Monday, January 27, 2020

Importance of Vision and Mission Statement

Importance of Vision and Mission Statement The vision of any organization at some future time shows very small image of any organization. Normally it is make or set for the organization, that what is the organization plans for future or upcoming, basically the purpose of vision to find something. Mission statement shows the exact purpose of the organization. This statement is primary objective of the organization to show the plans, aims and programs of the company. A mission statement is bit different from the vision statement. Values are the basically principles of thoughts which help us to understand and predict an individual or group level actions. Normally values of any organization define and describe the nature as well as stand for the organization, to operate the organization it establishes, the rule of conduct it describes the organization values in a very authentic images that how you will easily apply on a running organization. According to Weyerhaeuser what a vision statement means in the introduction to the companys statement, our vision and our values. An organization vision statement present the upcoming or future desire which is valid and it should must be go on and never ever should be change with each cycle of an organization. According to Meridian Bancorp our vision is meridians statement of core values that defines the companys culture and the meridian way of working. According to Stephen Covey if you dont set your goals based upon your Mission Statement, you may be climbing the ladder of success only to realize, when you get to the top, youre on the wrong building A clear mission statement also focus on what are the advantages which is you are offering to your patrons as well as consumers it also tells you exact purpose of your organization. Benefits/Importance Of Vision Mission Statement A good mission statement is like a born of success for the organization. It is very for the companies to find out the ways and also do the regular confirmation whether company or organization is on the right way or not. A purpose of a clear mission statement to an organization to align the people as well as merge all the individuals activities in to the group. It also tells to the organization employee whether they are doing work is important or worthwhile. A clear statement describes the importance of work to the organization. It can change the thinking for the improvement of the organization and give the ancillary customer services to their customers. Mission has the value that it gives the change in any organization from time to time. Normally mission statement of any organization describes the primary objectives as well as purposes. The primary function of this statement in the company is internal to evaluate the business key and company success as well as stockholders and team of leader. The purpose of vision statement to define the company purpose, this statement do not measure the bottom line of the company but vision statement measures the values of the company as well as values tells to the company leaders how things should be done. This statement is also communicates the aims and values of the company. Vision statement gives direction to the employees that how they can provide their best and ancillary the customers Vision and mission statement helps to the company where company wants to go, these statement very helpful to focus that what is done and what should be done. Mission and vision statement gives high energy to the company for attain or set the goals, these statements requires a lot of time to write, through mission and vision statement you can easily achieve the values. A mission statement without vision statement is like nothing. Basically a mission statement defines the proper aim and activities of the company which is very important for its vision. The aims of both statements are to address and achieve the important and major goals of the company or organization. It is very hard without vision and mission statement for any company to achieve their goals or aims. So these statements are the born of the companies. Another important benefit of the mission and vision statement also helpful to visible companies strategic plans, these statement have all the vital mechanism for the future propel of any company. Both statements are very helpful for guiding and communicate in the company or organization. Mission Vision Statements Communication Adoption By The Staff The executive of any company visibly defines the mission statement to all the staff. The seniority leaders of any company defines the vision statement which is properly based on market review, satisfactions of consumer as well evaluate the capabilities of the company.,/ The vision of the company is very simple, little and comprehensive to all employees of the company. The vision and mission statement undoubtedly and simply communicates to all employees about their jobs and performance. Mission and vision statement is very helpful and guide to all employees to achieve the goals. When the senior leaders of the company change these statements they also tell to their employees how to achieve the goals and ancillary of customers. Many companies have different channels to communicate to the employees and through these channels they dedicate company vision and mission to their employees. In some circumstances vision and mission statement also communicate between employees and chief executive officers. These statements are also very helpful to improve the staff performance as well as give training to the staff. Many companies call the meeting to the all employees and tell about the vision and mission statement. Staff through vision and mission statement can easily understand their job and better perform. These statements is also obliging to the promotion of the staff Basically vision and mission statements ancillary the staff, improve the work, and very helpful for staff. Implementation Of Vision Mission Statement On Different Programs Corporate Strategy The corporate strategy starts through vision and Mission statement can b accessed by culture, core values and its core values on which it competes. Mission statement tells where stands of the corporation in present, and the purpose of vision statement is it shows where will be the corporation in future. Mission statement describes us that what we want to do as well as who we are? It states about the capabilities, future targeted customers and future line up. Long term decisions are described in strategic visions. It tells about the corporation future plannings i.e. the technology prospect and targeted location. To depart yours self from competitors, mission and strategies plays a crucial role and defines its mission for the future. Strategic Investment Plans It is accepted worldwide vision and mission statement are very effective and vital for the strategic planning of any company. The strategic plans and mission statement of the company to check and determine about the unity themes and also improved the response which come from customers and shared vision, and pass this information to the company executives are responsible to implement this vision for achieving their goals. This is very helpful to the company strategic vision and investment to promote the value of the company or business. The another advantage of this is very suitable for the decision making of the company purchase as well as this exercise you can easily implement on the new management of the company. This exercise also ancillary the new management and gives them to time as well as good opportunity to understand the investment values and about the cost saving. This will help to evaluate the company effectiveness and efficiency. Vision and mission statements state the company or business how you invest and after invest what you will get. Basically these statement is also very help to create the plans of investment and strategy of the company. The company can achieve the goals and aims with the investment. These statements are the born of every plans. Such kinds of statements give you core ideas and the purpose of your business and company. Tesco Example Now a day Tesco is going to develop economically new towns in the United Kingdom. So the vision of Tesco in investment and strategic plan is to generate new supermarkets, new housing, cycle tracks, visitor centre etc, with the help of this vision Tesco can easily achieve their goals and aims, which will increase the Tesco profit, so vision is very helpful for investment planning and strategic planning as we saw in the Tesco vision. Constant Change The constant change is not occurs in vision and mission statement for many years. It changes in such circumstances when significant change seem is essential. The new vision and mission statements design the company executives. If you are thinking to change vision and mission statement of your company first you should have to change your planning because vision and mission statement varies or relies on your company planning. The vision and mission statement arises in the meeting of management when they are discussing about the strategic planning of the company. Such sort of statements shows the whole position of the company and where the heading of the company. Vision and mission statements also describe company matters and what company is acting as a control centre as well as what do not do the company. Mission and vision of the company constantly focuses for all the managers as well as it shows the direction and hold or maintain when in some circumstances the individual objective are changed. So constant change in vision and mission statement is bit tuff. Example Constant Change In British Airways In 1997 British Airways launched a new mission statement after a brief discussion with the employees, the management of British airways replaced an existing mission statement, existing statement which is introduced in 1995 to accumulate privatization. Many employees of the company were train and doing their exact jobs. The new mission statement of British air ways quote its basic challenge which the company is facing. They added its new mission statement given below. Ancillary of customers. Consumers desires. The climate of global economic. Competition challenge. Basically we shall say it is the change of mission, strategic plans and vision. The purpose is to make a plat form which lead for the future of the company. The merger of vision and mission statement is very important for those large companies in which staff and managers have right to make decisions themselves, without any permission from seniority management or headquarter of the company. If every member of the staff knows what and where is the purpose of our company, therefore company can easily achieve the goals and objectives. These statements help creating the aims, goals, and target as well as very important to constrain company short term plans and set the budgetary trade off to gain the company long terms goals. Conclusion As the above discussion of vision and mission statement, I conclude that vision and mission statement is very essential for the companies, without vision and mission statement companies have not the goals if there is no goal, how companies can be survive or formulate. As we saw vision and mission statement is a born of every planning and strategy of the companies. These statements also motivate the staff and guide them about their jobs. However we can say that vision and mission statement are the base of the companies. Such kind of statements is very important and very helpful to evaluate the companies or organizational values. However we can judge that without mission and vision statement companies are like flat or prone. Bibliography and References Mary Morel (2003), Promote Your Business: How to Write Effective Marketing Material for Your Small Business, illustrated edition, Allen Unwin, p.4. Jeffery Abrahams (2004), The Mission Statement Book: 301 Corporate Mission Statements From Americas Top Companies, Rev Sub edition, Ten Speed Press, P.16. Hugh Secord (2003), Implementing Best Practices In Human Resources Management, Toronto: CCH Canadian, p.269 William J.Rothwell (2009), Practicing Organization Development: A Guide for Leading Change, 3rd edition, Jossey Bass, p.150-151. Peter Mears, Frank Voehl (1995), The Executive Guide to Implementing Quality Systems, 1st edition, CRC Press, p.32. Mark Graham Brown (2004), How to Interpret the Baldige Criteria for Performance Excellence, 13th edition, Productivity Press, p.106. John Miltenburg (2005), Manufacturing strategy: How to Formulate and Implement a Winning Plan, 2nd edition, Productivity Press, p.241. Michael Coveney (2003), The Strategy Gap: Leveraging Technology to Execute Winning Strategies, 1st edition, Wiley, p.160. Julie Hyde, Frances E. Cooper (2001), Managing the Business of Health Care, illustrated edition, Bailliere Tindall, p.101. Nigel Evans, David, Campbell, George Stonehouse (2003), Strategic Management for Travel and Tourism, 1st edition, butterworth-Heinemann, p.17. Emil Angelica (2001), Crafting Effective Mission and Vision Statements, Saint Paul, Minn, p.4. Cynthia Weishapple (2001), Introduction to Legal Nurse Consulting,Delmar Cengage Learning, p.71-72 Marieke K. De Mooij (2009), Global Marketing and Advertising: Understanding Cultural Paradoxes, Third edition, Sage Publications, p.270.

Saturday, January 18, 2020

6th Amendment and the Courts

6th Amendment and the courts Alice Groh CRJS215-1301A-02 February 17, 2013 John Mcrae Abstract In writing this paper the author will attempt to explain the 4th, 5th, 6th, and 8th amendments of the United States Constitution and how they apply to criminal defendants. The author will explain how the 6th amendments specific rights apply to the court system in this nation. This paper will also look at how this amendment is implemented within the criminal justice system in this country to see if it is working as intended. th Amendment and the courts The Bill of Rights provides certain rights to all individuals including rights for those accused of committing crimes. The 4th amendment gives people the right to be secure in their person, home, papers, and effects against unreasonable search and seizure, no warrants shall be issued without probable cause and must list the place to be searched and the person or property to be seized (Bill of rights, n. d. ).The 5th amendment protects a person from being tried in a court of law twice for the same crime (known as double jeopardy), or to be a witness against himself (self-incrimination), or to be deprived of life, liberty, or property without due process of the law (Bill of rights, n. d. ). The 6th amendment gives the accused the right to a speedy trial, by an impartial jury, to be informed of the nature and cause of the accusation, to confront witnesses against him, to obtain witnesses on his behalf, and to have counsel for his defense (The sixth amendment, n. . ). The 8th amendment forbids excessive bail, excessive fines being imposed, or cruel and unusual punishment from being inflicted upon the accused (Bill of rights, n. d. ). The 6th amendment has affected the way the accused are processed from arrest through sentencing phases of the criminal justice system. â€Å" The 6th amendment focuses completely on the rights of a person accused of committing a crime† ( The sixth amendment, n. d. . The 6th amendment give s the accused seven specific rights. These rights are the right to a speedy trial, the right to a public trial, the right to an impartial jury, the right to be informed of the nature and cause of the accusations, the right to confront witnesses against them, the right to present their own witnesses, and the right to counsel even if they cannot afford to hire their own counsel (The sixth amendment, n. d. ).The right to a speedy trial stops a person from sitting in jail indefinitely without being tried for the crime they are accused of committing. The right to a public trial allows the public to observe exactly what is happening, satisfies the public’s desire to see justice done, and stops corruption from court officials. The right to an impartial jury reduces corruption in the trial proceedings, puts your fate in the hands of average citizens instead of one person the judge, and lets society have a say in what the punishment should be.The right to be informed of the nature and cause of the accusation against you means that you are told the specific charges and allegations against you, when they supposedly occurred, and helps in stopping false charges from being filed against a person. The right to confront witnesses against you means that those witnesses must accuse you face to face in court, allows you to cross-examine them, ask questions of them, and examine their credibility.The right to call your own witnesses allows the accused to defend one’s self and helps guard against unfair and unjust accusations from being made. This clause guarantees that you can call your own witnesses and that if they refuse to testify the court can subpoena them to court. The right to counsel guarantees that the accused has a lawyer to help defend and assist them throughout the criminal process. If a person cannot afford to hire counsel then the court must appoint counsel for them. The right to counsel may be the most important right guaranteed within the 6th amendm ent.The right to counsel begins at the time of arrest and continues throughout the criminal proceedings even if the accused cannot afford to hire counsel themselves. I fully agree with the way the court system has implemented the rights of the 6th amendment in the criminal justice system. Without these rights the criminal justice system would not work as we know it. People accused of crimes would be unjustly and unfairly accused and tried for crimes they may have not committed and would have no way of defending themselves.The people accused of these crimes would find themselves living in a very barbaric court system. References Aiu online virtual campus website. Instructor files week 1 Bill of Rights. (n. d. ). Retrieved February 17, 2013 from http://www. archives. gov/exhibits/charters/bill_of_rights_transcript. html The sixth amendment. (n. d. ). Revolutionary war and beyond. Retrieved February 17, 2013 from http://www. revolutionarywarandbeyond. com/6th-amendment. html

Friday, January 10, 2020

Difference of Drama and Prose fiction

Often times, drama has been confused with prose fiction by several people. As a student of literature, I have seen so many people confuse the two together. Sometimes they say; â€Å"it’s all the same†. The question is this true? If not, what are the differences between them? These are the question that I will attempt to answer in this essay. For the purpose of clarity and precision, It will suffice to make an overview at what literature itself is.Literature can be seen as the collection of written works of a specific language, at a particular time, in a given culture which might be imaginative or creative in nature and is usually of specific artistic worth. Every society has its own literature but they are in different levels. Some are advanced while some are not. The basic genres of literature are drama, poetry, prose but in this essay, restriction will be on drama and prose fiction. Drama as a genre of literature is the detailed style of fiction characterized by acts. The etymology is from a Greek work which means â€Å"action† or â€Å"to do†.On the other hand, prose fiction is also a genre of literature that deals with writings that differ in meter and rhyme to poetry. It is a form of writing that has a lot of similarity to our everyday speech. The question here is what differentiates these two genres of literature? How can we separate both when we see them? The answers to these questions are enumerated below in the following paragraphs. The first difference between drama and literature likes in the fact that drama is meant for a live performance which is directed at a live audience.This is better portrayed in some words associated with drama such as words like play and show. On the other hand, a prose fiction is directed by the author to a single person at a time- the person reading the work. Another difference is that drama communicates in the present while prose does not. Also, in drama, the personality of the playwright is mo stly hidden in the sense that there are several characters in the work while in the case of prose fiction, the author selects the character and therefore, this personality might reflect in his work.Furthermore, in drama the actor impersonates a role while in prose fiction the character imitates the person. In the case of drama, the entire thing the playwright has in presenting the story is the dialogue while in prose fiction the dialogue is imitated language that does not carry the plot forward. Another difference in drama and prose fiction lies in the fact that in drama, in order to make the audience understand the play better, gestures are used. On the other hand, in the case of prose fiction, what the author manipulates the text in order for the reader to better understand the work.In addition, in drama, the audience decides what mode they will be although the dramatists have an influence over the mode but they can not alter the mode. In prose fiction, the author decides the mode , setting, the character and what he wants the reader to know. Summarily, it should be noted that although these two genres of literature have sharp differences, they both come from the same family and they both serve as means of entertainment and means of communication.

Thursday, January 2, 2020

The School Of Public And Environmental Affairs - 1568 Words

Change is to make the form, nature, content, future course, etc. of something different from what it is or from what it would be left alone (notes). Change is a continuous occurrence throughout the growth of organizations and their success can be correlated with how adaptable the organization is to these changes. SPEA’s current organizational structure is not working effectively, so in order to remedy this problem, we must change the organizational structure within SPEA. I have created a plan that will solve the communication problems within SPEA while simultaneously enhancing the structure and culture of the organization. The School of Public and Environmental Affairs currently operates as a mechanistic, or bureaucratic, organization.†¦show more content†¦Patt will then approve the task and then Patt will inform student workers of their new duties. This means the flow of communication goes from the middle to the top level and then directly to the bottom level. The vertical communication that is evident in a mechanistic organizational structure is currently functioning in the form of an upside down checkmark. In addition to this disruption of the organizational structure, there is also the exclusion of the top level in its entirety. The advisors will disregard Patt and communicate their needs with the student workers directly, which in turn makes the organization operate on a disconnected basis. SPEA is attempting to run a centralized, formalized, and mechanistic organization; however, their actual organization is extremely informal. The first step to creating an organization that functions properly is to fix the structure of the organization itself. After analyzing the current formalized organizational structure within SPEA, I decided that it did not need to be changed; however, it needed to be adjusted in order to make it operational. SPEA should maintain their mechanistic structure with distinct levels of authority for the sake of the student workers, so that they are aware of who they are answering to. In order to make this structure more effective for the student workers, we need to further centralize the organization. For instance, we should

Wednesday, December 25, 2019

New Waves Of Feminism Women s Rights - 821 Words

New waves of feminism have been spreading across all states with each varying due to the political and cultural climate of said states. One example of this interaction between a state, its people, and the game that is social advancement is Iran. Despite Iran attempting to equalize men and women in socioeconomic and educational aspects (and, sometimes, not even that), the continuation of protests for women’s rights proves that some rights are more valuable to the advancement of gender equality than others. However, there is no specific area that should be targeted for this change as doing so does not promote complete equality. However, the area that seems to be most important is the political one. By limiting the woman’s voice in the political process, there has been a constant tug-of-war with the rights of women. Furthermore, this has caused great backlash from the women of Iran who protested for the inclusion of more women on the recently elected President’s cab inet. If more women were represented within the political process, then perhaps sustainable and constant change would be happening within the nation of Iran as it has in other countries. In putting up this political barricade, women are forced to only have their voices heard in unofficial protests with demands that, typically, fall on deaf or uninterested ears. The Iranian case also provides room for a lot of interpretation and theories about multiculturalism. One may argue that the need for women to beShow MoreRelatedThree Waves Of Feminism Essay1406 Words   |  6 PagesThe Three Waves Of Feminism Seeing the title the first thing that comes to our mind is â€Å" What is Feminism†? feminism is a belief where a woman s needs and their contributions are valued. It’s based on the social, political and economical equality for women. It is also described as a movement. Where women are fighting for their right since evolution. Now, what about the word â€Å"wave†? The word â€Å"wave† which categorizes feminism because it illustrates the forward motion- of the women s movementsRead MoreFeminist Theory Of Feminism1245 Words   |  5 Pageswhich is an extension of feminism, there is support of equality for both women and men. Feminism is a belief that women and men have equal rights and opportunities. There are many different branches in the feminist perspective, one of the most interesting one is intersectional feminism. Intersectional feminism believes that experiences of class, gender, and race can not be adequately understood unless we understand that women of different races have different experiences. Women of color are told everydayRead MoreThe Second Wave Of Feminism799 Words   |  4 Pagessecond wave of feminism (in the 1960’s and 1970’s) successful in achieving equality for women?† The essay is introduced by describing why the second wave of feminism developed and the aims of this second wave of feminist. The essay is broken into two parts. 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Freedom fighters advocatingRead MoreThe Three Waves of Feminism1223 Words   |  5 PagesThe Three Big Waves of Feminism First-Wave Feminism: Women’s Right to Vote In 1776, the then First Lady of the United States was the first to raise her about women’s rights, telling her husband to â€Å"remember the ladies† in his drafting of new laws, yet it took more than 100 years for men like John Adams to actually do so. With the help of half a dozen determined, and in this case white upper-middle-class, women the first-wave feminism, which spans from the 19th century to the early 20th centuryRead MoreThe Political And Cultural Challenges That Feminists Have Contested Over Time Essay1635 Words   |  7 Pagescrusades for economic, political, social and cultural fairness for women. Feminist scholars have segregated the history of feminism into three waves; first, second and third. The first wave concentrated on women’s suffrage, the second wave focused on political and cultural disparities and the third wave analysed the definitions of femininity which takes a broad view of white upper class women. This essay will compare and contr ast these waves examining the social, political and cultural challenges thatRead MoreThe History of Feminism Essay750 Words   |  3 PagesThe History of Feminism The definition of feminism is very elusive. Maybe because of its ever-changing historical meaning, it’s not for certain whether there is any coherence to the term feminism or if there is a definition that will live up to the movement’s variety of adherents and ideas. In the book â€Å"No Turning Back,† author Estelle Freedman gives an accurate four-part definition of the very active movement: â€Å"Feminism is a belief that women and men are inherently part of equal worth. Because mostRead MoreIn Our World Today, The Living Generations Seem To Be Incredibly884 Words   |  4 Pagesopinions in what feminism stands for and what the acts in the name of feminism truly mean in the context of society. Feminism as defined by the Merriam Webster dictionary is: â€Å"the theory of the political, economic, and social equality of the sexes.† If this is the definition, why is there such division? Is it because this is not what is actually believed to be what feminis m is? Or is it because the culture is seeped in inequality and society rejects major change? And, looking at the new President elect

Tuesday, December 17, 2019

The Strange Case Of Dr. Jekyll And Mr Hyde - 1159 Words

The Strange Case of Dr Banner and Hulk Reinterpretations have played a major role in all forms of entertainment. They provide another, unique perspective on something old, something you may have read or seen. They make it possible to relive, or re-experience something that you cherished, or they can enable you to love something you hated. Reinterpretations have a lot of artistic power, as can be seen in a review of The Strange Case of Dr Jekyll and Mr Hyde, written by Robert Louis Stevenson, compared to The Incredible Hulk, directed by Louis Leterrier. The value of reinterpretations can be explored through the use of these two texts by looking at the theme of duplicity in man, and analysing the characters Bruce Banner and Dr Jekyll. Dr†¦show more content†¦As time progresses Mr Hyde dominates his alter-ego, Dr Jekyll, until only Mr Hyde remains. The plot of The incredible Hulk seems to be somewhat reversed. The movie begins with a similar experiment, but the progression of the characters is opposite. Bruce Banner learns to control the Hulk over time, whereas Dr Jekyll loses his control over Mr Hyde. Although the movie starts off with a similar experiment, the experiment is performed on Dr Banner (Dr Jekyll) by General Ross rather than Dr Banner performing it on his own impulse as Dr Jekyll did. The experiment prompts the initial transformation, which leaves Dr Banner in the form of the Hulk (Mr Hyde). However, the movie removes the potion element of Dr Jekyll and Mr Hyde and instantly begins with the involuntary transformations. Similar to Dr Jekyll s transformation from socialite to social recluse, Bruce Banner goes into hiding where he learns how to somewhat control his newfound condition through meditation. This event is similar to Dr Jekyll s partial recovery when he stops taking the potion and becomes more sociable agai n. Some major plot changes have been implemented in the reinterpretation, yet the character of Dr Banner remains very similar to the character of Dr Jekyll. Some differences do exist, however, and they do have an effect on the invited reading. For example, Dr Banner is motivated by love to learn to control his conditions, whereas Dr Jekyll transforms willingly to explore

Monday, December 9, 2019

Evidence Based Nursing Research for Reasoning - myassignmenthelp

Question: Discuss about theEvidence Based Nursing Research for Clinical Reasoning. Answer: Nurses can provide prioritised care the patients by using clinical reasoning cycle. Levett Jones clinical reasoning cycle is a step wise approach for providing nursing intervention. It incorporates multiple sequential steps like collection of patient information, processing of information, planning and implementing interventions, evaluating outcomes and reflecting on and learning from the process. Levett Jones clinical reasoning cycle gives opportunity for the nurse to think critically and helps nurse to understand patients condition and plan intervention accordingly. In this essay, clinical reasoning cycle is being followed to prioritise care for Peter. First prioritised care identified for Peter is reduction in body weight and second prioritised care is reduction in blood glucose level. In this case scenario, case of 52 yr old Peter Mitchell is being discussed. Peter is having past medical history of obesity, type 2 diabetes, hypertension, depression, sleep apnoea and gastro oesophageal disease reflux disease. Data indicates that his pat body weight was 145 kgs and BMI was 50.2 m2. Moreover, due to administration of insulin, he was gaining significant amount of body weight. Hence, first prioritised to be provided to Peter is weight reduction and keeping body weight in control. Along with medical intervention, dietician and physiotherapist intervention also required for his body weight control. Dietician recommended him to consume low energy and high protein diet. Low energy and high protein content diet can be helpful to reduce energy reserve and reducing body weight. Physiotherapist asked him to perform light exercise which can result in more energy expenditure as compared to the energy consumption. Increase in body weight is associated with other several co-morbid conditions diabetes, hypertension and depression. These conditions can be effectively controlled by control in the body weight. It is evident that obese people can have breathing problem also. All these conditions are evident in Peter. His blood pressure is 180/92 mmHg which is higher as compared to the normal blood pressure which is 120/80 mmHg. His respiratory rate is 23 Bpm which is higher as compared to the normal respiratory rate which should be between 12 20 Bpm. Higher respiratory rate is indication of the breathing insuffiecncy. His heart rate is 102 Bpm which is slightly higher as compared to the normal heart rate. There can be multiple risk factors for the occurrence of obesity like physical, physiological, psychological and genetic, environmental responsible for the occurrence of obesity (Ahima, Lazar, 2013). Diet and medication related factors are also responsible for the occurrence of obesity in the people. In case of Peter physical, psychological and medication related factors are responsible for increase in body weight in Peter. Peter is unemployed hence he is not doing much physical work, he is having psychological feeling of fatigue and insulin administration are the physical, psychological and medication related factors respectively are responsible for obesity in Peter. As compared to obesity, BMI is the important indicator for obesity (Zeng et al., 2014). BMI more than 40 m2 can be considered as the severe obesity condition. In case of Peter, BMI is 50.2 m2, which indicates he is severe case of obesity. It is evident that life-expectancy can be drastically reduced in obesity and it co-morbid conditions. Due to all these co-morbid conditions, Peter need to take different medications like insulin and metformin for reducing blood glucose level, lisinopril and metoprolol for hypertension and pregabalin for pain. Since, all these medications need to take simultaneously. Hence, these medications can affect efficacy of another medication. Hence, obesity need to be controlled to control other co-morbid conditions and to prevent medication interactions. Obesity is also responsible for the narrow opening of the respiratory tract; hence Peter is experiencing breathing problem and sleep apnea (Hamilton, Naughton, 2013). Social support is necessary for the control of body weight. However, Peter is experiencing social isolation due to sustained increase in body weight and failure to secure job. Social involvement can be helpful in augmenting his physical activity and also to reduce stress and dep ression. Stress and depression are responsible for exaggerating obesity. In obese patients, valve at the top can be overloaded which lead to secretion of acid in the stomach. This secretion of acid results in the gastro-intestinal reflux in obese patient like Peter. Different interventions like nutritional, medial, social, psychological and behavioural need to be implemented in case of Peter. Since, obesity is a multifactorial disease, it cannot be controlled by single intervention. Implementation of multiple interventions at the same time can be helpful in reducing body weight in severe body obese patients like Peter. By controlling weight of Peter, other co-morbid conditions can be effectively controlled (Haire-Joshu and Tabak, 2016). Second identified priority for Peter is to control blood glucose level. Nurse need to control blood glucose level to control other conditions like obesity ventilation syndrome and sleep apnoea. Control in the blood can be useful in controlling symptoms like shakiness, diaphoresis and increased hunger. Since, 9 years he is having diabetes and it resulted in other conditions like obesity and hypertension. It is evident that diabetes can sustain after age of 50. In diabetes, in response to increase in the blood sugar level body can produce more amount of insulin. However, due to destruction of beta cells insulin lose its sensitivity to control blood sugar level. Hence, diabetes patient become resistant to insulin. This insulin dependent diabetes is called as type-2-diabetes (Kahn et al., 2014). Obese people are more prone to type-2-diabetes due to unhealthy eating habits and lack of physical exercise. On the other side, insulin consumption for management of diabetes can increase body we ight. In case of Peter also, intake of insulin exaggerated increase in body weight. In the studies, it is evident that people with BMI more than 30 are prone develop type-2-diabetes (Li et al., 2014). It is evident that there is correlation between diabetes and sleep apnea. In insulin dependent diabetes, there are chances of development of diaphoresis. He is having long history of diabetes and he is taking insulin and metformin for the control of blood glucose level. In case of diabetes, blood glucose need to be checked prior to and after meal. Based on the glucose level, insulin dose need to be changed. If insulin is being administered without checking blood glucose level, there can be possibility of hypoglycaemic condition. This hypoglycaemic condition can occur, if glucose level is in control at the time of insulin administration. Diaphoresis is the symptom of hypoglycaemia and it is evident in Peter. Hence, nurse should perform accurate assessment prior to administration of the medication. Nutritional, physical and psychological factors are responsible for the increase in blood glucose level. Hence, multiple interventions like insulin administration, oral antidiabetic drug adm inistration, diet control, exercise and relaxation should be implemented for Peter. It is evident that integrated interventions can be helpful in more effective control of glucose level. Nurse should educate patient to consume medication on time and desired amount of medication need to be consumed. Diabetes medication need to be consumed for the longer duration of time. Moreover, diabetes is mostly present in the older people like Peter along with other co-morbidities. Hence, there are chances of non-adherence to medication consumption in case of Peter. Nurse should encourage him to adhere to medication consumption because irregular consumption of medication can lead to alteration in blood glucose level (Clark et al., 2014). It can lead to uncontrolled glucose levels which can lead to diabetic complications. Renal disorders and retinopathy are the prominent diabetic complications. Diabetic complications can affect multiple organs and lead to deterioration of Peter. Conclusion: Weight control and blood sugar level control were the two priority areas identified for Peter. These priority areas were identified based on the Levett Jones clinical reasoning cycle. Identification of these priority areas helped in effective nursing intervention for Peter. Multiple factors like physical, physiological, psychological and social factors were considered for providing nursing intervention for Peter. Diet, exercise and medication administration should be incorporated in addressing these two priority areas in Peter. Nurse should coordinate effectively with different professionals like dietician and physiotherapist to implement effective nursing intervention in Peter. As both obesity and diabetes are chronic condition, nurse should encourage him to adhere to medication consumption. Nurse should monitor effectively medication administration because Peter is consuming multiple medications simultaneously. Nurse should collect all the data for all the co-morbid conditions prio r to medication administration. In conclusion, nurse should play prominent role to implement Levett Jones clinical reasoning cycle in Peter. References : Ahima, R., and Lazar, M. (2013). The Health Risk of Obesity--Better Metrics Imperative. Science, 341(6148), 856-858. Clark, B., DuChane, J., Hou, J., Rubinstein, E., McMurray, J., and Duncan, I. (2014). Evaluation of increased adherence and cost savings of an employer value-based benefits program targeting generic antihyperlipidemic and antidiabetic medications. Journal of Managed Care Pharmacy, 20(2), 141-50. Hamilton, G., and Naughton, M. (2013). Impact of obstructive sleep apnoea on diabetes and cardiovascular disease. The Medical Journal Of Australia, 199(8), 27-30. Haire-Joshu, D., and Tabak, R. (2016). Preventing Obesity Across Generations: Evidence for Early Life Intervention. Annual Review of Public Health, ;37, 253-71. 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