Monday, December 30, 2019
10 New Years Resolutions for College Students
While New Years Eve often brings a party, the new year itself often brings great hopes for change and growth. If youre a college student, the new year presents the perfect time to set some resolutions that can help make your academic year more positive, productive, and enjoyable.à Good New Years resolutions, of course, are not just those that address the things in your life youd like to change or improve upon; they also are realistic enough that youre more likely than not to stick with them. Get (a Specific Number) of Hours ofà Sleep per Night Being specific about your goals for the new year; for example, get at least 6 hours of sleep a night instead of getting more sleep. Making your resolutions as specific as possible makes them more tangible and easier to achieve. And while college life is hard and often sleep deprived, making sure you get enough sleep each night is critical to your long-term success (and health!) in school. Get (a Specific Amount) of Exerciseà Each Week ââ¬â¹While finding time to exercise in collegeââ¬âeven for 30 minutesââ¬âcan seem impossible for many students, its important to try to incorporate physical activity into your college life routine. After all, those little 30 minutes at the gym can give you more energy throughout the day (and week). Make sure your goal is specific, however; instead of go to the gym, make a resolution to work out for 30 minutes at least 4 times a week, join an intramural sports team, or work out 4 times a week with a work-out partner. Eat Healthier at Each Meal College life is notorious for its unhealthy food options: greasy dining hall food, bad delivery, ramen noodles, and pizza everywhere. Make a goal to add at least something healthy at each meal, like at least one serving of fruits or vegetables. Or cut out (or at least down) on your soda intake. Or switch to diet soda. Or cut down on your caffeine intake, for example, so that youll sleep better at night. No matter what you add or switch, doing little changes every time you eat can lead to big differences. Cut Down on Your Cocurricular Involvement Many students are involved in all kinds of clubs, activities, and teams that meet regularly on campus. And while this cocurricular involvement can be good, it also can be detrimental to your academics. If you need more time, are struggling in your classes, or just overall feel overwhelmed, consider cutting down on your cocurricular involvement. You might be surprised at how much better you feel with an extra hour or two a week. Try Something New or Step Out of Your Comfort Zone at Least Once per Month Chances are, there are things happening on your campus 24/7. And many of them are on topics or involve activities that youre not at all familiar with. Challenge yourself a little to try something totally new at least once a month. Attend a lecture on a topic you know nothing or very little about; go to a cultural event youve never heard of before; volunteer to help with a cause you know you should learn more about but just never looked into. You might be surprised at how much you enjoy yourself! Dont Use a Credit Card for Things You Wantââ¬âOnly Use It for Things You Need The last thing you want in college is to be saddled with credit card debt and the accompanying monthly payment youre required to make. Be very strict about your credit card use and only use it when its absolutely necessary for things you need. (For example, you need books for your classes. But you dont necessarily needââ¬â although you might wantââ¬âthose expensive new sneakers when the ones you have can last another few months.) Finish Your Papers at Least One Day in Advance This may sound completely unrealistic and idealistic, but if you look back at your time in school, when have you been the most stressed? Some of the highest-stress parts of the semester come when major papers and projects are due. And planning to do something the night before is, quite literally, planning to procrastinate. So why not plan instead to finish a little early so you can get some sleep, not be as stressed, andââ¬âmost likelyââ¬âturn in a better assignment? Volunteer at Least Once a Week Its super easy to get caught up in the little bubble that is your school. Stress over papers, the lack of sleep, and frustration with everything from friends to finances can quickly consume both your mind and spirit. Volunteering, on the other hand, offers you a chance to give back while also helping you keep things in perspective. Added bonus: Youll feel awesome afterward! Take a Leadershipà Position on Campus Things may become a little too routine for you during your time in school (especially during the Sophomore Slump). You go to class, go to a few meetings, maybe work your on-campus job, and then ... do it all over again. Aiming for a leadership position, like being an RA or on the executive board of a club, can help challenge your brain in new and exciting ways. Spend Time With People Outside of Your College Friends Granted, this may need to be done electronically, but its important. Spend time Skyping with your best friend from high school; let yourself chat online with people who arent at your school; call your siblings every once in a while to check in and hear about things back home. While your college life may be all-consuming now, it will be over before you know it ... and the relationships youve kept with the non-college people in your life will be important once youre officially a college graduate.
Saturday, December 21, 2019
Racial Hierarchy Is Not All Biological, And Your Status
This example shows that racial hierarchy is not all biological, and your status in America as an immigrant depended on how well you assimilated. This shows that perceptions are strong, and educating people on how perceptions can shape society is perhaps the only way to better the world we live in. This example of immigrants excluding blacks to be included in the white race is a perfect example of how important race is, and the effects it can have on your quality of life. Tons of people today are getting the short end of the stick, many just donââ¬â¢t realize it because often those people are the ones reaping all the benefits others are not receiving. Now I will delve into the inner workings of our modern day society, and explain how all these influences creating perceptions creates the racist world we live in today. Today we look around, and many people let out a sigh of relief to see how far the world has come from the times when slavery still existed. It is important to realize how race is important even though it is just a word, and how ones identity can influence how they benefit from this world socially and politically. From the book ââ¬Å"The new Jim crowâ⬠, Michelle Alexander argues that despite eradicating racist laws and policies like the ones that existed during Jim Crowââ¬â¢s time, there still exists a racial caste system that hides under things like the war on drugs, and leaves black people in a trap that is almost impossible to escape from. Alexander quotes Lerone BennettShow MoreRelatedThe American Dream : Who Are You?1396 Words à |à 6 PagesThis is a question many people struggle with, as Identity is key in todayââ¬â¢s society. Knowing who you are, what you identify as, or your ancestral lineage speaks volumes about how an individual will be treated due to public perception. For example, America is a growing world power that has strong social, economic and political influence on the world stage. It is this status symbol that ma ny Americans identify with, irrespective of race, gender or sexual orientation. Identifying as American citizen createsRead MoreAmerican Antropological Association Statement on Race1590 Words à |à 7 PagesRace (May 17, 1998) The following statement was adopted by the Executive Board of the American Anthropological Association, acting on a draft prepared by a committee of representative American anthropologists. It does not reflect a consensus of all members of the AAA, as individuals vary in their approaches to the study of race. We believe that it represents generally the contemporary thinking and scholarly positions of a majority of anthropologists. In the United States both scholars andRead MoreHow Race And Ethnicity Is Socially Constructed, Rather Than Biological?995 Words à |à 4 Pages Humans have created the need to categorize people based on their perceived differences beginning back in the 17th century with the European expansion. We can see the beginning of racial stratification with the Europeans placing themselves as the top social class. In all societies people receive different shares of what is valued and it is this unequal division of resources that creates stratification by the higher social class receives more than the lower classes. Unfortunately, the lower classesRead MoreThe Impact Of Social Stratification On Minorities1195 Words à |à 5 Pagespopulation growth, and urbanization are among the social problems and controversial issues that still exist in the United States. What is Social Stratification Social stratification is defined as a system by which society ranks categories of people in a hierarchy. For example, There are fundamental principles of stratification: slavery, caste, and class. The class system which is characterized by its social mobility social stratification is a characteristic of society not because of individual differencesRead MoreThe Foundations Of Human Development783 Words à |à 4 Pagesthree foundations of human development. The foundations are the biological development, psychological development, and social development. The concept of human diversity and cultural competences demonstrates how different people can be. General systems theory and social order are connected in some way. There are several incidents or situations that can affect a person physically, mentally, socially, and emotionally. Some of the biological aspects include problematic pregnancy, fetal development andRead MoreSocial Stratification1349 Words à |à 6 PagesClass; 2) Racial and Ethnic stratification; and 3) Gender. 1) Social Class: According to Karl Marx, Class society is based around a primary line of division between two antagonistic classes, those who owns the means of production and those who do not own. Comer added to it in 1978 ââ¬Å"Social Class implies having or not having the following: individual rights, privileges, power, rights over others, authority, life style choices, etc.â⬠(Comer, 1978) 2) Racial and Ethnic Stratification: Hierarchy based uponRead MoreRace in America2248 Words à |à 9 Pagesfoundation on which the race concept was built and flourished. As research shows, there is only one species of human beings, Homo sapiens. ââ¬Å"Race,â⬠used as a construct to stratify societies, is not a reference to biological variation. Many controversies have focused on the concept of racial variations. One debate questioned the differences between people with ââ¬Å"black, brown, white, or yellow skinâ⬠and if they had originated as separate species. Another debate inquired as to whether or not the variationsRead MoreSocial Stratification And Its Impact On Society Essay2094 Words à |à 9 Pages All societies suffer from stratification alone, but nations are also stratified in comparison to one another. Globalization aggravates the issue of stratification and creates larger rifts in race, class and gender statuses. Interdependence has led to competition between nations, growing gaps of upper and lower classes, negative race relations, and devaluation of women. Globalization and stratification are concepts that connect interactions among the people between and within nations. GlobalizationRead MoreDifferences Between Nature And Culture3101 Words à |à 13 PagesExplain and illustrate the claims made by Hall and Omi/Winant that race is a social and cultural construction rather than a simple biological fact. Omi and Winantââ¬â¢s racial formation theory explains how we use race to create unequal power relations in our society. Race has no biological basis; rather it is something our society has socially constructed because racial categories create meanings of who a person is. Skin colour is not simply someoneââ¬â¢s skin; however skin colour creates a persons identityRead MoreKate Atwood s The Robber Bride1538 Words à |à 7 Pagestraits. The novel not only questions essentialist notion of gender identities as fixed and stable but also challenges the differences attributed to men and women owing to their biological sex. These biological differences in sex construct the gap between men and womenââ¬â¢s position in patriarchal society exalting a man s status and marginalizing women. In her novel, Atwood constructs the female character Zenia as a robber bride, a ââ¬Ëman-eaterââ¬â¢ and a trickster who embodies and represents the traits not
Friday, December 13, 2019
CanGo Free Essays
After evaluating CanGo for the last 4 weeks, we feel there are some issues that stand out that should be considered before moving forward with this new on-line gaming venture. The following are what we consider the issues that CanGo needs to be aware of and recommendations to address each. The angle that the marketing department is taking needs to be fully evaluated. We will write a custom essay sample on CanGo or any similar topic only for you Order Now The type(s) of customer CanGo will be taking on should be fully understood. The customer service department should be highly considered. The current inventory management system needs to be rethought. The phone system that is presently in place needs to be updated. The proposed second ASRS system many not be necessary at this point. CanGoââ¬â¢s gaming customer base is the X and the Y Generation also known at the Millennial Generation. These two segments of the buying population ââ¬Å"will outnumber Baby Boomers in 2010â⬠( (Henderson, 2006). They are also referred to at the NextGen, GenY and Echo Boomers. The generation born 1961 to 1981 (several different opinions on the actual date range) is called Generation X (Gen X) and is considered the X Generation are the most over indulged generation so far. They were doted on by their parents due to having extra money in the late 80ââ¬â¢s and early 90ââ¬â¢s. Along with the divorced parents that double incomes, remarried and sub placing the divorce guilt. Generation Y (Gen Y) dates from 1982 to 2003, again no definitive dates have been set, but widely believed. They are the premier generation to fully grow up with all cell phones and computers in use over land lines and no home computers. They are ââ¬Å"experiential and exploratory learnersâ⬠¦(and) strongly prefer learning by doingâ⬠(Sweeney, 2006). According to Sweeney, ââ¬Å"they almost never read the directions; love to learnâ⬠¦multiplayer gaming, computer simulations, and social networks (that) provide little penalty for trial and error learningâ⬠. As little as four years ago, this generation was being noted for its extensive use of gaming and how it has had ââ¬Å"a very significant impact upon their expectations for learningâ⬠¦(because it) offers thrills, competition, engagement and a rich array of emotional stimuli that also enhance learningâ⬠, by having already spent thousands of hours playing electronic, computer and video games. (Sweeney, 2006). CanGoââ¬â¢s marketing team will need to educate the executive team all the way through management and each mployee, so they will better understand their customer base and how important it is to have the proper procedures in place to accommodate their needs. This generation will tell you if you are getting it wrong and they will take their business somewhere else. One of the best ways for any company to achieve success is through considering their customerââ¬â¢s needs and making improvements on service quality. There are several ways that this can be accomplished. A company can best serve its customers by understanding the type of issues the customers have before they have them. By obtaining some baseline data and implementing changes with that information, they will decrease the number of calls and returns. When they are provided with a complaint from a customer, they should retain that information so that they can decrease the number of issues even further. They should also look at ways to bridge the gap between happy, loyal customers and angry, transient customers such as with surveys. The first is through customer satisfaction surveys which helps get to the heart of critical relationships in ways that help companies move their business forward. The satisfaction, loyalty, and reference-ability of their customers directly affect growth and profitability. The next is a customer service survey which can provide management with valuable input on both short-term and long-term decision-making, offering critical operational and strategic advantages over the competition. These are flexible enough that they can be conducted online, by phone, or through regular mail. The last is a customer loss review survey that would help to identify the root causes of defections so that direct action can be taken to minimize the loss of customers in the future. Keeping new customers will be a top priority for CanGo. This will require that the current staff be retrained and any employee that will not comply with the new process will be replaced. Their skills on the phone will leave a lasting impression on the customer as to how responsive CanGo is to their perceived issues. In order for the CanGo to get their products to the right place on time, with the right quantity and highest quality, it is imperative that we choose the best possible way to approach inventory management. Since CanGo does have several centers to work out of, it is essential to identify where the supply or products are to be physically located. It should be determined which has the most benefit: storing inventory close to the supplier, the customer, or in house. This could mean that the inventory will be spread out at various CanGo distribution centers and vendor sites. In order to track this inventory we recommend incorporating a PAR method for easy and quick tracking on all supply transactions at POS (Point of Sale) and POU (Point of Use) locations. This will allow us to keep track of all of the products on a more realistic time basis, thus insuring we have the right product ready to order from a third party vendor or available in stock at one of CanGoââ¬â¢s distribution centers to fulfill the customer order. Another aspect is insuring inventory integrity through the use Data Collection technology. To support the proposed shop floor inventory control system or ASRS (Automatic Storage and Retrieval) solution, we need to be able to integrate how the technicians, customer service representatives, and internal and external account managers do business. This means that the inventory management solution must incorporate and interface with a materials management system, a billing system, an ADT (Admission, Discharge, Transfer) system, as well as a cost accounting system. Getting the product to customers when and where they want it is critical to marketing success. This is why we need to include in our cost effective solution a way to monitor and keep track of all supply transactions. To do this we will maintain a library of transaction records that will give us the ability to better predict our customers buying behaviors. If we can do this, we can insure the most desired products are available and ready to ship in a more expeditious manner. Customer Service issues at CanGo: Our Team feels that one of the major areas to consider in this expansion to on line gaming is expanding and updating customer service systems, processes, and service personnel. We feel that CanGo can not overlook putting in to motion action plans early to handle the expected 400% increase in business they are forecasting. The entire phone system needs to be updated to add more trunks and roll over lines to be able to handle the increase in call volume. It is important that when a customer does take the time to call in with an issue, that they do not get a busy signal or be placed on hold too long. This will just cause them to become more irritated. A new Voice over Internet Protocol (VoIP) system should be purchased and installed at least six months before the expected call volume increase. A VoIP system is secure, takes almost no space since it is stored in a current sever rack, and will only require one or two employees to maintain and update it. Another advantage is that this type of system allows for unlimited users, mailboxes, voicemail, and auto-attendant. There will be extra room for expansion since the current large phone cabinets will be removed and sold which could help fund the new VoIP purchase. The entire phone tree/auto-attendant needs to be reprogrammed with updated company and customer service level choices along with a choice in language option. The first choice in product help should be updated to online gaming. This is the new product of the company and will be free advertising. The new call volume will be linked to the online gaming and those customers need to have that as a first choice. The gaming demographic, Gen Y, is known to be impatient and having their choice second could be perceived as not showing respect for their business. Also, listing it first is free advertising to customers that do not know that CanGo has started an online gaming (gaming) division. While most book readers are not the gaming target market, they will most likely know someone that is and word of mouth is the best advertising. All subsequent levels would be updated to match the switch between gaming and books on the call tree. The choices for each would be similar: 1. New Account 2. New Games/Books available 3. Returns/Issues 4. Technical Help a. Gaming b. Online Return Material Authorization (RMA)/Returns page The last choice on the tree would be for vendors and courier assistance. The current RMA system is not working. The customer needs to be able to request RMA number and materials on the website. Currently, the website does not allow this action, nor does it list the current process which is to call the service center to obtain the number materials. This must be automated and the return labels will need to be printable by the customer. The current process of sending shipping labels via the courier is time consuming, not efficient, and is not environmentally friendly. This will allow for less paper and trucks out on the road to deliver the labels; (maybe two attempts) and a third to pick up the package. The Green aspect would also be pointed out on the website to explain to those that may want labels shipped to them. This is also a good promotion point for the company. With the new ASRS system that has been proposed, a second ASRS will be added in the plan. Getting some more information on the necessity of this second system is crucial to making a proper decision about its importance. If the first was implemented and the second held till the volume increased, the chance of failure would decrease. It would also allow time to work out bugs with the setup, making it easier for subsequent systems to be implemented. Integration of software would be easier since only one system would be worked on at a time. Furthermore, this would allow time for everyone to have a better understanding of how to use the system and what information to look for. With these recommendations, we feel that CanGo has a very good chance of not only making a smooth transition to the gaming world, but also become a better, more responsive company overall. How to cite CanGo, Essay examples Cango Free Essays In the introduction video, Liz outlines the mission as being an ââ¬Å"online entertainments company that sales primary music and books with the intention of branching out to online gaming and e booksâ⬠. LIZ does a good Job by defining the mission at its most basic level and making it clear. Transformational Leadership ââ¬Å"is the ability to get people to want to change, Improve. We will write a custom essay sample on Cango or any similar topic only for you Order Now And to be led. (Morehouse, 2001 rââ¬â¢ Liz uses Transformational Leadership as a great strength when trying to convey her ideas of online gaming to her directing management team. She was able to motivate them to commit to her vision, and encourage innovation/creativity through challenging the normal beliefs of the group. Liz weakness Is her Inability to effectively communicate with the production staff members. She chose the time to tell them about an important new initiative of online gaming while walking to a meeting. This meeting should have been an opportunity to introduce her new idea, open the floor to her associates for their input, needs and values on this project. Instead she made them question the timeline of the project and feel disenfranchised. Motivation plans a valuable role in any organization. It is a trait that should be Instilled In every member of Congo despite their designation or responsibilities. Warren shows strength with his ability to outline the talent and possibility of growth room within his department with the new online gaming Imitative. He looking for ways to increase his team motivation by developing internal talent, empowering his team to do what is best for the organization while Increasing revenue and market growth for the organization. Warren also does a great job with team motivation with his team by assigning roles, seeking their opinion through reporting and allowing their contribution to play a role in the decision making process. Warren should try using Job rotation. Job rotation Is the ââ¬Å"practice as the periodic shifting of an employee room one task to another. ââ¬Å"(Robbins, PIG. 73) Warrenââ¬â¢s team seemed to fall into the same roles within their group. By practicing rotation, this will allow them to do other lobs and challenge themselves with new responsibilities. I recommend Congo try to understand individualââ¬â¢s strengths and weakness and how these strengths and weakness affect the person within a team. All while building the teams self esteem. Human Resource within the Congo organization can have a remarkable impact across all other functions, If is positions itself as a leader and partner In the business. Maria head of HER as aligned herself as a key player within the senior management team. She has done a great Job outlining the staffing needs and policy 1 OFF developing and a defined performance appraisal. She may have isolated Nick by blowing off his ideas in the group and team vignette. Maria must recognize Nicks radical behavior/characteristics and be skilful enough to allow him to be himself as long as he has a positive contribution to the team. In another situation she suggests him as a candidate for a promotion. At last, the appraisal. Warren should have had he tools to Judge, weather Nick had the skills and qualities to do his Job effectively. Instead, Nick left the meeting feeling like he has done a great Job with his performance. In reality, Nick has a lot of work to do as to his contribution to Congo I recommend Congo provide a clear developing plan that ââ¬Å"clearly communicate the organizationââ¬â¢s goals and future strategies along with time for employees to learn a new position, and establish a formal performance . ââ¬Å"(Robbins, PIG. 253) Organization structure is ââ¬Å"how Job tasks are formally divided, grouped and coordinated. ââ¬Å"(Robbins, PIG. 11) Liz uses the Initiating Structure, ââ¬Å"refers to the extent to which a leader is likely to define and structure his or her role and those of subordinates in the search for goal attainment. (Robbins, PIG. 158) Congo does a great Job outlining their department. They use differentiations by grouping people by functions performed. The strengths in departmental is having the expertise in within your department. Everyone on the team seems to have similar ideas and thoughts. Maybe, Congo can implement a team structure. This will allow a representat ive from all five departments to share ideas and ââ¬Å"decentralized decision aging to the level of the work team. ââ¬Å"(Robbins, PIG. 220) The current environment is a relaxed structure. Liz wants to implement a formal culture with the upcoming Initial Public Offering. The strength of the current culture has been great moral and enthusiasms. This has lead to growth and expansion for Congo. As Congo embark on a new formal culture. This Culture change can bring turnover in leadership. I recommend Liz to take into consideration of the demographic of her team when applying culture change. ââ¬Å"Culture change is more likely to take if the organization is both young and small. ââ¬Å"(Robbins, PIG. 239) How to cite Cango, Papers
Thursday, December 5, 2019
Objective Structured Clinical Examination
Question: Write an essay on Objective Structured Clinical Examination? Answer: 1. Background and history of the individual: Stacey is a 14 years old girl of British origin identified with impulsive behavior depicting self-harm (SH) tendency associated with suicide ideation. The study reveals Stacey to be on the medication of Sertraline 50mg and Propranolol 10 mg. Her family background constitutes of 5 members including herself, her parents, and two elder brothers studying in college. She seems to belong to a standard and financially stable background with both her parents employed and lived in a modern four bedroom house. Stacey shows an average standard of her education efficiency. However, in the recent year she depicts a marked decline in her progress. Taylor (2013) asserted that the mental status of an individual is highly influencing over the brain related efficiency as educative aspects of the person. Therefore, it is clear that the adverse effects on her education progress needs immediate focus to resolve the problem. As per the medical history of Stacey, she reveals poor sleeping pattern and expresses a feeling of vulnerable with different mood swings, anxiousness, and variable appetite. A lack of energy and depressing attitude towards life is evident in Stacey. An incident of SH by Stacey is reported in 2014 putting her at a high risk of harm from self. Consuming tablets, falling out with friends and lack of interactions with her environment, family or others expose Stacey at a high risk of depression (Vitiello, 2011). On the confrontation with the health professional for assessment, Stacey showed a low tone, avoiding eye contact but appropriate dressing and possessing an insight into her problems. Issues such as anxiety, lack of confidence, depression, mood swings and low self-esteem seem to be concerning Stacey largely. Act of lethargy and unmotivated attitude is evident in Stacey. The reporting of lonely feeling and interest to participate in outdoor activities external to school identifies the efforts present in Stacey to overcome the situation and get treatment for the issues. As per the view of DeFilippis and Wagner (2014), the intension of the patient to involve and commit to treatment procedures with relevant suggestions as participating in outdoor activities in this case enable faster and efficient recovery. Stacey being able to identify her problems can also benefits from the fact that she can be motivated and drove towards the correct path of recovery with coordination and cooperation from her side. 2. Psychological, physical and social needs of Stacey with the use of therapeutic approaches: Considering the case study of Stacey, depiction of her psychological needs is clear. Although she seems to belong to a financially stable family, yet she lacks the closeness with her parents. Since both of them are full-time employed, she could spend very little time with them. Going by the opinion of Williams and Moroz (2009), a child considers the connection and presence of adults close to her/him as a protective factor. Stacey is experiencing the lack of protective factors since childhood is at a risk of developing low confidence. The reactions of anxiety, low self-esteem, lack of confidence when at her own in the absence of any adult indicates the vital need of extensive interactions with and the presence of her parents or protective factors in her life. The activities of resorting to consuming tablets and self-harm are indications that Stacey is very weak mentally. She lacks the strength of dealing efficiently with any stressful situation. The assessment of Stacey identifies the impulsive activities conducted by her as a result of her lack of confidence to handle the different situations in life. Her act of SH and suicidal tendency induces that she possesses a very low self-esteem and negative attitude towards herself. Therefore, she is in immense need of confidence development to prevent further acts of SH (Rutz, 2014). High level of depression depicted by Stacey reveals the need of motivating factors in her life to drive her out of depression. The lack of interaction with family members, issues with friends and workloads at school seem to affect Stacey highly on her psychological detriments of health. It indicates the need of an effective stress management program for her. More interaction and time spending with her family members is a necessity for Stacey to improve her psychological status (Gomez et al. 2012). The SH act of Stacey reveals the risk of physical detriment to her. Therefore, she needs a protective stand with her. Immediate addressing of her SH tendency is essential to prevent her from succumbing to suicidal thoughts and actions harming her physically. Huberty (2012) stated that genes, hormones and brain chemicals also play a highly influential role in depression creation in an individual. Stacey, however, shows no history of depression in her family thereby discarding the chances of genetic predisposition to depression. Her physical activities of sleep disturbances and effects on her appetite can be a result of depression that results in the reduction of a neurotransmitter. Staceys physical detriments as lack of energy, appetite changes and hormonal changes due to her developmental growth stage at the age of 14 years are necessary to consider while determining the most suitable intervention for her. Though Stacey denied the consumption of decanted bleach, yet a psychical asses sment to ensure her safety is essential. As put forward by Taylor (2013), a poor level of physical health can affect the mental health status of an individual adversely. Since Stacey depicts a weak level of mental health status, her physical health needs to be at optimum to ensure improvement in her mental condition. Stacey living in the absence of adults presence with her is at a higher risk of physical harm due to SH activity tendency. The study also identifies Stacey depicting a severe lack of interactions with family members and friends. Shabani et al. (2011) opined that a lack of social interactions can lead a person towards depression and anxiety lowering self-esteem and confidence as evident in Stacey. Therefore, it emphasizes her need of increasing social mixing activities. Stacey stating interest in outdoor activities outside the school is a positive aspect that can be utilized to increase her social interactions. Enrolling her in group activities as volleyball, dance class or any team sports activity will enable her to mix with people and make new friends thus developing her confidence and self-esteem. 3. Nursing care in: a) Critical identification of aims Guidance to the structuring of critically determined goals for Stacey is highly essential. Going by the view of Williams and Moroz (2009), structured way of goal selection enable the clarity of roles and responsibilities in the following steps of goal achievement. It is because the prior determination of what to achieve and how to achieve is already executed. Considering the case study of Stacey, she depicts mental health issues majorly affecting her life and physical as well as social aspects. Therefore, the nursing care goal for Stacey must involve the achievement of a higher level of self-esteem and confidence to deal with her life and stressful incidences as per need. Stress management activities as participating in recreation games or acts and meditation along with psychological sessions with a qualified psychiatrist can facilitate goal achievement. As stated by Vesely et al. (2014), physical issues are related to the mental health state of an individual. Therefore, the physical issue of Stacey as lack of energy, variation in appetite, etc. can be focused upon secondary to the goal of her mental stability and improvement. Since stress and too much of negativity can adversely affect the physical health of Stacey through sleep disturbances that she already experiences, mental health improvement of Stacey is of prime importance. b) Appropriate and critical selection of therapeutic nursing interventions: The therapeutic nursing intervention of Cognitive Therapy for Stacey can prove beneficial in managing her stress and depression that makes her suffers the most and associates the rest of the health issues. CBT (Cognitive Behavioral Theory), as identified in the study, can effectively assist Stacey in regaining her lost self-esteem and confidence by supporting her social, physical and behavioral needs. Family therapy is another effective intervention to apply on Stacey for addressing her mental health issues. Since she suffers mainly from the absence of her family making her feel abandoned, this intervention can benefit Stacey by providing her family support that she needs the most at present. Medications as clomipramine, desipramine and as Prozac are found effective in reducing depression in the children (Personalityresearch.org, 2015). However, since Stacey seems to predispose to depression due to an excess of serotonin release, she can opt for the serotonin inhibiting medicines as Prozac, Lexapro, and Zoloft. Fluoxetine is another anti-depressant that can be prescribed to Stacey for treating her persistent depression. Nevertheless, an MDT (multidisciplinary treatment) plan can prove extremely efficient on Stacey driving her depression away thereby improving her mental state. c) Exploring the evaluation of care and clinical MDT review: The care facility and procedure implemented on Stacey seems quite efficient in addressing her depression at present. The CBT intervention is highly effective in bring her back to her normal behavior as much possible. However, since she suffers the absence of her familys support, Stacey need to be provided with a better and closer interaction with her family. The negligence in medicine intake depicted by Stacey indicates her repulsion towards medication intervention. At the same time, Stacey shows high interest in the active interventions of group o team sports participation. The MDT review identified in the case study to employ on Stacey is a supportive intervention for addressing her issues with the mental health state and efficiency. Stacey showing decline in her education progress ability emphasizes that she needs help. The family intervention can also prove effective by enabling Stacey to consider her parents as the positive and protective factor in her life building on whom she can increase and modify her strength and confidence. With the correct identification of nursing care need the relevant interventions (Jefferson, 2014). Through the behavior therapy intervention, Stacey can be motivated for getting back to her normal life activities by effective handling the issues as school workloads and issues with friends pushing Stacey into depression. The major concern of Stacey regarding mood swings is seen t be handled effectively through the intervention of CBT. 4. Therapeutic efficacy of clinical service or environment of care and analysis of possible alternate service provision to be beneficial or not: The clinical environment at present, where Stacey receives the nursing care, seems favorable enough to facilitate implementing the interventions. As asserted by Austin et al. (2011) a favorable and supportive environment in clinical context acts productively to support the achievement of the desired outcomes. However, a separate outdoor activity space as a playground outside the school is necessary to let Stacey participate in group activities and sports or dance with other new friends. 5. Stress vulnerability theory: As per to this model a person has unique biological, psychological and social elements. These elements include both potency and vulnerabilities for dealing with stress. Social activities, social support, involvement in meaningful activities can help the patient in getting out of stress. Some person is biologically vulnerable to some psychological disorders, major depression, and anxiety disorders. This is determined a t early stage of life by a number of factors. That includes genetics, prenatal nutrition, and stress. People can take steps to decrease the vulnerability by taking medications and maintaining a healthy lifestyle. The two factors biologically vulnerability and stress are influenced by many elements. The patient should try to have control over them. The various factors are drugs, alcohol and smoking, coping skills, social support, and meaningful activities. This model suggests that by controlling the above factors the person can get over the problems. Here the patient can take the help of social support, controlling medication, and she should take part in social activities. Social support can help her in getting out of stress. 6. Bio psychosocial theory: A bio psychosocial model of the development of the chronic conduct issues is represented and maintained through a review of experimental findings. This model posits that biological dispositions and socio cultural contexts place certain child at risk in early stage of life. A transactional development model is a best to describe the emergence of chronic antisocial behavior across time. This theory helps in build a strong relationship between the family members. That may help the patient to get recover from stress and vulnerability (Dodge and Pettit, 2011). 8. Attachment theory: It is a concept in development psychology that involves the significance of attachment with the patent to develop his or her personal growth. The attachment of a person to another person gives the person stability and strength. This helps the person feeling safe. This theory can be applied for this case. Considering the other care services provision, Stacey may benefit from a more integrated care approach focusing on implementing the nursing care interventions at her home with the involvement of her family members. Identifying the main reason of depression as the absence of parents and lack of sufficient interaction with them closely, the family therapy intervention can be used at home of Stacey. As per the view of Vitiello (2011), it will enable Stacey towards a faster and more effective recovery by providing her with the support of her family. The appointment of a qualified and experienced trainer or therapist always benefits the patient. Providing Stacey with the scope of going out of her home and school and mixing with new people to make new friends is the best possible option as of now. In order to ensure the high success probability of these interventions, the nurse needs to keep a constant check and monitoring of the vitals of Stacey along with the occurrence of any unusual behavior or physical change in Stacey. Music (2012) conveyed that the service provision of relevant mental health service in hospital and care homes exclusively for children and adolescents suffering from issues of mental state and associated physical aspects shows high success rates. However, in this case of Stacey it may drive the patient the other way further deteriorating her condition. Therefore treating her at home is the best option for Stacey. References Austin, P., Wiley, S., McEvoy, P. and Archer, L. (2011). Depression and anxiety in palliative care inpatients compared with those receiving palliative care at home.Palliative and Supportive Care, 9(04), pp.393-400. DeFilippis, M. and Wagner, K. (2014). 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