Monday, May 25, 2020

Social Media As A Unicorn Essay - 1288 Words

Marketers want to make their social media as a unicorn rather than a horse. So, are they taking necessary measures for it? If your marketing is like squeaky wheels the social media channels are the oil in it. It is a contribution of precious time and resources. Social media allows small business to act big and make their online presence â€Å"WOW†. Here, I want to share a wide information regarding the benefits of open source social technology for business. The significant change that is required in this modern world is the change in technology that too without confusing the people. Every new technology performs the role exactly as planned. Similarly is in the case of open source technology. You must be thinking how the working of open source technology take place and what’s the reason it is to be open? The term â€Å"open† varies in meaning in different systems. Let s know about what the term â€Å"open source software† exactly define. What Is Open Source Software? It is a software where the public can view, use, modify and share the source code used in creating a program. The technology or the program that is included in developing open source are Linux operating systems, PostgreSQL databases, games, OpenOffice applications and programming languages like Python. The open source social media technology is usually built in Artificial intelligence. What is AI based social media technology? AI is basically used as an effective way to classify through tremendous clusters ofShow MoreRelatedSalvador Dalis The Agony Of Love By Salvador Dali942 Words   |  4 PagesCrystal Sanderson Due July 14, 2017 Artist: Salvador Dali Title: The Agony of Love Created: 1978 Media used: Gouache, Watercolor, and Pencil on Board Dimensions: 65.5 by 49cm Art is a very important factor in all aspects of life. For many centuries art has been present in structures, cultures, religions, and even in the basic things we see in our daily routines. Art can come in a variety of ways, such as: paintings, drawings, symbols, sculptures, images, and much more. We all interpret and createRead MoreFeminism : A Feminist Perspective1667 Words   |  7 Pagesof feminism is stated as â€Å"the theory of the political, economic, and social equality of the sexes† (1), it has much more substance than what is commonly portrayed. In the recent years, feminism has widely expanded to encompass those who have a lesser voice. From LGBTQ+ issues, to gender inequality, to racism and everything in between, modern feminists are displaying how they are so much more than just angsty women. But is the media displaying it too? In recent years, women s rights and feminist movementsRead MoreThe Fight For Freedom By Iris Murdoch1425 Words   |  6 Pagescategories, such as social, economic, political, and religious freedom. However, there can be certain extents to which one can be practiced as somewhat of a contract to provide for the advancement of society. Persecutions, arguably discrimination, have always unjustly interfered, and, therefore, these accommodations did not always exist. Even in the most seemingly free country, oppression runs rampantly. In the mid-twentieth century, the fight for freedom saw itself expanding into the media, music, and,Read MoreEssay On The Story Of Chapter 1981 Words   |  4 Pagesoff to sleep himself. Other times, Viktor would find himself choking back laughter after Yuuri had said something particularly funny or odd. On good nights, he’d even manage to record the sleep talking and immediately uploading it to all of his social media accounts, much to Yuuri’s embarrassment the next morning. All in all, Viktor figured he had a pretty good setup. That was until Yuuri proved he could be exceptionally terrifying. ~~~ Viktor felt something tapping his face. In his sleep addledRead MoreSocial Media, An Alternative Communication Method846 Words   |  4 PagesSocial Media, Revolutionary Communication The discussion around the volume of email at work has been a growing topic among employees in recent years. In fact, in 2015, it is estimated that 2.6 billion people use email worldwide and by the end of 2019 it will increase to over 2.9 billion (Radicati, 2016). Employees complain they receive emails at all hours which resulted in workplace stress. The purpose of this essay is to determine if emails create less productivity, discuss social media as anRead MoreWhy Your Brand Should Be On Users754 Words   |  4 Pagescreated by users who latched onto the ‘quick photo gone forever’ premise to share their personal moments†¦ unfortunately for the app, it didn’t take long for others to recognise the ease of a screenshot. Suddenly Snapchat was being lambasted across all media for poor security, enabling bullying and encouraging users to send images that they wouldn’t want shared. I’m not here to spark a debate over this well-covered subject again. It’s in the past. 2014 is a long time ago in the digital landscape. I’mRead MoreBennett And Maffesoli s Theory Of The Blurring Of Divisional Lines1413 Words   |  6 PagesA contemporary example which can be used to illustrate the point of Bennett and Maffesoli’s theory of the blurring of divisional lines, which makes subculture tricky to identify the ‘Fabulus of Unicorns’ (VICE 2015). The polyamorous group are arguably an appropriation of the ‘furries’ subculture, and the imagery has already been part of alternative culture and appropriated into mainstream festival wear for some time. They actively differentiate themselves from the ‘normals’ with fulltime use of glitterRead MoreMarketing Strategy Of Pipeworks Brewing Company1128 Words   |  5 Pagesbrand and logo on all aspects of their packaging. Although Pipeworks has a company logo, they are more known for their vibrant and clever art on their beer labels. The beer label for their most popular beer, Ninja versus Unicorn, depicts a ninja getting ready to battle a unicorn. The colors on the label are bold and the images are as a large as the bottle. On the back of the bottle, in plain writing, Pipeworks provides a description of the beer, the necessary government requirements and a barcodeRead MoreThe Laws Of Social Control879 Words   |  4 Pagessomething out of the norm there must be a reason or a meaning to them thats important to them. This is their value, a value is the regard that something is held to deserve; the importance, worth, or usefulness of something. Sanctions are the mechanisms of social control. Sanctions are the opposed to form of internal control, like cultural norms and values, sociologists consider sanctions a form of external control. The norm that I violated originally was , I pretended to have a strange addiction to deodorantRead MoreTechnology Industry Is Heading Toward A Bubble?1447 Words   |  6 Pagesa highly saturated market. Start-ups overvalued There’s also the more concerning problem of overvaluation of start-ups. The overvaluation under the current system causes often the most concern for analysts. These companies, often referred to as unicorns, are start-ups, which believe their valuations shouldn’t be subjected to tradition P/E ratio analysis. Marketing firm CB Insights has studies a number of technology companies and noticed the overvaluation issue. For example, the ride hailing app

Thursday, May 14, 2020

Education Is A Major Aspect Of An American Childhood

Education is a major aspect of an American childhood. Students are first introduced to the education system at the age of five and are typically required to continue education until eighteen. After high school graduation we are granted the choice to continue our education at a university or a vocational school, or dive in full force in the workforce. Education aids students to determine how they will define success in their life. Though the hierarchy of the education system does not want to admit it, but today’s education does not give each an equal opportunity for each student to succeed. I believe the purpose of education should be to provide content that is applicable to the real world because, this would create a more enlightened community as well as allowing equal opportunity to all students. When people think of the word â€Å"education† most people associate it with school, because of our daily routine of going to school. Because of we are in constant presence with education, we tend to forget what the definition of education is. To me education involves processes of teaching so knowledge is gained from the learning. However, I believe education also involves the process of enlightening. We not only learn from teachers or instructors, but also from our experiences. We become enlightened from experiencing new things. Students should have equal educational opportunities; this means that every person should have an equal chance to become educated. Personal factors should notShow MoreRelatedChildhood Obesity : A Developing Problem1197 Words   |  5 Pagesthree American children and teens are either overweight or obese; almost triple the rate previously in 1963. Child obesity has expeditiously become one of the most genuine health challenges of the 21st century (â⠂¬Å"10 Surprising Facts About Childhood Obesity†). Physical inactivity, race, junk food in schools, the mass media, and the child’s parents flaws are all factors that have resulted in the prevalence of childhood obesity today. It is important for people to recognize the causes of childhood obesityRead More Religion and Its Effects on Children Essay1657 Words   |  7 Pagesministries. If religion is a major part of a child’s life, it will shape who a child becomes and how the child is raised. Religion directly affects how a child grows up and how they perceive people and situations in their life after their childhood. In order to understand how religion affects a child, it is important to view the various situations through a variety of religious perspectives and approaches. As suggested by Don Browning, in Children and Childhood in American Religions, â€Å"A careful investigationRead MoreObesity has Taken Over Our Children881 Words   |  3 PagesChildhood Obesity has taken over the lives of American children in the United States. Presently, 23 million children and teens in the United States are obese (CDC 2014). This epidemic affects children of all ages and mostly minority children at a see mingly unstoppable rate. For instance, 18 percent of American children age 6 to 11 and teens ages 12 to 19 are obese (Spradlin 2012). When examining ethnicity, Caucasian American children 28.2 percent is far lower percentage when compared to that of theRead MoreEssay about Gardner and Zigler1004 Words   |  5 PagesMarch 02, 2013 GARDNER AND ZIGLER Gardner and Zigler 2 Howard Gardner and Edward Zigler are two influential psychologists who have altered the profession of psychology as well as provided new direction in such areas as early childhood development, education and even politics. Each, through their personal and professional paths, helped to establish a new foundation on which psychology stands today. Howard Gardner did not believe that psychology was going to be his profession. He consideredRead MoreThe Finnish Theory Of Learning959 Words   |  4 PagesThe Finnish Model will work well in reforming the U. S. because it provides equal education and opportunity to everybody. In the country of Finland, â€Å"there were no high-tech, interactive white boards in her [Kim’s] classroom†¦no police officer in the hallway† (p. 83). This suggests that these students do not need fancy equipment or armed protection to be the smartest kids in the world. In addition, the Finnish yearn for everyone to be successful despite their circums tances at home, and one way theyRead MoreThe Effects of Nature and Nurture in Middle Childhood1215 Words   |  5 Pagesâ€Å"The Effects of Nature and Nurture in Middle Childhood† Middle Childhood is the name given for the age division from 6 to 11 years of a child’s life. They are also known as the â€Å"school years.† During this time a child’s health, education, and emotional well being are all undergoing changes. Though not as drastic as the changes they will soon face in adolescence, they are steady, and the impact that nature and nurture will have on these aspects reach far and wide across the many developmentsRead More Causes of Childhood Obesity Essay1271 Words   |  6 Pageschildren ages 6-11 (Axmaker, 1). This obvious epidemic has raised great concern in the medical community because widespread childhood obesity has increased the prevalence of the once rare juvenile diabetes and pediatric hypertension (Bastin, 45). This concern has prompted intense investigation of the causes of childhood studies, aside from socioeconomic status, three major causes have been shown: diet, genetics or biological factors, and lifestyle. Because fat must have a source from which to increaseRead MoreHiring A Gender Wage Disparity Through The United States Awareness Bake Sale993 Words   |  4 Pagespiece of paper attached to it listing statistics and facts of wage disparity. As our bake sale went on for a few minutes we saw that no one showed our table any interest except for one guy, but he was an African-American Studies major and he said that he was currently studying the racial aspects of wage disparity. It was not until we advertised that we were giving away free cookies and were accepting donations, that our table received attention from the library goers. About an hour later, we were outRead MoreCauses of Childhood Obesity Essay1291 Words   |  6 PagesCauses of Childhood Obesity Works Cited Axmaker, Larry. Childhood Obesity Should be Taken Seriously. Online Posting 24 November 2004. Accessed 9 April 2005. 1-4. Bastin, Sandra. Perils of Childhood Obesity. American Academy of Pediatrics Quarterly. Volume 31 (11/2001): 44-49. Retrieved Medline 9 April 2005. 1-5. Buffington, Cynthia. Causes of Childhood Obesity. Beyond Change: Information Regarding Obesity and Obesity Surgery. Volume 17 (12/2003): 12-17. Retrieved AcademicRead MoreThe Importance Of Childhood Reading1681 Words   |  7 Pages On the Importance of Childhood Reading Misheel Bayartsengel University of California, Los Angeles EC 1B Professor Jessica Tapia December 9, 2015 On the Importance of Childhood Reading Reading – the ability to represent the sounds of language by written symbols has existed for approximately 4000 to 5000 years and is inarguably one of the most fundamental and wonderful technique humans have ever developed. However, despite much effort and funding dedicating to wide literacy development, even

Wednesday, May 6, 2020

Age Of Discovery Essay - 939 Words

What were the Effects of the Age of Discovery? nbsp;nbsp;nbsp;nbsp;nbsp;The Age of Exploration was a time of struggle and wealth for many European countries. The pursuit of a trade route to the Far East led many countries across the ocean, looking for the great spice cities that were rumored by Marco Polo. These countries knew that whoever found the shortest or best route would become rich, very quickly. Explorers from many European countries embarked on journeys that not even they had any clue where they were going. This search for the Far East led to many discoveries that would otherwise have never been found. nbsp;nbsp;nbsp;nbsp;nbsp;Christopher Columbus may have been one of the most influential people ever to live. His†¦show more content†¦The world trade of the period increased to an unprecedented amount. There was new types of businesses, new goods to be sold, and most importantly, new land to conquer. The exchange of goods from the New World and Europe increased Europeamp;#8217;s wealth, but not only was there an exchange of goods, but also an exchange of disease. nbsp;nbsp;nbsp;nbsp;nbsp;The first effect of the Age of Exploration, was the finding of the New World. The New World provided opportunities for European countries to conquer new lands and to obtain wealth while conquering. After Columbus amp;#8220;found; the New World, there were European explorers embarking on new journeys there constantly. They would set up new colonies and conquer new lands. From these colonies, they set up trading posts back to their mother countries. Gold, fur, corn, potatoes, tobacco, chocolate, and many other products were brought back to Europe. The wealth from these products could only be imagined. The countries would then trade their imports to other countries and make a huge profit. This influx of money and goods led to the change of the economic systems in Europe. This change caused the Commercial Revolution, or the establishment of many types of new businesses. The Commercial Revolution was caused not only from the income of the trading of goods, but also the large amounts of gold an silver that were found and shipped back toShow MoreRelatedThe Age of Discovery Essay1227 Words   |  5 Pages The Age of Discovery which began in the 15th century was one of the ground breaking time periods for European global exploration to Africa and India, and which lead to the ascending of European power. While there were many prominent explorers during this era such as Christopher Columbus and Ferdinand Magellan, Vasco da Gama is widely seen as one of the most successful explorers of this time period. He not only found the first all ocean route from Europe to India but he also solidified Portugal asRead More The Lasting Effects of the Columbian Exchange During the Age of Di scovery1815 Words   |  8 PagesThe Lasting Effects of the Columbian Exchange During the Age of Discovery It should no longer come as any great surprise that Columbus was not the first to discover the Americas--Carthaginians, Vikings, and even St. Brendan may have set foot on the Western Hemisphere long before Columbus crossed the Atlantic. But none of these incidental contacts made the impact that Columbus did. Columbus and company were bound to bring more than the benefits of Christianity and double entry bookkeeping toRead MoreThe Transition Of Medieval And Modern Times1235 Words   |  5 Pagesover a long period of time. The middle ages marked a dark time in Europe’s history, and the people were anxious to get out. The Renaissance began, and art emerged to create a brighter society. During the Reformation, the country shifted away from the Roman Catholic Church, and many Protestant religions emerged. The Scientific Revolution also marked a change in medical to modern by creating new ways to look at the world and mathematics. The Age of Discovery marked yet another chang e in Medical toRead MoreThe Impact Of Maritime Technology On The Age Of Exploration1264 Words   |  6 PagesMaritime Technology’s Aid in the Age of Exploration The innovation of maritime technology has revolutionized travel throughout history. Prior to ships and sea travel, humans were separated by vast oceans and confined to their homeland for life. Because of these large boundaries, discoveries and inventions were only shared within land masses and trade as a whole was very limited. This uncharted, inaccessible territory caused a major separation of mankind. However, these oceans sparked curiosityRead MoreThe Consequences of the Age of Exploration Essay517 Words   |  3 PagesThe Age of Discovery, also known by others as the â€Å"Age of Exploration†, was a period starting in the 15th century, lasting for over 200 years, and was conceived by the pioneer Portuguese and Spanish explorers in their search for precious metals and very costly spices, such as saffron and cardamom. Although the expansion of knowledge about the world was a good intention, it ultimately turned out be have extremely severe consequences, which its effects are still being suffered to this day! First ofRead MorePositive Impact Of Christopher Columbus s Discoveries1247 Words   |  5 Pages Positive Impact of Christopher Columbus’s Discoveries The world is a better place because of Christopher Columbus’ important discoveries in the New World. His explorations resulted in the vast expansion of property for Europe, the exchange of goods and cultures between countries and a change in the worldview of geography. Columbus’s explorations were the catalyst for unprecedented trade known as the Columbian Exchange, which started the exchange of goods and ideas that would last for centuriesRead MorePositive Impact Of Christopher Columbus Discoveries1249 Words   |  5 PagesPositive Impact of Christopher Columbus’ Discoveries The world is a better place because of Christopher Columbus’ important discoveries in the New World. His explorations resulted in the vast expansion of property for Europe, the exchange of goods and cultures between countries and a change in the worldview of geography. Columbus’s explorations were the catalyst for unprecedented trade known as the Columbian Exchange, which started the exchange of goods and ideas that would last for centuriesRead MoreSpanish Myths, And Legends1220 Words   |  5 Pagesspirit. The Indians she visited continued to remember her visits many years later. The Black Legend The Black Legend of the Spanish in America has existed for many centuries. This legend has done much to destroy the fame of the Spanish during the Age of Discovery. Created through the recordings of writers such as las Casas, the Black Legend tells of the mistreatment of the Amerindian population by the Spanish. Although the majority of the events described in the Black Legend are true, this tale does littleRead MoreAge Of Exploration : The Promise Of Glory1188 Words   |  5 Pages Age of Exploration: The Promise of Glory I have fully upheld Delbarton’s honor code in letter and spirit. Signature: Hunter Macy Hunter Macy October 19, 2015 European History Mr. Manno Delbarton School The Age of Exploration, during the fifteenth and sixteenth centuries, led to a myriad of expansion for European countries, namely Spain and Portugal. The rush to the New World by Portugal and Spain during the Age of Exploration, led by men such as Hernan CortesRead MoreEffects Of European Exploration On Europe, Africa, And The Americas1523 Words   |  7 PagesThe effect of European Exploration on Europe, Africa, and the Americas Whenever you hear about the European Exploration, or ‘The Age of Discovery’’ you hear a lot about what the Europeans gained from it, while they did learn a lot from this and gather a lot of new resources they were not the only ones affected. The Age of Discovery affected more areas that just Europe, it also affected the Americas and Africa. To prove this we must first know what European Exploration is. From the 15th century to

Tuesday, May 5, 2020

Case study-Gianna Replacement Surgery

Question: Discuss about the Case study for Gianna of Replacement Surgery . Answer: 1: Gianna was suffering from osteoporosis and had to undergo total hip replacement surgery due to fracture of the hip. The hip is the largest weight-bearing ball and socket type joint present at the juncture of leg and pelvis. The ligament attached to the joint is lubricated by synovial fluid and provides stability to the joint. Synovial fluid allows flexing of joints without getting weared away and allows movement without pain. The problem in the hip may be caused by osteoporosis, fracture, dislocation, bursitis and bone tumor. The regulation of pro-inflammatory pathway and the homeostatic mechanism fails in patient with severe osteolysis (Gallo et al., 2013). Osteoporosis is a medical condition in which the density and quality of bone are reduced. Bone becomes porous, brittle and fragile due to loss of tissue due to hormonal change or deficiency of Vitamin D. The primary reasons for which a person develops osteoporosis includes high rate of bone loss at the time of achieving peak bone mass and poor acquisition of bone mass during maturity. This mechanism may be influenced by environmental and genetic factors (Armas Recker, 2012). 50% of bone mass accumulates during pubertal development, and other additional accumulation takes place in the adult maturity period. As peak bone mass is achieved during the maturity period of life, some may have a problem in accumulation due to genetic factors. The genes responsible for osteoporosis are genes for estrogen receptor, transforming growth factor , collagen and apolipoprotein E (Ralston de Crombrugghe, 2006). Bone loss is also triggered by environmental factors like nutrition, behavior, and medica tions. Vitamin D aids in calcium absorption and facilitates development of bone mineral. A person who has taken low dose of calcium in childhood is vulnerable to fracture in later part of his/her life. Behavioral activities like smoking and alcohol consumption also accelerated bone loss and have an effect on peak bone mass development (Drake et al., 2015). Fractured joints can be treated by hip replacement surgery or hip arthroplasty. The type of surgery depends on the patients age, level of physical mobility, location of fracture, mental strength and condition of hip and joint. Internal fixation is done by using devices like rods, plates, screws and pins to hold the bone in place. This treatment is given when fractures occur in the extracapsular or intracapsular region of hip joint (Mller et al., 2012).Hemiarthroplasty is suggested in older patients who have already lost their mobility prior to fracture and when fractures occur inside the socket of the hip joint (Olsen et al., 2014). Total hip replacement surgery is also a treatment procedure required in those patients whose hip joint has been damaged by osteoarthritis and rheumatoid arthritis. The purpose of this treatment is to relieve pain, improve the function of hip and increase mobility. Total hip replacement surgery involves replacing acetabulum with an artificial prosthesis an d replacing the proximal femur with the artificial stem to enhance mobility in patients (Ellman Levine, 2013). 2: According to the case study Gianna Rossi was a seventy nine years old lady who have undergone a total hip replacement or arthroplasty since x-ray has revealed a fracture on her left leg which resulted from osteoporosis. Post her surgery she was shifted to the post anesthetic recovery room (PARU). At this stage she was almost unconscious and on wakening up she was under tremendous pain. The surgery and the anesthesia have effected three physiological functions of Gianna. First of all the ventilation was affected due o her anesthesia followed by her surgery. Her signs reflect that her respiration was 10 and the oxygen saturation was 93%. Most often general anesthetics modifies the rate of breathing in individual. According to Roz et al. (2015), opioid as an anesthetic has impact on the control of respiration rate. In terms of Gianna, the use of opioid as an anesthetic lowered the respiration in her. The use of Morphine due to her pain aced as a pain suppressor through the process of respiratory depression. Before the discharge from the Post anaesthetic recovery room (PARU) her signs reflected her pulse as 110, temperature as 36 degree centigrade and blood pressure as 95 / 50. Moreover, her blood loss during her surgery was estimated as 1700mls. The effect of opioid and anesthetic during surgery has many affects on the circulation process as well. The use of opioid or anesthetic makes the heart rate either fast or slow. In this case Giannas pulse rate increased above the normal value, that is 110 after the surgery. As stated by Brennan (2013), Morphine which is an opioid was used to relief her pain due to operation might cause fluctuations in her heart rate. Moreover, due to the blood loss during the surgery the blood pressure of the patient resulted in lowering of the blood pressure. In case of Gianna the blood pressure accounted to 95 /50. Use of opioid may develop postural hypotension or severe fall of the pressure on lying position or sitting up. At first Gianna was administered for two hours, she was given oxygen for 6L per minute with the help of Hudson mask. The main features shown by her at that time are: the temperature of her body was thirty six degree centigrade, her pulse rate was 110, blood pressure 95 / 50 , respiration was 10 and oxygen saturation of her body was 93%. A foam abduction pillow was provided to her between her legs. When she woke up she was not in her full consciousness. But she was still complaining about the pain. In order to relief her from the pain she was administered with 5 mg of Morphine which was beneficial to her. Due to the consumption of Morphine she slept for some more time. After Morphine was monitored to Gianna she was transferred to the orthopedic ward. According to Whitehead et al. (2015), the main use of any anaesthetic is to depress the central nervous system. In case of Gianna, the hip replacement surgery required generalized anaesthesia which ultimately made her unconscious complete by affection the sense organs. Addition to this the use of Morphine after Gianna got back her consciousness, lead to dizziness and hallucination. This made her feel sleep again. Opioids have multiple inhibitory affects in terms of the cerebral activity. Opioids are usually believed to augment sleep but there is little evidence to support this belief. In case of Gianna use of anaesthic, loss of blood during surgery and use of Morphine has resulted in abnormalities with regards to ventilation, circulation and consciousness. The result of vital sign assessment showed that it is the affect of the surgery and anesthetic drug on patient (Whitehead et al., 2015). 3: Gianna has undergone hip replacement surgery following fracture of her left hip. After hip replacement surgery she was shifted to the PARU. At that time Gianna was sleepy and difficult to arouse. A redivac drain and indwelling urinary catheter were fixed to the patient in situ. At that point, her pulse rate was a little high and blood pressure was extremely low. She had acute pain then. After transfer to the orthopedic ward, she was eating well, but she required assistance with her daily activities (ADLs). The patient was worried about her loss of independence post the surgery. Currently, she is mobilizing using a four-wheeled walker, and her pain is managed by medications like Paracetamol and Tramadol. The discharge plan of the patient is based on her current condition of pain and morbidity present post surgery. The discharge plan for Gianna are as follows: Gianna needs to put the dry dressing on hip incision once or twice a day. It will help to clean the drainage that occurs from wound. If the drainage continues even after dressing, Gianna must immediately pay a follow up visit. Till the dry dressing is in place, Gianna cannot apply ointment in the incision area for about 6-7 weeks (Choi et al., 2016). Make sure that the stitches are in place and patient should get it removed by medical staff after two weeks of discharge (Garson et al., 2014). Support or wheelchair is necessary for Gianna for six weeks after discharge even if she can mobilize. This will minimize the risk of falling and allow the bone to grow into replaced components of the hip (Choi et al., 2016). It is necessary for Gianna to put a pillow between her leg while sleeping for the first six weeks. It would be better if Gianna sleeps on her right side as she had undergone hip replacement surgery on her left side (Garson et al., 2014). While taking shower Gianna must pat dry the surgery wounds after bath and avoid soaking it in bath tub for one-two months. Gianna should also not take bath during for 4 days after discharge (Garson et al., 2014). To manage her medication, Tramadol and Paracetamol medication has been prescribed to Gianna. It will help manage her pain. However, Vazzana et al., (2015) suggest avoiding this medicine if Gianna suffers from breathing problems or if she uses narcotic drugs. It has been found that there maximum chance of seizure due to this medication in those patients who has epilepsy disorder or those who takes medicine for migraine, muscle spasm, and depression. Gianna might also suffer breathing problems, so she must discontinue this medication in she faced this kind of difficulty. Gianna is advised not to drive and wear compression stockings to prevent the blood clot. It is also necessary for Gianna to consult a physiotherapist and attend his sessions to learn to manage daily life activities independently at home. Physical therapy Controlled exercise and physical therapy will be beneficial to strengthen hip muscles and prevent contractures. This session will also help Gianna to learn management of activities post surgery (Westby et al., 2014). Reference Armas, L. A., Recker, R. R. (2012). Pathophysiology of osteoporosis: new mechanistic insights.Endocrinology and metabolism clinics of North America,41(3), 475-486. Brennan, M. J. (2013). The effect of opioid therapy on endocrine function.The American journal of medicine,126(3), S12-S18. Choi, J., Jacelon, C. S., Kalmakis, K. A. (2016). Webà ¢Ã¢â€š ¬Ã‚ based, Pictographà ¢Ã¢â€š ¬Ã‚ formatted Discharge Instructions for Lowà ¢Ã¢â€š ¬Ã‚ literacy Older Adult after Hipà ¢Ã¢â€š ¬Ã‚ replacement Surgery: Findings of Endà ¢Ã¢â€š ¬Ã‚ user Evaluation of the Website.Rehabilitation Nursing. Drake, M. T., Clarke, B. L., Lewiecki, E. M. (2015). The pathophysiology and treatment of osteoporosis.Clinical therapeutics,37(8), 1837-1850. Ellman, M. B., Levine, B. R. (2013). Fracture of the modular femoral neck component in total hip arthroplasty.The Journal of arthroplasty,28(1), 196-e1. Gallo, J., Goodman, S. B., Konttinen, Y. T., Raska, M. (2013). Particle disease: biologic mechanisms of periprosthetic osteolysis in total hip arthroplasty.Innate immunity,19(2), 213-224. Garson, L., Schwarzkopf, R., Vakharia, S., Alexander, B., Stead, S., Cannesson, M., Kain, Z. (2014). Implementation of a total joint replacement-focused perioperative surgical home: a management case report.Anesthesia Analgesia,118(5), 1081-1089. Mller, M. E., Bandi, W., Bloch, H. R., Allgwer, M., Willenegger, H., Mumenthaler, A., ... Weber, B. G. (2012).Technique of internal fixation of fractures. Springer Science Business Media. Olsen, F., Kotyra, M., Houltz, E., Ricksten, S. E. (2014). Bone cement implantation syndrome in cemented hemiarthroplasty for femoral neck fracture: incidence, risk factors, and effect on outcome.British journal of anaesthesia,113(5), 800-806. Ralston, S. H., de Crombrugghe, B. (2006). Genetic regulation of bone mass and susceptibility to osteoporosis.Genes development,20(18), 2492-2506. Roz, H., Germain, A., Perrier, V., Dewitte, A., Joannes-Boyau, O., Fleureau, C., Ouattara, A. (2015). Effect of flumazenil on diaphragm electrical activation during weaning from mechanical ventilation after acute respiratory distress syndrome.British journal of anaesthesia,114(2), 269-275. Vazzana, M., Andreani, T., Fangueiro, J., Faggio, C., Silva, C., Santini, A., ... Souto, E. B. (2015). Tramadol hydrochloride: pharmacokinetics, pharmacodynamics, adverse side effects, co-administration of drugs and new drug delivery systems.Biomedicine Pharmacotherapy,70, 234-238. Westby, M. D., Brittain, A., Backman, C. L. (2014). Expert consensus on best practices for postacute rehabilitation after total hip and knee arthroplasty: a Canada and United States Delphi study.Arthritis care research,66(3), 411-423. Whitehead, R. A., Schwarz, S. K., Asiri, Y. I., Fung, T., Puil, E., MacLeod, B. A. (2015). The efficacy and safety of the novel peripheral analgesic isovaline as an adjuvant to propofol for general anesthesia and conscious sedation: a proof-of-principle study in mice.Anesthesia Analgesia,121(6), 1481-1487