Reviewing the literature Essay Example | Topics and Well Written Essays - 1750 words

Reviewing the literature - Essay Example 5). The elderly, the malnourished, and those with acute illness are the most vulnerable (Moore and Cowman, 2010, p. 5). Pressure ulcers are a serious problem for older people because of pain, osteomyelitis, sepsis, and mortality that can be associated with the condition (Graumlich et al., 2003, p. 147). Up to 18% of the hospitalized can have pressure sores or ulcers (Moore and Cowman, 2010, p. 5). In nursing homes, a prevalence of 24% was reported (Graumlich et al., 2003, p. 147). Among surgical patients, the incidence of pressure ulcers can be as high as 12 to 45% (Armstrong et al., 2003, p. 647). Pressure sores or ulcers arise when pressure from lying or sitting on a particular body area result to tissue damage and oxygen deprivation to the affected area (Moore and Cowman, 2010, p. 5). Because of continuous pressure, tissues are depleted of blood flow, waste products are not removed from the wound and the wound fails to get oxygen and nutrient supply that are all necessary for heal ing (Moore and Cowman, 2010, p. 5). According to Graumlich et al. (2003, p. ... In the United States, Graumlich et al. (2001, p. 645) estimated that the cost of treatment for pressure ulcers exceeded US$1 billion annually. Heyneman et al. (2008, p. 1165) reported based on the study of Severens and others in 2002 that the cost of pressure ulcers is about 1% of the health care budget. Of course, prevention is the cornerstone of care for pressure ulcer (Heyneman et al., 2008, p. 1165). However, when pressure ulcers already took place, there are several modes of treatments available. One of them is repositioning (Moore and Cowman, 2010). Another mode of treatment involves the use of collagen (Graumlich et al., 2003). Still another treatment involves the use of phenytoin (Hollisaz et al., 2004). Finally, another way is through hydrocolloids (Hollisaz et al., 2004; Belmin et al., 2002; Heyneman et al., 2008; Graumlich et al., 2003; and Thomas, 2008). The modes of treatments enumerated do not exhaust the modes of treatments feasible or possible on pressure ulcers but w e focus on the use of hydrocolloids. Heyneman et al. (2008, p. 1165) reported that a wide range of treatment is available and the treatment methods can be subdivided into secondary prevention, topical products, surgical treatment and physiotherapy. The word â€Å"hydrocolloids† was coined in the 1960s in the development of mucoadhesives in the combination between carboxymethyl cellulose (CMC) with adhesives and tackifiers for treating mouth ulcers (Thomas, 2008, p. 602). Thomas (2008, p. 602) reported the term hydrocolloids was subsequently adopted to describe a new type of dressing based on the technology (Thomas, 2008, p. 602). The dressing technology identified as hydrocolloid, a hydrophilic gelable mass was applied in a

Comparing and contrasting the Epic of Gilgamesh and Genesis 1-11 Essay

Comparing and contrasting the Epic of Gilgamesh and Genesis 1-11 (Religious Studies) - Essay Example Many people are telling that the flood in Gilgamesh is the same with the flood in Genesis. Definitely, it is not. The God in Genesis is not the same as the Mesopotamian deities. Understanding this fact give us a clear view point of a concrete difference between both accounts. Considering that there might be some similarities in the flow of the story however, the mere authority whom both accounts recognize builds a definite margin line that establishes their differences. Many people most especially those who devote themselves in religious and historical literature know the famous story about the great flood that can be found both in the Book of Genesis and of the Mesopotamian Gilgamesh. The stories are very much the same, however making a close comparison about details showed that they are very different. The God in Genesis is also more reasonable than that of the Mesopotamian gods. Understanding what has been the reason for flood will give us the clear idea of the differences of the character of the God in Genesis and of the Mesopotamian gods. The biblical account showed that God has seen how people have turned wicked. It has never been the will of the God of the Bible that man will stay wicked and will be unpunished. Because of that he decided to save Noah and his family from those evil people and the way by which it could be done is through the flood. The mere reason for that flood is to end the wicked generation that God of the Bible has seen existing during the time of Noah. On the contrary, the main reason why the gods in Gilgamesh caused the flood is because of the noise that the people create. The gods decided for a flood simply because they can not sleep (Gilgamesh 12). The unanimous decision of gods is to cause a flood and to make no any man survived. Ea who created man does not want it to happen. Meaning, we could even see misunderstanding in their mythical gods that mostly resembles human character. But through a dream, the