Health - annotated exemplar Level 3 AS91463 (B)

Evaluate health practices currently used in New Zealand (3.3B)

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See EXEMPLAR A for this standard

 

TKI Health Assessment Resources

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  • Student work should reflect the expected outcomes and quality of work appropriate to Level 8 of the New Zealand curriculum
  • The context of this resource is the health condition of depression
  • Only the step ups (quality of evidence) as stipulated by Explanatory Note 2 have been exemplified. A greater range of evidence would be expected in the whole piece of student work. To achieve Excellence, the requirements for Merit and Achievement must also be met
  • The annotations are linked to extracts from student work.

Low Excellence

Commentary
Student response

Student 1 (PDF, 68KB)

For Excellence the student evaluates, perceptively, health practices currently used in New Zealand. The student needed to make connections between the relevant selection of the underlying concepts (that is, hauora, socio-ecological perspective, health promotion, and attitudes and values), the underlying philosophies, the advantages and disadvantages of the health practices in regard to their use to treat/prevent the health circumstance, and draw justified conclusions.

When comparing the advantages and disadvantages of the health practices the student has made connections to the underlying health concepts. For example:

-Hauora 'St Johns Wort may…’ (A) and ‘SSRI’s can bring about change to the family…' (B)

-Health promotion 'Government has developed…' (C) and 'The uses of SSRI’s is generally accepted…' (D)

-Attitudes and values at personal, interpersonal 'SSRI’s can bring about change to the family…' (B) and societal 'Acupuncture is becoming…' (E)

-Underpinning philosophies of each practice 'WSM have a history…' (F).

The student has been thoughtful in their evaluation and drawn justified conclusions supported by evidence 'When mild depression…' (H) and 'a major trail was undertaken...' (I).

For a more secure Excellence the student would need to further develop the comparisons regarding cost to society, further explain the underpinning philosophy, attitudes, values and beliefs, and use evidence to draw further justified conclusions.

High Merit

Commentary
Student response

Student 2 (PDF, 71KB)

For Merit the student evaluates, in depth, health practices currently used in New Zealand. The student needed to compare the advantages and disadvantages of the selected practices and draw conclusions supported by reasoned arguments.

The student has provided in depth explanations of the procedures 'The process of acupuncture …' (A) and philosophy 'Much of what…' (B) of the three health practices (an example of one practice is included).

Within the evaluation the student has compared the practices by considering:

-The effectiveness of the health practice specifically in treating breast cancer 'Chinese research into…'  (C)

-The impact of the health practice on the well-being of individuals 'St John Wort…' (D) and 'SSRI’s work by blocking…' (E)

-Financial cost, availability of, or access to the health practice 'Acupuncture prices can…' (F). However, this aspect could be further developed with regards to the other two practices, and supported by evidence

-Societal attitudes towards the practice, its acceptability, people’s rights to choose the health practice, and any challenges or controversy surrounding the practice 'Acupuncture is viewed…' (G)

-Whether the health practice is considered to be part of public health promotion 'pay the full cost…' (H) and 'The use of 'antidepressants…'' (I) which has been thoughtfully considered.

The student is beginning to make connections between a selection of the underlying health concepts. However, when explaining the advantages and disadvantages he/she has only briefly made connections to the underlying philosophies, and this aspect could be developed in a number of areas. For example, explaining for the practices why the medical practice is chosen to treat breast cancer 'SSRIs being a Western…' (J).

The student consistently uses evidence from current or recent sources to support their evaluation of the health practices.

To reach Excellence the student would need to further develop connections between the advantages, disadvantages, philosophies and financial cost, availability of, or access to the health practice and draw further justified conclusions.

Low Merit

Commentary
Student response

Student 3 (PDF, 62KB)

For Merit the student evaluates, in depth, health practices currently used in New Zealand. The student needed to compare the advantages and disadvantages of the selected practices and draw conclusions supported by reasoned arguments.

 The student has provided in depth explanations of the procedures and philosophy of the three health practices (an example of one practice is included).

In the explanation of the procedure for a mastectomy the student presents the information in a logical manner in terms of diagnosis, preparation prior to surgery, surgery and immediate recovery 'One place to start could be making…' (A).

The explanation of the philosophy for SSRI’s needs to be further developed. Tighter connections need to be made to the values and beliefs behind this practice 'SSRI’s are a western medicine…' (B).

A range of advantages and disadvantages has been provided for the three health practices. The student is consistently making connections to the health condition of depression. The disadvantages 'some negative side effects…' (C), and advantages 'A major advantage of…' (D) have been included for the short and long term.

The student is comparing the advantages and disadvantages of the health practices and drawing conclusions supported by brief reasoned arguments 'Yoga and Acupuncture are more…' (E), 'Both acupuncture and yoga…'  (F) and 'Due to prior research…' (H).

Please note: within the body of the work it is expected that direct links are made between the text and listed references.

For a more secure Merit the student would need to provide a more in depth explanation of the philosophy for SSRI’s and support the conclusions made with more in depth arguments.

High Achieved

Commentary
Student response

Student 4 (PDF, 60KB)

For Achieved the student evaluates health practices currently used in New Zealand. The student needed to apply a critical perspective and evidence based consideration of health practices that explains the procedures involved in each practice, the underpinning philosophy or knowledge foundation of each practice in relation to Western scientific medicine (WSM); complementary and alternative medicine (CAM) and/or traditional medicine (TM), and the advantages and disadvantages of each practice in relation to the concept of hauora.

Explanations (what and why) of the philosophy 'are an example of  Western' (A) and the procedures 'SSRIs are taken in tablet…' (B), are consistent and clearly defined (what is the practice, why is it performed, how is it administrated and by whom, and what equipment used) for each of the three health practices (two practices included).

A number of direct links have been made to the supporting evidence for the philosophy and procedures 'Yoga which is…' (C) and 'A study in America…' (D).

The evaluation is more detailed than the explanation of the philosophy/procedures, and the student has considered a range of advantages and disadvantages for each of the practices. More obvious links have also been made for each practice in relation to the concept of hauora 'mental & emotional, spiritual…' (E).

The student is beginning to compare the advantages/disadvantages of the practices with regards to the treatment of breast cancer 'Both of these practices… (F)' and 'In comparison SSRI’s have…' (G) and conclusions have been drawn 'In conclusion, SSRI’s…' (H).

To reach Merit the student would need to provide a more detailed explanation of the procedures of the health practices, and more detailed comparisons and evidence to support the conclusions that have been made.

Low Achieved

Commentary
Student response

Student 5 (PDF, 73KB)

For Achieved the student evaluates health practices currently used in New Zealand. The student needed to apply a critical perspective and evidence based consideration of health practices that explains the procedures involved in each practice, the underpinning philosophy or knowledge foundation of each practice in relation to Western scientific medicine (WSM); complementary and alternative medicine (CAM) and/or traditional medicine (TM), and the advantages and disadvantages of each practice in relation to the concept of hauora.

The student has explained the procedures used in the three health practices (two practices included) of Selective Serotonin Reuptake Inhibitors-SSRI’s (Western Scientific), Cognitive Behavioural Therapy (Complementary and Alternative medicine) and Acupuncture (Alternative medicine/Traditional Medicine) in relation to the health circumstance (depression).

An explanation of what the procedures are for Acupuncture is provided. For example, what is the practice and why is it performed: 'believe the treatment…' (A), how it is administered: 'The treatment involves' (B) and what happens to a person during the treatment 'endorphins and serotonin… (C).

For the health practice of Selective Serotonin Reuptake Inhibitors (SSRI’s) the explanation is briefer and should be developed further for the work to sit more securely at the Achievement level.

The specific beliefs and understandings behind the practices have been provided. For example, 'SSRIs are an example…' (D).

Valid advantages and disadvantages of each health practice are explained. The student gives a brief account of the advantages 'A major advantage of…'  (E) and disadvantages of each health practice in relation to the concept of hauora 'A disadvantage is that…' (F). Some supporting evidence is used to support the account 'An American study…' (G).

Throughout the work the student uses evidence from current or recent sources to support the evaluation.

For a more secure Achieved the student would need to further develop the explanation of the procedure for SSRI’s, establish more links to the management of depression, and further develop explanations of the advantages and disadvantages.

High Not Achieved

Commentary
Student response

Student 6 (PDF, 55KB)

For Achieved the student evaluates health practices currently used in New Zealand. The student needed to apply a critical perspective and evidence based consideration of health practices that explains the procedures involved in each practice, the underpinning philosophy or knowledge foundation of each practice in relation to Western scientific medicine (WSM); complementary and alternative medicine (CAM) and/or traditional medicine (TM), and the advantages and disadvantages of each practice in relation to the concept of hauora.

The student has not evaluated health practices currently used in New Zealand.

Explanations have been provided in terms of the procedures that are involved in the three health practices. However, some aspects are general in nature and more details need to be specially applied to the health circumstance which is depression. For example, the explanation of the procedures involved for acupuncture contains few links to the health circumstance, 'believe the…' and 'By allowing the…' (A).

The philosophy of the health practices needs to be further developed to show people’s attitudes, values and beliefs regarding the health practices.

The advantages and disadvantages are too briefly expressed for Achievement and ‘evaluate’ at Level 8 of the NZC, particularly the explanation for 'Chiropractic' 'Studies have shown that an advantage… breast cancer survivors' (B).

Some evidence should be provided to support the statements that are made regarding the studies that have been completed 'Studies show…' and 'Studies have shown…' (B).

Please note: within the body of the work it is expected that direct links are made between the text and listed references.

To reach Achieved the student would need to provide explanations that are applied to the context of depression, and further develop the explanations of the advantages and disadvantages of each practice in relation to the concept of hauora, with some supporting evidence.

 
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