Demian And Desires Essays - Software, Gaming, First-person Shooters

Demian And Desires Essays - Software, Gaming, First-individual Shooters Demian And Desires Wants and Dreams In the story, Demian, wants assume a significant job. When Sinclaire follows his wants something great quite often comes out of it. When Sinclaire doesn't follow his wants and dreams something awful happens. For instance, when Sinclaire first became companions with Franz Kromer. Sinclaire had an awful inclination about Franz, yet overlooked it. Since he overlooked his longing and his inclination not to be companions with Franz, Sinclaire practically got deceived with the plantation episode. Sinclaire knew there was something terrible about Franz, he could detect it, however he disregarded the premonition and just got himself wrecked. Sinclaire cited, Side by side with this I lived in a universe of dreams and drives and wants of a chthonic sort Sinclaires sentiments end up being significant all through the story. Max Demian was a book brimming with gossipy tidbits. Individuals avoided him. Sinclaire saw something other than what's expected, something intriguing in Demian, in this way making the two chat and make companions. This relationship is one of the most significant in both of their lives. All in all, when Sinclaire follows his wants and emotions nearly everything will show up for the great. To tune in to the heart can be the best direction in ones life. This is the thing that I gained from this book.

The Role of Human Communication in the Society

Human correspondence includes connection between or among individuals. Different kinds of human correspondence incorporate relational, open, intrapersonal, and intercultural. This paper tends to three inquiries managing human communication.Advertising We will compose a custom report test on The Role of Human Communication in the Society explicitly for you for just $16.05 $11/page Learn More Relationship disintegration alludes to the phase in relational correspondence when the securities holding individuals together debilitate (Pearson et al., 2006, p.99). Now, the two gatherings in the relationship are discontent with the present situation. The reasons for relationship decay incorporate having ridiculous desires from the relationship. Money related challenges, business related issues and outsider connections are likewise among the reasons for relationship weakening. Delineating is the phase in relationship crumbling portrayed by diminished connection, shorter time together and less p rofundity to sharing. At this stage, a couple may seem ordinary all things considered, yet correspondence between the couple is negligible. The couple will in general keep away from specific subjects of conversation thinking about them as an untouchable. The roadster barely imparts at this stage and in this way, it gets hard to tell what they feel about one another. The relationship at this stage starts to return to its shallow stages, and the couple loses enthusiasm for it. As the word portrays, every individual in the relationship begins to draw a hover around oneself. This circle does exclude the other individual and in this way, there is next to zero cooperation between the gatherings (Pearson et al., 2006, p.122). The couple doesn't share their emotions neither demonstrate any duty to the relationship. Now, the conspicuous matching is lessening. It is fundamental for the couple to reinvest in their relationship at this phase to abstain from losing the venture made to the organi zation before. The couple could get away, go for directing or plunk down and converse with rescue the relationship. Compelling listening is one of the most pivotal abilities that an individual ought to have so as to guarantee effective correspondence. To take care of complex issues in organizations and individual connections, it is significant to create powerful listening aptitudes. Compelling listening is more than hearing the verbally expressed words. It includes dissecting the significance of the messages verbally expressed, and concentrating on the individual talking as opposed to the words verbally expressed. A few boundaries influence compelling tuning in and incorporate ecological interruptions, close mindedness, preventiveness and pride among others (Pearson et al., 2006, p.134).Advertising Looking for report on correspondence systems? We should check whether we can support you! Get your first paper with 15% OFF Learn More In the given situation, Ben prevents powerful listen ing in light of his pride. Ben accepts that other peoples’ feelings are invalid in the gathering meeting. He guarantees that since he has been accomplishing the labor for a long time, he realizes how to improve. This is pride and it upsets him from listening successfully to different individuals from the gathering. Pride includes a component where an individual doesn't esteem the different person’s assessments. An individual assumes control over the discussion since the individual in question accepts he has nothing to gain from different individuals from the gathering (Pearson et al., 2006, p.131). A glad individual has the demeanor that the individual is better than some other individual in that gathering is. This pride is the thing that Ben has from his remarks. It is an individual deterrent to compelling tuning in and prevents human correspondence. Moreover, pride includes a person’s connection to individual convictions and qualities. Individual convictions a nd qualities cloud a person’s thinking limiting compelling tuning in. Individuals will in general find just those perspectives that help their convictions and dispose of those that don't. With time, an individual joins oneself to a specific perspective and can't tune in to different people’s supposition influencing tuning in. Human correspondence is the procedure by which individuals seeing someone and gatherings use data to associate with each other and nature. This correspondence is valuable since it empowers individuals to see how organizations work. A few elements of human correspondence incorporate physical, character, social and functional needs. At the point when an individual recognizes something by uncovering how it functions, an individual is utilizing the viable capacity of human correspondence. The reasonable capacity empowers an individual to comprehend a circumstance better. This capacity empowers individuals to get themselves and their self-connection wi th others. This capacity is crucial in correspondence since it empowers individuals to comprehend the working of day by day assignments. In many associations, bosses urge their workers to use pragmatic relational abilities so as to accomplish the organization’s objectives (Pearson et al., 2006, p.143). Through commonsense correspondence work, it is conceivable to comprehend forms in the association and clarify their working. Also, it gets conceivable to comprehend the creation of the procedures however useful correspondence. Moreover, functional correspondence empowers an individual to comprehend what the procedures consists.Advertising We will compose a custom report test on The Role of Human Communication in the Society explicitly for you for just $16.05 $11/page Learn More Further, down to earth correspondence empowers understudies in different establishments to impart viably. Useful correspondence empowers understudies to advance scholastically by examining circumstances in their scholarly work and giving arrangements. Correspondence through gathering conversations is conceivable in light of the fact that understudies use viable plans to create arrangements. Commonsense correspondence encourages collaboration among individuals in day by day exercises empowering comprehension of various circumstances. This capacity of correspondence is foremost in day by day cooperations since individuals can work successfully. Thusly, it is important for people in a correspondence procedure to be down to earth in their dealings to have the option to distinguish various circumstances and investigate them. Reference Pearson, J., Nelson, P., Titsworth, S., Harter, L. (2006). Human Communication with Learning Tool Suite. New York: McGraw-Hill. This report on The Role of Human Communication in the Society was composed and put together by client Marcel D. to help you with your own investigations. You are allowed to utilize it for research and reference purposes so as to compose your own paper; be that as it may, you should refer to it as needs be. You can give your paper here.

The Famous Architect Free Essays

Known as one of the most well known draftsman of all occasions Frank Lloyd Wright is a legend. The offspring of clergyman, â€Å"William Cary Wright and educator, Anna Lloyd Jones, Retrieved from http://engineer. engineering. We will compose a custom article test on The Famous Architect or on the other hand any comparable theme just for you Request Now sk/forthright lloyd-wright-engineer/candid lloyd-wright-designer. php † Frank Lincoln â€Å"Wright was conceived June 8, 1867 in Richland Center, Wisconsin. † Retrieved from http://design. about. com/od/wrightwebsites/Frank_Lloyd_Wright_Web_Sites. htm. He later changed his name to Frank Lloyd Wright after his folks separated. During his youth Frank and his family moved a few times. At 12 years old his family had â€Å"settled in Madison, Wisconsin, where he went to Madison secondary school. † Retrieved from http://design. about. com/od/wrightwebsites/Frank_Lloyd_Wright_Web_Sites. htm His â€Å"summers were spent on his Uncle James Lloyd Jones ranch in Spring Green, Wisconsin, here he understood his fantasy about being an engineer. † Retrieved from http://designer. rchitecture. sk/forthcoming lloyd-wright-designer/straight to the point lloyd-wright-engineer. php Without completing secondary school he left Madison in 1885 to work for Allan Conover, the Dean of the college of Wisconsin’s Engineering division. At the point when utilized at the University he went to two semesters of classes considering structural building. He moved to Chicago in 1887. At the point when Wright moved to Chicago, he worked quickly for an engineer. Soon after that he found an occupation as an artist for a firm with Dankmar Adler and Louis Sullivan. The Auditorium Building was the main venture with that firm; the structure was the biggest structure in Chicago of that time (1890). During the time he worked with Sullivan he planned a few houses remembering one for himself for Oak Park, Illinois with Sullivan’s partner, he remained utilized with Sullivan until 1893. Sullivan was not satisfied when he discovered that Wright was stretching out all alone and after only a couple of years this lead to a break between them; they didn't represent numerous years. In spite of the fact that they left from one another on terrible footing Wright had consistently felt. Instructions to refer to The Famous Architect, Papers

Explain How Education Promotes Individual Development - 275 Words

How Education Promotes Individual Development And Self Fulfilment (Essay Sample) Content: Name:Institutional Affiliation:Tutor:Date:How Education promotes Individual Development and Self-Fulfillment.Good education is the desire for every family in the world. The world believes that good education should be able to develop a childs personality and talents to the fullest. Education is perceived as a true reflection of cognitive development and self-fulfillment of a persons life. It should unleash and develop a childs potentials, capabilities and interest in every aspect of life. Therefore education in the modern societies should be viewed as a bridge to self-fulfillment which should develop talents and personalities among individuals and make them useful and transform their societies in the future CITATION Jul13 \l 1033 (Jullieflavia, 2013).Education creates and develops high self-esteem in an individual. It can be used as a tool to eliminate fear and shyness in an individual, create courage and confidence in approaching life issues CITATION Rob15 \l 1033 (Robert, 2015). Individuals should accept that making mistakes when learning is normal. Therefore they should not be mocked or laughed at but should be guided by giving them the right direction which will help unmask the hidden abilities and develop them fully. They should be given an assurance that mistakes are accepted and the only avenue towards discovering oneself.Teachers play a great part in ensuring that children develop fully when learning. They help the learner to discover and develop various talents and personalities either in school or outside the school. Teaching process should not be viewed as the role of teachers only but should involve parents, communities and the government in ensuring that the process is going on well. For example during the co-curricular activities like playing football or athletics, children may show various abilities. Its the responsibility of the teacher to note this ability and help the child to nurture and develop this talent fully. Through do ing this, we will be promoting education to fulfill its role in promoting individual development and self-fulfillment. It should have well guided goals and objectives CITATION Joh08 \l 1033 (John, 2008)Good education system in any country is the key to economic growth and development. A countrys prosperity and development depends on how well the education systems are. Best education systems promote national unity, moral development and social cohesiveness among individuals and nations CITATION PIC00 \l 1033 (PIC, 2000). Therefore education should be viewed as a vehicle of social change and development in the society.For the education sector to fulfill its role we should consider many parameters. First we should check our education systems and see whether they are imparting the right knowledge and skills to individual. We should understand that the world and the level of technology are improving and therefore, necessary reforms should be enhanced in education sector to march the le vel of technology. To succeed this, a lot of investments should be made towards the education systems. We should show our commitments toward achieving good education system which is accessible to everybody as one of the millennium goals as outlined by the United Nations.Education inculcates relevant social norms, beliefs and social behaviors which help an individual develop and become self-ind...

A Research On The Nursing Field - 1716 Words

Hey you LPN, Can you get the nurse I have a question to ask them? A common phrase heard in the nursing world and often makes the LPN feel inadequate and frustrated. The nursing field is one that is rich in history and diversity. The registered nurse has been the backbone of the nursing world for many years; however, many people recognize the license practical nurse or license vocational nurse particularly in the geriatric community. LPN/LVN in this setting perform many of the same tasks as the RN, yet is paid less and given much less respect. The LPN makes up the majority of the workforce when working in the geriatric rehabilitation setting and deserves to be treated as equals with the RN. The Scope of Practice, education given to both†¦show more content†¦To a large degree, this was because the RN had more training and is accepted to be educated than the LPN, however many LPNs with experience and additional education are often significantly better nurses. It is often highl y recognized that nursing is a profession based on experience and knowledge. Often the knowledge is gained from experience thus the skilled nurse is one with a significant amount of experience. Today much of nursing is based on evidenced based practices, which is performing procedures and tasks based on what is known will produce the greatest positive outcome (Jyothi, 2012). The next part of understanding why the LPN should be treated equally with their counterpart the RN, understanding the differences in scopes of practice. This paper will specifically be referring to the Florida scope of practice, largely in part due to personal experience and the huge LPN population in Florida. According to LPN.com (2014), there are approximately 43,350 working LPN in the state of Florida. LPN s as previously reported are the backbone of the geriatric population, and Florida has nearly 20 million people over 60, or 23 percent(ADRC, 2017). The LPN scope of practice in Florida differs in many ways to the RN. The RN is responsible for the initial assessment of the patient (FBON, 2005), however often when caring for this population, the patient is often being seen in the past for similar orShow MoreRelatedA Research On The Field Of Nursing880 Words   |  4 PagesSometimes all a sick child wants is his or her parent, and all a parent wants is a good nurse. I have chos en to pursue a career in the field of nursing, with a focus in pediatrics. Pediatrics is branch of medical care dealing with matters related to children. It is the responsibility of a registered nurse in any field to ensure that quality assurance procedures are precisely applied and followed during all phases of patient care. Quality assurance procedures are deliberate procedures that haveRead MoreFocused Clincal Research Questions in the Field of Nursing Essay904 Words   |  4 PagesFocused Clinical Research Questions Discovering new information applicable to the field of nursing begins by asking a focused clinical research question. According to Stone (2002), asking the appropriate question is essential for the research process that follows. Although there are countless nursing problems that are worth investigating, it is imperative to narrow the focus of the problems so they can be empirically tested (Adams, 2012). Personal clinical experience, professional literature, previousRead MoreThe Importance Of Nurses Reading And Critiquing Research About The Nursing Field1854 Words   |  8 Pagespurpose of nurses reading and critiquing research about the nursing field is to gain a better understanding of the research topic and to evaluate if this research will be effective in every day practice. Nursing is always evolving and changing, so it is important to keep up to date research on certain methods and practices used in the healthcare field. Article Summary Infection control and precautions is a major aspect when working in the health care field. Nurses and all other healthcare professionalsRead MoreChronic Obstructive Pulmonary Disease ( Copd )1396 Words   |  6 Pagesmanages it. Medical researchers have conducted novel research to observe the effectiveness of smoking cessation on COPD patients, while some have summarized and analyzed previous research to recommend involvement of nurses in intervention programs. The main aim of research in this field is to measure the severity of the disease and analyze the possible effective ways of reducing the harsh effects of smoking in COPD patients. Research in this field also draws scholarships from broad topics like useRead MoreGrand Theory Critique1369 Words   |  6 Pagesrealm of nursing. Orlando was born in 1926 and had a diverse nursing career which involved many titles and roles within the profession. Originally she received her diploma of nursing in 1947 at the New York Medical Col lege. Over the years Orlando continued her education and in 1954 earned her Master’s degree in mental health consultation from Columbia University. Orlando worked as a staff nurse in many different areas of nursing and as a graduate of a Master’s program participated in research at YaleRead MoreUnderstanding The Need For Nursing Informatics1393 Words   |  6 Pages Understanding the Need for Nursing Informatics Brandon R. Pascual El Camino Collegeâ€Æ' Abstract Nursing is a very diverse discipline. At present, the science of nursing continues to have major advancements through the use of technology. It plays an important role in education and nursing work (Darvish, A., et al., 2014). The need to study the role of nurses and highlight appropriate information technology (IT) education programs to integrate with the ever increasing pace of scientific andRead MoreGender Differences Between Associate And Baccalaureate Degree Levels1639 Words   |  7 Pages While the nursing field continues to flourish in today’s job market,it is also experiencing a massive shortage. Despite this alarming fact, according to Buerhaus (2008): â€Å" Of the estimated 2.24 million RNs in the nursing workforce in 2006, 200,000 were men (8%)† (p. 2424). In order to alleviate the nursing shortage, nursing schools must allure men into the field by eliminating the feminization of the profession and appealing to a diverse demographic who choose to pursue a career in a femaleRead MoreHistory of Nursing595 Words   |  3 PagesUniversity of Phoenix Material History of Nursing Research Worksheet There have been many influential publications, agencies, and people in the field of nursing research. Write 1–3 sentences in each cell of the table below to describe the importance, goal, or influence of each item. |Publications |First publication date and importance: | |Nursing Research |Firstpublished:1952Read MoreGender Differences Between Associate And Baccalaureate Degree Levels1637 Words   |  7 Pages While the nursing field continues to flourish in today’s job market,it is also experiencing a massive shortage. Despite this alarming fact, according to Buerhaus (2008): â€Å" Of the estimated 2.24 million RNs in the nursing workforce in 2006, 200,000 were men (8%)† (p. 2424). In order to alleviate the nursing shortage, nursing schools must allure men into the field by eliminating the feminization of the profession and appealing to a diverse demographic who choose to pursue a career in a female dominatedRead MoreRecent Changes in the Nursing Profession Essay813 Words   |  4 PagesThere have been many changes (major and minor) in the nursing profession and the medical field, as a whole, over the years. Some of these changes include changing demographics and increasing diversity, tec hnological explosion, the cost of health care, and significant advances in nursing science and research. Major socioeconomic changes created this drive to make transformations in nursing and institutions. These institutions are the ones that are responsible for educating the next generation of nurses

The Battle Of Adolf Hitler And Joseph Stalin - 1917 Words

Introduction Operation Uranus took place November 1942 around the city of Stalingrad. The German sixth Army, fourth Panzer Division, and its supporting allies had been attacking Soviet forces in and around Stalingrad since August 1942. Many historians think Adolf Hitler viewed a win in Stalingrad as a political and symbolic defeat of the Soviets. During a meeting with Joseph Stalin in September 1942, Generals Vasilevsky, and Zhukov noted that the German sixth Army and the fourth Panzer Division flanks were thin and poorly equipped. The Generals came up with a pincer offensive attack designed to surround the German sixth Army and its subordinate commands in the city of Stalingrad. It took the Soviet Army 4 days to surround the Germans. Once the Soviets surrounded the Germans, they began to compress the German forces into the city, cutting off their supply channels and ultimately resulting in the German 6th Armies surrender. History On August 23rd 1939 Germany and the Soviet Union agreed, and signed a ten-year nonaggression pact. During the signing of the nonaggression pact, Adolph Hitler and Joseph Stalin held secret meetings and agreed to split Poland after its capture. Less than two weeks later, on September 1st 1939, Adolph Hitler Orders the German army to invade Poland from the north, in what many believe was the actual start of World War II. After the invasion of Poland, France and Great Britain declared war on Germany. On September 17th 1939, Stalin ordersShow MoreRelatedAdolf Hitler and Joseph Stalin1033 Words   |  5 PagesAdolf Hitler and Joseph Stalin are two of the most sadistic dictators of the past century. They both reigned terror in Europe during World War II. Fueled by rage and anger, Hitler and Stalin rose to power and exploited their beliefs throughout Germany and Russia. Stalin turned Russia into a Communist country while Hitler was turning Germany against Jews. The leadership of these d ictators brought death and fear to many who opposed them. Hitler and Stalin both shared deprived childhoods, vicious fathersRead More Postion Paper: Who Was More Carzed Stalin Or Hitler1586 Words   |  7 PagesCrazed: Stalin or Hitler? nbsp;nbsp;nbsp;nbsp;nbsp;The obviously more crazed man was Joseph Stalin. Stalin was more crazed because over his time and rule, he killed millions upon millions more people that Hitler. Joseph Stalin is also more crazed because he did not kill other people he was racist against, but simply because he wanted to kill. The book Hitler and Stalin: Parallel Lives, states quot; Adolf Hitlers actions can not even be compared to the monstrous actions of Joseph Stalinquot;Read MoreA Totalitarian State Of The Soviet Union1552 Words   |  7 Pagespowerful, crucial leaders to date. All of the leaders have something in common, they all wanted power. They all realized that with power comes great responsibility, they gave themselves too much responsibility. Joseph Stalin, the dictator of the Soviet Union created fascism. Adolf Hitler, the leader of Germany created the Nazi Party. Benito Mussolini, the leader of the Italy was a part of the communist party. Francisco Franco, the leader of Spain o verthrew the democratic republic in 1939 and SpainRead MoreThe Tactics Of The German Army1421 Words   |  6 PagesThe Germans constructed trenches, barricades, and other protection measures to ensure their stronghold in Berlin. This became the final preparations for the city and waited for the Soviets advancement. The Soviets knew the key to success in large battles by using major firepower in order to eliminate the enemy. Field Artillery was a key factor in this strategy by providing the massive barrages into the city and taking down supply planes and closing supply routes. The Soviets planned the attack aboutRead MoreHitler Vs. Stalin : A Politically Influenced Era1289 Words   |  6 PagesBre Greene Mrs. Bartel English 9 16 April 2015 Hitler vs. Stalin The mid 1900s was a very politically influenced era. Many affairs were going on at this time, and many leaders were stepping up for their countries. Two leaders in particular were Adolf Hitler and Joseph Stalin. These two dictators made some of the biggest impacts in history. The impacts made were far from positive. They wiped out whole groups of people and civilizations in hopes to gain power for their country. These two combinedRead MoreThe Great Purge Of The Cold War1658 Words   |  7 Pages Joseph Stalin’s determination greatly affected his leadership and led to the beginnings of the Cold War. His determination allowed him to rise to power and destroy all opposition against his reign. The Great Purge, one of the greatest terrors in history, was also done due to his determination to stay in power. This same determination led to, as well as shaped, a large quantity of the events of World War 2. His leadership was similar to the leadership of Adolf Hitler, yet because of his determinationRead MoreWhat Were The Consequences That Erupted After The Pact Between Hitler And Stalin?1947 Words   |  8 PagesIntroduction What were the consequences that erupted after the pact between Hitler and Stalin? The results of the pacts between Adolf Hitler and Joseph Stalin were betrayals and battles, which changed the course of the war. If not for the striking similarities between the two dictators, which led to their downfall, the Axis, Germany, Italy and Japan,would have had the opportunity to win the largest war in recent history; however, due to the occurrence of the betrayal on Hitler’s behalf, the warRead MoreWorld War 2 Paper1057 Words   |  5 PagesReich already. The driving force was unquestionably Hitler, who wanted war and racial domination. But argument rages about the wider background, the political, cultural and economic climate which allowed Hitler into power to begin with. II. Major events and personalities MAJOR EVENTS: The Battle of Britain- Later in the summer of 1940, Germany launched a further attack on Britain, this time exclusively from the air. The Battle of Britain was Germany’s first military failure, as theRead MoreThe Treaty Of Versailles After World War I Ended957 Words   |  4 Pagesworkers went on a strike. In August 1939, Adolf Hitler and Joseph Stalin, Soviet leader, signed the German-Soviet Nonaggression Pact. The pact stated that the two countries agreed to not take military actions against each other for ten years. The aggression pact was signed because â€Å"Hitler had long planned an invasion of Poland, a nation to which Great Britain and France had guaranteed military support if it was attacked by Germany.† (History.com). Adolf Hitler looked at the pact to guarantee him anRead MoreStalin s Regime Of The Soviet Union1418 Words   |  6 PagesJoseph Stalin was a ruthless dictator who killed millions of his own people. Stalin maneuvered his way through the ranks until he was the leader of the Communist party. He then proceeded to attempt to gain complete control on the country through the government. Stalin was involved in World War II with Germany until Hitler turned on Stalin. In the end, all Joseph Stalin accomplished was tearing apart the U.S.S.R. Stalin rose to power by moving up the ranks while Lenin was in control of the Soviet

Renal Disease and its Aspects-Free-Samples-Myassignmenthelp.com

Question: Please Explain why Hypertension causing Kidney Disease. Compare two Options for treatment. Answer: This essay focuses on the pathophysiology, clinical symptoms and treatment procedures of end stage renal disease with respect to the medical reports of a patient. Relationship between pathophysiology and clinical symptoms- The patient is suffering from end stage kidney disease in which the kidneys barely function. In case of end stage renal failure, the rennin-angiotensisn-aldosterone-system (RAAS) gets abnormally upregulated. The enzyme rennin cleaves angiotensinogen to angiotensin I, which is converted to angiotensin II. Upregualtion of RAAS leads to increase in the production of angiotemsin II. There is an increase in intra-glomerular pressure. Hypertension, glomerulonephritis and diabetes are the most common cause of this condition (Jha et al., 2013). Increase in blood pressure leads to thickening of the vasculature (Coresh et al., 2014). The protein metabolism products begin to accumulate in the blood when the kidney stops functioning. This leads to waste buildup. With decline in kidney function, urea begins to accumulate and leads to a condition uremia. Accumulation of fluids in the body leads to edema (swelling of tissues) (Tomino, 2014 ). The other most common symptoms are increase in blood pressure (more than 120/80 mmHg), elevation of potassium levels in blood (greater than 5.0 mmol/L), hyperphosphatemia (reduction in phosphate excretion), hypocalcemia, higher creatinine volume due to low glomerular filtrate, calcification of vascular tissues. Failure to excrete excess amounts of potassium leads to an increase in its levels. This condition is called hyperkalemia. This increased level manifests itself in the form of numbness, weakness, nausea and slow pulse. Excess potassium levels make a patient more prone to cardiac arrest. Decrease in urine output (720 mL/ day compared to 800-2000 mL/day) is another major symptom. Abnormally elevated levels of serum creatinine (825 compared to 135 micromol/L) is a direct consequence of low glomerular filtration rate. Obesity is a major risk factor in case of chronic kidney disease. It is also associated with a high heart rate (HR- more than 80 bpm), crackels in the lungs (Gans evoort et al., 2013). Chronic kidney disease also causes muscle fatigue and makes a patient feel exhausted. This is due to failure in proper oxygen circulation in the body. Signs of depression are extremely common in such patients. Several studies have established links between depression and uremia. The patient has normal sodium levels in the blood. However, a sodium rich diet will increase complications in the body. This disease is also associated with uremic pruritus. The patients suffer from itching syndrome. The normal hemoglobin count ranges from 130-180 g/L. However, a renal patient suffers from anemia (low red blood cell count). Certain psychiatric issues like agitation, palpitation, malaise and somnolence may also develop in case of extreme renal failure. Therefore, the symptoms and biochemical test reports of the patient in this case study are manifestations of kidney failure. Relationship between medical history and renal condition- The patient has a medical history of hypertension, depression and seasonal rhinitis. Hypertension is a leading cause of end stage renal failure. The blood vessels in the body are damaged due to high blood pressure (Hall et al., 2014). The arteries become narrow and hard. Therefore, there occurs a reduction in blood supply to the kidneys. The nephrons do not get nutrients and oxygen in adequate amounts and the balance of salts, acids and hormones in the blood gets disturbed. Kidney failure often leads to development of allergic symptoms like runny nose, which resemble rhinitis conditions. Seasonal rhinitis is a nasal tract inflammation that occurs during specific periods of the year. It is caused due to hypersensitive reactions to pollens, weeds, spores or grasses. There is a close relationship between chronic kidney failure and symptoms of depression. The possible cause for this association might lie in the fact that depressio n leads to inflammation in the body and such inflammations accelerate the progress of kidney failure (Tomino, 2014). A study suggests that depression is more prevalent in patients who are on the fifth stage of chronic kidney failure (end stage kidney disease). The patient also shows a history of alcoholism and smoking. Prolonged smoking reacts with drugs used to treat hypertension and reduces the flow of blood to the kidneys. It also increases the risks of cardiac attacks in people suffering from hypertension. This worsens their condition. The patient also reports consuming 6 stubbies of heavy beer every week. Excess consumption of alcohol interferes with the kidneys ability to filter blood. It also disturbs the balance of fluids and electrolytes in the body. It leads to hepatorenal failure and liver cirrhosis. It also increases blood pressure, which is again associated with chronic kidney damage. Therefore, it can be stated that the patients medical and social history have aggravat ed his renal failure. Management of end stage renal failure- Several treatment options are available, which help in reversing the function of damaging kidneys and purifying the blood. Most patients with end stage renal disease are treated with hemodialysis and renal transplantation (Liyanage et al., 2015). In hemodialysis, an artificial kidney machine or dialyzer is used to restore the balance of electrolytes and to purify the blood. The walls of the dialyzer are made up of cellulose (semi-permeable membrane) and contain pores of different sizes. Solute diffusion across the semi-permeable membrane is its basic mechanism. This membrane separates the two compartments inside the machine (one for washing the fluids, the dialysate compartment and other for blood purification). The concentration gradient across this membrane is maintained by counter-current mechanism (Robinson et al., 2016). Alteraton of hydrostatic pressure inside the dialysate compartment leads to ultrafiltration. Blood from the patient is se nt to the machine by a synthetic graft or an arteriovenous fistula in one arm. The purified blood is returned to the person through the same arm. Hemodialysis is of different types depending on the severity of the disease. Patients can opt for in-centre hemodialysis, daily home hemodialysis or nocturnal home hemodialysis. Certain complications and risks are associated with this procedure. The hand with the arteriovenous fistula can experience some numbness, which can lead to a condition called steal syndrome (Coresh et al., 2014). Other complications like formation of aneurysm, narrowing or clotting of the vessel may also occur. Infection and bleeding are prevalent risks. It creates some adverse mental effects like fatigue, anxiety, depression and increased vulnerability to suicide on the patient as well. Renal transplantation is another effective treatment option. Its success depends on the medical conditions of the kidney donor (Liyanage et al., 2015). A functional kidney is inser ted in the lower portion of the abdomen and connected with the urinary bladder and blood vessels (Muzaale et al., 2014). Several immunosuppressants are prescribed to the patient, which will prevent the immune system from rejecting the donated kidney. Transplantation is considered more effective than hemodialysis and shows better survival chances. Its major complications are abscesses in the walls of the abdomen, abdominal hernia, urinary fistulae and rejection by immune system. Cognitive behavioral changes and depression are associated with this method. Therefore, it can be concluded from the essay that there are several factors which increase the risk of end stage renal disease. The electrolyte balance in the body gets disturbed and the person has to opt for rigorous treatment procedures. References Coresh, J., Turin, T. C., Matsushita, K., Sang, Y., Ballew, S. H., Appel, L. J., ... Green, J. A. (2014). Decline in estimated glomerular filtration rate and subsequent risk of end-stage renal disease and mortality.Jama,311(24), 2518-2531. Gansevoort, R. T., Correa-Rotter, R., Hemmelgarn, B. R., Jafar, T. H., Heerspink, H. J. L., Mann, J. F., ... Wen, C. P. (2013). Chronic kidney disease and cardiovascular risk: epidemiology, mechanisms, and prevention.The Lancet,382(9889), 339-352. Hall, M. E., do Carmo, J. M., da Silva, A. A., Juncos, L. A., Wang, Z., Hall, J. E. (2014). Obesity, hypertension, and chronic kidney disease.International journal of nephrology and renovascular disease,7, 75. Jha, V., Garcia-Garcia, G., Iseki, K., Li, Z., Naicker, S., Plattner, B., ... Yang, C. W. (2013). Chronic kidney disease: global dimension and perspectives.The Lancet,382(9888), 260-272. Liyanage, T., Ninomiya, T., Jha, V., Neal, B., Patrice, H. M., Okpechi, I., ... Rodgers, A. (2015). Worldwide access to treatment for end-stage kidney disease: a systematic review.The Lancet,385(9981), 1975-1982. Muzaale, A. D., Massie, A. B., Wang, M. C., Montgomery, R. A., McBride, M. A., Wainright, J. L., Segev, D. L. (2014). Risk of end-stage renal disease following live kidney donation.Jama,311(6), 579-586. Robinson, B. M., Akizawa, T., Jager, K. J., Kerr, P. G., Saran, R., Pisoni, R. L. (2016). Factors affecting outcomes in patients reaching end-stage kidney disease worldwide: differences in access to renal replacement therapy, modality use, and haemodialysis practices.The Lancet,388(10041), 294-306. Tomino, Y. (2014). Pathogenesis and treatment of chronic kidney disease: a review of our recent basic and clinical data.Kidney and Blood Pressure Research,39(5), 450-489.