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I selected the article The yin and yang of bleeding disorders (McCarron, 2011)due to the fact that it deals with the blood component of the human being which happens to be the content of the course material, hematology. To put this perspective, the course material is hematology which is the discipline that deals with the study, prevention, diagnosis, and treatment of disease of (that affect) the blood. The article is about the delicate balance that exists between the formation of blood clots and their dissolution. This is the rationale that inspired my choice of the article, it related to course material and expands my knowledge on the lessons that have been learned in class.

Three Aspects Learned

The three aspects that I have learned from this article are; the two pathways that merge to form a common route that results in clotting, the role of homeostasis in blood coagulation, and the various causes of blood clots. The first lesson of two pathways that merging to form a common route that results in clotting relates to the course, material in that it shows how the intrinsic pathways and extrinsic pathways interact to result in clotting (Mansouritorghabeh & Mozafari-Mosanen , 2016). The former happens when the blood meets damaged endothelium cells while the latter happens when platelets are exposed to the site of tissue injury.  These paths merge on the activation of the x factor which is the entry of the common pathway. In course material, we see the role of platelets in blood clotting as well. From this perspective, the relationship between the two elements can be clearly seen. Secondly, homeostasis, which is the maintaining of a stable internal environment in the body has been deeply explained in the article and its connection with blood coagulation. The course material has similarly tackled homeostasis as a means of arresting bleeding from an open wound. Last but not least, I learned the various causes of blood clots such as inherited disorders, for example, von Willebrand disease and acquired disorders such as Thrombocytopenia. The course material has covered similar topics with its unique approach of exploring the contribution sickle cell anemia has in clot formation in the blood vessels (American Journal of Hematology, 2015).

Selected Element

The element that I shall implement in my practice is the knowledge of the two pathways of blood clotting. This is an invaluable lesson in nursing, as a matter of fact, understanding the process of clotting is key in dealing with a majority of patients whether it is in the ward or at a first aid scene. This knowledge by extension helps me define the factors that contribute to clotting, the drugs to avoid and the potential first aid to give to patients that have would such as this from car crashes. This is a mandatory lesson in my career. Last but not least, I can immediately apply this knowledge to my personal life since I often have minor cuts that often bleed when I amcutting cooking ingredients or get cut while walking about. I can keep the area clean and let the platelets do their work while I confidently proceed with my tasks.

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