This article documents the findings of a study concerning the perspectives on Content and Language Integrated Learning (CLIL) in the monolingual context of Jaén. The research has involved the design, validation and administration of two sets of questionnaires to 745 informants (692 students and 53 teachers) within eight secondary schools with a view to identifying student and teacher attitudes towards Andalusian CLIL in the province of Jaén. Perceptions are outlined in terms of students' use, competence and development of English in class; methodology; materials and resources and ICT; evaluation; teachers' use, competence and development of English in class; teacher training; mobility; improvement and motivation towards English; and coordination and organisation. The article begins with an overview of prior research, subsequently reports on the research design of the study and concludes with the presentation of the main findings of the investigation. An extensive evaluation of stakeholder perspectives on CLIL in the province of Jaén reveals a predominantly positive outlook on behalf of the student and teacher cohorts with regard to the implementation of a bilingual programme within the Andalusian region of Spain.
Background
Nasogastric (NG) feeding is commonly employed as a first line method of enteral feeding. This needs to be stopped pre-operatively resulting in missed calories and protein. Nasojejunal (NJ) feeding is an alternative method that can continue during surgery and can be used in gastric stasis.
In this audit we want to determine the calorie and protein loss in major burns patients at the Northern Regional Burn Centre who have had enteral feeding via the nasogastric route.
Method
A retrospective analysis of the NG feeding, and fasting times was carried out for major burns patients at the Royal Victoria Infirmary in Newcastle from 2019 to 2021. Nine patients were identified, and their NG feeding prescriptions and delivery times were looked at. The number of calories and protein prescribed by the dietitian were compared against the amount missed when the NG feed was paused. A percentage loss was calculated for each parameter.
Results
Of the 9 patients analysed over 3 years, the calories lost ranged from 2226kcal to 23,929kcal. Of the induvial prescribed calorie intake, the calorie loss was from 7% to 39% with a mean calorie loss of 17.6%. The protein lost ranged from 143g to 1,240g. Of the individual prescribed protein intake, the protein loss was from 7% to 40% with a mean protein loss of 19.4%.
Conclusions
We recommend that the addition of NJ feeding as an alternative method of enteral feeding to the NUTH burns nutritional policy would help optimise the management of major burns patients by minimising nutritional losses.
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