The Doors Of Hope Improving Recidivism Among Women

Doors of Hope: Working to Reduce Recidivism among Women in Rutherford County Elizabeth Edwards Middle Tennessee State University Human Behavior Theories Throughout time, psychologists and scientists have worked to study and explain human behavior. While many theories have been developed and published, there is a small group of theories that can be directly applied to certain client populations. One of the theories that most closely relates to the clients at Doors of Hope is Albert Bandura’s Social Learning Theory. Bandura’s theory mentions the importance of self-efficiency among clients. â€Å"Self-efficiency refers to a person’s belief about his or her ability to perform behaviors that lead to expected outcomes† (Ashford †¦show more content†¦The wide variety of client outcomes provides evidence that Bandura’s theory has some truthfulness to it. Bandura’s theory states that a client’s self-efficiency plays a role in the outcome of that client. For example, if a client is entering a program with full dedication to complete the program and remain drug fr ee, they are more likely to successfully complete those goals. On the other hand, if the client enters the program and is unsure of what will come out of it, they most likely will not be successful. However, some clients may relapse or return to their pervious life style, only to return to the program at a later time and successfully complete the program. One client at Doors of Hope had been a repeat patient at multiple rehab facilities. It wasn’t until she was arrested and faced losing her children, that she gained a new perspective on the benefits of remaining sober. This client had entered the program with the intention of remaining sober and regaining custody of her children. From the very start of her involvement with Doors of Hope, this client has proved her desire to remain clean and have lived a lifestyle that supports that decision. This client is now drug free for close to six months, has rebuilt a relationship with her family members, and has recently been granted unsupervised

Osteoarthritis of the Knee in Athletes - 1637 Words

Osteoarthritis of the Knee in Athletes Osteoarthritis, also known as degenerative joint disease, is an endemic condition that affects 20 million people in the United States alone. Osteoarthritis is the most common type of arthritis and is defined as a gradual process of destruction and degeneration or wearing away of the joint cartilage which typically occurs in the older individual age 50 and over (http://emedicine.medscape.com/article/330487-overview#a0101). . Although this diease is well known for its association with the natural aging process, it is also prevalent in athletes. Specifically, osteoarthritis of the knee has been said to be the most commonly affected area as a majpr weight bearing joint and is a growing epidemic in relation to sports injuries in the young adult. http://www.webmd.com/osteoarthritis/guide/ostearthritis-of-the-knee-degenerative-arthritis-of-the-knee. According to, (Vincent), among upper and lower reported extremity sites, the most common region for osteoarthritis to manifest is p’ in the medial compartment of the knee. The risk of knee osteoarthritis from knee joint injury is high; approximately 50% of individuals with an ACL or meniscus tear develop knee osteoarthritis [10-15]. A long-term prospective study indicated a relative risk for knee osteoarthritis of approximately 5 for any previous injury of the knee [13]. As cited in, _____, Thelin and colleagues determined that injury of the knee joint was associated with all knee OA in aShow MoreRelated5 Types of Physical Therapy911 Words   |  4 Pagestherapy Burner syndrome Osteoarthritis of the Knee Sport therapy: Today in sports athletes bear many mental and physical obstructions from there competitive environment. Negative belief and psychological pressure from spirited moments; create many interruptions for athletes who do not focus mental pictures in their minds. A bright picture is one that allows individuals to see stress and negative belief as a challenge, rather than an intimidation. Psychologists assist athletes in coping with many obstructionsRead MorePp For Knee Oa 2013719 Words   |  3 PagesAt the GNYRC-ACSM 2017 conference, there were two presenters that stood out to me the most. Dennis Cardone, a sports medicine physician, an orthopedic surgeon who discussed current research in regenerative medicine and osteoarthritis. Drew Marcos, Physical therapist, who discussed a practical way to analyze the pitching mechanics and the key moments in the movement of this overhead motion. In Cardone presentation, His main focus was on Platelet-rich plasma (PRP), (plasmas that come from the patient’sRead MoreEssay On Chronic Knee Pain1274 Words   |  6 PagesIntroduction Chronic knee pain is a common symptom in pathologies and conditions such as tibiofemoral and patellofemoral osteoarthritis (OA), anterior cruciate ligament (ACL) tears, and patellofemoral pain (PFP). These injuries are treated by physical therapists today more than ever before. In the United States, OA is the most common joint-related disorder (Zhang and Jordan, 2010). This study also reported that OA specific to the knee occurred in 13% of women and 10% of males over the age of 60Read MoreAn Orthopedic Field That Specializes Avoidance And Management Of Sports Related Injuries1049 Words   |  5 Pagesincidents is known as sports medicine. New treatments arise everyday that correlate with injury rehabilitation, a relatively new treatment that is performing breakthrough in medicinal science is gene therapy. It displays great potential in getting athletes back into physical activity faster, whilst regenerating injury to complete fitness. Even though gene therapy is relatively new with ten years of research, it is based on the evidence that generating genes outside of the body and genetically modifyingRead MoreEssay On Anar Cruciate Ligament Injuries717 Words   |  3 PagesThe anterior cruciate ligament injuries (ACL) are the most common and detrimental inj ury in young athletes.1 More than 200,000 anterior cruciate ligament reconstructions (ACLR) are conducted in the United States annually to reconstruct the ligament and stabilize the knee.1,2 According to the CDC, ACLR cost over $1 billion dollars to the health care system.3 ACL injuries are increasing in female’s secondary to their increased involvement in sports activities, from recreational to competitive sportsRead MoreAnterior Cruciate Ligament Injury?2540 Words   |  11 PagesAnterior cruciate ligament injury is a common injury, especially among athletes. There are several factors that contribute to the likelihood of ACL rupture. These factors can be genetic, environmental, structural, and behavioral. Reconstruction is the best option for those wishing to be able to participate in physical activity again. The autograft, a graft taken from the individual, is the most common choice. The graft can be taken from the patellar bone or the hamstring tendon. Each graftRe ad MoreThe Anterior Cruciate Ligament ( Acl )1263 Words   |  6 Pages The anterior cruciate ligament (ACL) is a ligament that can be found in the knee. The ACL attaches two of three bones that link to form the knee joint. These bones are the tibia, which is the larger bone in the calf area, and the femur, which is the bone found in the thigh. The third, non-connected bone is the patella, which is the kneecap that offers protection to the overall area. The knee joint houses four primary ligaments, which are separated into the following two groups. The collateral ligamentsRead MorePreventing Sports Injuries in Youth1703 Words   |  7 Pagesemerging. The cause of this epidemic sinks down to two components ill conditioned athletes and coaches who push them too hard. Now these factors may not seem important yet they are what is leading the adolescent population of the United States into this crazy sports issue. As sports become more intense the nation is seeing young children as young as 8 experiencing injuries that should only happen to a professional athlete. Luckily this can all stop with one simple resolution; listening to the humanRead MoreThe Injuries Of The Acl Injury1256 Words   |  6 Pagesligament injuries happen more commonly in knee joint injuries which are almost 50% of total. Along with it this injury affects even after 10 years to the chronic pain in knee and osteoarthritis [29].Female athletes who involved in different sports are 4-6 time higher than males for getting ACL injury [30, 1, 19, 20]. Anatomy of knee complex: To find a possible mechanism that contributes to ACL injury, there must be important to understand an anatomy of knee joint, how stability of joint occurs andRead MoreMassage Therapy : An Alternative Medicine Practice966 Words   |  4 Pageswhich helps to relax the entire body. The Swedish massage can be helpful at both relaxing and energizing a person. It is also used specially to treat osteoarthritis of the knee. It has been clinically proven that Swedish massage plays an important role in reducing the pain, stiffness, and friction a person constantly feels with osteoarthritis of the knee. Another common massage therapy technique used is known as the pregnancy massage. The Pregnancy massage is thought to relieve nausea, muscle and joint

Reflection Of A Project Manager Essay - 1567 Words

A project is purposeful when it accomplishes its goals and when it meets the expectations of the stakeholders. The project sponsors are the one, who enforces the decisions regarding the project. Everyone in the organization such as project manager, contractors, project team members and suppliers need their work in order to reach the final destination of a project. Fig: Reflection of an Organization Let’s discuss in briefly about the organization in managing the system rules and responsibilities and reaching the expectations of client final project. Project Manager: A manager is a person who manages the project, planning and developing the deliverables. In order to establish the project, the manager has the authority to select the team and schedule the plan. A few ideas which help the higher administration and project manager are: i. Create inside and out arrangements and significant points of reference that must be endorsed by top administration amid the arranging and outline periods of the venture. ii. Ask top administration connected with your undertaking for their data reporting needs and recurrence. iii. Build up a status reporting system to be dispersed on a planned premise. iv. Keep them educated of undertaking dangers and potential effects at all times. Contractors: All the resources and the products require for the project are handled by the contractors and are responsible for checking the quality. They work as customer support and as the worker in theShow MoreRelatedReflection Of A Project Manager Essay1456 Words   |  6 PagesPart 2. Reflection Project manager as the name suggests is the one who has to everything from start to end for a project and he has everything that goes on in a project is done under his supervision. He is the commander of everything and in the end if something goes wrong then he is the one who will be held responsible and not the workers or the labor or anything for that matter. So obviously being a project manager is not an easy task and cannot be given to anyone. To be a project manager you justRead MoreProject Planning And Control Relationship1401 Words   |  6 Pageserror, some are learned through observations, and some from reflection. Reflection allows someone to look back on how things transpired and what could have been done better despite a negative or positive outcome. A discussion on project relationships, planning, control, and reporting was addressed during this course. This assignment reflects back on the lessons learned during this course and how they may be applied in the work place. 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This study finds out that organisational culture affect project management in four ways:Read MoreBook Review - Managers Not Mbas a Hard Look at the Sodt Practice of Management by Henry Mintzberg1651 Words   |  7 PagesOrganization Behavior – I Assignment – Book Review (Managers not MBAs, A hard look at the soft practice of managing and management development– Henry Mintzberg) Mayank Sinha Roll No 88 Section B PGDM 2009-11 Exposition of a critique The leitmotif of the book is that the practice of management can only be learned by the action-reflection model. Management is the practice of getting the right things done, individually and collectively, and learningRead MoreThe Principles Of Project Management1748 Words   |  7 Pagesprinciples of project management, it incorporates the basic belief and put forward a framework for addressing risk and uncertainties within project management domain. This model has been formulated by undertaking serious research involving multiple dimensions. 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Genuine reflection requires us not just to provide justifications for our behaviors, but to continue to study and appraise ourselves and own personal development including how we communicate and interact with others. Self-reflection ensures we carry out our nursing obligations according to the requirements of our practice and that we connect and consider our patients and coworkers in a caring way (Jacobs, 2016). Nurses alsoRead MoreAssignment On Professional Roles Through Case Studies1120 Words   |  5 PagesProfessional Competencies Assessment 1 Reflection on professional roles through case studies Melad Baher Saaed Alyonan – SID: 19081221 Common professions in the construction industry are: †¢ Building Designer – Simply is a person who designs buildings. In fact, there are many aspects more than design is the building designer responsibility and it’s a part of his day to day duties like site survey, calculating quantity and choosing the suitable quality of the project, prepare documents, planning, organizingRead MoreProject Management Techniques For Success And Failure1589 Words   |  7 PagesProject Management Techniques for Success and Failure Individual Assignment BPM501, Semester 1 2016 Table of Contents Executive Summary 1. Introduction 2 2. Project Classification 2 2.1 project success factor 2.2 cause of project failure 2.3 project success factor of IT 2.4 project failure factor of IT 3. Scope of the literature 4 3.1 Key words 3.2 Databases 3.3 Journals 4. Background (Headings and subheadings) 5 5. Discussion 6. Recommendations 7. Conclusion 8. YourRead MoreThe Waterfall Approach For Software Development Projects1578 Words   |  7 PagesThe waterfall approach to software development projects is a linear model, which focuses on individual stages of development including, requirement identification, analysis, design, coding, testing and operations. While this model has been around for decades, there are many drawbacks. This method heavily focuses on extensive documentation and front loaded requirements gathering; thus inviting the opportunity for significant and costly failures. As the landscape of information technology in the business

St. Francis s Basic Social Services Essay - 939 Words

Since 1984 Saint Francis has offered basic social services that potentially save the lives of several. As the organization itself says, Saint Francis house’s main mission is to â€Å"rebuild lives by providing refuge and pathways to stability for adults experiencing homelessness and poverty† (Saint Francis House 1). They do this by providing several services. Their services include: Food, daytime shelter, clothing, showers and toiletries, and mail ID services. Going over the services in more depth, the food department makes sure each homeless person is fed. They serve breakfast from 7:30 a.m. to 9 a.m., and lunch from 11:30 a.m. to 1 p.m. in the first floor dining area every day. Additionally, they provide back up food / emergency sandwiches at 2:45 am for anyone that may need it at night. Just over the last year they served 220,000 meals, showing the impact it has within the people they serve in Boston. Moreover, the clothing distribution center, rather â€Å"Fresh Threads† focuses on being a center for clothing items. Here, the person can register for an appointment where they can get dressed from head to toe. They can receive an outfit, outerwear, footwear, accessories or any other seasonal item. Additionally, the day center offers a shower, toothbrush and toiletries items to those that need it, and establishing an email or mail system offers a secure and safe place for the homeless to receive mail for whatever reason. Interestingly, a personal favorite activity here isShow MoreRelatedAn Investigation At Winterbourne View Hospital843 Words   |  4 Pagesinvestigation by Robert Francis QC. Francis published a number of reports between 2010 to 2013 which revealed failings by mid staffs in providing basic care; from provision of food, drink, pain relief, wash facilities to unhygienic wards and toilets. The francis report also estimated that between January 2005 and march 2009, approximately 400-1200 deaths occurred as a result of poor care. The inquiry laid blame on poor staffing, lack of compassion, poor management. Francis also noted a lack of concernRead Moresugar revolution1746 Words   |  7 PagesThe Sugar became population in the West Indies. The English, French colonies who settled Caribbean island such as St.kitts in the early 16th grew tobacco in order to make money. For a little while they were able to make the profit. However by 1640’s the faced different competition from tobacco grower in virgina had certain advantages which are virgiana had large lots of fertile land. Virginia tobacco was cheaper and the quality was better. 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Tourism and travel main activity is the pleasure trips for recreation and Europe is the world s favourite tourist destination and therefore face significant challenges in becoming more sustainable. One of the biggest beneficiaries of a more sustainable tourism industry will be the industry itself - fewer people will want to visit a region whereRead MoreA Brief Note On Travel And Tourism Sector Essay2883 Words   |  12 PagesIn developed countries, the annual increase is faster than average growth of the economy. The contribution to GDP of tourism revenue reaches (or exceeds) 30%. Tourism and travel main activity is the pleasure trips for recreation. Europe is the world s favourite tourist destination and therefore face significant challenges in becoming more sustainable. One of the biggest beneficiaries of a more sustainable tourism industry will be the industry itself - fewer people will want to visit a region whereRead MoreTraditionally Indigenous Australians875 Words   |  4 Pagesp. 176). Indigenous Australians have been discriminated against, abused and forced to forgo their traditional way of life through assimilation policies. Furthermore, Indigenous Australians were neglected in obtaining any form of education, such as basic literacy and numeracy (Foley, 2010, pp. 180-182). Inequalities for Indigenous Australians continue, creating a common stereotype in today’s society (De Plevitz, 2007, p. 66). It is the history of disposition Indigenous Australians have faced throughRead MoreThe History of Social Work in the Caribbean3239 Words   |  13 PagesSocial work and Social Welfare has been with us from as far back as the 1600s and it has always been, and has continued to be a response to human needs. In order to understand its historical development, it is necessary to examine the significant factors, which has influenced its evolution. It can be said however that factors such as the establishment of the Elizabethan poor laws, the emancipation of slavery and the social unrest which resulted in the 1937 riots, played a momentous role in the developmentRead MoreDefine Caring Moment1682 Words   |  7 Pagesliver cirrhosis. Drawing my own conclusions on what had landed my client at this late hour into the emergency room. I began to ascertain information on his medical history. My client had acquired hepatitis B from a blood transfusion in the early 80’s. Suffered from sickle cell anemia all his life and had debilitating arthritis that prevented him from working now. Define Caring Moment Had turned to alcohol as a pain remedy not being able to afford pricy pain prescriptions. 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Oftentimes, the absence of opportunities to engage with ones chosen community including cultural connections, or individuals and institutions in one’s local neighborhood can result in a lack of social networks, a loss of community attachment, and an absence of social support and relationships with the local community

The Importance of How to Write College Paper

The Importance of How to Write College Paper But What About How to Write College Paper? Keep in mind your deadlines and don't forget that a few schools may require more than 1 essay or request quick paragraphs along with the primary personal statement. College paper is a kind of academic assignment where you need to prepare a summary of a particular subject, analyze a selected topic and consistently express your ideas and arguments. To be able to compose a killer body paragraph you must compose a correct thesis. Selecting a topic looks like a simple undertaking, but the truth is that must take your time to think of a standout subject issue. Hence, it's very imperative that you focus on the easy college essay formatting guidelines, which are given below. When you compose the essay all on your own, you still have to visit the library to research on your preferred topic to discuss, etc.. When you purchased your customized essay at Essays-Writers. 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Nursing Case Study for Cushing Syndrome -myassignmenthelp.com

Question: Discuss about theNursing Case Study for Cushing Syndrome. Answer: Introduction: Cushing syndrome can be defined as hypercorticosolism is a particular health adversity which is caused by excessive exposure to high levels of cortisol hormone for a prolonged period of time. On a simpler note, it can be mentioned that this particular disease is facilitated by the abnormality in the concentration of the hormone cortisol. There are a few hallmark signs of the Cushing syndrome, some of them can be considered as a fatty hump between the shoulders, a rounded face, and pink or purple stretch marks on the skin. Other physiological manifestations of this disease include extreme hypertension, localized obesity mostly abdominal, and weakness in both the muscles and the bones. Therefore, along with the risk of high blood pressure, weakness and other related co-morbidities, it has to be mentioned in this context that this particular health adversity is also associated with body image alterations and facultative mobility restriction (de Bruin et al., 2012). Therefore, it has to be mentioned that the physical as well as psychological burden of this diseases is extremely high for this particular disease and hence there is often the need for surgical intervention like adrenalectomy. However, for extremely obese patients, which is mostly the case for the Cushing syndrome sufferers, the post operative deterioration can be a significant health and wellbeing concern for the patients. This assignment will attempt to deal with the different post operative complications that are common for the adrenalectomy surgery for Cushing syndrome and the relevant post operative care requirements taking the aid of a case study. Aetiology and pathophysiology of the patient: This case study represents the case of Susan Summers, a 40 years old woman, a victim of two much related co-morbidities, obesity and diabetes. Along with that the patient had also been suffering from excessive obesity at 90kg with a BMI of 35kg/m2. Susan had also had the risk of mild alcoholism and had a history of drinking a bottle or more of wine every night to cope with her life. However, her history of having a benign tumor in her right adrenal gland had been the primary reason behind the overexposure to cortisol enzyme and the resultant abdominal obesity in the patient due to cushing syndrome. The patient had to undergo an adrenalectomy surgery attempting for positive changes in her appreacnce nad body image (Dekkers et al., 2013). Now pathophysiology and aetiology for the disease condition of the present is relative. Cushing syndrome is facilitated by the overexposure of cortisol hormone and there is an intricate hormone signalling pathway employed behind this phenomenon. It has to be mentioned that complementary action of both the corticotrophin releasing hormone and the adrenocorticotropin facilitates the secretion of the hormone cortisol in the adrenal glands of the human body. It has to be understood that the increase in the cortisol levels effects the kidney functions and in turn impacts the blood glucose level in the body (Elliott Coventry, 2012). This is the pathway following which the cortisol overexposure leads to type 2 diabetes in the patients. Along with that it has to be mentioned as well that the cortisol hormone is also associated with the process of maintaining the functionality of the cardiovascular system and the regulates the fluctuations in the blood pressure levels, which in turn facilita tes the abdominal obesity. Therefore, it can be concluded that the cortisol releasing adrenal cortex is the primary aetiology of this diseases and in the case of the patient under consideration as well, the abnormality in the cortisol levels and its impact on the CRH-ACTH feedback loop results into the obesity, hypertension and type 2 diabetes in the patient (Dimopoulou et al., 2014). Pathophysiology of the postoperative deteriorations: It has to be mentioned in this context that a key requirements for the analysis of the different post operative deteriorations, there is need for adequate monitoring and analysis of the vital signs of the patient in the hours following a surgery. It has to be understood that the different vital signs are indicative of the different life sustaining physiologic and metabolic function of the body, hence any fluctuations in the vital signs can indicate directly at the anomaly in the body system facilitated by any post operative deterioration (Tang et al., 2015). First and foremost, the respiratory rate in the patient had been 30 breaths per minute. Now it has to be mentioned that the respiratory rate of any normal healthy adult is 12-20 breaths per minute, hence the patients respiratory rate is undoubtedly enhanced. An underlying cause to this phenomenon can be the pulmonary dysfunction caused by the tachypnea facilitated by the pulmonary dysfunction due to post anaesthetic effect and th e extra pressure on the thoracic cage due to the extreme abdominal obesity (Guaraldi Salvatori, 2012). Along with that, it has t o be mentioned that the pulse rate of the patient had been 128 beats per minute, where as the normal heart rate for a healthy adult is 80-100 beats per minute. This coupled with the high blood pressure levels of the patient at 160/90 mmHg is the clear indication of the deteriorating health status of the patient. Elaborating more it has it be mentioned that for the obese and diabetic patients the post anaesthetic period is associated with many cardiovascular complications. It has to be understood in this context that the increased insulin resistance in the diabetic patients coupled with the high BMI due to the high obesity is the primary reason behind the hypertension which is manifested as the high pulse rate and the blood pressure (Nieman, 2015). Along with that, it also needs to be mentioned that regular alcohol consumption also can be a major contribut ing factor behind the pathophysiology of hypertension in the patients which is accentuated in the post anaesthetic period. The temperature of the patient had also been a little reduced from the normal levels attributing to the effects of anaesthesia. Along with that, it has to be mentioned that the last vita sign of the patent had been the low urine output at 5ml in the last hour. The normal urine output is generally is close to 1000-2000 ml on a daily basis and depending on that calculation; the patient had been suffering from low urine output. It has to be mentioned that the high abdominal pressure after the surgery can contribute to the low urine output (Gupta et al., 2011). As per post operative care that the patient will be requiring, it has to be mentioned that wound management and surgical site infection control is the most important fact. It has to be mentioned that wound care needs to be systematic and aseptic at all times. Along with that the patient would require a few breathing exercises and even airway clearance deepening on the severity of the need of the patient. Beta blockers will also be needed to be provided to the patient in an attempt to restore the normal cardiac functions. Following an adrenalectomy surgery the patient will require the assistance of the steroid therapy to ensure normal adrenal gland functioning. For increasing the urine output of the patient taking extra fluids, fiber, along with usage of stool softeners will be beneficial (Hartmann et al., 2016). Interdisciplinary care: It has to be mentioned that along with the care provided by the nursing professional and the health practitioner, the patient in this case study will require the assistance of the different interdisciplinary health care members in order to have the most optimal and best health outcomes. First and foremost, the patient will require the assistance dieticians or nutritionist who will play a vital role in both the obesity and diabetes management of the patient. It has to be mentioned that for Susan reducing her weight and better control of the diabetes is very important in order to attain optimal recovery. The dietician will be responsible for maintaining a strict and multipurpose diet plan based on whole grains and fluids for the patient so that she can regain control of her daily calorie intake and can manage her blood glucose levels effectively (Kiriakopoulos et al., 2011). The assistance of an endocrinologist will help the patient in maintaining a control on the hormonal imbalance in the body, and help overcome the impact of the recent adrenalectomy and steroid therapy. Lastly the patient will also require the assistance of a physiotherapist in order to provide assistance in different mild gross motor skill exercises that will help the patient control her post operative recovery. Hence, the interdisciplinary care from the above mentioned 3 care members will optimize the hospice care after the surgery and will help the patient attain rapid recovery (Manenschijn et al., 2012). Conclusion: On a concluding note, it has to be said that Cushing syndrome is a very common health adversity and the resultant impact of the different health adversities are also very severe. However, one of the most impactful and altering effects of this particular disease is the localised obesity and altered body image which can be a very distressing factor for many. Hence, the most plausible option for such patients is the adrenalectomy which is also associated with many post operative complications. Although, as mentioned above an interdisciplinary care plan can help the patient attain speedy recovery. Reference: de Bruin, C., Hofland, L. J., Nieman, L. K., Van Koetsveld, P. M., Waaijers, A. M., Sprij-Mooij, D. M., ... Feelders, R. A. (2012). Mifepristone effects on tumor somatostatin receptor expression in two patients with Cushing's syndrome due to ectopic adrenocorticotropin secretion. The Journal of Clinical Endocrinology Metabolism, 97(2), 455-462. Dekkers, O. M., Horvth-Puh, E., Jrgensen, J. O. L., Cannegieter, S. C., Ehrenstein, V., Vandenbroucke, J. P., ... Srensen, H. T. (2013). Multisystem morbidity and mortality in Cushing's syndrome: a cohort study. The Journal of Clinical Endocrinology Metabolism, 98(6), 2277-2284. Dimopoulou, C., Schopohl, J., Rachinger, W., Buchfelder, M., Honegger, J., Reincke, M., Stalla, G. K. (2014). Long-term remission and recurrence rates after first and second transsphenoidal surgery for Cushing's disease: care reality in the Munich Metropolitan Region. European journal of endocrinology, 170(2), 283-292 Elliott, M., Coventry, A. (2012). Critical care: the eight vital signs of patient monitoring. British Journal of Nursing, 21(10), 621-625 Guaraldi, F., Salvatori, R. (2012). Cushing syndrome: maybe not so uncommon of an endocrine disease. The Journal of the American Board of Family Medicine, 25(2), 199-208. Gupta, P. K., Natarajan, B., Pallati, P. K., Gupta, H., Sainath, J., Fitzgibbons, R. J. (2011). Outcomes after laparoscopic adrenalectomy.Surgical endoscopy,25(3), 784-794. Hartmann, K., Koenen, M., Schauer, S., Wittig-Blaich, S., Ahmad, M., Baschant, U., Tuckermann, J. P. (2016). Molecular actions of glucocorticoids in cartilage and bone during health, disease, and steroid therapy. Physiological reviews, 96(2), 409-447 Kiriakopoulos, A., Economopoulos, K. P., Poulios, E., Linos, D. (2011). Impact of posterior retroperitoneoscopic adrenalectomy in a tertiary care center: a paradigm shift.Surgical endoscopy,25(11), 3584-3589. Manenschijn, L., Koper, J. W., Van Den Akker, E. L. T., De Heide, L. J. M., Geerdink, E. A. M., De Jong, F. H., ... Van Rossum, E. F. C. (2012). A novel tool in the diagnosis and follow-up of (cyclic) Cushing's syndrome: measurement of long-term cortisol in scalp hair. The Journal of Clinical Endocrinology Metabolism, 97(10), E1836-E1843. Nieman, L. K. (2015). Cushing's syndrome: update on signs, symptoms and biochemical screening. European journal of endocrinology, 173(4), M33-M38. doi: 10.1530/EJE-15-0464 Prodam, F., Ricotti, R., Agarla, V., Parlamento, S., Genoni, G., Balossini, C., ... Bellone, S. (2013). High-end normal adrenocorticotropic hormone and cortisol levels are associated with specific cardiovascular risk factors in pediatric obesity: a cross-sectional study. BMC medicine, 11(1), 44 Tang, C., Xu, Z., Yi, X., Li, P., He, H., Zhang, Z., ... Zhou, W. (2015). Fast track surgery vs. conventional management in the perioperative care of retroperitoneal laparoscopic adrenalectomy.International journal of clinical and experimental medicine,8(9), 16207.

Generational Accounting Regulation Theory and Business Application

Question: Discuss about the Generational Accounting Regulation for Theory and Business Application. Answer: Introduction: It has been found that for every bank, ALM is considered as one of the most esoteric purposes. The firm Commonwealth bank also follows the ALM for esoteric principles. Moreover, it has been found that the particular organization Commonwealth bank follows the mathematical formula of assets is equal to the summation of the capital and the liabilities in order to maintain a stable financial condition. The particular bank has asset of an amount of total $ 873 billion and has liabilities of an amount of $ 821 billion and capital of a quantity of $ 52 billion (Deegan 2013). This implies that the specified organization Commonwealth bank follows the ideal formula of asset and liability. However, it has been found that the balance sheet of the CBA Group represents that the total quantity of assets of the firm is more than the summation of total liabilities and capital. The total assets of Commonwealth bank are comprised of home loans of $ 423, other lending assets of $ 202 and other assets of $ 150. On the contrary, the summation of the liabilities is comprised of deposits of $ 460 and other liabilities of $ 94 (Freeman et al. 2014). Therefore, it can be said that the balance sheet is not well structured and thus the firm Commonwealth bank might fail to operate. It has been found that 99 % of the balance sheet is generally prepared based on the accrual accounting (Commbank.com.au 2017). However, it has been noted that underneath the rules of IFRS, all the derivatives are accounted for utilizing the mark-to-market principles of accounting. Thus, the accountant of the firm should suggest various solutions to the problems in order to operate the business successfully. In the organization Commonwealth bank, the primary functions of an accountant include the management of the balance sheet of the bank. Moreover, based on detailed analysis, it can be said that the other role of an accountant in a bank is to stabilize the total interest margin. This particular role of the accountant is achieved through the designing of the product, by controlling and managing the pricing of the goods, using the derivatives and strategic controlling of the mix and the volume (Bonin 2013). In addition to these, the other most important role of an accountant that should be performed by him/ her is to look after the fact that whether the particular bank is running its accounting and financial operations as per the rules and regulations of the accounting standards or principles. Role of a New Graduate Employed in the Organization The role of a new graduate who has been employed in the particular organization Commonwealth bank is to understand the accounting principles that the particular corporation is following presently. In addition to these, the newly employed graduate should also determine the issues that the specified firm faces due to the implementation of a particular set of accounting principles (Van Mourik 2014). According to the issues faced by the firm, the newly employed graduate should suggest for the accurate one for the betterment of the firm. The attributes and the skills that are needed for operating the particular firm are work-content, transferable and self-management. The reason behind this is that the particular skills related to work-content are required for performing the specified occupation. On the other hand, the versatile skills are required as these can be transferred among the occupations. Lastly, the skills of self-management permit the manager to manage the people and their environment. It can be said that the alignment of the skills and the attributes with the requirement of the firms is an important factor. The accurate skills of a manger help him to manage and control the operations of a firm. Moreover, Miihkinen (2014) stated that the qualifications of an individual as well as the hard skills help in aligning the need of the company with the attributes of the manager. The improvement of the attributes as well as the skills of a newly graduated employee can be made by the help of the trainings provided by the human resource manager. Moreover, the practical knowledge of the firm will also help the newly employed employee to gain knowledge. References Bonin, H., 2013.Generational accounting: theory and application. Springer Science Business Media. Commbank.com.au. 2017.Personal banking including accounts, credit cards and home loans - CommBank. [online] Available at: https://www.commbank.com.au/ [Accessed 23 Mar. 2017]. Deegan, C., 2013.Financial accounting theory. McGraw-Hill Education Australia. Freeman, R.J., Shoulders, C.D., Allison, G.S., Smith Jr, G.R. and Becker, C.J., 2014. Governmental and nonprofit accounting: Theory and practice.Jpaejournal of public affairs education volume 20 number 3, p.441. Miihkinen, A., 2014. The routledge companion to accounting, reporting and regulation. Van Mourik, C., 2014. Fundamental issues in financial accounting and reporting theory. Routledge.