Hi, I need help with essay on Hip and Knee Issues. Paper must be at least 1000 words. Please, no plagiarized work!

With such a reputation, this hospital would likely play host to various cases of knee and hip injuries and such cases would most likely involve older adults. It is therefore important to maintain the expertise of this hospital in the knee and hip injuries in order to ensure adequate services for older adults and to ensure their recovery and return to daily activities after knee and hip surgeries. Learning in the nursing program From the nursing program, I have learned various health teachings in order to prevent falls among the elderly and in order to help the elderly individuals regain mobility after knee and hip injuries. I have learned in the course of the nursing program that due to the wear and tear of the aging process, older adults have brittle bones. With their brittle bones, falls and injuries can often cause fractures (to their hips or their arms). These injuries can often lead to limited mobility and can further deteriorate the quality of their lives. It is therefore important to prevent falls among elderly patients and to ensure an effective rehabilitation process. While being involved with the agency, it is important for me to incorporate the things I have learned in the nursing program to my patients in the hospital. Elderly patients recovering from knee and hip injuries need to be taught about the rehabilitation process they have to undergo after their surgery, how they can slowly regain their mobility, and how they can eventually conduct their daily activities.

 

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Hi, I need help with essay on HIgh frequency oscilatory ventilation in adults. Paper must be at least 750 words. Please, no plagiarized work!

From that time individuals have learnt that as much as mechanical ventilation is always lifesaving also it can be injurious, particularly in patients who suffer from ARDS (acute respiratory distress syndrome). ARDS may also lead to refractory hypoxemia that can always trigger attempting ventilation strategies that are nonconventional like use of prone positioning, nitric oxide or recruitment maneuvers. HFOV (high frequency oscillatory ventilation) has emerged to be a rescue strategy for ARDS adults. To add to that, as it injures the lung is no more than ventilation conventional modes it can also be preferably suited to apply early in acute respiratory distress syndrome.

High frequency oscillatory ventilation fits in the range of high frequency modes of ventilation whose main concept is breaths delivery at low volumes of tides and high frequency modes of ventilation which are always beneath the anatomy dead space. The high frequency mode is generally divided into the ones in which expiratory stage is passive and the ones in which there is an active expiration. Examples of tools using passive expiration are positive pressure ventilation and jet ventilation of high frequency (Miller, pp.1446)

During HFOV high airway and very minute volumes pressure are used to prevent injuries form over distention and repetition reopening and collapse of the atelectrauma (lung). This allows for optimization of exchange of gas and possibly reduces iatrogenic damage. Oscillate trial is a varied Centre RCT where the mature individuals with severe ARDS were indiscriminately attached to HFOV or to convectional strategy: high pressures were used for both groups to keep lung recruitment at its maximum. The basic result was the in hospital death rate from any source.

The oscillatory was brought to a stop after five hundred and forty eight out of the planned one thousand two hundred patients had passed through randomization as the application of HFOV

 

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Hi, I need help with essay on Hemolytic Anemia in G6PD Patients. Paper must be at least 1000 words. Please, no plagiarized work!

As G6PD converts NADP to NADPH which prevents the oxidative damage to the cells but red blood cells depend solely on this pathway to prevent oxidative damage so R.B.Cs are the most commonly and most severely damaged population of cells due to the deficiency of this enzyme.

&nbsp.Mark A. Belsey (1973) explained that the G6PD deficiency has got a sex-linked inheritance. The phenotypic expression of the disease a great degree of variability and the reason being the presence of one euchromatic and one heterochromatic chromosome which is inactive is present in the female heterozygous individual. The pattern of X linked inheritance precludes the possibility that inactive X chromosome was either derived from paternal or the maternal side so the presence of mosaicism is essential in which paternal x in inactive in some cells and maternal X is inactive in others. Mark A. Belsey (1973)

&nbsp.The rigorousness of enzyme deficiency often does not associate well with the clinical severity of genetic diseases. Thus, some G6PD variants linked with rigorous enzyme deficiency, such as Union and Markham, cause no hemolytic problem, while some variants related with less severe deficiency, such as Manchester, Alhambra, and Tripler, cause chronic hemolytic anemia. The kinetic characteristics of these alternative enzymes have not explained the discrepancy. However, assessment of the normal and variant enzymes under pretended physiologic conditions, with the effects of various intermediate metabolites and co-enzymes in red cells being taken into consideration, reveal that the G6PDs from hemolytic variant subjects are strongly inhibited by a physiologic concentration of NADPH because of their high Michaelis constant for NADP or low inhibition constant for NADPH, and they are more sensitive to inhibition by ATP.

 

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Hi, I need help with essay on ‘Hegel argues that the history of civilizations is the history of Reason and rationality permeating mankind’ To what extent is h. Paper must be at least 1000 words. Please, no plagiarized work!

Using Horkheimer and Adorno, it will be argued that human nature cannot be completely subjected, and second, that the elimination of superstition has also brought about the subjugation of nature in general. Therefore, there is a progress of reason, but some important limitations too so it cannot be maintained to have completely permeated humankind. For Hegel, history is the succession of stages of consciousness, and these stages of consciousness culminate in a notion which might be said to be a universality of reason or a notion reflecting wide-scale enlightenment.[Hegel, 1952: 216]. To realize universal reason, is to understand history, and to have therefore, self-understanding. Hegel addresses the nature of history at the end of the Philosophy of Right. Concerning these stages, Hegel identifies ‘four’ main periods. These are the ‘Oriental realm’, ‘the Greek Realm’, ‘the Roman realm’, and finally the ‘Germanic realm’ [Hegel, 1995: 220-223]. Of the first realm, he states that they are both indicative of “natural” and ‘patriarchal’ communities. Further, he identifies these as forms of consciousness where pantheistic views of nature dominate all forms of explanations, and indeed, where history itself is poetry [Hegel, 1952: 222]. While the Greeks eliminate many of the limitations of the irrational that preceded them, they still had “slavery” which he suggests that as being a “compromise” of “freedom”. Slaves, for example, are like Oedipus before he discovered his own identity. In other words, if history is about memory or recollection, and it is about self consciousness or self awareness, then, in this regard we can understand how a society with slaves cannot be a society with universal reason. Slaves are denied the possibility of real self understanding, but by virtue of being enslaved. Reason is essential to freedom [Gallagher, 1997: 128]. The second last stage is the Roman realm which like the Greeks is a divided society. First, he argues that there is equality and private rights, however, the nature of the relations among individuals is both formal and abstract [Hegel, 1952: 221-2]. A division persists between the classes, however, the division in the Roman realm is between those who follow there intuition or senses (superstition), and those who use ‘reason’ and self-understanding as a guiding principle. [Hegel, 1952: 221]. In this sense, Rome had an educated elite, but an un-educated and “superstitious” majority. In the ‘Germanic realm’, reason is reconciled with irrationality. This occurs in a two-fold sense, according to Hegel. First, those who follow passion, belief, sensation or the ‘law of the heart’, become elevated toward the ‘head’, so to speak. Second, ‘reason’ which had been ‘abstracted’ from the senses becomes embodied in this world. There exists a mutual recognition in each others rational capacities, and this mutual recognition entails that ‘universality’ is no longer abstract, but rather, manifest in a community of rational individuals [Pinkard, 2002: 160]. For Horkheimer and Adorno, the progress of reason is also viewed as a product of the Enlightenment, however, the progress is viewed as a means of subjugation rather than emancipation. While the progress of history promises the emancipation of people through enlightenment and reason,

 

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Hi, I need help with essay on Healthcare Communication. Paper must be at least 1000 words. Please, no plagiarized work!

The strategies to enhance healthcare communication take their basis from the basic elements that outline effective communication, encouragement that the provider incorporates and the cultural differences that have a good or bad say within the communication domains. All of these points would be discussed at length within this paper.

Effective communication is always in line with the requirements of communication. This would mean that there are no hiccups experienced at any level and that there would not be difficulties in deciphering the different levels of communication which are coming through across the channels. The effective communication domains therefore look at the wholesome basis more than the individual links and this is the reason why effective communication is hailed by people from varied strata of life. Effective communication will always be able to take care of the healthcare communication tenets because it addresses problems on a one to one level and does not skip any important areas. This is the need of the hour and more so when it is concerned with saving one’s life.

When one understands that how the basic elements of effective communication are bracketed differently than the rules which are outlined by the healthcare communication realms, what transpires is how much following is possible within the latter because effective communication can always be taken up as a role model within the related mix of things (Guo 2009). The need is to understand where the missing link is present and what best mechanism can be employed to make sure that anomalies are at their minimal, and if possible, nil. The difference of the basic elements of effective communication from the most basic ones of healthcare communication, once compared, should always be close to being labeled as negligible because this would in turn be a good omen for the healthcare providers and indeed the patients. Many differences would mean immense

 

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