Advantages And Disadvantages Of Laparoscopy

Advantages And Disadvantages Of Laparoscopy
Laparoscopic surgery is one of the most commonly used modality in surgical technique, being performed 7.5 million surgeries annually worldwide.
It is an alternative technique for carrying out many operations that have traditionally required an open approach. Laparoscopy is a minimally invasive
surgery performed though small incisions. It presents benefits, compared with traditional open surgeries, including shorten recovery times; lower
postoperative morbidity; allow patients to return to work and regular activities faster; and produce better cosmetic results. Laparoscopic procedure
starts with small incisions kept open with trocars. Then, to make room for the surgery to be performed, the abdomen is insufflated with carbon dioxide
gas and a ... Show more content on Helpwriting.net ...
Generally divided into running and interrupted closures. Running sutures have the advantage of speed, since knots need only be tied at two or three
points. And comparing to interrupted sutures, the helical nature of running stitch evenly distributes tension along the entire wound and allows for
superior perfusion. However, if one is insecurely tied, or breaks, the whole incision will not come apart. If tied only tightly enough to approximate the
tissue, but loosely enough to permit adequate perfusion of the fascia within the suture, such sutures can provide a secure closure without necrosis.
There is, however, an inherent tendency to pull forcefully on these sutures as they are being tied. This is unquestionably the reverse of what is best. If
interrupted sutures are not done properly, they can be a greater impediment to a strong closure than a running suture that produces inherently less
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John Bowlby's Attachment Analysis
There is a critical period during infancy known as attachment, the emotional and physiological closeness between an infant and their caregiver, which
facilitates the maturation of the brain systems. Such brain systems are involved in self–regulatory abilities like attention, behavioral and emotions
management, etc. When an infant is unable to control these abilities then they will depend on attentive adults (caregivers), to help regulate their needs.
Researchers, Schore & Schore (2008), explicates the expansion of John Bowlby's Attachment Theory (1969). Ordinarily, Bowlby's Theory, suggests
that as the infant develops cognitively, the extent of attachment will shift with the caregiver's attentiveness to the child's needs. The expansion of
Bowlby's ... Show more content on Helpwriting.net ...
This article utilizes the social work theory, which explains human behavior, and why humans might react to certain stimuli, to validate the presence of
the modern attachment theory. With support from the text, the current energization of modern attachment theory is now being expressed in the
updating and deepening of its underlying theoretical concepts, its increased clinical relevance, and its expanded connections with other disciplines
(e.g., psychoanalysis, neuroscience, psychiatry, traumatology, pediatrics), including clinical social work" (Schore and Schore, 2008). The modern
attachment theory can be utilized as a gateway towards the understanding of the several social work theories such as: the social learning theory, the
psychosocial development theory, the systems theory, and more. Each subset of the the social work theory gives an in–depth explanation of how
infants develop on the social level, which has an impact on how they communicate and convey their emotions to

Best Evidence Based Practice Of Prevention And Management...
Best Evidence Based Practice of Prevention and Management of Pressure Ulcers "Evidence based practice is a process involving the examination
and application of research findings or other reliable evidence that has been integrated with scientific theories" and taking into consideration the
patient's preferences and values (Schmidt & Brown, 2015, p.4). It is constructed from the three components of patient preferences, clinical judgment
or expertise, and the best available evidence (Schmidt & Brown, 2015). Evidence based practice is an important tool to provide the highest quality
of patient care, improve patient outcomes, and reduce patient care costs (Schmidt & Brown, 2015). Pressure ulcers, also known as pressure sores,
bedsores, and decubitus ulcers, result from pressure or shear friction and pressure that cause skin and underlying tissue to breakdown (Pamaiahgari,
2014, p.1). This is commonly seen over bony prominences such as the sacrum or the heel. Pressure ulcers prove to be an issue for the patient and
require the determination of best practice to prevent the pressure ulcer and the complications that can accompany it. Pressure ulcers can be infected,
increase in size, odor, and drainage, have necrotic tissue, be indurated, warm, and painful (Lewis et. al, 2014, p.184). Furthermore, untreated pressure
ulcers can lead to more serious conditions such as cellulitis, chronic infection, sepsis, and possibly death (Lewis et. al, 2014, p.184). Recurrence of
pressure ulcers

Osteoarthritis Experiment
Background: Osteoarthritis is a common and progressive joint disorder. Despite its widespread, in clinical practice only late phases of osteoarthritis
that are characterized by severe joint damage are routinely detected. Since osteoarthritis cannot be cured but relatively well managed, an early diagnosis
and thereby early onset of disease management would lower the burden of osteoarthritis.
Objectives: We evaluated if biophysical parameters of small synovial fluid (SF) samples extracted by single molecule microscopy can be linked to
joint damage.
Study Design & Methods: Single–particle imaging experiments were performed using a custom–built single molecule microscope based on a Zeiss
Axiovert 200 TV equipped with a 100 Г— NA 1.4 oil immersion objective lens. Fluorescence was excited at 532 nm by a diode–pumped solid–state
laser. For single–particle image acquisition, we used the iXon DV–860 BI camera (Andor Technology, Belfast, Northern Ireland) in combination with a
4Г— magnifier and 3x binning yielding a pixel size in the object space of 120 nm. For calculation of all P values, two–tailed Mann–Whitney test was
used. ... Show more content on Helpwriting.net ...
Samples have been taken of patients that underwent surgical procedures such as knee–Arthroscopy and Implantation of knee–Arthroplasty. The patients
of the Arthroscopy cohort have been structured in two different groups. If there was no severe cartilage damage (ICRS–score 2) the patient has been
assigned to Group 2 (w/–JD). In patients that underwent implantation of a knee arthroplasty due to severe osteoarthritis, synovial fluid has been taken
before opening joint capsula by using a

Contemporary Stressors of Adolescence
Contemporary stressors Adolescent stress is an important part of their lives and it is important for it to be monitored regularly in order for them to
feel the benefit of learning important stress management skills. About 39% of the adolescents undergo depression at one point or another and they
seem to handle their problems in a way that is constructive. This stress and depression ranges from mild to severe with the young people often relying
on negative or passive behaviors in their attempts to deal effectively with their problems. Stress is usually characterized by frustration, sadness, worry,
tension and withdrawal. There are many reasons that lead to stress in adolescents and younger people. Various studies have been conducted to
determine the causes of stress among adolescents. The A study that was conducted in the state of Minnesota provided information about the prevalence
of stress and depression in adolescents. It was found that one of the stressful events in the adolescents' lives is school work. This is concurrent with the
results of a study on stress and coping which was conducted among adolescents in East Baltimore and it was found that school work is the most
significant stressor. The second most important stressor in the lives of adolescents is parents and the third is romantic relationships. The fourth most
important stressor is friends' problems. The fifth most important stressor is younger siblings. In the study of Minnesota adolescents, it was found

Mental Health Implications Of Fire Service Membership
Troy Matthews PSY 101 Lab Section #5 Spring 2016 Wagner, S. L., Mcfee, J. A., & Martin, C. A. (2010). Mental health implications of fire service
membership. Traumatology, 16(2), 26–32. doi:10.1177/1534765610362803 Introduction The Fire Service has been around a long time. It is well
known that Firemen work long hours and are constantly put in stressful situations (i.e. fire suppression, medical aids, crash rescue) as a part of
their daily job. Frequent exposure to these stressful events puts Firefighters at an increased risk of posttraumatic symptomology (Wagner, Mcfee, &
Martin, 2010, p. 26). The primary purpose of this study was to add to previous research done by Brown, Mulhern, & Joseph, 2002; Corneil, Beaton,
Murphy, Johnson, & pike, 1999; Emmons & Diener, 1986; and Haslam & Mallon, 2003, but also to address some discrepancies they had with
sampling bias in previous research (e.g., Corneil et al., 1999) (Wagner et al.,2010). All of the previous studies found that Firefighters were at greater
risk of getting PTSD and used similar methods in regards to acquiring their data (Wagner et al., 2010). According to Wagner et al., 2010, they
hypothesized three things: First they hypothesized that Firefighters would report greater levels of PTSD symptoms than the non–emergency service
group, second they believed that Firefighters would report higher levels of other mental heath issues than the non– emergency service group, and lastly
they believed that there was a correlation

Sample Resume : ' Type II Slap Lesions '
Type II SLAP LESIONS
Alia Scriven
Coppin State University
KNES 427– Therapeutic Athletic Exercise
September 30, 2016 Introduction
Russell Carrington is a 25 year old right handed relief pitcher for the MLB team the Baltimore Orioles. Carrington has been playing baseball since he
was seven years old and this was his third season in the Major Leagues. Carrington was at the mound and in the motion of throwing a fastball, when
he felt a "pop" in his overhand motion. He dropped to his knees and clinched his right shoulder in pain. Athletic trainers came onto the field an upon
examination Carrington stated his arm felt like it was "dead" and felt like it was "catching". Carrington was seen by the team physician. She performed
ROM exercises, strength, and stability tests on his shoulder and examined his neck and head to ensure pain wasn't coming from a pinched nerve. She
concluded that further testing and imaging was necessary. Carrington had an X–ray and MRI done on his shoulder and he was diagnosed with a type II
SLAP (Superior Labrum Anterior and Posterior) lesion. He didn't want surgery done because he would miss the remainder of the season and possibly
the next, so doctors prescribed non–steroid anti–inflammatory medication and five months physical therapy to strengthen the shoulder capsule. After
completion of physical therapy, the pain didn't improve and arthroscopy surgery was recommended.
Anatomy
Superior labral anterior posterior (SLAP) tears are a normal cause of

Bone Marrow
Bone marrow is a soft, spongy tissue responsible for producing blood cells. It contains stem cells, which have the ability to create other diverse
types of cells, either the bone marrow or any other type of blood cell. Some types of cancer and other diseases prevent stem cells from developing
normally. If they are not normal, they will not be able to produce any blood cells. Stem cell treatments are a highly effective alternative to treat diseases
related to bone damage or deterioration.
It is of great importance for this research to cite the example of treatment of osteoarthritis of the knee with stem cells. Faced with this issue, the
regenerative therapy institute says:
"Osteoarthritis is a disease that causes progressive degeneration of ... Show more content on Helpwriting.net ...
If proven to be safe and effective in humans, this method that mixes stem cell therapy and genetic therapies could replace the graft as a way to treat
broken bones. "We are at the beginning of a revolution in orthopedics," says Dan Gazit, co–director of the Skeletal Regeneration and Cell Therapy
Program at the Department of Surgery and the Board of Governors of the Cedars–Sinai Institute of Regenerative Medicine. "We are combining an
engineering approach with a biological approach to advancing regenerative engineering, which we believe is the future of medicine," adds

Chiropractic Care Practice Essay
"Valentine has you back." While Dr. Louis Valentine's motto is certainly appropriate for his respected chiropractic care practice, it's perhaps a little
too simple for a practice offering such comprehensive neck and back pain relief. This Cincinnati doctor of chiropractic has been called "The
Chiropractor the MD's Trust," high praise given with good reason. Every chiropractic adjustment you receive in Dr. Valentine's office backed by over
20 years of experience, extensive firsthand research into chiropractic care, an impeccable scientific understand of the body, and genuine care for clients.
His expertise is widely recognized, and his earned him the highest certification in Whiplash Biomechanics and Traumatology, an honor conferred by the
Spine ... Show more content on Helpwriting.net ...
As time goes on, misaligned bones cause compensations throughout the area, straining and tensing muscles and causing you pain. Chiropractic
adjustment helps put the spine back in its ideal alignment. Not only does this allow greater mobility and range of motion in the moment, it has a ripple
affect throughout the area, reducing pain by helping the body work at its best.
Comprehensive Care
Chiropractic care goes beyond adjustments. Chiropractors think holistically and individualistically, creating personalized care programs for each
patient. They'll work with you to create a healing program that draws on multiple modalities, including massage, physical therapy, and, in many cases,
the support of your physician.
Healthy Habits
The comprehensive care plans chiropractors use to treat neck pain go beyond providing relief in the moment. Focused on longterm health and healing,
chiropractors focus on helping foster habits that not only offer neck and back pain relief but also prevent pain from resurfacing. They'll help you see
use patterns that may contribute to future pain, and use chiropractic adjustment to re–teach the body how to move as the well–oiled machine it's
designed to

Family Dysfunction: Breaking The Cycle Of Family
Every family has their own individual problems that they deal with; no family is perfect. Children go through abuse, witness their parents abuse alcohol
and drugs, and experience abandonment causing them not to feel loved. Unfortunately for the child, experiencing these things puts them more at risk
for repeating the cycle, and going down the same path that their parents did. The focus of this literature review is to determine how the cycle of family
dysfunction can be broken. As I searched for supporting articles the articles that stuck out to me were the ones that dealt with the causes of family
dysfunction and the ways to help break the cycle of family dysfunction.
The problem of family dysfunction and how to break the cycle is definitely ... Show more content on Helpwriting.net ...
"Primary Prevention of Parenting Dysfunction in High–risk Cases." Am.J.Orthopsychiatry 63.4 (1993): 582–88. Web.
Kupenda, Angela M. "The State as Batterer: Learning from Family Law to Address America's Family–like Racial Dysfunction." University of Florida
Journal of Law & Public Policy, 20.1 (2009): 33–64. Web.
This article discusses specifically child abuse that leads to generational abuse. It says "Studies have shown over and over again that children who grow
up being violently beaten by their caregivers repeat the abusive behavior toward their own children".
Sanford, Tim. "8 Steps to Break a Cycle of Family Dysfunction." 8 Steps to Break a Cycle of Family Dysfunction. N.p., 9 May 2014. Web. 22 Mar.
2015.
This article provides eight ways to be able to help break family dysfunction. It gives out specific statistics from different studies such as "Boys who
witness domestic violence in their own home are three times more likely to become batterers" and "One's dysfunctional personal behavior becomes a
model or example to the next generation, and the cycle can be repeated over and over again". These statistics are meant to make the readers more
aware that what parents do directly affects and trickles down to the

Patient Cohort With Acute Fracture Diagnosed
Results
There were 216 (44.4%) patients in our 486 patient cohort with acute fracture diagnosed on maxillofacial CT. Of those with facial fracture, 164
(75.9%) were male, and the average age was 42.5 years (range: 18–90). Table 1 demonstrates the most prevalent injury mechanisms for those with
facial fracture. Orbital fractures were most common, seen in 115 (53.2%) patients with facial fractures, followed by maxillary and nasal bone fractures
(Table 2). Injury Severity Score (ISS) was recorded for 411 (84.7%) patients.
ISS was noted to be в‰Ґ 16, indicating severe trauma, for 206 patients (41.5% of the total cohort; 50.1% of those for whom ISS was recorded).
Consultations from the head and neck surgical services (neurosurgery, ... Show more content on Helpwriting.net ...
Intensive care unit (ICU) admission was needed for 63.0% of patients with facial fracture. Those patients spent an average of 7.3 days spent in the ICU.
In contrast,
78.9% of those without facial fracture spent at least one night in the hospital, and those patients averaged 6.6 days total length of stay. ICU care was
needed for only 30.4% of patients without fracture, and those patients spent an average of 6.3 days in the ICU.
Overall, 92.1% of patients with facial fractures survived to discharge compared to
95.6% of those without fractures (p = 0.1258). Of those with facial fractures who survived to discharge, 61.3% were discharged to home, while 38.7%
were discharged to an inpatient rehabilitation facility. In contrast, only 19.4% of survivors without facial fractures were sent for further inpatient care.
Thirty–eight (17.6%) patients with facial fracture underwent open fracture repair as inpatients. An additional 20 (9.3%) patients had closed reduction
of a fracture or dislocation while hospitalized. Although data pertaining to clinical follow–up was limited
10
by the retrospective nature of our study, the electronic medical record revealed another
10 (4.6%) patients with facial fracture that required operative management after discharge. Seatbelt use was felt to be determined conclusively in 222
(89.9%) of the 247 patients who presented

The Wounding Aurora By Sarah Waters Essay
The Wounding Aurora Sarah Waters' Affinity uses the identity, Aurora, to represent a wound for the main character, Margaret Prior. The identity of
Aurora haunts Margaret through its representation of her past relationship with her former lover Helen; Aurora's the nickname Helen had for Margaret
during their relationship (Waters 114). Therefore, Margaret's haunted by the person she used to resemble in her relationship with Helen effectively
named Aurora; a person she desperately wants to become again. Essentially, Margaret's haunted by a ghost of herself in the form of an identity.
Throughout the book, Margaret's actions are either a result of trying to heal the wound of Aurora or out of a desire to become Aurora again; her whole
existence is based around an identity of a past relationship. Therefore, Margaret subjects herself to the identity of Aurora. The identity of Aurora first
presents itself when Selina asks Margaret to "give me a secret name, a name that has, not the worst of you, but the best..." (Waters 114). Margaret
answers Aurora conveying Margaret's belief of Aurora being the best version of herself. Margaret's belief is conveyed further through her "flinching"
(114) at Selina writing the name Margaret reflecting her own discomfort with the identity of Margaret. Therefore, Margaret rejects the identity of
Margaret in favor of the identity of Aurora. Moreover, Margaret's flinching conveys the Bennett & Royle concept of: "Writing can inflict wounds" (129)
through

Pros And Disadvantages Of The Military Doctor In Spain
MILITARY DOCTOR
This essay is about the military doctors in Spain. The description of this system, of their tasks during their life, the training involved in becoming one,
as well as the advantages and disadvantages of this profession.
Military Medicine consists of a medical system paralleling the civilian one, in which there exist all the medical specialties but oriented towards the
practice of health care for military service members.
A military doctor practices the diagnosis, treatment and prevention of diseases, restoring healthfulness through health care practices in the environment
of Military Medicine. This type of doctors are people qualified to perform health care in dangerous and deficient environments. Someone who attends
the ... Show more content on Helpwriting.net ...
In a study made by the NCBI it shows that PTSD has profound psycho–emotional and physiopathological outcomes, which can impair the person daily
life.
And lastly, the most claimed problem between the military is not being able to choose where to live, military are compelled to go wherever they are
destined. This can complicate things in terms of forming a family, buying a house and in general, settle somewhere fixed.
In conclusion, being a military doctor is multidisciplinary job. It carries all the difficulties of being in the military, the dangers, the discipline, the
commitment, but also all the benefits from helping people, experimenting life changing things and making a difference. This profession is not
extremely usual, since there are only around six hundred military doctors in Spain, the aim of this essay is to encourage people to consider this option
given that the medical career has become so popular among young–adults in this few last

Research Paper On Hallaux Valgus Surgery
References [1] Thomas, N., Joseph, M.D. and Kenneth, J.M. (2007) Decision Making in the Treatment of Hallux Valgus. Bulletin of the NYU Hospital
for Joint Diseases, 65, 19–23. [2] Sandro, G., Francesco, C., Berto, B. and Francesca, V. (2003) Hallux Valgus Surgery: The Minimally Invasive
Bunion Correction (SERI). Techniques inFoot and Ankle Surgery, 2, 11–12. [3] Roddy, E., Zhang, W. and Doherty, M. (2008) Prevalence and
Associations of Hallux Valgus in a Primary Care Population. Arthritis Care & Research, 59, 857–862. http://dx.doi.org/10.1002/art.23709 [4]
Leemrijse, T., Valtin, B. and Besse, J.L. (2007) Hallux Valgus Surgery in 2005. Conventional, Mini
–Invasive or Percutaneous Surgery? Uni– or
Bilateral? Hospitalization or One–Day Surgery? ... Show more content on Helpwriting.net ...
and Knahr, K. (2004) Chevron Osteotomy in Hallux Valgus. Ten
–Year Results of 112 Cases. The Journal of Bone & Joint Surgery (Br), 86, 1016–1020
http://dx.doi.org/10.1302/0301–620X.86B7.15108 [13] Yamamoto, K., Imakiire, A., Katori, Y. and Koizumi, R. (2005) Clinical Results of Modified
Mitchell's Osteotomy for Hallux Valgus Augmented with Oblique Lesser Metatarsal Osteotomy. Journal of Orthopaedic Surgery (Hong Kong), 13,
245–252. [14] Valles–Figueroa, J.F., RodrГguez–ResГ©ndiz, F., Caleti–del Mazo, E., Malacara–Becerra, M. and SuГЎrez–Ahedo, C.E. (2010)
Percutaneous Distal Metatarsal Osteotomy for the Correction of Hallux Valgus. Acta OrtopГ©dica Mexicana, 24, 385–389. [15] BГ¶sch, P.,
Markowski, H. and Rannicher, V. (1990) Technique and Initial Results of Subcutaneous Distal Metatarsal Osteotomy. OrthopГ¤dische Praxis, 26,
51–56. [16] Magnan, B., PezzГЁ, L., Rossi, N. and Bartolozzi, P. (2005) Percutaneous Distal Metatarsal Osteotomy for Correction of Hallux Valgus.
The Journal of Bone & Joint Surgery (Am), 87, 1191–1199. http://dx.doi.org/10.2106/jbjs.d.02280 [17] Kadakia, A.R. Smerek, J.P. and Myerson, M.S.
(2007) Radiographic Results after Percutaneous Distal Metatarsal Osteotomy for Correction of Hallux Valgus Deformity. Foot & Ankle International,
28, 355–360. http://dx.doi.org/10.3113/FAI.2007.0355 [18] DГaz–FernГЎndez, R. (2015) Treatment of Moderate and Severe Hallux Valgus by
Performing Percutaneous Double Osteotomy of the

Learning Experience From Reflection On Administering
LEARNING EXPERIENCE FROM REFLECTION ON ADMINISTERING INTRAMUSCULAR INJECTIONS NURSING ESSAY. This is a
reflective essay based on my experience whilst during the clinical placement, using Gibb's template. My aim of this essay is to reflect on my
learning outcomes: Pressure sore care and management; PEG feeding which is an alternative way to provide nutrition to a patient who is not able
to obtain nutrition through the mouth and administration of a subcutaneous injection. To reflect on my learning process, I am going to apply
Gibb's reflective model, which is a renowned model in reflective practice. This model requires passing through six stages to complete one
reflective cycle. These six stages are description , feelings, analysis, evaluation , conclusion and action plan and I am going to explore in these six
steps how I achieved my learning outcome. DESCRIPTION: The first stage of Gibb's reflective model (1988) I will describe the events which
inspired me to get competent. My placement area was a nursing home setting where almost all service users are old age people. However, one
particular service user named Mrs. N to maintain her confidentiality (NMC 2008). She is an 86 yrs old bedridden suffering from chronic renal
failure, stroke and pressure sore. She is on PEG feed and Injection Clexane (OD). She had a big, black and hard wound on her right hip. The skin was
intact but it was extremely discolored. According to EPUAP (European

Examples Of Vicarious Traumatization
Personal Reflection Paper As this writer writes this paper, the thought that is pondered is whether this writer has ever experienced invidious
comparison or vicarious traumatization. Invidious comparison is when someone compares themselves to others by sex, race, religion, or class. This
can cause depression and stress, and also make a person feel less about themselves and the individual(s) they are comparing themselves to (University
of Phoenix, 2014). People may not readily admit it, but this writer believes that at one point or another in everyone's life, they secretly compare
themselves to someone else. The comparison is never with someone who they feel is less than they are or has less than they do. That would be called
being prideful... Show more content on Helpwriting.net ...
This writer has worked at a nonprofit helping people learn how to read through tutoring, teaching computer classes to those who were digitally divided,
and helping prepare students to take the GED test. This writer has not worked with any clients in the capacity of learning if they were victimized or
traumatized so far. This writer expects to eventually work with these types of clients in the future. Avoiding or preventing the effects of vicarious
traumatization consists of a three–level strategic approach physically, socially, and psychologically. The primary level of prevention is where the
underlying social cause is identified (Harrison & Westwood, 2009). The second level of preventing vicarious traumatization is using risk–reducing
activities, and the third level of prevention involves care in the aftermath of crisis (Harrison & Westwood, 2009). The strategies listed above can and
will definitely contribute to helping me or any counselor/worker to avoid vicarious

What Is Functional Neurosurgery?
Have you ever thought about the complex disorders that neurosurgeons work with everyday? Well, the neurosurgery specialty is one of the many
specialties in the medical department. Neurosurgery is a product of modern surgery where they have developed new technologies that make the
medical field. There are many subspecialties of neurosurgeries. One of them is Paediatric neurosurgery which patients are children; another is
Functional neurosurgery. Traumatology and Skull basesurgery are also a subspecialties of Neurological surgery. The Peripheral Nerve subspecialty is
studied by neurosurgeons. Neuro–oncology and neuromuscular surgery are subspecialties of neurosurgery. The world would be left with more death by
brain trauma if there was no field ... Show more content on Helpwriting.net ...
Neuromuscular conditions include issues involving nerves and muscle. Amyotrophic Lateral Sclerosis is a disease in which degeneration of the motor
cells happens. The muscles begin to deteriorate which causes muscle weakness. This disease doesn't weaken a person's intellect, eyesight, hearing, taste,
the ability to smell, and touch. Myasthenia gravis is a chronic disease in which antibodies destroy the nerves and muscle connections. This is the
starting point to communication problems between the nerves and the muscles which results in weakening of the skeletal

Post Traumatic Stress Disorder ( Ptsd ) Essay
Post–Traumatic Stress Disorder Post–traumatic stress disorder or PTSD is the name more commonly referred to as is a disorder that happens to
someone who encounters a traumatizing event in their life that replays over and over in their head. This causes issues with them being able to
function in their daily lives. Typically, when you hear PTSD you normally think of war hero's or veterans who have seen people die, and killed
people. This is where people are wrong, notice how I said an event that happens to someone that is traumatizing. This disorder is not specified to one
group of people, and everyone perceives trauma in a different way. PTSD has been effecting children for some time now, and it stems from severe
trauma or a threat that consume a person's emotional, social, and biological abilities. This does not mean that a person will have symptoms
immediately after the trauma, but that it can be anytime throughout a person's lifetime. There are many different variations for the cause of PTSD in
children and the numbers have been increasing over the years with the diagnosis of these children. PTSD can be developed during childhood due to
abuse–specific fears, and idiosyncratic fears related to specific events of abuse (Mash, 2016). There are other factors that come into play with PTSD in
children as well such as, the severity of the trauma and how this trauma effect the child along with the family characteristics. Although there is not an
alarming rate of PTSD in

Pressure Ulcer Prevention Essay
Pressure Ulcer Prevention in the Acute Care Setting Pressure ulcers are localized wounds to the skin that are also known as decubitus ulcers, or are
known by the colloquial term "bed sores." They are common occurrences in healthcare that result from injuries to the skin and the tissues beneath it
when the patient remains in one position for long periods of time. Pressure ulcers are typically located over an area with a bony prominence that then
causes pressure on the skin. Pressure ulcers are especially common in individuals in extended care facilities, but can occur even in an acute setting.
Pressure ulcers, in fact, can develop in just 24 hours, although they may not be apparent to healthcare providers until up to 7 days later (Truong,
Grigson, Patel, & Liu, 2016). For immobile or relatively immobile patients, pressure ulcers are one of the most serious problems that can occur,
because they can result in infections or other complications, and decrease the quality of life. As an example, a prospective cohort study conducted in
Brazil found that pressure ulcers could harbor multi–drug resistant bacteria that conferred a mortality rate of 100 percent (Braga, Brito, Filho, Filho, &
Ribas, 2016) and that were able to spread to other patients in the form of infected pressure ulcers or other hospital–acquired infections. The subject...
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Pressure ulcers occur in hospital and nursing care settings around the world, and Chaboyer et al. (2016) find that hospital–acquired pressure ulcer
prevalence in the UK, Sweden, Belgium, and Australia is approximately 15%. In 2007, recognizing that hospital–acquired pressure ulcers are an
indicator of the quality of nursing care, the Medicare and Medicaid Services of the United States stopped all reimbursement of facilities for these
claims (Cene et al.,

Diseases and Medicinal Treatments of the Tang Dynasty in...
Diseases and their treatments changed and shaped the modern world. The Tang Dynasty of Ancient China had great value to the medicinal fields and
led the way for medical technology and advancements that are used today by standardizing the supreme methods, procedures, and treatments during
this time period; therefore, they made it less complicated for people to learn and teach how to practice medicine. Areas of medicine that were greatly
improved and exceptionally recorded during the Tang Dynasty were symptomatology, etiology, surgery, orthopedics, and traumatology.
Chao Yuanfang, an imperial court physician of theSui Dynasty (the dynasty that came before the Tang), compiled Treatise on Causes and Symptoms of
Diseases and started the ... Show more content on Helpwriting.net ...
Surgery has come a long way since the Tang Dynasty. Nowaday, surgeons use better sterilization techniques and methods to treat the ill. The records
from the Tang Dynasty paved the way so the surgeons could be successful in treating people today.
When surgery is too inept to restore the patient to full health, orthopedics and traumatology combined could. A fusion of the two is surgery and
therapy afterwards. The Confucius Institute Network (2009) has discovered the book: Xian Shou Li Shang Xu Duan Mi Fang (Secrets of Treating
Wounds and Rejoining Fractures Handed Down by a Fairy), written by a Taoist priest surnamed Lin of the Tang Dynasty (618
–907), is the earliest
existing monograph on orthopedics and traumatology in China. This piece of literature describes position, exercise, and medication as the optimum
methods for the treatment of fractures. Especially, the method of using small splints to immobilize a local area. Another crucial idea from Xian Shou
Li Shang Xu Duan Mi Fang was the therapeutic idea of integrating the splint–induced immobilization and exercise. This became the therapeutic
principle for treating fractures and is still used today.
In Chao Yuanfang's Zhu Bing Yuan Hou Lun (Treatise on Causes and Symptoms of Diseases), there had been more than 130 kinds of skin diseases
and some rarely seen diseases recorded. Records of these diseases and their treatments

Multiple Sclerosis Personal Statement
As a senior this year, I am looking forward to several endeavors, such as leading my team in my last year of cheerleading, participating in a Senior
Engineering Design Project, and continuing to volunteer with VSVS, a program that allows Vanderbilt student to teach science lessons in local
elementary schools. Moreover, I spent this past summer working on my research at the Vanderbilt Institute of Imaging Science and will continue my
projects throughout the school year. I am excitingly close to finishing the project I have been working on that involves a magnetic resonance imaging
study of patients with multiple sclerosis. We have employed quantitative magnetization transfer techniques at 7–Tesla field strength to obtain indices
reflective ... Show more content on Helpwriting.net ...
These topics and my interactions with clinicians in our lab have driven my interest for pursuing the specific area of orthopedics. From back injuries,
Tommy John surgeries, broken feet, and a prosthetic leg, my family has also had a lot of experience on the patient side of this specialty. The chance to
rehabilitate athletes, such as my loved ones, is appealing, but I know that these injuries are not exclusive to this population, and my true passion lies in
the opportunity to rehabilitate individuals in underserved populations. My time in Guatemala and Nicaragua has really grown my heart for people
living in the impoverished countries of Central America. My first mission trip there largely contributed to my passions for becoming a doctor and since
high school, my career goals have been aimed at building the skills necessary to serve those communities. Eventually, I would love to be able to marry
my interests in global health and orthopedics, and incorporate my biomedical engineering background, to contribute to research aimed at optimizing
care and medical technologies in low–resource settings. As the leader in global orthopedic initiatives, UCSF and the prospect of working with the
Institute for Global Orthopedics and Traumatology stand out

Essay on Evidence-Based Practice
Part A
Think about your specific practice setting. Based on your new knowledge of evidence–based practice, pick one unit procedure in your work place and
explore whether it is based on research evidence or not. Discuss what you think would be needed to make the procedure more in line with best
practice in the area or what was done to ensure that it was based on best practice.
At Fremont–Rideout the big issue was pressure ulcers, every month all the patients in the hospital had to be assessed for them. Anything that was a
stage 3 or above had to reported to AHS. According to Chaves, Grypdonck, & Defloor (2010, p. 563), evidenced–based protocols are specific to the
organization, and are used to help improve patient outcomes. In 2009 the ... Show more content on Helpwriting.net ...
The wound care team is able to correspond with the physicians, and recommend and write order in accordance to the best treat for each individual
patient's issues with pressure ulcer. Therefore they are constantly using and teaching the nurses and physicians better ways to prevent and treat pressure
ulcers.
Part B
Discuss what this statement means to you: "The key to transitioning evidence to practice is to reframe thinking about organizational culture, knowledge
about research, attitudes about research, and skill in using research."
This means that taking on a positive attitude during any situation or when faced with a set of circumstances, in other words you're taking the same
situation and same set of circumstances and giving those details a meaning. By doing this you can approach the situation with new possibilities, which
gives new actions that you can take into that response. By seeing things in a variety of ways it helps you to build a range of understanding and you
don't become so narrow minded. Also, by taking this type of an attitude toward the various situations it will help you to become a better leader/manager
ANALYSIS/FOLLOW–UP FOR PARTS I & II
In exercise 1 the qualities of leadership I ranked myself most of the time in the overflowing category. I believe that I have these qualities since I have
almost 9 years of experience on med/surg floor, surgical floor,

Childhood Is An Exceptional And Progressive Time Of...
Childhood is an exceptional and progressive time of physical, behavioral, cognitive, and emotional development (Cozolino, 2010). The brain and its
biological stress system are genetically programmed and influenced by early experience. Trauma has developmental consequences on children.
Developmental traumatology research is "systemic investigation of the psychiatric and psychobiological impact of the overwhelming and chronic
interpersonal violence on the developing child" (De Bellis, 2001, p. 539). It combines frameworks from developmental psychopathology,
developmental neuroscience, and stress and trauma research (De Bellis, 2001). Child maltreatment experiences can be defined as neglect, physical
abuse, sexual abuse, and witnessing of domestic violence or community violence and these may be the most common causes of interpersonal traumas in
children and adolescence (De Bellis, 2001).
Child abuse experiences may cause delays or deficits in a child's ability to achieve age appropriate behavioral, cognitive, and emotional regulation
(Cozolino, 2010). When the child caregiver relationship is the source of the trauma the attachment relationship is severely compromised as 80% of
maltreated children develop insecure or avoidant attachment patterns (Smith, 2012). Consequences of a disrupted attachment include impairments in
bio–psychosocial competencies including increased susceptibility to stress and difficulty focusing attention; inability to regulate emotions and
behaviors can

An Evaluation Of A Nursing Nurse At A Surgical Ward
DESCRIPTION
During the first week of our new nurses in a surgical ward, I was supervising one of the supernumerary nurses. We were looking after for a thirty–nine
year old woman, Ms LC, who had undergone a laparoscopy peritonectomy. We had to start her on a negative pressure wound therapy dressing or
NPWT. The wound clinical nurse consultant and the doctors during their ward round suggested it, since this would allow the fast healing of her wound.
I showed the supernumerary nurse the proper way of preparing for an NPWT using a non–touch sterile technique, and slowly cleaned the surrounding
skin prior to the application of the pressure dressing. Since, it was the first time of the mentee to perform a pressure dressing. I have provided my
mentee the principles of wound management, so that it will reinforce the knowledge of the supervised nurse and skills, on the management of an
NPWT wound. I also provided the mentee the protocols and wound management chart to take note of the type of solutions to be used in managing a
surgical wound.
FEELINGS
During the procedure it gave me an opportunity to share my knowledge about the proper management of a surgical wound. I felt relieved knowing
that I was able to develop the skills of my mentee in the aspect of wound care and knowing that the patient was also involved in the process of the
care. According to Lewin (1939) that the type of leadership style I am practicing was more on democratic leaders, where I offered guidance to

Dr. Steve Claes: Orthopedic Sports Medicine
Dr. Steven Claes was born in Leuven, Belgium on May 5th, 1981 making him 36 years old. He is an orthopedic surgeon with specializations in the
knee and sports injuries. Dr. Claes studied at the University of Leuven in Belgium where he currently lives and works. There he received his Md
PhD. He has his doctorate for biomedical sciences. He is currently employed at AZ Herentals and has been working there since December of 2013.
Dr. Claes has received multiple awards associated with his job. He was the winner of the Biennial John Joyce award at the 9th Biennial International
Society of arthroscopy knee surgery and orthopedic sports medicine. He is also the winner for the best paper in ligaments and biomechanics at the 16th
European Society for sports ... Show more content on Helpwriting.net ...
Steven Claes is known to have discovered a new ligament in our knee that could supply us with explanations to many unanswered questions. First, what
is a ligament? Ligaments are bundles of connective tissue that connect one bone to an adjacent bone, or from one bone to a bone next to it. These
ligaments are crucial in preventing unwanted and damaging movements such as . They are also important in maintaining stability of the joint while it
is in motion. The ALL or anterolateral ligament, is a newly found ligament located in the knee joint. It is located towards the front of the knee and is
known to be an important restraint of internal tibia rotation. This ligament is situated at the prominence of the lateral femoral epicondyle slightly
anterior to the origin of the lateral collateral ligament, also known as the LCL. It has firm attachments to the lateral meniscus enveloping the inferior
lateral geniculate artery and veins. This ligament connects the .. scientific name or in other terms, the thigh bone to the shin bone. Due to the location
of this ligament, researches believe it keeps the knee from an unwanted inward motion. The anterolateral ligament is said to have an effect on the
rotational

Back Pain Analysis
Dr. Sergio Cortes shares advice about back pain onSergio Cortes Oficial.The article discussed the growing concern over back pain. Back pain is a
consequence of modern day life. People spend the majority of their day sitting behind a desk. The average person just does not get enough
exercise. Lack of exercise, poor posture, and sitting in the wrong type of chair are the reason for the increase in back pain. Lack of Knowledge The
reason for the increase in back pain cases is due to the lack of knowledge. The fact is that people simply do not realize that their poor posture is
leading to developing pain in the area. Often, they do not take the problem seriously. Lack of knowledge and avoiding immediate treatment leads to
chronic back pain problems.

Trauma Report
I am in year 33 of treating people who suffer the effects of trauma. In the beginning, I was terrified as I sat across from these survivors who put their
hope and trust in me to help them navigate through the dark tunnel of traumatic stress. I was afraid that I would not be able to help them, or worse,
that I would cause them harm. As a result of this fear, I became a very cautious therapist. With my anxious and overly cautious approach, I can see
clearly now how I was actually causing harm and thwarting treatment–although I would have vehemently argued this 20 years ago. My anxiety had its
upside though, as it compelled me to accrue more and more training. By the mid–90s, I had become trained in every known treatment, the whole
"alphabet soup" of protocols, which had shown efficacy and/or effectiveness in treating traumatic stress.... Show more content on Helpwriting.net ...
Lou is a genius in working with traumatic stress. He turned Pierre Janet's work of the 1880's into a comprehensive treatment model for effectively
treating trauma and dissociation. I was able to assist in some of the research that demonstrated the effectiveness of this treatment. Lou taught me two
very important ingredients in successfully treating trauma: the value of narrative and a fearless approach of the client's traumatic

Traumatology And Developmental Psychology
Research in this field has originated in two fields of traumatology (looking at adults) and developmental psychology (looking at children and youth).
Early researches with adults mainly focused on identifying what led some individuals to avoid traumatic stress whereas in developmental psychology,
researchers aimed to identify personal qualities, as self–esteem, differentiating children who had adapted positively to socioeconomic nuisance, abuse
or neglect and tragic life events, from children showing comparatively poorer outcomes (Luthar, Cicchetti and Becker, 2000). However, the root of
research in resilience shows some limitations to the early approaches. Psychologists (1980s) began to examine other types of factors associated with an
absence

Resilience In Military Spouses
In a qualitative research article titled, "Resilience and Knowledge of PTSD Symptoms in Military Spouses. Awareness of posttraumatic stress
disorder (PTSD) extends the criteria for a diagnosis increase, additional cases are being disclosed among U.S. military veterans. Since the attack on
September 11th on the World Trade Center, Pentagon, and Flight 93 in Pennsylvania, more than two million troops have been deployed in Operation
Enduring Freedom (OEF) and Operation Iraqi Freedom. Included in the two million troops, it is roughly calculated that over 800,000 troops have seen
the battlefield at least two times if not more throughout the years which they have served time of service. From results of many conflicts being fought
by the United... Show more content on Helpwriting.net ...
L., Connors, R. A., & Agazio, J. G. (2011).Stress, Coping, and Well–Being in Military Spouses During Deployment Separation. Western Journal of
Nursing Research, 33(2), 247–267.
Zwanziger, T., Anderson, C., Lewis, J.,Ferrira, R., & Figley, C. (2016). Resilience and Knowledge of PTSD Symptoms in Military Spouses.
Traumatology, 23(1),

Due Process Model
Suicide is known as one of the leading cause of death in the United States. This topic affects people of all ages, demographics, gender, and social
economic status every day. Police officers have one of the most dangerous and stressful job in the world because they are chasing perpetrators and
seeing unexpected disturbing things. In addition, these life events sometimes lead to physical, emotional, and psychological issues.
The symptoms that have been studied in police officers include poor job performance, increased accidents, sleep disturbances, marital discord, domestic
violence, post–traumatic stress disorder, depression, suicide, alcohol and other drug abuse, ulcers and other digestive disorders, respiratory ailments,
and cardiovascular disease (Cole & Gertz, 2002, p. 216). In the book, chapter twelve talks about the impact that the attack of September 11, 2001 had
on police officers ... Show more content on Helpwriting.net ...
For example, crime control deals with preventing crimes from happening and due process protect the citizen's rights. Also, crime control and due
process are in society and civilians best interest. The common ground is so important because it helps us understand and differentiate the two and we
agree on the same thing.
The practices of our current criminal justice process falls somewhere in the middle of the spectrum. I don't think this is the best place to be because
there's a lot of problems and crimes that are still unsolved.
Two of the disasters that has caused law enforcement officers to experience stress the September 11 incident and hurricane Katrina. These stresses
were amplified because a lot of police officers lost their jobs, their family and some even committed suicide because of these events.
I think the COP–2–Cop and counseling are great crisis intervention strategy to help law enforcement officers and first responders recover from
extremely stressful

The Epidemiology, Treatment And Rehabilitation Of An...
The Epidemiology, Treatment and Rehabilitation of an Anterior Cruciate Ligament Rupture
Introduction The Anterior Cruciate Ligament (ACL) is the most commonly injured ligament in the body (Spindler, 2008). Griffin (2005) estimated that
around 80 000 to more than 250 000 ACL injuries occur each year. Ananterior cruciate ligament rupture (ACLR) can be a devastating injury to an
athlete, as they encounter the possibility of reconstructive surgery alongside extensive months of rehabilitation. Also many athletes are unable to return
to their former level of athletic performance within the first postoperative year, with many athletes unable to return to play at all (Panariello, 2015).
Epidemiology An ACLR can be caused by many mechanisms with 70% being reported with a noncontact nature and 30% reported with the
involvement of contact from an outside force such as an opposing player. Of the non contact mechanisms, common movements involved in an ACLR
include cutting movements, landing from a jump with inadequate hip and knee flexion close to full extension (Silvers & Mandelbaum, 2011). Female
athletes are at a greater risk of ACL injuries when compared to their male counter parts, with a two–to tenfold higher incidence rate (Silvers,
Mandelbaum, 2011). Females are predisposed to ACL injuries due to intrinsic factors. Compared to males, females have a smaller ACL cross sectional
area as well increased quadriceps angle (Sutton, Bullock & Montgomery, 2013). However, although

Nursing Nurse And Skills On The Management Of Wound
Description
During the first week of our new nurses in a surgical ward, I was supervising one of the supernumerary nurses. We were looking after a thirty–nine year
old woman, Ms LC, who had undergone a laparoscopic peritonectomy. We had to start her on a negative pressure wound therapy dressing or NPWT;
as suggested by wound clinical nurse consultant and the doctors during their ward round, since this would allow the fast healing of her wound.
I showed the supernumerary nurse the proper way of preparing an NPWT using a non–touch sterile technique, started by slowly cleaning the
surrounding skin prior to the application of the pressure dressing. Since it was the first time of the preceptee to perform a pressure dressing, I have
provided my preceptee the principles of wound management so that it will reinforce the knowledge of the supervised nurse and skills on the
management of wound using NPWT. I also provided the preceptee the protocols and the wound management chart to take note of the type of solutions
to be used in managing a surgical wound. We also documented in the progress notes what we have performed, and informed the nurse in–charge on the
frequency of dressing change in a week.
Feelings
During the procedure it gave me an opportunity to share my knowledge about the proper management of a surgical wound. I felt relieved knowing
that I was able to develop the skills of my preceptee in the aspect of wound care and knowing that the patient was also involved in the

Informational Case Study
In this assignment I will evaluate the informational approach in measuring organizational effectiveness of a company from the United Kingdom. The
Company is called, The Department of Orthopedics and Traumatology of Cantonal Hospital St. Gallen.
The patients receiving the questionnaire would be for checking for knee joint pain after surgery. Patients not receiving this survey would be having
other services offered such as renal, x–ray, etc. The primary reason for this survey is to let the treating staff know where the problems are in the knee
joint. The survey appears to be brief and to the main points of what the specialist is looking for as far as the red flag areas that need immediate concern.
From the answers submitted the specialist ... Show more content on Helpwriting.net ...
The accessibility of lightweight and flexible PCs with touch screens has expanded as costs have notably diminished over the most recent couple of
years. Tablets additionally offer points of interest in PRO information gathering as information are proficiently entered on the touch screens and moved
specifically into a focal database utilizing remote innovation, Kesterke, N., Egeter, J., Erhardt, J. B., Jost, B., & Giesinger, K. (2015).
The Department of Orthopedics and Traumatology of Cantonal Hospital St. Gallen is a licensed place for the instruction of specialists in the field of
orthopedics and traumatology in all sections of the musculoskeletal framework, orthopaedie.kssg.ch(2017).
The Clinic for Orthopedic Surgery and Traumatology at the Cantonal Hospital of St.Gallen is isolated into five joint–particular groups (spine, bear
elbow, hip, knee and foot). Likewise, the ZNA crisis office is staffed day and night with an orthopedic pro. The orthopedic division is in charge of the
whole traumatology of the development device at the cantonal healing center St. Gallen.Each group has a group pioneer. Senior doctors, junior
specialists and therapeutic aides turn through the groups in characterized cycles. The objective of the joint–particular group association is to give the
best conceivable capability and progression in tolerant care. Every patient ought to be administered by a similar

PTSD Community Counseling
PTSD Counseling With Vietnam War Veterans The article Life
–Review and PTSD Community Counseling With two Groups of Vietnam War Veterans
is a research on the essence of integrating a lifespan perspective in treating Post–traumatic Stress Disorder (PTSD) among the aging population to
safeguard optimal aging. Successful aging ensures that one functions with behavioral flexibility when subjected to a supportive environment in the
latter stages of life. The process guarantees the development of new relationships, maintenance of social support, adaptation to change, and learning
techniques essential in reducing stress among the aging population. The subjects of the study were Vietnam War veterans, a sample size with people
likely to encounter PTSD.

Nursing Reflection on Pressure Sores Essay
Critical incident The aim of this reflection is to describe my personal experience in wound care and its management. Gibbs (1988) reflective cycle
has been adapted in order to provide structure to the reflection process. Description At the care home I had to nurse many client's who had
developed pressure sores. One particular wound stands out from the rest, it belonged to a lady in her late 70's who was immobile and suffers from
incontinence and slight dementia. Her wound was extremely large on her sacrum, black and very hard. At this point was extremely discoloured
(black) but the skin was intact and only had a light exudate. However there was evidence of full thickness skin loss which was masked by the necrotic
tissue, so... Show more content on Helpwriting.net ...
I have learnt the importance of good communication and how it is essential for building trust. (Spouse et al 2008). I did feel a little vulnerable
however but experience gave me the confidence to give the correct level of information. I have learnt that I need to show sensitivity and give the
correct amount of information that was required to facilitate their reassurance. Evaluation Although the situation was quite challenging, it provided me
with some useful experiences for the future practice. I understand that all institutions should have a policy for documenting the assessment of patients,
including pressure ulcers (Morison 2001). I have come to be familiar with the homes assessment policy using the Sterling Pressure Sore Severity Scale
and most importantly I have learned that by using a universal assessment tool it supports a systemic and consistent approach to pressure ulcer
evaluation. This therefore supporting continuity of care. I have significantly developed my skill in wound care assessment and dressing, in developing
this skill I now recognize the importance of documenting each dressing. Morison (2001) supports this in saying that by detailing pressure ulcer
assessment it provides a basis for deciding the effectiveness of the current treatment. Conclusion Skin tears and pressure ulcers are frequently seen in
the elderly and care home residents are prime candidates (Stephen–Haynes

The American Counseling Association Is The Resource That...
Did you ever wake up and think how can I live up to the expectations of a licensed counselor? I know I do – everyday. Where are the resources that can
guide me in the right directions when I am faced with a situation while practicing? The American Counseling Association is the resource that can
provide me with tools that can facilitate my development as a future counselor. After I get my LCPC in the state of Maryland, I want to counsel
children and adolescents with severe psychological trauma. The ACA website has an entire section on 'trauma and disaster' for children through
adolescents.
The American Counseling Association's fact sheets provides various symptoms for children and adolescents that are experiencing trauma. According to
the American Counseling Association's Traumatology Interest Network and facilitator, Karin Jordan (2015) children exhibit different trauma related
symptoms at different periods in their lives (ACA et al., 2015). While I am providing therapy as a new LCPC, my client may not explicitly say that
they have undergone some sort of trauma, but may unknowingly talk about their symptoms. It will then be my responsibility to consult a colleague, or
in this case, the ACA to better serve my client's needs. I will study the specified age group symptoms, while comparing the symptoms of my client and
continue with the diagnosis of trauma (ACA et al., 2015).
Another resource that the ACA provides for counselors are self–care strategies (ACA, 2015). It is

Essay on Brain Development in Victims of Child Abuse
Child abuse is a widespread problem in America and beyond. Every year more than 3 million reports of child abuse are made in the United States
involving more than 6 million children(1a). For many years, experts believed that the negative effects of child abuse, such as emotional problems,
flashbacks to traumatic events, and even learning problems, were psychological phenomena only, able to be cured with therapy. Now, however, beliefs
are being changed with the help of tools such as MRI imaging, able to detect actual changes in brain anatomy, and it appears that what doesn't kill you
may still permanently weaken you, at least when it comes to child abuse.
The chief danger to the brain in child abuse, besides direct injury by the ... Show more content on Helpwriting.net ...
The water–soluble neurotransmitters, on the other hand, only last for seconds (3). This persistance of the stress hormones makes it hard for the brain to
return to its natural, unstressed state.
The brain develops in such a way that it leaves itself vulnerable to these negative influences. The prenatal brain develops an overabundance of neurons,
some of which are then carefully eliminated before age 4 (5). In a process similar to this, the amount of synapses between neurons is built up during
early childhood and then pruned back for the next 30 years of life (5). These two processes are both disturbed by elevated levels of stress hormones
(5). The two centers of the brain with the most postnatal changes, including the growth of new neurons after birth, are the hippocampus, which is part
of the limbic system, and the cerebellar vermis (6). The hippocampus is in charge of creating and retrieving memories, working together with the other
parts of the limbic system, such as the amygdala, which records the emotions for each memory. The vermis controls the production and release of two of
the catecholamine neurotransmitters, dopamine and norepinephrine (6). Both the vermis and the limbic system have higher concentrations of receptors
for the stress hormone cortisol than anywhere else in the brain (6). Due to this fact, these still–developing areas are the most vulnerable to the damage
done by elevated levels of stress hormones.
The

Case Study Morton's Neuroma
Hello Minal, Thank you for sharing your thoughts regarding the utilization of ultrasonography (US) and magnetic resonance imaging (MRI) in
confirming the diagnosis of Morton's neuroma. Morton's neuroma is widespread in women than in men, with symptoms occurring in the fifth decade
of life (Torres–Claramunt, Gines, Pidemunt, Puig, & de Zabala, 2012). According to Bignotti et al. (2015), if the patient has pain or tingling on the
plantar aspect of the foot that intensifies while wearing shoes that are tight fitting and the symptoms are relieved by rest, this present as a clinical
suspicion for Morton's neuroma. Moreover, the affected web space is tender to touch and there is sensory impairment between the toes of the affected
area (Bignotti et al., 2015). US and MRI are both sensitive and reliable imaging tools to verify Morton's neuroma diagnosis (Bignotti et al., 2015). ...
Show more content on Helpwriting.net ...
References
Ata, A. M., Onat, S. S., & Ozcakar, L. (2016). Ultrasound–guided diagnosis and treatment of Morton's neuroma. Pain Physician, 19(2), E355–E358.
http://www.painphysicianjournal.com/
Bignotti, B., Signori, A., Sormani, M. P., Molfetta, L., Martinoli, C., & Tagliafico, A. (2015). Ultrasound versus magnetic resonance imaging for
Morton neuroma: Systematic review and meta–analysis. European Radiology, 25(8), 2254–2262. doi:10.1007/s00330–015–3633–3
Chaganti, S., Joshy, S., Hariharan, K., & Rashid, M. (2013). Rheumatoid nodule presenting as Morton's neuroma. Journal of Orthopaedics &
Traumatology, 14(3), 219–222. doi:10.1007/s10195–012–0215–x
Summers, A. (2010). Diagnosis and treatment of Morton's neuroma. Emergency Nurse, 18(5), 16–17. http://www.nursing–standard.co.uk
/emergencynurse/index.asp
Torres–Claramunt, R., Gines, A., Pidemunt, G., Puig, L., & de Zabala, S. (2012). MRI and ultrasonography in Morton's neuroma: Diagnostic accuracy
and correlation. Indian Journal of Orthopaedics, 46(3), 321–325.

Nurse Prescribing
Within this assignment it is intended to present an example of a prescribing situation that arose in practice, to ensure prescribing issues are
illustrated. The rationale for the decisions reached will also be discussed. A brief overview of the nurse prescribing initiative and how it developed
will be addressed. The importance of ethical principles, accountability and legal issues that surround nurse prescribing will be demonstrated. As a
patient will be addressed in the example, a pseudonym will be used. According to Luker et al (1997), in 1985 the Royal College of Nursing (RCN)
made a case for the prescribing rights for nurse. The Cumberledge Report (1986) acknowledged that the government recognised that nurses should be
eligible to... Show more content on Helpwriting.net ...
To assess Katherine's risk the Waterlow Pressure Sore Prevention Policy (1995) was used. It was found her risk assessment score was 13 that, due to
her age, acute illness, nutritional status and reduction in mobility put her at risk of further deterioration if no intervention was established. It was
decided that in order to minimise the pressure in Katherine's sacral area and other bony prominences such as the heels and elbows, a pressure–relieving
mattress and cushion were needed. Further advice on the importance of moving around in bed was discussed with Katherine. The information leaflet
produced by NICE (2003) giving advice, to patients and carers on pressure relief was given to Katherine to enhance the verbal information. A full
assessment of the wound should be carried out prior to selection of dressings. Any allergies should also be noted. The wound should be traced,
photographed and measured providing data for comparison throughout the treatment. Consent should be gained prior to photographing the wound and
the patient should not be identifiable from the photograph (Benbow 2004). All information should be documented in patients' records, using the wound
assessment tool. The pressure sore was identified as grade two

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