Healthy Lifestyle Essay Example

Sound Lifestyle Essay Example Sound Lifestyle Essay Sound Lifestyle Essay There are two explicit healthful procedures I might Want to impart to you. The first Is eating less sugar. I grew up not eating a great deal of high sugar content Junk nourishments thus as a grown-up, I once in a while eat cakes, Ice cream, candles or drink soft drinks. I incline toward water and the main high sugar content I have in my storeroom is iced pieces grain. I love iced drops however I possibly eat t when I ache for desserts which isn't each day. On account of the less sugar dietary procedure, I am keeping my glucose level stable and critically forestalling medical issues like heftiness and diabetes. The second nourishing methodology I keep on doing to keep up a sound way of life is eating vegetables and crude natural products consistently. Its difficult to keep up this technique on the off chance that you work extended periods of time and don't have the opportunity to plan or cook your feast; so on ends of the week, I go out to shop at the Amiss market close to my home to purchase foods grown from the ground. I for the most part purchase strawberries, nana, peaches, mangoes, papayas, oranges, blueberries, avocados, spinach, carrots and beets. I cut them In little pieces at that point freeze It for my smoothies. I likewise include aloe Vera Juice and in some cases Greek yogurt. With this methodology, I am ready to eat my foods grown from the ground serving of the day, in addition to I eat less calories. Not just that, I feel full longer since it contains complex starches. Another method of keeping up a sound way of life is physical action (Student Health 101, 2013, Slide 3). As per the American Heart Association, cardiovascular illness is the main executioner in America. Absence of physical action is obviously demonstrated o be a hazard factor for coronary illness (Nutrition and Exercise, 2000). The main exercise methodology I consolidate into my life is strolling each day for 2 miles from the parking area to the workplace. I dont have a decision to stop near the structure where I work. So for a long time I strolled for at any rate 30 minutes consistently including up the steps to the fifth floor. This activity is moderate however It Is as yet a decent method to improve my general wellbeing. The second exercise procedure I need to Incorporate Into my life Is running. I don't Like running yet I need to do It since I dont have a decision while I m in the military. I run 2-3 times each week to breeze through my physical assessment consistently and out run my child. As a result of this system, I additionally improved my general passionate and mental life. Understudy Health 101 . (2013). Releases: Whats Your Favorite Way to Sweat?. Recovered from http://readdress . Com/sassafras. HTML Films Media Group. (2000). Sustenance and Exercise [Video File]. Recovered from http://advanced. Movies. Com/on Demand E m Healthy Lifestyle By kaki-along difficult. Fortunately, my family shown me at early age how significant keeping up techniques I might want to impart to you. The first is eating less sugar. I grew up baked goods, frozen yogurt, confections or drink soft drinks. I incline toward water and the main high sugar and beets. I cut them in little pieces at that point freeze it for my smoothies. I likewise include aloe 101 , 2013, Slide 3). As indicated by the American Heart Association, cardiovascular parking garage to the workplace. I dont have a decision to stop near the structure where I to the fifth floor. This activity is moderate yet it is as yet a decent method to improve my general wellbeing. The second exercise technique I need to consolidate into my life is running.

Collecting Data for the Problem Behavior

Gathering Data for the Problem Behavior At the point when you are composing a FBA (Functional Behavior Analysis) you should gather information. There are three sorts of data you will pick: Indirect Observational Data, Direct Observational Data, and if conceivable, Experimental Observational Data. A genuine Functional Analysis will incorporate an Analog Condition Functional Analysis. Dr. Chris Borgmeier of Portland State University has made various supportive structures accessible online to use for this information assortment. Aberrant Observational Data: The principal activity is to talk with guardians, study hall educators and other people who have had continuous duty regarding overseeing the youngster being referred to. Be certain that you give every partner the practical portrayal of the conduct, to be certain it is the conduct you are seeing. You will need to investigate instruments for gathering this information. Many survey groups evaluative structures are intended for guardians, educators and different partners to make observational information that can be utilized to help understudy success.â Direct Observation Data You should figure out what sorts of information do you need. Does the conduct show up much of the time, or is it the force that is terrifying? Does it appear to happen all of a sudden? Can the conduct be diverted, or does it escalate when you intercede? In the event that the conduct is visit, you will need to utilize a recurrence or disperse plot instrument. A recurrence instrument can be a halfway interim apparatus, that records how as often as possible a conduct shows up during a limited period. The outcomes will be X events every hour. A dissipate plot can help recognize designs in the event of practices. By matching certain exercises with the event of practices, you can recognize the two precursors and perhaps the result that is strengthening the conduct. On the off chance that the conduct endures quite a while, you may need a length measure. The disperse plot may give you data about when it occurs, a span measure will tell you to what extent a conduct will in general last. You will likewise need to make an ABC observational structure accessible for any individuals who are watching and gathering the data. At a similar time, be certain you have operationalized the conduct, depicting the practices geology so every spectator is searching for the equivalent thing. This is called between onlooker reliability.â Simple Condition Functional Analysis You may find that you can distinguish the predecessor and outcome of conduct with direct perception. Here and there to affirm it, an Analog Condition Functional Analysis would be useful. You have to set up the perception in a different room. Set up a play circumstance with unbiased or favored toys. You at that point continue to embed each factor in turn: a solicitation to accomplish work, expulsion of a supported thing or you disregard the kid. In the event that the conduct shows up when you are available in a nonpartisan setting, it might be consequently fortifying. A few kids will hit themselves in the head since they are exhausted, or in light of the fact that they have an ear contamination. On the off chance that the conduct shows up when you leave, it is probably for consideration. In the event that the conduct shows up when you request that the kid do a scholarly errand, it is for evasion. You will need to record your outcomes, on paper as well as on a tape. Time to Analyze! When you have gathered enough data, you will be prepared to proceed onward to your examination, which will concentrate on the ABC of the conduct (Antecedent, Behavior, Consequence.)

Consequences of Ethnicity in Nigeria

Impact OF ETHNICITY IN NIGERIA CHAPTER 1. 0 Presentation Nigeriaâ isâ byâ farâ the generally populated of Africa’s nations, with more than one-seventh of the continent’s individuals. The individuals have a place with various ethnic gatherings. These gatherings give the nation a rich culture, however they additionally present significant difficulties to country building. Ethnic conflict has tormented Nigeria since it picked up autonomy in 1960. Authoritatively known as the ‘Federal Republic of Nigeria’, she hasâ aâ federal type of government and is partitioned into 36 states and an administrative capital territory.Lagos, (in the past the capital of Nigeria) is the monetary and social focus situated along the coast, and occupied significantly by the Yoruba-talking clan. It is likewise the country’s biggest city (as far as populace). The legislature moved from Lagos to Abuja in 1991 in the expectation of making a national capital where none of the country’s ethnic gatherings would be prevailing. Theâ land size areaâ of Nigeria is roughly 923,768 sq km (356,669 sq mi).It was home to ethnically based realms and ancestral networks before it turned into an European settlement. Despite European contact that started in the sixteenth century, these realms and networks kept up their self-governance until the nineteenth century. The pilgrim time started decisively in the late nineteenth century, when Britain merged its standard over Nigeria. In 1914 the British combined their northern and southern protectorates into a solitary state called the Colony and Protectorate of Nigeria. Nigeria got free of British standard in 1960.After autonomy Nigeria experienced continuous overthrows and significant stretches of dictatorial military principle somewhere in the range of 1966 and 1999, when a vote based non military personnel government was set up Nigeria is extremely wealthy in crude materials like unrefined petroleum, tin, iron and so forth yet is exclusively subject to raw petroleum wh ich is a significant wellspring of salary for the nation. While oil riches has financed significant interests in the country’s framework, Nigeria stays among the world’s most unfortunate nations as far according to capita salary. Oil incomes drove the legislature to overlook agribusiness, bringing about reliance on nourishment importation.Fig 1. 1 MAP OF NIGERIA SHOWING THE 36 STATES 1. 1 The individuals of Nigeria's decent variety, both in â€Å"tongue† and â€Å"tribe† makes it an exceptionally troublesome area to expose to exact arrangement. This has prompted the inclination among numerous researchers to concentrate on the three significant ethnic or geographic zones in the nation viz the Hausa-Fulani (Northern Nigeria), the Yoruba (Western Nigeria) and the Igbo (Eastern Nigeria). These geographic zones are not at all exclusively involved by the three ethnic gatherings. A plenty of littler socio-ethnic gatherings might be situated in these zones.The highest population densities are in the Igbo heartland in south-eastern Nigeria, regardless of poor soils and overwhelming displacement. The seriously cultivated zones around and including a few significant urban areas of the Hausa ethnic gathering particularly Kano, Sokoto, and Zaria in the north are likewise thickly populated. Different zones of high thickness incorporate Yorubaland in the southwest, the focal Jos Plateau, and the Tiv country in Benue State in the south focal locale. Densities are moderately low in the dry upper east and in many pieces of the center belt.Ecological factors, including the commonness of maladies, for example, resting disorder, conveyed by the tsetse fly, and chronicled factors, particularly the heritage of pre-frontier slave attacking, help clarify these low densities (Encarta, 2009). Table 1. 1: Statistics of Nigeria Population| 138,283,240 (2008 estimate)| Population density| 152 people for each sq km 393 people for every sq mi (2008 estimate)| Urban populace distribution| 48 percent (2005 estimate)| Rural populace distribution| 52 percent (2005 estimate)| Largest urban communities, with population| Lagos, 11,100,000 (2005 gauge) Ibadan, 3,570,000 (2007 estimate)Ogbomosho, 861,300 (2007 estimate)| Official language| English| Chief strict affiliations| Muslim, 50 percent Christian, 40 percent Indigenous convictions, 10 percent| Life expectancy| 47. 8 years (2008 estimate)| Infant mortality rate| 94 passings for each 1,000 live births (2008 estimate)| Literacy rate| 70. 7 percent (2005 estimate)| Source: Encarta Encyclopedia (2009) 1. 2 Social issues Wealthâ andâ powerâ areâ distributed unevenly in Nigerian culture. This is because of a few variables including defilement, political flimsiness, and joblessness, in the midst of others.The incredible lion's share of Nigerians, engrossed with day by day battles to procure a living, have not many material belongings and minimal possibility of improving their parcel. In the in terim, boss, rich traders, lawmakers, and high-positioning government workers frequently collect and display gigantic riches, which to a degree is normal and acknowledged in the Nigerian culture. A large portion of these tip top keep up power through systems of support: They make sure about and circulate work and get political help in return.The framework takes into account some redistribution of salary since benefactors regularly pay for things, for example, school charges and marriage costs for family members, network advancement, and noble cause work. Economicâ inequalityâ has an extreme impact on wellbeing, particularly for youngsters. One-fifth of Nigerian youngsters kick the bucket before the age of five, basically from treatable ailments, for example, jungle fever, measles, challenging hack, looseness of the bowels, and pneumonia. Short of what one-portion of newborn children are vaccinated against measles, and ailing health influences in excess of 40 percent of kids under the period of five.Adults are similarly influenced, in spite of the fact that with less savage outcomes. Just 20 percent of rustic Nigerians and 52 percent of urban Nigerians approach safe water. 33% have no entrance to medicinal services basically on the grounds that they live excessively far from facilities or other treatment communities. Numerous others can't bear the cost of the expenses charged by centers. Whileâ averageâ incomes are higher and demise rates lower in urban communities, urban destitution is as unavoidable as rustic neediness. Secure, well-paying employments are rare, in any event, for those with extensive instruction. Nourishment is ordinarily expensive.Housing, as well, is exorbitant regardless of its simple quality, inciting the poor to construct fundamental houses in shantytowns. Sewage removal frameworks in many urban areas are additionally fundamental or crude, with contaminated streams, wells, side of the road channels, and different waterways expanding t he danger of irresistible infection. Industry, cars, and the consuming of fuel-wood further dirty air and water. Crime in Nigeria rose in the mid-1990s because of joblessness, monetary decay, and social imbalance, which are abetted by wasteful and degenerate police and customs forces.More than half of all offenses are burglaries, thefts, and break-ins, albeit furnished burglaries are additionally noticeable. Nigeria is a significant conductor for drugs moving from Asia and Latin America to business sectors in Europe and North America. Enormous scope Nigerian misrepresentation rings have focused on specialists in different pieces of the world. Nigeriaâ hasâ beenâ wracked by intermittent brutal conflicts among ethnic and strict gatherings since the 1990s. The purposes for these conflicts have changed from neighborhood political questions to clashes between fundamentalist Muslims and Christians or moderate Muslims.In numerous cases, nearby metro or strict pioneers have control led these contentions for political addition. 1. 3 Ethnicity: The Ethnic Composition of Nigeria Ethnicity is a term not handily characterized and for legitimate comprehension of the idea related terms requires depiction; an ethnic gathering is viewed as a casual intrigue bunch whose individuals are unmistakable from the individuals from other ethnic gatherings inside the bigger society since they share family relationship, strict and etymology ties (Cohen, 1974). Ethnicism is another related idea used to mean ‘ethnic loyalty’ (Pepple, 1985).The idea of devotion here demonstrates readiness to help and follow up for the ethnic gathering. In this way, ethnic dependability or ethnicism as a rule includes a level of commitment and is regularly joined by a rejective demeanor towards those viewed as pariahs I. e. individuals from other ethnic gathering (Salawu and Hassan, 2011). In this way the term Ethnicity can be characterized as the connections among individuals from numer ous differing gatherings (Nnoli, 1978). Nigeria is a general public with various ethnic gatherings, religions, dialects, societies and institutional arrangements.As a heterogeneous society of a few ethnic gatherings, Nigerians are hence portrayed by gatherings, wants, convictions, values, customs, fears and so forth. These assorted varieties in national life show in a few different ways including; music, language, culture, move, convictions, religion and so on. The way that more than 300 recognized language bunches exist in Nigeria has made some disarray as one may compare every language bunch with an ethnic gathering (Adejuyibem 1983) and along these lines show up at more than 300 ethnic groups.As Iwaloye and Ibeanu (1997) and Anugwom (1997) have contended, be that as it may, dialects and ethnic gatherings don't really correspond. One language might be spoken by more than one ethnic gathering and one ethnic gathering may have etymological varieties of a similar root language. Besid es, while language might be one of the significant elements for characterizing an ethnic gathering, some ethnic gatherings in Nigeria may have lost their unique semantic roots, while holding their personality, because of extreme association with bigger socio-ethnic groups.In a similar vein, numerous ethnic gatherings may utilize a similar language to case correspondence, just like the instance of the littler ethnic gatherings in the North of Nigeria, where Hausa has become pretty much a most widely used language. Hence, it has been demonstrated that there is no immediate connection among language and ethnic gathering in Nigeria. In this way, the 56 ethnic gatherings distinguished by Iwaloye and Ibeanu (1997) as the current ethnic gatherings in contemporary Nigeria are embraced. It is I

Essay on Yourself - Does Writing Your Own Work?

Essay on Yourself - Does Writing Your Own Work?You must be wondering what to write about in your own essay on yourself. Is it possible to write an essay that relates to everything that you have accomplished?Life is about dreams, aspirations, and goals that we try to reach. So when we write about ourselves, it is in the present tense. No matter how much or how little we accomplish in our lives, this one article will only ever be as good as what we leave out. We will all make mistakes, but that is part of the process and we should embrace it.If you are unsure about what you can include in your own essay on yourself, I would recommend you to start with the top three things that you think are the most important things that you could have accomplished in your life. Next, I would suggest you to work backwards from there.When you go through this exercise in writing your own essay on yourself, you are going to discover some really good things that you want to leave out. Instead of worrying a bout what you cannot include, focus on the things that you can put into your essay.For example, what has been your greatest achievement? Is it writing a book? Or perhaps it is completing a marathon?Imagination and knowledge can be part of the whole thing, too. Even if you do not use them, you can imagine being a professional swimmer or horse rider. Both of these sports are extremely physical, yet both have amazing people who manage to execute incredibly complex maneuvers every time they are on the water.Just think about what you have been able to do and what you could do. These three areas can help you write an essay on yourself that is as good as the one you left out.

Arguments for and Against Horse Slaughter

While animal advocates argue against horse slaughter, some horse breeders and owners say that horse slaughter is a necessary evil. According to The Morning News, â€Å"a recent national poll found that almost 70 percent of Americans support a federal ban on horse slaughter for human consumption.† As of May 2009, there are no slaughterhouses killing horses for human consumption in the United States. There is now a federal bill pending that would prohibit horse slaughter in the US and would prohibit the transport of live horses for slaughter. While this federal bill is pending, several individual states are considering horse slaughterhouses. A Montana bill allowing horse slaughter and protecting potential slaughterhouse owners became law in April 2009. A bill modeled on the Montana law is now pending in Tennessee. Slaughter for Human Consumption Horses were being slaughtered for human consumption in the US as recently as 2007. In 2005, Congress had voted to withhold funding for USDA inspections of horse meat. This move should have stopped horse slaughter because the meat cannot be sold for human consumption without USDA inspections, but the USDA responded by adopting new rules that allowed the slaughterhouses to pay for the inspections themselves. A 2007 court ruling ordered the USDA to stop the inspections. Horses Still Being Slaughtered Although horses are no longer slaughtered for human consumption in the US, live horses are still shipped to foreign slaughterhouses. According to Keith Dane, Director of Equine Protection for the Humane Society of the US, about 100,000 live horses are shipped to Canadian and Mexican slaughterhouses each year, and the meat is sold in Belgium, France, and other countries. A lesser-known issue is that of horse slaughter for pet food and for zoos to feed to carnivores. According to Dane, these facilities are not required to be inspected by the USDA, so statistics are not available. The existence of such facilities usually goes unnoticed until there are a cruelty allegation and investigation. The International Society for the Protection of Exotic Animal Kind and Livestock, Inc. alleges that one such slaughterhouse in New Jersey kills the horses in an inhumane manner, and the case is still under investigation. According to Dane, most major pet food companies do not use horse meat, so there’s little chance of buying cat or dog food that supports horse slaughter. There are many reasons a breeder or owner may decide to sell a specific horse for slaughter, but on a macro level, the problem is overbreeding. Arguments For Horse Slaughter Some view horse slaughter as a necessary evil, to humanely dispose of unwanted horses. Unlike dogs and cats, unwanted horses cannot be dropped off at the local animal shelter. Sanctuaries for horses do exist, but there are not enough of them. Euthanasia is not always financially feasible. Having the horse humanely euthanized and then having the body of a 1,200-pound animal disposed of or transported to a rendering plant is expensive, sometimes prohibitively so. Rendering plants that turn horses into fertilizer and industrial products will accept carcasses, but do not pay for them. Some argue that the alternative to horse slaughter is neglect and abandonment. Horse slaughter proponents argue that horses should be treated no differently from cows, pigs or chickens, and there is no reason horses should not be slaughtered for human consumption. Arguments Against Horse Slaughter Animal rights activists do not believe in killing any animals for food, but there are several arguments that apply specifically to horses. Horse slaughter increases prices and profits for horse breeding. If there is no profitable or easy way to dispose of unwanted horses, fewer horses will be bred. As reported in the Morning News, Before slaughterhouses closed, ranchers knew they could get $1 per pound for the meat. The same meat is now worth only about 20 cents per pound[...] Ranchers are also simply getting out of the horse business, said Ross Lockhart, owner of Stockman’s Pride in Bentonville. He used to raise registered quarter horses but hasn’t bred anything for the past two years. Many Americans believe horses are special and should be treated more like companion animals than livestock. Neglect and abandonment do not increase when slaughterhouses close. According to the International Fund for Horses: California banned horse slaughter in 1998. California has experienced no increase in abuse case, and even noted a decrease 3 years following the ban. During the 4 years that [the Cavel slaughterhouse] was closed, Illinois saw a noticeable decrease in abuse and/or neglect cases. Texas, which had the only two slaughter plants in 2003, had among the nations highest rates of cruelty and theft. Some believe that horse slaughter is unusually cruel. At some slaughterhouses, horses are first stunned with a captive bolt gun, then bled to death. However, the horses are sometimes improperly stunned and are sometimes skinned and bled while still conscious. Allowing horse slaughter creates another source of profit for thoroughbred breeders, thereby supporting horse racing, to which many animal advocates object. Several major horse racetracks oppose horse slaughter. There are about 9 million domestic horses in the US, and approximately one percent of that number are sent to foreign slaughterhouses each year. If shipping live horses for slaughter were banned, that relatively small number of horses could be absorbed by the horse community in the US. The Upshot Whether prohibiting the export of live horses for slaughter will lead to neglect and abandonment remains to be seen, especially in an economy where foreclosures threaten all types of companion animals. However, several major racetracks oppose horse slaughter and taking away an incentive for breeding or overbreeding is a powerful argument against horse slaughter.

Neighborhoods And Violent Crime A Multilevel Study Of...

Neighborhoods and Violent Crime: A Multilevel study of Collective Efficacy Research Question The authors hypothesized in their study that concentrated disadvantage would decrease and residential stability would increase the collective efficacy of a neighborhood. In the study, concentrated disadvantage and residential stability were examined to determine if there is a relationship with interpersonal violence. It was also hypothesized that collective efficacy has some sort of an effect on neighborhood stratification (Sampson et al., 1997). In-depth examination of the data The study examined data from the Project on Human Development in Chicago Neighborhoods (PHDCN). They created 847 census tracts to create 343 neighborhood clusters. The†¦show more content†¦Measures There were several measures used in this study. One was informal social control. This was measured using a five-point Likert scale. â€Å"Residents were asked about the likelihood (‘would you say it is very likely, likely, neither likely nor unlikely, unlikely, or very unlikely’) that their neighbors could be counted on to intervene in various ways if (i) children were skipping school and hanging out on a corner, (ii) children were spray-painting graffiti on a local building, (iii) children were showing disrespect to an adult, (iv) a fight broke out in front of their house, and (v) the fire station closes to their home was threatened with budget cuts† (Sampson et al., 1997, 919-920). The second is social cohesion and trust. Social cohesion and trust was measured by a five-point Likert scale as well. They were asked how strongly they agree to the following statements: â€Å"people around here are willing to help their neighbors, this a close knit neighborhood, people in this neighborhood can be trusted, people in the neighborhood generally don’t get along with each other and people in this neighborhood don’t share the same values† (Sampson et al., 1997, 920). Violence was also measured. Violence was measured in three ways. The first was asking the residents how often certain situations occur in the neighborhood. Examples include a fight when a person used a weapon or if a violent argument occurred between neighbors. The second way is personal victimization. The

Analyse The Case Of Diabetes Patient Julie †MyAssignmenthelp.com

Question: Discuss about the Analyse The Case Of Diabetes Patient Julie. Answer: Brief Overview of the Case: The case at hand, suggests that Julie is currently suffering from Diabetes 2, which is not only affecting her physical health, but is also affecting her mental stability and emotional well-being. Starting with the diagnosis, Julies life has remarkably changed. From being an administrative assistance in the past, she has been reduced to a crippled person suffering from ill-health, battling with the problem of weight gain as well as the anxiety caused by the loss of a normal, carefree life she used to lead earlier. Obesity is a very common condition of almost any patient suffering from Diabetes 2, and in fact 85% of the patients are uncontrollably obese or overweight. However, Julie is unable to reconcile herself with the fact that she has adopted various strategies to combat her weight gain issue, and yet has been able to do nothing about it. This is impacting her motivation negatively, and this loss of motivation is highly undesirable in case of a Diabetes patient, as it is an import ant tool needed for efficient management of the patients with Diabetes 2. In controlling diabetes as well as managing weight, self-care behaviour of the patient can only help the patient control diabetes through strict adherence, which however can be impacted by the patient apathy, characterized with lack of initiative and motivation. Description of Problems: As stated by Grover et al., (2015), motivation and self-regulation plays the most significant role in consideration with management of weight and other related behaviours. Leading a predominantly sedentary live has become a regular activity of people in the recent time. Accordingly, it is justifiable to adapt certain psychological as well as other self-regulatory features in the behaviour of a person in order to be motivated and control weight. According to the Theory of Planned behaviour, there is predictive power to and there can be changes in the behaviour of a person if the person wants. There are certain norms and individualistic intentions that actually decide the behaviour of a person (Kemps, Tiggemann, Hollitt, 2014). If the situation of Julie Green is taken into consideration, it can be said that she has certain responsibilities to perform with respect to her husband and children. Obesity is indeed a fatal disorder and that she has to be cautious enough to understand the im portance of losing weight and leading a healthy life. It is only her intensions and will that would help her to overcome from the present situation. The psychological theory, Theory of Self-actualisation also states that there is a need to understand the potentiality of each person to be focused on a particular arena (Kemps, Tiggemann, Hollitt, 2014). It is important for Julie Green to understand the present situation and be prompt enough to come down to a particular approach that would help her to improve her present health condition. As evident that Julie was also suffering from stress due to her health issue, according to the stress and coping theory, she would cope-up with the situation if she manages to overcome the current health problems that she is facing. From an emotional perspective, it should be noted that Diabetes 2 is a chronic health problem, that is accompanied by obesity and other obesity related problems, such as partial disability, that can potentially impact the mental stability of the patient. In the present case, Julie is experiencing a persistent feeling of loss of motivation, a bitter feeling of anxiety and depression as well as loss of self-esteem because of her overweight and her helpless condition in managing the same. It is a well-known fact that anyone who suffers from diabetes and depression have poorer metabolic as well as glycemic control which again, in turn, is claimed to intensify the symptoms of depression. While comprehending the emotional problem of Julie, it is important to note that she is emotionally unstable primarily because of the diagnosis of the disease itself, which she finds to be incurable. Now, the rigour of managing the chronic disease itself is emotionally destabilizing her, as she is experie ncing a feeling of powerlessness in controlling her situation. Next, she currently weighs 120kg, which is adding to her depressed mood as well. Further, what is worsening the situation for her is that Julie is also suffering from other health issue related complications associated with Diabetes, such as partial disability and walking problems, which has created a feeling of despair, hopelessness, anxiety as well as loss of interest in daily activities. Analysis of the Case History and Factors Leading to the Problem: Mrs. Green has been refereed to me after she has complained of going through an emotional turmoil regarding her weight gain issues. It is seen that she has been overweight for a quite a large period of time and she has even tried her best to change her diets to reduce her weight. She has found no result and instead she has been further affected by diabetes and pain in her joints. All these had added to her physical discomfort and mental instability. She had not been able to experience any positive outcome form her diet plan and moreover adding to het physical disabilities like walking with help of stick has affected her motivation and she no longer feels the urge to get back in shape. This case history of hers can be explained by the help of trans-theoretical theory which described her behaviour in five important steps. The main issues that had affected her motivation have been identified in the fourth and last stage of the theory which will be discussed in the following paragraph. The first stage of weight loss is that here an overweight individual has no intention to change the lifestyle probably as they see no reason or benefits of doing so (Phelan et al., 2015). However, Mrs. Green overcame it and reached the next stage which is the contemplation stage where the individual reaches a conscious decision to lose weight. This stag was successfully attended by Julie as well. The next stage is the preparation stage where the individuals sees benefit behind taking initiatives to lose weight (Katterman et al., 2014). Here, Julie also expected to get rewards in the form of losing her weight and so he prepared herself with such a motivation to lose weight. In the action stage also, Julie tried to set goals and take actions by taking in each and every kind of diet which she believed would reduce her weight. However it was in vain and this led her to relapse back into the first and second phase again and again. Staying in action plan for a long time makes an individual to lose motivation as stated by researchers and the same had happened with Julie (Dombrowski et al., 2014). The maintenance stage is the stage where individuals maintain their good habits which they have developed by changing their bad habits. This stage was a total failure as the previous action stage was not properly conducted by Julie. The main reason for the failure of the motivation was that she was not getting proper results for the diet plan she had taken. This was the outcome mainly because she might not have followed evidence based diet plan according to her individual requirement. She might not have followed a complete plan which would have aligned with her goal properly. Therefore inappropriate diet plan which she had perceived as the correct diet plan for her might have failed her and she lost motivation for that (Hardcastle et al., 2013). Moreover, it is also seen that while she was failing in her attempt to reduce weight, she was affected by diabetes which gave her further troubles as he developed join pain and head to use sticks for walking at an age of 43. This physical pain affected her mental strength as well. Moreover she has no role figure to be encouraged with as all her family members except her youngest child was overweight. She got into a phase of depression for all these reason that affected her motivation entirely. She could see no way out and in course of time she developed the feeling that she has no way out of the situation. Hence, all the factors have to be judged properly before setting up a care plan for her for the best outcomes (Franz et al., 2015). Treatment Plan for Julie Depressive symptoms are common in case of the patients who are suffering from diabetes mellitus (Nouwen et al., 2010). This depressive symptom lays a burden on the family, patient and the health care system. In case of Julie, the rate of depression is assumed to be more because at present she is overweight, unemployed and is suffering from extreme joint pain. Psychological therapies are regarded to be the best for the treatment of the depression which Julie is experiencing at present. Such psychological therapies are devoid of any harmful side-effects as they do not employ the use of antidepressant drugs. The most common therapy that is advised for the treatment of depression is Cognitive Behavioural Therapy (CBT). It is a short term intervention therapy in behaviour activation which eases the negative thoughts. CBT includes cognitive and behavioural strategies to overcome the depression arising out of the diabetes distress. It also reduces the perceived barriers to several factors of self-management and at the same time will increase the physical activity of Julie while assisting her in the coping skills (Petrak et al., 2010; Van der Feltz-Cornelis et al., 2010). The principal element of the CBT therapy are support, psycho education, problem solving, scheduling of physical actives via the application of pedometers, pleasant activities, thought control techniques training in the social skills, Socratic dialogue, cognitive restructuring and interpersonal contact along with crisis intervention. This manual therapy is known as Successful ageing with Diabetes is a guided self-help intervention will provide a sense of belongings. It will be provided by trained moderators. Such therapy will engage Julie to participate in the social network of the people who also fall in the same bracket of type 2 diabetes mellitus and is suffering from depression due to obesity. The active participation in such programs will help Julie to fight back against her social and emotional isolation and thus uplifting her damaged self esteem. Such support from the same group of people will make her feel that she is not the only one who is suffering from such debilitating issues and thus she will gain strength, support and motivation and to act actively to fighting against the odds of the disease (Petrak et al., 2010). The moderators of such therapy will also promote reciprocal caring and sharing of the relevant data regarding diabetes and ageing. The main value of this group association will be conside red in terms of the mutual aid offered by member to one another. These kinds of therapies will help Julie to fight back against her depressive symptoms and indulge in physical activities to reduce her excess fat in her body. However, since Julie is experiencing excessive joint pain so firstly she needs to recover from her pain in order to enter into rigorous physical exercise regime. Recovery of joint pain will require time and this will demand patience and the CBT therapy along will manual therapy of Successful ageing with Diabetes will help her achieving the same. Similarly CBT will help her to fight back against the odds and social bullying and actively participate in the motion of reducing weight while fighting against diabetes mellitus (Petrak et al., 2010). References: Dombrowski, S. U., Knittle, K., Avenell, A., Araujo-Soares, V., Sniehotta, F. F. (2014). Long term maintenance of weight loss with non-surgical interventions in obese adults: systematic review and meta-analyses of randomised controlled trials.Bmj,348, g2646. Franz, M. J., Boucher, J. L., Rutten-Ramos, S., VanWormer, J. J. (2015). 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