HRM450-0704B-02 Organizational Change - Phase 2 Discussion Board Essay

HRM450-0704B-02 Organizational Change - Phase 2 Discussion Board - Essay Example The impact of demographic diversities in a group means that more efforts are needed to be put in place so that each of the group members knows what his or her duty is and whether this person is communicated about the roles that are asked of him or her, both in the short term as well as the long run. (Sanna & Parks, 1999) Moreover, demographic changes mean that the leader has to focus more on a particular set of people or at times, the ones who are not very easy going along with the whole group. Hard work and commitment thus form the key in this whole equation of getting the best out of even the ordinary of people in the group. Leadership qualities are not inborn or inherent, they have to be developed with the passage of time and one needs to comprehend the fact that it requires strenuous exercise and a certain set of power that is needed by the man of courage, determination and dedication. Leadership qualities require that the leader gets the best out of the group members no matter how hard and trying the circumstances are. (Fink, 2002) The odds might be tough at times but it is the leader’s tact and sheer discipline that can turn the tides in the favor of the group rather than the other side. However the role of a team leader cannot be denied its due place in the related context of things nonetheless. Similarly interpersonal skills like motivating the team members, following ethical guidelines, adhering to rules and procedures are just the right tonic for building a bridge between the various team members. Thus it is also pertinent that the top management inculcates the subject of working in team rather than being loner in different projects so that the end result is a clear manifestation of the people with their respective whole hearted efforts and dedication levels exceeding what was expected of them in the first place. Teams create a sense of bonding between the employees and the top management thus the latter needs to understand

MGM600-0803B-02 Applied Managerial Decision-Making - Phase 1 Essay

MGM600-0803B-02 Applied Managerial Decision-Making - Phase 1 Discussion Board - Essay Example On the other hand, continuous data is the information that can be calculated using scale or continuum. Continuous data comprises all types of numerical and it can be subdivided to have a better understanding into units and sub units depending on the accuracy required for a measurement. Discrete data gives input whether a variable is good, bad, on or off while continuous data can be measured in time, size, length, width, cost and temperature. Money, time and temperature are continuous data. For example, when we measure a slab of equal size, slabs that do not comply with the specifications will be put aside and this would be discrete data because slabs are separated because it is not as per the specifications. Since the data is collected to measure the slabs of specific size, it is continuous data. This example involves the measure of continuous data but discrete data forms a part of it (Karthik, 2003, Continuous Data). The American Heart Association encourages the reduction of fat in food available in restaurants, bakers and in packaged form. The association basically promotes safe food and oil consumption and has set up the 1-800 numbers for consumers to clear their doubts about food safety thereby promoting healthy eating habits (American Heart Association Calls on the U.S., 2007). Some of the commonly asked question is advice on changing the snack eating habits of obese children. This question received at 1-800 was put up at SUNY Upstate Medical University Health Connections who suggested the child should be taken to the primary care provider since the child may have basic health problems which should be checked. If it is a case of general condition, parents are referred to avail information from Mayo Clinic through the online Health library of CNN. This is a discrete date because obesity of the child cannot be measured but can be called as obese (Are Evening Snacks OK?

Gambling in Finland Essay Example for Free

Gambling in Finland Essay Gambling, betting, lottery, poker in Finland; there is plenty of choice. In Finland, slot machines are practically everywhere. Some are prohibited for persons under 18 years old, others for children under 15 years. The Finns like a lot the lot (even if the jackpot is much lower in compared to other European countries) and they are a people who like to play poker, especially online. Moreover, in almost all places, not just in casinos, you can play roulette or blackjack. In Finland, there are two casinos (one in Helsinki and one in the Aland Islands), almost 20 000 slot machines and fifty plants such as racetracks where you can do live betting. And do not forget the nearly 300 locals or restaurants with tables where the Finns test themselves maybe watching a game of football or hockey or taking a break from the dance floor. With reference to what I have explained I think that given the numbers reported about the popularity of gambling in Finland it is obvious that this affects actively the life of Finns every day, and in my opinion, it influences negatively, every bets will be destined to lose, this creates a chain reaction, because every personal relationship, family and work will be influenced by mood of the gambler. According to the latest prevalence study (Ministry of Social Affairs and Health/Taloustutkimus 2007) over the last 12-month period, 3.1% of the population (130,000 persons) were classifiable as having gambling problems. Over the same period, 1% of the population (42,000 persons) were classifiable as probable gambling addicts (with a SOGS score of at least 5 points). It follows that I have only analyzed the situation from the point of view of the gambler, but to understand why gambling is so much sponsored in Finland we should consider the benefits (only in economic terms) of the revenues from the game. The state has a monopoly on betting and the whole system is managed by four companies: RAY, Veikkaus Oy, Oy Fintoto and PAF. The main peculiarity of gambling in Finland Is that the revenue from betting and gambling are invested in non-profit organizations related to the world of sport, education and culture. I think this is the only positive aspect regarding the gambling! Because this type of policy is beneficial, and socially useful and consequently that can be shared by people. To put the topic more simply I compared Finnish Gambling situation with the Italian one. Italy has come a long way from totally prohibiting all gambling activities, to legalizing some of them under certain conditions. The main reason why the Italian government adhered to strict rules was the desire to avoid the possible negative effects associated with the industry. The following amendments liberalized the market in 2006: * Legalisation of real-money skill games and betting exchange * Opening of the Italian gambling market to operators from EU and EFTA countries (on condition they meet certain requirements) * Opening of the new license tender that was supposed to rearrange the network of offline betting establishments and also providing possibility for online gaming operators to offer their services on a legal basis. The Italian government has put in place in recent years maneuvers that liberalizing more gambling, even to decrease the volume of illegal betting. On the contrary gamblers have moved from illegal gambling to a legal one, to the detriment of the game controlled by organized crime, only for a short initial period. According to the Report of the Parliamentary Anti-Mafia Commission published in 2011 , when the illegal gambling became legal criminal organizations have transfer their activities. Besides gambling is becoming one of the major sectors of interest for large criminal organizations: the expansion of legal gambling has not reduced, but powered illegal gambling especially in the field of money laundering, making it much easier to pass large flows of money through the internet. So even if the Italian gambling situation is a sensitive issue for the government, unfortunately so far the state has not found the appropriate measures to reduce the problems resulting from it (organized crime, gambling addiction of the people, people?s debts for bets). In brief, the gambling definitely brings money in the trade balance of the state, but we must not forget that there are factors worthy of attention more than economic benefits! As I said, gambling ruins peoples status, it follows that the Government should be much more cautious in taking such a free gambling decision, in addition it is a very delicate subject and wrong choices can affect the lives of many people!

Vienna in the Classical Period

Vienna in the Classical Period This essay will review the information which justify the question: Why was Vienna such an important cultural centre in classical period? First of all I will refer to the city of Vienna in which a great civilization was developed in the past and actually in classical period. Vienna is characterized as the cultural capital of Europe, until today. In 1918 Vienna was designated the capital of Austria which was one of the four countries which were containing the Multi Empire of Habsburg. Also classical period refers to the period that began around 1750 and ended in 1830. So this essay will provide the cultural development of eighteenth century which took place in Vienna. During the late eighteenth century Vienna attracted composers from across Europe. Composers like Mozart, Haydn and Beethoven were drawn to the city by patronage of Habsburgs who were willing to support the music.  [1]  Furthermore during the eighteenth century, except of the music development, a cultural development in the field of architecture and arts occured. The words elegance, grace, symmetry and restrain are the most suitable words for the tendencies of the music, of art and the architecture of that period.  [2]  Also in classical period a development in theatre and opera style was noticed. Furthermore there is confusion between the words cultural and civilization. Most people believe that, these two words refer to the same thing, but there is a difference, which will be explained bellow, to make sense what is mean by cultural centre. When we talk about civilization we mean the tradition, the customs, the habits, the intellectual and artistic development of particular country or city. It is a way of creating one state in which lives and activates a society, with education. On the other hand cultural is the approach monument of development of previous civilisations as historical objects and also the study of them. Cultural means cultivation and development. It is the knowledge of an object. So that is the difference between civilizations and cultural. When we mention in cultural centre we mean the study of the objects that happened or developed in this particular place and the study of the civilization in this time. So this essay will explain what happened in Vienna in classical period and which areas developed culturally. The Habsburg Empire during the eighteenth century became one of the greatest Dynastic States in Europe and Austria was one of the countries, were consisting the rule of the Habsburg Empire. Since the sixteenth century Vienna had been under the threat of the Turks but in 1685 Austria achieved to defeat the Turks and drove them back to Hungary.  [3]  The territories of the Habsburg Empire were located in eastern and south-central Europe. As David F. Good mentions in his book Vienna was the geographical nucleus centre of the Empire and so the city famed historical importance.  [4]  While Austria was under the Habsburg Crown it was an autonomous state,  [5]  and was ruling in most territories of the Empire. After the death of Charles VI Archduke in October in 1740, his daughter Maria Theresa, who was born in Vienna, took the rule.  [6]  She was regarded as the greatest of the Habsburgs rules.  [7]  When she became empress she was 40 years and led the Austria in a golden era. Maria Theresa spread the education and she introduced 500 public schools. She helped the industry growth and put lower taxes on the products. Thus she improved the economy. She also reformed the army and the legal system. Maria also contributed in the developed of Classical music as it was the main development in that period. Maria and her 16 children performed operas and dances. In 1762, Maria Theresa presented Vienna with the forts performance of Glucks innovation opera Orpheus and Eurydice.  [8]  Joseph II, Marias Theresas was the continuer of her activities, from 1780 until 1790. He was another one zealous reformer, who abolished the selfdom and he secularized the religious properties.  [9]   It is known that when, the economy of a country is going very well and the only occupation of its habitants it is not the struggle of survival, they turn to the development of their civilization. They turn to the development of arts and they are giving importance to education. During the classical period the economy of Austria was going very well and that contributed to be their only concern the cultural development. That made Vienna a cultural centre and wider the capital of Europe. The elements of civilization that were developed in Vienna in classical period were music, the theatre the architecture, and the arts like painting and sculpture. In ancient times the music accompanied the people in their activities, which the most of them were religious. But the ideological difference of Renaissance changed the data. During the eighteenth century music gained its own ground and released from the religiosity. In that period composers from all over the Europe were drawn to Vienna by the patronage of Habsburgs. That period, European music enriched from instruments. Further Vienna could be characterized also as the capital of serious music because it hosted important representatives of the great European traditional. The famous composers all of the time, who were considered as the three monsters of classical period and contributed with their remarkable musical work, to be the city of Vienna such an important cultural centre were Haydn Mozart and Beethoven. Franz Joseph Haydn was born in Rohrou, in Austria he considered as the father of symphony. Additionally it is necessary to mention that in 1797, Haydn became the composer of the Austrian national anthem Gott erhalte Franz den Kaiser. In 1803, the city of Vienna gave to Haydn the large golden Salvator -medal, and during the 1804 became an honour citizen of Vienna. After his dead he took the sympathy of Viennese people and they called for his honour his cemetery as the Haydn Park.  [10]   Likewise Mozart, the musical genius born in Salzburg, in Austria. His father, Leopold, as a violin teacher, recognized soon, the musical talent of his son. By the age of 5 Mozart started to compose minuets. His fame as a great musician began by the age of 6, when the family invited from the Empress Maria Theresa in Vienna and there he played piano. Then Mozart started travelling in European countries with high music culture and he was conducting concerts, but he decide to move back to Vienna, because he believed that it was the best place for him to stay. He lived in Vienna many creative and successful years,  [11]  where he became a great concert organizer and a piano virtuoso, a conductor and an important composer. Also he composed many sonatas, strings quartet and operas which still heard until nowadays. In the same way, Beethoven is classified in the list of most famous composers of classical period. He born in Bonn, in Germany, moved to the note musical centre, Vienna with the ambition to be a great and famous composer as Haydn and Mozart.  [12]  The dream of Beethoven became true. He appeared in concerts in Vienna as a pianist, since he established as the city pianist. He also composed remarkable sonatas and symphonies. Beethoven became the first successful freelance of Vienna.  [13]  The musical life works of that composers still hearing until nowadays and the visitors of Vienna go to the capital of classical music to enjoy live that great works. The theatre as well noticed a great development in Austria and especially in Vienna, which became the city of religious drama. During the Middle Ages developed three forms of theatre, the Jesuit drama, the commedia Dell Arte and the Italian Opera. That forms underlie the theatre of eighteenth century and figured the Vienna one of the most attractive theatrical cultures of Europe. The popular theatre appeared for the first time in 1711, with the contribution of Josef Stranitzky who was an improvisational player and led the Karntnerto Theater in Vienna to take over by an Italian company. Stranitzky was instantly supported by the populace. But in the second half of eighteenth century the improvisation gradually started to disappear from the theatrical stage. In the late eighteenth century in 1791, appeared one of the greatest theatrical productions, in Vienna.  [14]   Additionally, during the eighteenth century, Vienna flourished and became a cosmopolitan centre. The architecture of the city was characterized by bulky building which beautified the skyline. Those buildings do not have the style of early medieval buildings but many of those Gothic buildings had the style of older foundations. Let have a look where has its roots the architecture of eighteenth century. During the 1300s the architecture of the churches was based on the Hallenkirche (hall church), which it was German style. The St. Stephans Cathedral, where the famous composer of classical period Haydn performed from his childhood as tenor, has the style of Hallenkirche. In Renaissance other buildings were not built up, because the Turks, who besieged the city periodically from 1529 until the 1680, were allowing only the strength of Viennas fortifications.  [15]   Austrias architects started to produce in the golden age of Austria baroque architecture, when the Leopold I, was ruling. Johan Bernhard Fischer von Erlach, (1656-1723) was an architect, who took elements from the Italianate baroque and tried to approximate them to the Viennese style. He was the architect of Maria Theresas Schonbrum Palace and his work characterized by a restrained and monumental style. The palace has the style of rococo which developed in the early eighteenth century and has similarities with the baroque style. The Schonbrum Palace and the other building of rococo style were gilded stucco with brightly colored frescoes. After Fischer another architect became famous for his design, Johann Lukans von Hildebrand (1668 -1745). The Belvedere Palace of Prince Eugene, designed by Hildebrand with interlocking cubes and a style of slopping mansard roof. So that provides the influence from Fischer von Erlach. Also the Schahwarzenberg Palace in Vienna was designed by Hildebran d.  [16]   The Viennese architects in eighteenth century were using the neoclassical architecture styles. They approximated the classical architect of Greeks and Romans. They used cleaner lines in their designs and squarer. The buildings were bulkier and they had preponderance of columns. Further painting and sculpture remarked a development during the eighteenth century. Bernardo Bellotto, who was a pupil of his uncle famous Painter Venetian, Canalrtto, invited from Maria Theresa to make the city flat with clear light, details and accuracy. Bellottos painting can be characterized as social, historical and artistic documents. Martin van Meysten was another one famous painter of eighteenth century. Meysten composed his cavances with clumsiness and they are overburdened. Those cavances are the best of Austrian courts balls and receptions. In 1730, he became the manager of Fine Arts Academy in Vienna.  [17]   Also the sculpture developed during the classical period in Vienna. There were three famous sculptors who stayed in history for their remarkable works. The first was Georg Raphael Donner, who made the bronzes of the Fountain of Providence in the Neuer Mark and it has life-size. Also Bathasar Permoser created the equestrian statues, which was located in the courtyard of the Belvedere Palace. Further Balthasar Moll was the third famous sculptor and created the double sarcophagus for Maria Theresa and his husband Frances Stephan. Sarcophagus located in the Kapuzinerkirche. Franz Xaver Messerschmidt was a habitant of Vienna and he is famous for his portrait bust. Franz made the portrait of famous representatives as Maria Theresa, of her son Joseph II and others.  [18]   In addition the economic prosperity in Vienna in eighteenth century fostered the conditions of intellectual Rise. Greeks immigrants contributed in this as they created a Greek colony in Vienna when they left from the Greece to escape from the chaos that prevailed in the country at the long of Turkish rule. The ideas of the enlightenment found in Vienna fertile ground. Before the French revolution scholars clergy like Anthimos Gajis, Neofitos Doukas and Constantinos Koumas made Vienna the most important intellectual centre. In that period strong editorial activity at the Greek printings in Vienna was noticed; which were printing books of philosophy, of science of mathematics, of geography pedagogical and also medical books.  [19]   To conclude undoubtedly Vienna developed a great civilization in classical period and was characterised from many people as a cultural centre and as the capital of classical music because activated there the most famous composers all of the times. Fairly, we can give to Vienna these characterizations. In this contributed the great Dynastic, the Habsburg Empire, mainly Maria Theresa and his son Joseph II. It is known that Maria Theresa contributed to the rise and aid of the economy of Vienna, which was not very good, because of the wars conductor in classical period. Maria Theresa was an admirable empress who achieved to strengthen the economy of Vienna by stimulating the industry. She lowered the taxes and she gave importance on the establishment of schools. The cultural development of each nation is based on the education of the people who live in an organized society. Also it is important to refer to the Greeks immigrants who created a colony in Vienna and by this contributed in the rise of Viennas economy. Greeks developed a strong economic activity and they dealt with the commercial and they made Vienna in the eighteenth century a commercial crossroad. Hence, the economy of Vienna was going very well. The civilization found, fertile ground to develop in all aspects and the Vienna became a great intellectual and cultural centre. Finally Vienna, fairly took the title of a cultural centre Because in that city in eighteenth century and especially in classical period, all the aspects of civilization as the music, the architecture, the painting and the sculpture developed. As mentioned before, cultural means the study of an object, the cultivation and the development of a particular place in a particular period. Thus Vienna can be characterised as one of the most important cultural centres in classical period.

Pain for Pleasure Endured Essay -- Literature Pain Pleasure Essays

Pain for Pleasure Endured The intricate and complex nature of the relationship between pain and pleasure has been a source of contention and diversity of opinion for people of all eras. Shakespeare’s character Othello claims that "tis happiness to die." (Act 5 ln 295). In his situation the painful experience of dying is what he considers pleasure, he later verifies his belief in his statement by choosing to stab himself. Sir Philip Sidney, in his poem Astrophil and Stella states that "in my woes for thee thou art my joy" (108 ln 14). Astrophil finds his pleasure in the pain of his unrequited love for Stella. The complex relationship between pleasure and pain is reflected in the twenty-first century in addition to the Renaissance era. The Amish people choose to live in a world without modern conveniences and pleasures as they are acknowledged in the twentieth-first century. People who are taught from a very young age the dangers and health hazards contained in smoking continue and "Tobacco use remains t he leading preventable cause of death in the United States, causing more than 400,000 deaths each year and resulting in an annual cost of more than $50 billion in direct medical costs" (http://www.cdc.gov/tobacco/issue.htm). In Wither’s emblem pain and pleasure are presented in a paradoxically coexisting relationship. Thomas More’s Utopia portrays pleasure as an entity unblemished by the experience of pain. Wither’s emblem entitled "By Pain on pleasures we do seize and we by sufferance purchase ease" (http://emblem.libraries.psu.edu/withe023.htm) expresses views on pain and pleasure which are the antithesis of those found in More’s "Utopia." The divergence in the authors’ viewpoints on the relationship between pain and pleasu... ...ous views. If the Utopians believed Wither to be a "heaven-sent" prophet then perhaps his words, which completely contradict all their views, could be accepted. Wither uses the image of a rose to reflect the essential idea of pain and pleasure in his poem. He claims that "her sweetness fast is closed in with many thornes." The Utopians would find a violet sweeter without the necessity of fighting thorns to enjoy the beauty. More’s ideal society conflicts strongly with ideals that have permeated society for generations. If pleasure is received without any pain can it be as great as the pleasure that contains the knowledge of the pain? Works Cited: Damrosch, David; The Longman Anthology of British Literature. Volume 1. Addison-Wesley Educational Publishers Inc: 1999. http://www.cdc.gov/tobacco/issue.htm) http://emblem.libraries.psu.edu/withe023.htm)

Mericans :: World Literature Sandra Cisneros

In the short story "Mericans" by Sandra Cisneros, we appear to be reading about a small place in Mexico. The author uses many details in the story for us to visualize the cultural environment. The mix of Spanish words in the story such as, La Virgen de Guadalupe and la ofrenda give the sense of a different culture. The use of the awful grandmother kneeling at mass makes you visualize a specific heritage and cultural behavior. The word "barbarian" that the grandmother uses to describe the birthplace of the children, also points out cultural differences. It seems the author is trying to make us sense a native culture, and not to make assumptions based on physical characters. The "awful grandmother" (Cisneros p.30) is an example of a person in the story living in two cultural worlds, while she clings to her cultural heritage, she still doesn't want to accept the American culture of the children. The children, in the story, may look like Native Americans or Mexicans, but their main language is English. The children also use examples of American culture with the comic characters, "Flash Gordon" and "Ming the Merciless." The children in the story embrace more of the American culture than a native culture with the use of the comic characters. The little girl tends to struggle understanding her grandmothers cultural heritage, and it seems to take her quite a bit of effort doing it. The children seem to be content playing and carrying on without the bother of what the grandmother is doing, and they have no references to heroes of their native culture. The story tends to have a familiar setting to me, one that I am around, especially with the children running around and playing carefree. My grandmother is quite religious and she also does many of the things that the grandmother in the story does.

The Patient Education Plan Essay

Larry Garcia is a 45years old Hispanic male who was newly diagnosed with hypertension during a work-related physical exam. He has been married for eighteen years and has three children. He has been employed as a sales rep for ten years with the same company. His current position is a high pressured position, but he is performing very well at this present time. His is Catholic but only attends church on holidays. Larry likes to fish in his spare time. His mother has a history of high blood pressure but refuses to take her blood pressure medication, but otherwise she is well. His father has a history of CHF and impaired vision due to macular degeneration. He is an only child who supports his parents financially, assist with their shopping and transportation needs as well. Larry has an associate’s degree in business and wants to further his education, but he is unable to due to his labor and household responsibilities. Larry does state that â€Å"I feel stressed sometimes† during the exam. He has never smoked and has an occasional drink of alcohol on the weekends. Larry has no known allergies and takes one multivitamin a day. Identified risk factors for hypertension on Larry Garcia Age: Larry is 45 years old; more men than women at age 45 have hypertension. Family: his mother has high blood pressure;his father has CHF. Heredity plays an important role in having essential hypertension. Sedentary lifestyle: Larry is 12 lbs. over his model weight and does not exercise on a regular basis. An inactive lifestyle escalates the risk for hypertension and other serious disorders. Race: Larry is Hispanic. Racial/ethnic disparities exist in blood pressure, awareness, treatment, and control, with Mexican-Americans having a lower awareness and treatment of hypertension, as well as less health-care coverage, compared with blacks and whites (CDC, 2013). Stress: Larry has increased stress from work and also in supporting the need of his parents Describing the disease process Blood pressure is determined by the amount of blood your heart pumps and the amount of resistance to blood flow in your arteries. The more blood your heart pumps and the narrower your arteries, the higher your blood pressure  (Mayo Clinic). High blood pressure is a known and unsafe chronic illness. Hypertension indicates that the pressure of the blood in your blood vessels is greater than it should be. Hypertension is having a blood pressure reading that is greater than 140 over 90 or higher on a consistent basis. If left untreated, having high blood pressure can become a front-runner to many problems such as a heart diseases, stroke, or renal failure. Many factors can contribute to high blood pressure such as the way you live, nutrition, heredities and some other unidentified origin. Helping to lower your blood pressure can assist in avoiding health disasters in the present and near future. Age, ethnic, cultural background, spiritual and developmental issues to the disease Men and women are equally likely to develop HBP during their lifetimes. However, before age 45, men are more likely to have HBP than women. After age 65, the condition is more likely to affect women than men (NIH, 2012). The increased stress from having made his quota at work as a sales representative along with the increased stress of having to support his parents can contribute to his high blood pressure as well. Mr. Garcia is twelve pounds over his ideal weight and does not exercise which is another major risk factor for hypertension. If he were to exercise that could aid in lowering his blood pressure as well. Being Catholic has no significance on high blood pressure. With his mother having a history of high blood pressure, this can genetically have an effect of his current condition. Effect on quality of life Hypertension is a progressive disease that may not have any signs or symptoms, so they patient may feel fine for a long period of time. On the other hand, high blood pressure can change a person’s quality of life for the worse. Heart failure can occur which cause the heart to become larger and weaker over time. Aneurysms can occur as well in major blood vessels which can transport blood away from the heart. Blood vessels in the kidneys can become narrowed which can cause kidney failure. The kidney failure can be acute or chronic, but this can have the patient needing a kidney transplant or end up needing dialysis. Vision can become impaired and blood vessels in the eyes can rupture or bleed due to the increased pressure in  the artery. All of these can affect the quality of life and can change a person’s entire life-style. Educational needs of the patient and how it can be met Larry needs a lot of education on his newly diagnosed chronic disease. Larry needs to be educated about the potential risk factors and complications related to hypertension. The nurse can provide information on hypertension, the causes, risk factors and the lifestyle changes that can help in the control of high blood pressure. The nurse can educate Larry on the need for regular check-ups with his primary care physician. Larry’s last eye exam was eight years ago and he has never had a colonoscopy. Also, his family history of some chronic illnesses such as hypertension, CHF, and macular degeneration should aid in making this discussion be of importance to focus on. Stress management is an educational need as well. The nurse can educate Larry on the significance of decreasing the stress in his life and providing stress relieving technique and support groups. High blood pressure involves long term management and control which can involve life-style and medication adjustments. Larry needs to learn how to monitor and record his blood pressure accurately. He needs to become aware of when to take his medications and what signs to become of aware to notify his physician. Providing information on the medication, side effect and resources to aid in purchasing the medication is of importance as well. He also needs to make a nutritional adjustment which should include a low fat, low to no salt, low cholesterol, low calorie diet. An exercise program needs to be introduced as well to help him maintain his ideal weight and lose the extra pounds he may be carrying around. Patient’s Perceived Challenges Larry has a lot of challenges that he faces due to controlling his high blood pressure. The stress of his position at work along with supporting his parents has been an added stressor in his life. Larry is going to have to find a way to decrease the stress in both of these situations. Decreasing his work load by delegating more responsibilities to others can be of some much needed relief. He has to support his parents financially along with financially supporting his household can be a major challenge. Larry has two teenagers at home that he has to assist in leading and guiding in the right direction. The patient has to deal with his weight as well and is unable to do an exercise program due to his demands at work. Changing his dietary intake can also be challenging since he is always on the go. Larry does not retain verbal information easily and learns best by reading the material. Handouts would mostly likely be the best teaching mechanism for the patient. Helping to break the barrier of these challenges can assist the patient in the control and management of his blood pressure. Plan of care and potential patient outcomes Mr. Garcia needs to start losing weight. Creating an exercise program that can he incorporate into his daily routine is of importance. Seeing if his job has a gym, going to a gym near his job or taking a walk with his family in the evenings can aid in him starting an exercise regimen that can fit into his busy lifestyle. Providing information on a healthy diet that includes a low sodium, low calorie, and low fat is significant as well. An educational tool provided by the National Lung and Blood Institute that can aid in this teaching is the Dietary Approaches to Stop Hypertension (DASH) plan. By changing his diet, he can lower blood pressure and begin to live a healthier life. Encouraging the importance of taking his blood pressures as scheduled should be a focus. Since he doesn’t like verbal teaching and does have an Associate’s degree than written materials such as booklet and pamphlets can assist in this medication educational process. Teaching stress relieving exercises and stress relieving mechanisms can aid in decreasing his stress. His wife is helping his parents and should continue if she can to assist him in the transportation of his parents. Summary Larry Garcia, a 45 year old male who was newly diagnosed with hypertension was the focus of this case study. As the nurse, I was able to identify Larry’s educational requirements to support him in living a fairly good life regardless of him having hypertension. An educational plan was developed to help him in complying with these needed changes in his life. High blood pressure is called the â€Å"silent killer† because it often has no warning signs or symptoms and many people do not know they have it. That’s why it is important to check your blood pressure regularly (CDC, 2015). Race, genetics, age and being overweight are some of the contributing factors of  hypertension. Although there is no cure for high blood pressure, management can consist of exercise, medication, dietary modifications and weight loss. References Center for Disease Control and Prevention. (2015). High Blood Pressure. Retrieved from http://www.cdc.gov/bloodpressure/ Center for Disease Control and Prevention (2013). Racial/Ethnic Disparities in the Awareness, Treatment, and Control of Hypertension — United States, 2003–2010. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6218a2.htm Mayo Clinic. (2014). High Blood Pressure (Hypertension). Retrieved from http://www.mayoclinic.org/diseases-conditions/high-blood-pressure/basics/definition/con-20019580 National Heart, Lung and Blood Institute. (2012). Who is At Risk for High Blood Pressure? Retrieved from http://www.nhlbi.nih.gov/health/health-topics/topics/hbp/atrisk Redman, B.K (2007). The practice of patient education: A case study approach (10th ed.). Retrieved from The University of Phoenix eBook Collection Database. The Dash Diet Eating Plan. (2015). What is the DASH Diet? Retrieved from http://dashdiet.org/what_is_the_dash_diet.asp