. However, I have few questions where I feel myself weak. 1. Essay Rubric? How can I use a strong vocabulary in Writing Exam? Is there any list of good words which can be used instead of general words?

2. Reading Exams are lengthy, the pressure built’s more when you are on the last passage with tough vocabulary to understand and have a general idea. Composed Nina Cohen? What do you suggest? Please, do pray as I am appearing for essay rubric, IELTS tomorrow. Good luck tomorrow. Get a good night’s sleep and try to relax is my best advice. On writing the best vocab is essays nina cohen very often simple vocab. many candidates get this wrong and try and use over-complex words. You may not believe this, but all my essays are at least band score 8.0 and mostly 9.0.

Don’t be fooled that they use simple language. They are well written and and motivation clearly written. A key to writing is understanding that 50% of the essays composed nina score is for coherence and task response. Take a look at IELTS Simon’s blog – you will find he says the research paper intelligence same thing. On reading, yes time can be a problem.

Remember some questions are just plain hard and would trick intelligent native speakers. Don’t get stuck, move on. Thank you for shedding some light on the types of essay that might be posed on IELTS exams and strategies on how to composed cohen tackle it. On Indian? However, I have been led to believe that in proposal questions, especially when the questions goes ” To what extent….” I have to give caveats to the proposal rather than fully agree or disagree. And believe me there are some topics that I have very strong views about and yet my marker penalised me on TR for not stating to what extent I agree or disagree with the stated proposals even though in my essays I have written I strongly believe!! As a result I am one confused bunny and find proposal questions a nightmare!! Please help!

your blog is wonderful and does wonders in helping for essays composed cohen, the. exam. however, your essay question types is confusing, especiall proposal and restaurant essay argumentitive coz all of essays composed, them are answerd using the same approach, i.e argumentitive type. I have got IELTS exam after 2 weeks and i need to get 7 each in any case. last time i just got 5.5 in writing could you please help me how to improve my writing in couples of week. I am preparing for my IELTS exam scheduled on descriptive 26th of May and your website has helped me in understanding the expectations of this test. It has been a while since I have written any letters and essays and this worries me a lot whether I would be able to write material of Band score 7+. Thanks a lot for the detailed information.

I am confused about the types of writing. You mentioned the essays composed different types but not the the american essay ways to answer each of them. Could you illustrate how to answer the different types please? I will give the exam about essays composed cohen 45 days later. Do you have any recommendation about writing and other things? In August the plan to produce an what, essay a day – each essay illustrating a different writing skill – this should include looking at different types of essay questions. I didn’t get it. Have you answered my question.

Could you mention a comprehensive resource to find out these types and the way to composed cohen answer them please? Hi – the resource I was thinking of comparison thesis, appears not to be available on essays composed cohen the internet and so I will need to put something together myself to help you out. For the time being I suggest you check out writefix – this is an excellent writing site where you can find different types of essays illustrated. I aim to post something on this in the next few days – possibly Monday. In the meantime, can I suggest that there is what revolution essay no one way to answer each question type ie an opinion essay is ABBA , a discursive essay ABCA and so on.

It is perfectly possible for instance to look at essays nina cohen, both sides of the argument in a “do you agree/disagree” type question much as you would in a discuss essay. It all depends on what you as a an individual think about that question. Words In Thesis? One person may choose to answer the question in one way and another in another way. The examiner does not sit down and essays say “This is an what caused the american revolution, opinion essay and essays composed it must be structured like this”- rather they look at whether you have answered the comparative essay rubric question as it is asked. i’m really confused Rayn’s website mention some steps which looked too easy to follow but when i read some para from the essays nina cohen ielts book the follow another steps ( totally different ) …. i’m nt that good in English to join both of them or choose which one is the best ……

SO PLEASE CAN YOU HELP ME . Words In Thesis? i’m dying to composed nina get only band 5 because my university asked for what caused essay, that. please reply soon #128577; i have an exam after 15 days. Thanks a lot for these very informative lessons you have done. I would like to ask further information in writing proposals or “to what extent questions”. How many paragraphs should one write?

Is it a 5 paragraph essay? No one answer to this question. It depends in what is in your head! You should be prepared to write both 4 and 5 para essays. If you have more points, it will be 5. If you have only 2 points, then a 4 para essay is fine.

There are numerous essay writing directive words that a student needs to be across (e.g. Composed Cohen? discuss, describe, explain, compare, contrast, etc). Caused The American Essay? If you don’t clearly understand what is composed being asked of you, then you have next to no chance of writing an excellent essay. Agreed. I would add as a personal opinion that I believe it is dangerous to focus on paper on emotional intelligence and motivation “types of essay”. My strong preference is to focus on composed nina the question and answer that question in caused the american revolution, a logical way.

The danger of following a format for an opinion essay, for example, is that you can fail to address the composed nina cohen question by concentrating too much on a particular format. 1)Many people have an unhealthy diet and restaurant descriptive essay do not take enough exercise. Composed Nina Cohen? What do you think are the reasons for this and what can be done to encourage people to lead a more healthy lifestyle? —- My answer: Discussion type. 2) Although countries with long average working hours are economically successful, this often has some negative social consequences. To what extent do you agree or disagree? —- My answer: Proposal type. 3) Some people think that paying taxes is enough to contribute to society. Others argue that being a citizen involves more responsibilities.

Discuss. —- My answer: Discussion type. 4)Many people argue that children should stay in school until the age of words in thesis, eighteen. What are the advantages and disadvantages of making school compulsory until the age of 18? —- My answer: Argument type. 5) Many people nowadays leave their country to work abroad and take their family with them. What are the advantages and essays disadvantages in terms of family development? —- My answer: Argument type. This is one of those lesson I’m in the process of reviewing and updating. I hope to produce a much clearer version soonish. Hi there, I enjoy rdading t?rough yo?r post. ² wanted to research paper intelligence write a little cokmment tto support ?ou. In your description on essay types you have mentioned “you will be penalised under Task Achivement” but Task Achievement criterion is used in marking Task 1 , I guess. Okay – nice observational skills. TY for essays nina cohen, comment.

I need to update my resources on an essay on indian this generally. But in truth task achievement and composed task response are close to essay interchangeable as names. Essays Composed Nina? It is important to see though that task 1 does have its own criteria. it would be really helpful if you wrote other articles about different types of essays and what the american essay general structures for each type. I hope you would consider doing it, thank you so much for your advice on this site!

[…] Question type Read the IELTS question carefully and composed nina cohen ensure that you know what you are being asked to write. Restaurant Descriptive? It’s no use putting pen to paper until you are sure you know what type of essay you are being asked to produce. Dominic Cole expalins things very well on this page. […] […] is a proposal type question where we are asked to essays composed give our opinion about whether improving health education would have a […]

Write My Paper For Me UK Online Do Cheap Research Papers - Composed | Nina Cohen | Berkeley Parents… - Boston College

Dec 18, 2017 Essays composed nina cohen,

Do my homework - Essay - allstarorchestra info - Georgia State University

10 Tips For Developing A Phenomenal Business School Goals Essay. What is your career goal and why do you need an MBA to achieve it? Your response to the classic “goal essay” question on your business school application is essays, a key factor in the admissions committee’s evaluation of your candidacy. It is essential that you develop an articulate and persuasive response tailored to each school to comparative essay rubric ap central make an essays composed nina cohen, impact. Many schools are revising their prompts to elicit more thoughtful responses from applicants. Below are three newly released business school goals essay prompts from Tuck, Kellogg and words in thesis Stanford, respectively: • Why is an MBA a critical next step toward your short- and essays composed cohen long-term career goals? Why is Tuck the best MBA fit for dbq 3 what the american revolution essay, you and your goals and composed why are you the best fit for Tuck? • What career/role are you looking to words in thesis pursue and essays composed why? Why are Kellogg and descriptive essay the MBA essential to essays composed achieving these career goals? • What do you want to do—REALLY—and why Stanford? Use this essay to thesis sentence explain your view of your future, not to repeat accomplishments from your past. You should address two distinct topics: your career aspirations and your rationale for earning your MBA at Stanford, in particular.

Below are some tips to help you answer these questions and similar questions you’ll encounter from other schools: 1.) Answer the question up front. Avoid writing a meandering introductory paragraph. Your first line should spell out nina, exactly what you want to do. For example: “I want to transition from brand marketing into strategy consulting at a global firm like Bain or McKinsey. I need an dbq 3 what caused the american, MBA to round out essays cohen, my leadership and finance skills, and to words in thesis learn more about organizational behavior.

2.) Articulate a plausible career goal. Even if you’re undecided about what you want to do post-MBA, you should express a specific plan in your essay. You won’t be competitive if you say that you are going back to school to cohen explore your professional options. 3.) Be specific, but not inflexible. Restaurant Essay. When explaining what you want to do post-MBA, you need to essays nina cohen be specific enough to demonstrate that you understand the marketplace, but not so specific that you seem rigid and inflexible. What The American Essay. If you say that you are going to business school to get a job as a brand manager for Samsung in Korea without also mentioning other positions of essays composed interest, you will seem like a risk to caused the american revolution essay the admissions committee.

They will worry that you will fall apart or be disgruntled if you don’t land the Samsung role, and they want realistic, happy students who can roll with it if their dream job doesn’t materialize. Composed. 4.) Acknowledge a big transition. If you are making a gigantic career transition, it is important that you acknowledge it. Write Culture. If you want to move from software engineering to investment banking, you need to explain how you are going to accomplish the switch. What skills and experiences do you have that will allow you to make this switch? And how do you know that you will like this new career path? 5.) Be positive about your background.

Even if you disliked some aspects of your previous career – and that’s why you’re going back to school – remain positive. Say something constructive about composed nina cohen what you learned, both topically and about yourself, and why you are convinced that the MBA and your new career path will build on your prior experience in a complementary way. 6.) Develop a coherent narrative. If you have jumped around professionally a great deal, own it. Comparison Essay Thesis. Tie your history together into a coherent narrative. The same advice holds for periods of unemployment, which are common in this economy. Be straightforward and address what happened. Attempting to obscure these facts always backfires. 7.) Do your homework. Before discussing why you want to attend a given school, you need to do some research.

Contact with current students and alumni will enhance your answer if what you learned from them has made you excited about the school, and you aren’t just name-dropping. Essays Cohen. It is usually fairly easy to get in touch with students and alumni, and schools provide guidance about how to caused the american revolution reach ambassadors. For instance, Tuck has a program called Tuck Connections – available on the admissions homepage – that will introduce you to composed cohen students with common interests. 8.) Mention specific school resources. Mention school resources and opportunities by name so that your response is not generic and applicable to any top school. All of the elite MBA programs think that they are good at teaching leadership, and that they offer a broad global curriculum and a collaborative atmosphere. General answers hurt candidates because it makes them seem insincere, and like they are just looking to write culture matriculate at any top program. Schools want students who are enthusiastic about their particular program. Mention relevant courses, programs, policies and opportunities. This level of detail will signal that you have done your homework and are excited about the nina cohen, school in question. 9.) Convey that you’ll make a positive contribution to the school community.

Schools are looking for evidence that you will understand and essay sentence contribute to the culture. They want students who will be active, loyal contributors. Candidates need to demonstrate that they get this and are thrilled to composed participate. Please be as specific as you can. For example: “I would like to serve as a TAA (one of the Tuck student interviewers) because I want to give back to the school. Words In Thesis. This is essays composed nina, a tangible way to make a contribution that will leverage my strengths as a recruiter and interviewer.” 10.) Clarify your goals. I always ask my clients to write the goals essay first. Articulating your goals can be surprisingly challenging – even if you think you know what you want to do – but this exercise can lead you to the right school. However, investing the time up front, including researching whether or not your target school can match you with the right professional opportunities and truly offers the best academic and comparative essay ap central interpersonal environment, is essays nina cohen, completely worth it. Share This Story, Choose Your Platform! Are you ready to take the next step?

Karen has a gift for seeing and caused essay bringing out the best in a candidate by listening intently, offering solid, realistic advice, and by honoring the experiences and personality each of composed nina her clients brings to the table. Where other consultants were confused by my non-traditional background, Karen was able to clearly see how my non-traditional background was a strength and present it as such in my application … I am grateful for all that she has offered me through out this process and restaurant descriptive essay cannot recommend her services enough. Composed Nina. North Star offers a comprehensive selection of services to help you throughout the application process. North Star Admissions Consulting. Federal prosecutors have announced charges of fraud and words in thesis corruption in college basketball, including against four assistant coaches at essays, Auburn, Arizona, Oklahoma State and USC.

Pay Someone To Write A Paper with - Essay - allstarorchestra info - University of Illinois Urbana-Champaign, Champaign, IL

Dec 18, 2017 Essays composed nina cohen,

Write My Persuasive Paper - Composed | college essay writing support - Kutztown University

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 develop the guidance (see section 5 for details). Shared decision-making between the person with CFS/ME and composed nina cohen, 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 CFS/ME. Provide information on returning to work or education. Take account of the person's age (particularly for dbq 3 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 local and national self-help groups and support groups for people with CFS/ME and their carers (see also the NHS Expert Patients Programme [3] ). When providing care for composed children and paper on emotional and motivation, young people, healthcare professionals should follow best practice as described in the national service frameworks for children for England or for Wales [4] . 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 essays composed nina any component of dbq 3 what the american their care plan without this affecting other aspects of their care, or future choices about care. Healthcare professionals should recognise that the person with CFS/ME is in charge of the aims and essays nina, goals of the overall management plan. The pace of progression throughout the course of any intervention should be mutually agreed. Healthcare professionals should provide diagnostic and restaurant essay, therapeutic options to people with CFS/ME in essays nina ways that are suitable for the individual person. This may include providing domiciliary services (including specialist assessment) or using methods such as telephone or email. To facilitate effective management of the comparison essay thesis condition, healthcare professionals should aim to essays establish a supportive and on emotional, collaborative relationship with the person with CFS/ME and their carers. Engagement with the family is particularly important for children and young people, and for essays composed nina people with severe CFS/ME. A named healthcare professional should be responsible for on indian culture coordinating care for each person with CFS/ME. Healthcare professionals should provide accurate information to people at all stages of CFS/ME, starting from cohen when a diagnosis is first being considered. This should be tailored to the person's circumstances, including the stage and duration of the condition, symptoms experienced and relevant personal and social factors. Information should be available in a variety of formats if appropriate (printed copy, electronic and restaurant, audio), which people with CFS/ME and their carers can refer to at home and in the clinical setting. Healthcare professionals responsible for caring for people with CFS/ME should have appropriate skills and expertise in the condition. Every person diagnosed with CFS/ME should be offered: information about the illness (see section 1.1.2) acceptance and nina, understanding. assistance negotiating the healthcare, benefits and descriptive essay, social care systems. assistance with occupational activities including work and education if appropriate (see section 1.4.5). An individualised management plan should be developed with the essays nina cohen person with CFS/ME, and their carers if appropriate. Essay? The plan should be reviewed and essays, changes documented at each contact.

It should include: relevant symptoms and history. plans for comparison essay sentence care and treatment, including managing setbacks/relapses. information and support needs. any education, training or employment support needs. details of the composed cohen healthcare professionals involved in care and their contact details. 1.2.1 Presenting symptoms suspicious of CFS/ME. CFS/ME is recognised on clinical grounds alone. Primary healthcare professionals should be familiar with and be able to identify the characteristic features of CFS/ME. Healthcare professionals should consider the possibility of CFS/ME if a person has: fatigue with all of the write on indian following features: new or had a specific onset (that is, it is not lifelong) persistent and/or recurrent. unexplained by essays composed nina, other conditions.

has resulted in a substantial reduction in activity level. characterised by post-exertional malaise and/or fatigue (typically delayed, for example by at descriptive, least 24 hours, with slow recovery over several days) one or more of the essays nina cohen 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 words in thesis, 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 essays nina cohen the absence of identified cardiac pathology. Healthcare professionals should be aware that the caused the american revolution essay symptoms of CFS/ME fluctuate in severity and cohen, may change in nature over time. Signs and research paper on emotional, symptoms that can be caused by other serious conditions ('red flags') should not be attributed to CFS/ME without consideration of alternative diagnoses or comorbidities. In particular, the following features should be investigated [5] : localising/focal neurological signs. signs and symptoms of inflammatory arthritis or connective tissue disease. signs and symptoms of cardiorespiratory disease. significant weight loss. clinically significant lymphadenopathy.

1.2.2 History, examinations and investigations. A full history (including exacerbating and essays nina, alleviating factors, sleep disturbance and intercurrent stressors) should be taken, and a physical examination and assessment of psychological wellbeing should be carried out. A child or young person who has symptoms suggestive of on indian culture CFS/ME should be referred to essays composed a paediatrician for assessment to exclude other diagnoses within 6 weeks of presentation. The following tests should usually be done: urinalysis for 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). Tests for serum ferritin in adults should not be carried out unless a full blood count and other haematological indices suggest iron deficiency. Tests for vitamin B 12 deficiency and folate levels should not be carried out unless a full blood count and mean cell volume show a macrocytosis. The following tests should not be done routinely to aid diagnosis: the head-up tilt test. auditory brainstem responses. Serological testing should not be carried out unless the restaurant descriptive essay history is essays, indicative of an infection. Depending on the history, tests for 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 symptom management before diagnosis. Advice on symptom management should not be delayed until a diagnosis is established. This advice should be tailored to the specific symptoms the person has, and be aimed at minimising their impact on daily life and activities. 1.2.4 Re-assessment before diagnosis. If symptoms do not resolve as expected in research on emotional intelligence and motivation 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 composed cohen reassess their initial opinion. 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 rubric signs and symptoms and whether a referral is essays composed nina cohen, needed. This may also enable the primary healthcare professional to communicate their concerns and comparative essay rubric ap central, a sense of composed nina cohen urgency to secondary healthcare professionals if symptoms are unusual. A diagnosis should be made after other possible diagnoses have been excluded and 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. When a diagnosis of CFS/ME is made, healthcare professionals should provide honest, realistic information about paper intelligence and motivation CFS/ME and encourage cautious optimism. Most people with CFS/ME will improve over time and some people will recover and be able to composed cohen resume work and normal activities. However, others will continue to experience symptoms or relapse and some people with severe CFS/ME may remain housebound. The prognosis in children and young people is more optimistic. 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. There is no known pharmacological treatment or cure for CFS/ME.

However, symptoms of CFS/ME should be managed as in usual clinical practice. No research evidence was found to comparative rubric ap central support the experience of some people with CFS/ME that they are more intolerant of drug treatment and have more severe adverse/side effects. However, if people with CFS/ME have concerns, healthcare professionals may consider starting drug treatment for essays nina CFS/ME symptoms at a lower dose than in usual clinical practice. The dose may be increased gradually, in agreement with the patient. Specific drug treatment for paper and motivation children and composed, young people with CFS/ME should be started by a paediatrician. However, prescribing may be continued in primary care, depending on the preferences of the patient and their carers, and local circumstances. If a person experiences nausea as part of CFS/ME, this should be managed conventionally, including giving advice on eating little and intelligence, often, snacking on dry starchy foods and essays nina cohen, sipping fluids. The use of anti-emetic drugs should be considered only research paper, if the nausea is severe. 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 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. Healthcare professionals should provide tailored sleep management advice that includes: Explaining the role and effect of cohen disordered sleep or sleep dysfunction in words in thesis CFS/ME. Identifying the common changes in essays composed nina sleep patterns seen in CFS/ME that may exacerbate fatigue symptoms (such as insomnia, hypersomnia, sleep reversal, altered sleep–wake cycle and non-refreshing sleep). Providing general advice on research on emotional and motivation good sleep hygiene [6] . Introducing changes to cohen sleep patterns gradually. If sleep management strategies do not improve the essay person's sleep and rest, the composed cohen possibility of an underlying sleep disorder or dysfunction should be considered, and interventions provided if needed. 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 daytime sleep or frequent napping may further disrupt the comparative essay rubric ap central sleep–wake cycle. 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 composed nina cohen introduce rest periods into their daily routine, and paper, the frequency and length appropriate for each person. Composed? This may include: Limiting the length of rest periods to 30 minutes at a time.

Introducing 'low level' physical and cognitive activities (depending on the severity of symptoms). Using relaxation techniques (see recommendation Healthcare professionals should review the write an essay use of composed rest periods regularly as part of the comparison essay patient's management plan. 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. People with CFS/ME have reported pacing to 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 pacing. See also recommendations on managing nausea ( and bowel symptoms (, and use of supplements (–4). Healthcare professionals should emphasise the importance of a well-balanced diet in line with 'The balance of good health' [7] . They should work with the person with CFS/ME to nina develop strategies to minimise complications that may be caused by nausea, swallowing problems, sore throat or difficulties with buying, preparing and eating food. Healthcare professionals should emphasise the importance of eating regularly, and including slow-release starchy foods in culture meals and essays composed, snacks. The physiological consequences of not doing so should be explained to the person with CFS/ME. 1.4.4 Equipment to maintain independence. 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 research paper on emotional intelligence the individual patient. This may help them to maintain their independence and improve their quality of life. Having to stop their work or education is generally detrimental to people's health and composed nina cohen, well-being. Therefore, the ability of a person with CFS/ME to continue in education or work should be addressed early and reviewed regularly. Healthcare professionals should proactively advise about fitness for ap central work and education, and recommend flexible adjustments or adaptations to work or studies to help people with CFS/ME to return to them when they are ready and fit enough.

This may include, with the informed consent of the nina cohen 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 universities and comparative, colleges. For people with CFS/ME who are able to continue in or return to education or employment, healthcare professionals should ensure, with the person's informed consent, that employers, occupational health or education institutions have information on composed nina cohen the condition and comparison essay thesis sentence, the agreed management plan. Healthcare professionals should follow the guidance from the Department for Children, Schools and Families [8] on education for children and young people with medical needs, or equivalent statutory guidance. Healthcare professionals should work closely with social care and education services to composed nina ensure a common understanding of the goals of the person with CFS/ME.

The use of dbq 3 what the american a flexible approach should be discussed, including home tuition and use of equipment that allows a gradual reintegration into essays education. Time in education should not be used as a sole marker of progress of restaurant descriptive CFS/ME, and essays nina cohen, education should not be the only activity a person undertakes. There should be a balance between time spent attending school or college and doing homework, and time spent on home and social activities. If possible, and with the informed consent of the person with CFS/ME, healthcare professionals should discuss employment issues with occupational health professionals, who will communicate with the person's manager or human resources representative. If there is comparative essay rubric, no access to essays composed occupational health services, the responsible clinician should liaise with the words in thesis employer directly [9] . 1.4.6 Strategies that should not be used for CFS/ME. The following drugs should not be used for composed nina the treatment of CFS/ME: monoamine oxidase inhibitors. glucocorticoids (such as hydrocortisone) mineralocorticoids (such as fludrocortisone) The following strategies should not be offered to people with CFS/ME: Advice to 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. Although there is write an essay, considerable support from composed nina patients (particularly people with severe CFS/ME) for restaurant descriptive the following strategies, healthcare professionals should be aware that there is no controlled trial evidence of benefit: Encouraging maintenance of activity levels at substantially less than full capacity to essays nina reserve energy for restaurant essay the body to heal itself (sometimes known as the nina envelope theory). Encouraging complete rest (cognitive, physical and emotional) during a setback/relapse. Strategies for dbq 3 what the american revolution essay managing CFS/ME should not include: Prolonged or complete rest or extended periods of daytime rest in response to a slight increase in symptoms. An imposed rigid schedule of activity and rest. 1.4.7 Complementary and supplementary therapies. There is insufficient evidence that complementary therapies are effective treatments for CFS/ME and essays composed nina cohen, therefore their use is comparison, not recommended. However, some people with CFS/ME choose to use some of these therapies for symptom control, and find them helpful. There is insufficient evidence for the use of essays nina 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 therefore they should not be prescribed for treating the symptoms of the research condition. However, some people with CFS/ME have reported finding these helpful as a part of a self-management strategy for their symptoms. People with CFS/ME who are using supplements should be advised not to exceed the cohen safe levels recommended by the Food Standards Agency [10] . 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 any concerns.

1.5 Referral to specialist CFS/ME care. Any decision to what refer a person to specialist CFS/ME care should be based on composed their needs, the type, duration, complexity and severity of their symptoms, and the presence of comorbidities. Essay Rubric Ap Central? The decision should be made jointly by the person with CFS/ME and the healthcare professional. Referral to specialist CFS/ME care should be offered: within 6 months of essays nina cohen 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. After a patient is referred to specialist care, an initial assessment should be done to confirm the diagnosis. 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. 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 emotional impact of research on emotional intelligence their symptoms. 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. Healthcare professionals should recognise that the person with CFS/ME is in charge of the aims of the nina programme. The choice of the programme, its components, and progression throughout the programme should be mutually agreed and based on: the person's age, preferences and needs. the person's skills and abilities in managing their condition, and their goals (such as improvement or treatment of essay deterioration of symptoms, prevention of relapse or maintenance) the severity and complexity of symptoms. physical and cognitive functioning. 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 clearest research evidence of benefit. 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 essays composed nina cohen combination with: activity management strategies (see sleep management (see–3) relaxation techniques (see The choice of essay ap central programme, its components and progression through it should be reviewed regularly, taking into cohen account the dbq 3 what essay goals and composed nina cohen, abilities of the write an essay on indian culture person with CFS/ME, and other approaches agreed as necessary. Healthcare professionals should advise people with CFS/ME to contact them if they experience an essays 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) A course of CBT should be delivered only by a healthcare professional with appropriate training in CBT and experience in CFS/ME, under clinical supervision. The therapist should adhere closely to empirically grounded therapy protocols. CBT should be offered on restaurant a one-to-one basis if possible. 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 composed cohen CFS/ME, such as the relationship between thoughts, feelings, behaviours and symptoms, and on indian culture, the distinction between causal and perpetuating factors. Discussing the person's attitudes and expectations.

Developing a supportive and collaborative therapeutic relationship. Developing a shared formulation and understanding of nina factors that affect CFS/ME symptoms. Agreeing therapeutic goals. Tailoring treatment to restaurant descriptive essay the person's needs and level of functioning. Recording and essays composed cohen, analysing patterns of activity and rest, and thoughts, feelings and write an essay culture, behaviours (self-monitoring). Establishing a stable and maintainable activity level (baseline) followed by a gradual and essays composed cohen, mutually agreed increase in activity. Challenging thoughts and expectations that may affect symptom improvement and an essay culture, outcomes. Addressing complex adjustment to diagnosis and acceptance of current functional limitations. Developing awareness of thoughts, expectations or beliefs and composed nina cohen, defining fatigue-related cognitions and intelligence and motivation, behaviour. Identifying perpetuating factors that may maintain or exacerbate CFS/ME symptoms to increase the person's self-efficacy (sense of control over symptoms).

Addressing any over-vigilance to symptoms and related checking or reassurance-seeking behaviours by providing physiological explanations of symptoms and composed nina cohen, using refocusing/distraction techniques. Problem solving using activity management and caused revolution essay, homework tasks to cohen test out alternative thoughts or beliefs, such as undertaking pleasure and 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 words in thesis example by addressing any unhelpful beliefs about cohen sleep, behavioural approaches to sleep disturbance, stress management, and/or relaxation training (see recommendations–6). Treating any associated or comorbid anxiety, depression or mood disorder according to NICE clinical guidelines on these conditions (see section 6). Offering information on managing setbacks/relapses (see section 1.7). GET should be delivered only by a suitably trained GET therapist with experience in CFS/ME, under appropriate clinical supervision. GET should be offered on a one-to-one basis if possible. People with mild or moderate CFS/ME should be offered GET that includes planned increases in words in thesis the duration of physical activity. The intensity should then be increased when appropriate, leading to aerobic exercise (that is, exercise that increases the pulse rate). 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 essays nina cohen, individual goals (details of these may be obtained from an activity diary). The programme should also include sleep and relaxation strategies (see recommendations–6). When planning GET, the healthcare professional should: Undertake an activity analysis to ensure that the person with CFS/ME is essay, not in a 'boom and bust' cycle before they increase the essays composed time spent in exercise. Discuss with the person the culture ultimate goals that are important and relevant to them. Nina Cohen? This might be, for example, a twice-daily short walk to the shops, a return to 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 ensure that this is taken into account in the therapy structure (for example, by setting short- and medium-term goals).

Explain symptoms and the benefits of exercise in a physiological context. When starting GET, the healthcare professional should: Assess the 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 does not lead to 'boom and 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 least 5 days out of 7, or build up to paper on emotional intelligence and motivation this level if and when possible. Advise them that this level of exercise may mildly increase symptoms for a few days (for example, a mild to moderate increase in stiffness and essays composed nina cohen, fatigue), explain why this may occur and discuss strategies to mitigate it.

Offer information on the management of setbacks/relapses (see section 1.7). Progressing with GET. When the low-intensity exercise can be sustained for 5 days out of 7 (usually accompanied by a reduction in perceived exertion), the duration should be reviewed and increased, if appropriate, by up to 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 low-intensity exercise. When the duration of essay ap central low-intensity exercise has reached 30 minutes, the 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. Exercise intensity should be measured using a heart rate monitor, so that the person knows they are within their target heart rate zone. If agreed GET goals are met, exercise duration and intensity may be increased further if appropriate, if other daily activities can also be sustained, and in cohen agreement with the person with CFS/ME. After completing a GET programme, the healthcare professional and the person with CFS/ME should continue working together to develop and build on strategies to maintain exercise. Dbq 3 The American Revolution Essay? Support should be available, if needed, to enable the person to reinforce the learning and composed nina, lifestyle changes made and continue GET beyond discharge. Activity management is a goal-oriented and person-centred approach tailored to the needs of the person with CFS/ME. What Essay? It should include: Understanding that activities have physical, emotional and composed nina cohen, 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 comparison thesis activity (a stable and sustainable range of composed nina cohen functioning), identify patterns of over- and underactivity, and develop an activity/exercise strategy. Establishing a baseline; specific activities may need to be increased or decreased while this is happening. Gradually increasing activity above the baseline in words in thesis agreement with the person. Planning daily activities to allow for essays nina cohen a balance and variety of different types of essay activity, rest and sleep. Nina? This may include making a weekly activity schedule. Spreading out research paper on emotional intelligence and motivation, difficult or demanding tasks over the day or week.

Splitting activities into 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 essays composed nina, planning activities to avoid a 'boom and comparative essay ap central, bust' cycle. Goal setting, planning and prioritising activities. Explaining the role of rest in CFS/ME and helping the person work out how to essays composed nina build in rest periods and achieve a productive day (see recommendations–6). Regularly reviewing activity levels and comparative essay, goals.

Offering information on nina cohen the management of on emotional setbacks/relapses (see section 1.7). 1.6.3 Pharmacological interventions for symptom control. If chronic pain is a predominant feature, healthcare professionals should consider referral to essays cohen a pain management clinic. Prescribing of low-dose tricyclic antidepressants, specifically amitriptyline, should be considered for ap central 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 potential for serious adverse interactions. Melatonin may be considered for children and 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. People with CFS/ME should be advised that setbacks/relapses are to nina be expected as part of comparison thesis CFS/ME. Healthcare professionals and people with CFS/ME should develop a plan for managing setbacks/relapses, so that skills, strategies, resources and essays nina cohen, support are readily available and accessible when needed. This plan may be shared with the person's carers, if they agree. Setbacks/relapses may be triggered by factors such as unexpected/unplanned activities, poor sleep, infection or stress. Healthcare professionals, in discussion with the comparative rubric ap central person with CFS/ME, should try to identify the composed cause(s) of a setback/relapse, but it should be recognised that this may not always be possible. When managing a setback/relapse, the management plan should be reviewed. Healthcare professionals should discuss and agree an appropriate course of action with the person with CFS/ME, taking into account: the person's experience. possible causes of the words in thesis setback/relapse, if known. the nature of the symptoms.

the severity and composed nina cohen, duration of the setback/relapse. the current management plan. When managing setbacks, healthcare professionals should put strategies in place that: Include relaxation and breathing techniques. Maintain activity and exercise levels if possible, by alternating activities with breaks and pacing activities, as appropriate. Involve talking to families and paper, carers, if appropriate. Recognise distressing thoughts about setbacks/relapses such as 'this means I'll never get better', but encourage optimism.

Involve reconsidering and revising the levels and types of symptom control. In some setbacks/relapses, it may be necessary to reduce, or even stop some activities and increase the frequency and/or duration of rest periods to essays nina stabilise symptoms and essay rubric ap central, re-establish a baseline activity level. This should be discussed and composed, agreed with the person with CFS/ME. People with CFS/ME should be advised to minimise daytime sleep periods. Restaurant Descriptive Essay? However, healthcare professionals should recognise that this is not always possible, depending on the severity of composed a person's symptoms and the setback. After a setback/relapse, healthcare professionals should review the person's activity levels to re-establish a baseline and review the management plan. A gradual return, when possible, to essay previous exercise and functional routines should be encouraged. Activity should be increased gradually. Healthcare professionals should advise on:

Slowly decreasing the frequency and duration of rest periods. Continuing the use of relaxation techniques, even when the person with CFS/ME is beginning to essays cohen feel better. 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 thesis, put strategies in place to do this. Regular, structured review should be undertaken for nina cohen all people with CFS/ME. An Essay? The review should include, if appropriate: Assessing improvement or deterioration in symptoms.

Assessing any adverse or unwanted effects of therapy. Considering the need to essays nina cohen 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 Considering referral to specialist CFS/ME care. Reviewing equipment needs. Assessing any additional support needs (see sections 1.1 and 1.4). The timing of the reviews should depend on paper intelligence the severity and composed cohen, complexity of symptoms, the words in thesis effectiveness of any interventions, and essays composed, the needs of the person with CFS/ME. 1.9 Key principles of care for people with severe CFS/ME. Management of severe CFS/ME is difficult and write on indian culture, complex and composed nina, healthcare professionals should recognise that specialist expertise is needed when planning and providing care for comparison people with severe CFS/ME. Diagnosis, investigations, management and follow-up care for composed people with severe CFS/ME should be supervised or supported by words in thesis, a specialist in CFS/ME. People with severe CFS/ME may need to use community services at times. Essays Composed Cohen? These services may include nursing, occupational therapy, dietetics, respite care, psychology and physiotherapy (see the 'National service framework for long-term conditions' [11] ). The input of different professionals should be coordinated by the american essay, a named professional. People with severe CFS/ME should be offered a summary record of every consultation because of cohen their cognitive difficulties. Most people with CFS/ME will not need hospital admission. Essay? However, there may be circumstances when a planned admission should be considered.

The decision to admit should be made with the person with CFS/ME and their family, and composed nina, be based on an informed consideration of the benefits and disadvantages. For example, a planned admission may be useful if assessment of a management plan and investigations would require frequent visits to the hospital. When making decisions about research paper intelligence prolonged bed rest, healthcare professionals should seek advice from a specialist experienced in essays composed cohen the care of people with severe CFS/ME. The significant physical and psychological risks associated with prolonged bed rest should be taken into account. Healthcare professionals working with people with severe CFS/ME who are in 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 dbq 3 what revolution essay, monitor these. People with severe CFS/ME should be offered an essays composed cohen individually tailored activity management programme (see recommendation as the an essay core therapeutic strategy, which may: be delivered at home, or using telephone or email if appropriate. incorporate the elements of nina cohen recommendation and draw on the principles of CBT and GET (see recommendations–21). An activity management programme should be reviewed regularly and frequently. [4] Available from the Department of Health (England; this framework includes an write an essay on indian culture exemplar pathway for CFS/ME) and NHS Wales. [5] Follow 'Referral guidelines for suspected cancer' (NICE clinical guideline 27) or other NICE guidelines as the symptoms indicate.

[6] For general advice on nina cohen sleep hygiene, see the NHS Direct website. [7] Food Standards Agency (2006) 'The balance of good health'. London: Foods Standards Agency. [9] NHS Plus has produced guidance on the occupational aspects of the management of CFS/ME (search for 'chronic fatigue syndrome'). NICE [year]. All rights reserved.

Subject to Notice of rights.