Saturday, May 23, 2020

Report on Classroom Observation - 1945 Words

REPORT on CLASS OBSERVATION Introduction Internship teaching is the culminating experience of the first degree program in education. It provides the opportunity to apply theoretical knowledge on pedagogies in the actual classroom setting and gain the experience. The internees are exposed to an environment where they encounter learners for the first time and face them with multitude of ideas, approaches, techniques and processes. During the internship period I got ample opportunities to demonstrate the art of teaching in actual situation and participate in all activities at the school level. The duration of internship was one semester. I tried to perform the assigned responsibilities in Azimpur Girl’s School and College under the†¦show more content†¦It is not portable but fixed. It is not in the middle of the front wall. So all of the students cannot see easily what is written in the board. †¢ Lighting and ventilation: The natural lighting is not quite adequate for the class. The cross ventilation is not available in the classroom. †¢ Provision of artificial lighting and ventilation: There are 4 electric fans and lights in the class. But this is not quite adequate for the room. As there is no generator in the school and power failure being a common problem, sometimes students face problems as they suffer from the hot summer and cannot concentrate to their lessons. There is another problem of the artificial lighting as it is reflected in the blackboard and the front right side of the class cannot see the right corner of the board. †¢ Teach ers table and chair: The wooden chair and table are in the front side of the class. The table is spacious but its drawers are hardly movable. The chair is quite ok as we should use in not for a long time to sit there while teaching. †¢ Color of the class: The colors of the walls are white but fade. It should be brighter. †¢ Other furniture: There are no other furniture except the above mentioned desk and benches for the students and the chair and table. B. Evaluation of the teacher’s proficiency: †¢ Dress up: His dress up was suitable for the class. †¢ Teaching method: His teaching method is good. WhenShow MoreRelatedObservation Report On Classroom Observation1883 Words   |  8 PagesData Report The following data was gathered while fulfilling duties as a principal intern at Theresa Bunker Elementary School. The data was observed during five to seven minutes of classroom observation as part of a walk-through in the spring of the current school year. My cooperating supervisor for my internship was able to go on these walk-throughs with me in order to have a productive reflection meeting afterwards. This elementary school has two of each grade level from Kindergarten to sixthRead MoreClassroom Observation Report Observation1759 Words   |  8 PagesTami Lesser June 4, 2017 Observation Report: I observed a girls second grade classroom in Arie Crown Hebrew Day School. The class had 28 students. There was one head teacher and one teacher’s assistant in the class. Bathrooms were located down the hall and students did not need to ask permission to use them, however, only one student could leave at a time. Students lockers were located right outside the classroom, they can leave their coats and boots there if need be. The room was quite large consideringRead MoreReport on Classroom Observation1932 Words   |  8 PagesREPORT on CLASS OBSERVATION Introduction Internship teaching is the culminating experience of the first degree program in education. It provides the opportunity to apply theoretical knowledge on pedagogies in the actual classroom setting and gain the experience. The internees are exposed to an environment where they encounter learners for the first time and face them with multitude of ideas, approaches, techniques and processes. During the internship period I got ample opportunities to demonstrateRead MoreObservation Report On Classroom Observation1404 Words   |  6 PagesFor this observation, I observed in a fifth-grade elementary school classroom at Dunlap Elementary School in Yucaipa. The teacher, Mrs. Aldulaimi, of the classroom has been teaching full time for the past five years but has been substituting for twenty plus years. She has a class of about thirty so students but as of recently many of her students are moving away and changing school districts. She really seems to be passionate about teaching but may appea r overly strict with the children. The physicalRead MoreClassroom Observation Report944 Words   |  4 PagesGeneral Observation: As I entered into the science room, the students were being given a science â€Å"dipstick† labeled â€Å"Interdependent Relationships in Ecosystems†. This â€Å"dipstick† sums up the unit that the students have been working on where they created their ecosystem posters and determined which animals belong in each ecosystem. The teacher explained to the students that she calls these â€Å"dipsticks† instead of â€Å"tests† because these documents are more focused on seeing what they took away from theRead MoreClassroom Observation Report1167 Words   |  5 Pageseighteen years of experience and she used technology consistently at home and in a classroom. She also worked in a computer related business. This particular class was an upper level reading class. They had to research information about an athlete. The first page of power point was a picture of the athlete and a portion of a report that they had found on the internet. The second page of the report consisted of using a digital camera in which the teacher took a picture of eachRead MoreObservation Report About Classroom Observation1630 Words   |  7 PagesI have visited the Cranbury Presbyterian Nursery School and have observed the classroom in great detail during my last three visits. In this preschool classroom, there are usually 8-10 students present whose ages are from 2 to 2  ½. There are also three adult staff present without including myself. This classroom consists of two rooms which are connected to each other. One room only has a large circle rug and a rectangular table. The other room adjacent to it is slightly larger and contains multipleRead MoreEssay on Classroom Observation Report2176 Words   |  9 Pagesteacher and her students in an observation I did in a false beginner English as Second Language (ESL) class at the University of Texas. The purpose of this report is to reflect on the teacher’s teaching strategies and class environment in relation with what I have learned in my Teaching Methods class. Throughout this paper, a variety of students’ and teacher’s behavior will be discussed that will be analyzed in the reflection section. II. Before the Observation After I arranged a dayRead MoreClassroom Observation Report Essay1592 Words   |  7 PagesClassroom Observation Memphis Intermediate School is located in the city of Memphis, TN. It is comprised of grades 3-5 with a total enrollment of 464 students and a student/teacher ratio of 20. Memphis has been in operation for only seven years and is a public school. The ethnicity of the student body is largely White at 86%, followed by Hispanic 6%Read MoreEssay Classroom Observation Report1698 Words   |  7 Pagesnature of students, I think about how the students behave. I believe that the behavior of students as a group reflects eclecticism meaning that every child behaves differently although every behavior can be integrated. While doing my observation in a second grade classroom, I have met students that are extremely social and active as well as students who are rather quiet and reserved. Usually when an extremely social child is seated with a quiet child, the quiet child will not say much so the extremely

Tuesday, May 12, 2020

Essay on 2015 S1 Assignment - 636 Words

BEO2264: Microeconomic Analysis Semester 1, 2015 ASSIGNMENT _________________________________________________________ Due Date: The week beginning the 11th of May, 2015. The completed assignment must be submitted to your lecturer during your scheduled seminar. Value: 20% of Total Assessment You should attach a cover sheet, and do not submit the assignment in folders or plastic protective covers. The assignment to be done in groups of two. Late submission will incur a penalty of 10 per cent per day. Question 1 (5 marks, 200 words) (a) Thomas Malthus reasoned that because the amount of land is fixed, as population grows and more and†¦show more content†¦(a) In what sense taxing food is a ‘good’ way to raise tax revenue? (b) In what sense is it not a ‘good’ way to raise revenue? Marking Reference Grade (%) Criterion 80 - 100 Demonstrate thorough understanding of the relevant concepts. Information from appropriate sources is integrated with analysis. Information is accurately referenced using Harvard System, including in text referencing if applicable. Demonstrated ability to draw conclusions with appropriate justifications. Explanations are clear and concise. Well formatted, edited, and minimal grammatical and spelling errors. Timely submission. 70 - 79 Demonstrate good understanding of the relevant concepts. Information from appropriate sources is integrated with analysis. Information is accurately referenced using Harvard System, including in text referencing if applicable. Demonstrated ability to draw conclusions and attempts some justification for position with explanations. Formatted and edited to good standard, minimal grammatical and spelling errors. Timely submission. 60 - 69 Demonstrate above average understanding of the relevant concepts. Information from appropriate sources is integrated with some analysis. Accurately reference resources using Harvard System, including in text referencing if applicable. Timely submission. 50 - 59 Demonstrate limited understanding of the relevant concepts. CanShow MoreRelatedAssignment Questions On Economic Principles1049 Words   |  5 PagesKoo Weng Liang Written Assignment 1 (Microeconomics) for DB106 Economic Principles Assignment Questions Question 1 A) An opportunity cost will arise when economists using between alternative ways of allocating scarce resources. The opportunity cost is for economists to make decision of the alternative use of scarce resources. By using production possibility frontiers (PPF) can be illustrated the opportunity cost to result a clear simple way to effects of making economic choice. A PPF is show theRead MoreSummary : Situational Leadership Essay992 Words   |  4 PagesSITUATIONAL LEADERSHIP Salve Aguilar West Coast University Leadership LDR 432 Ms. Joni Gaynor September 19, 2015 Situational Leadership Northouse’s situational leadership exemplifies us four different situations to determine our leadership styles as we respond to different development levels of the team members. Firstly, situation 11 reflects high competence and high commitment development level (D4). Since the member is experienced and motivated to do the job, it is rightful that I assignRead MoreThe Decline Of Australian Dollar Against The Us Dollar1231 Words   |  5 PagesNAME: NAIR, ATUL STUDENT NO: 5177984 ECON910 ASSIGNMENT a) The main issue in the article is the decline of Australian dollar against the US dollar. Upon perusing it is understood that the Australian dollar is steadily declining during the current year. The economists said that this is due to the fall of commodity prices globally. The Australia is agriculture and resource based economy, and the Australian dollar heavily depends on commodityRead MoreChronic Medical Condition : Asthma1055 Words   |  5 Pages SEMESTER 1 2015 PARAMEDIC PRIMARY HEALTH CARE PARA705 Assessment 2 Written Assignment Chronic medical condition: Asthma Word count: 2000 Introduction This assignment will explore and discuss asthma through the insight of a ten year old asthma patient Miss B. Miss B’s description of asthma will be defined whilst aligning this to current literature. Patient care treatment plans will be discussed according to the New Zealand health system, this will be contrastedRead MoreExploring A Topical Area Of English Law Of Your Choice1520 Words   |  7 Pages Study techniques assignment. Title: Explore a topical area of English law of your choice. Name: Taha Aitabi-Hakimi. Student Number: BMC141514368 Word count: 1,209. Tutor: Jane McNamara. Outline plan: 1. Explore a topical area of English Law of your choice. 2. Introduce the Police Powers to stop and search. 3. Explore the origins of stop and search. 4. Explain the current legal position in relevance to stop and search. 5. Outline the police power to stop and search. 6. AssessingRead MoreAssign 2 Adm2304 W151201 Words   |  5 Pagesï » ¿ADM2304 Assignment#2 (100 Marks) Due Date Time: Must be Uploaded by Wednesday, March 4, 2015 by 23:59 hrs. A Grace Period of 1 extra day will be allowed with severe penalty. Integrity Statement: Must be Printed/ Signed and Attached. General Instructions: When you perform a test of hypothesis, you must always use the 4-step approach: i. S1:the â€Å"Null† and â€Å"Alternate† hypotheses, ii. S2: calculate value of the test statistic, iii. S3: the level of significance and the critical value ofRead MoreAssignment 1: Finite Element Analysis Essay2551 Words   |  11 Pages[pic] ENGD3016 Solid Mechanics Assignment 1: Finite Element Analysis Name: Wei Zhang ID: P14021978 Date: Dec17th 2015 Abstract 1.0 Introduction 2.0 Objectives 3.0 Matlab 4.0 Solidworks 4.1 Model of truss 1 4.2 Model of truss 2 5.0 Comparison of the two trusses 6.0 Comparison between MATLAB and SOLIDWORKS Read MoreInformation Security Through Fog Computing Using Data Mining Essay1434 Words   |  6 Pagesuser profiling the data will be trained. 3. Mathematical Modeling 3.1. Set theory M={U, S, F, Fd, A, At} M be the main dataset U be the user’s F be the original files Fd be the decoy files A be the activity At be the attribute U={U1, U2, ..., Un} S={ S1, S2} F={F1, F2, ..., Fn} Fd={Fd1, Fd2,..., Fdk} A={A1,A2,...,Ak} At={At1,At2,...,Atk} 3.2. Morphism Sdb be the database where all user’s detail information is available Sdb=reg.istration{user details} To access application, Ap={user id,password} ToRead MoreScholarly Assignment On Soap Note Essay1323 Words   |  6 Pages Scholarly Assignment on SOAP NOTE Rishi Pokhrel Student Id: n01173155 Humber College NURS 104: Practical Nursing Theory Davendra (Deon) Challu 24 Oct. 2016 INTRODUCTION Nursing documentation is important for continuity and quality of client care. It acts as legal evidence and provides evidence for quality assurance and future care (Porter Perry, 2014). A SOAP note consists of Subjective, objective, assessment and a plan for the client care. This paper attempts to assess and documentRead MoreReview Of The Unit For Bridge And Movie 1647 Words   |  7 Pages EDF 3430: Education Measurement and Evaluation Leona Peters Critical Assignment 2 Fall 2015 Introduction The unit for Bridge to Terabithia was a two week unit based off the chapter book and the 2007 movie. The purpose of this unit was to discuss the contrast of the novel and movie, as well as the main characters, character progression, symbols, themes, setting, and plot of the novel

Wednesday, May 6, 2020

Reflection Paper About Love Free Essays

I know I’m too young to fall in love. I’m too young to say I found the right one. But there is really a moment in our life where we can say that we already found the one we would like to spend our forever with. We will write a custom essay sample on Reflection Paper About Love or any similar topic only for you Order Now The only one we wanted to love until God takes our breath away. January 14, was the happiest day of my life. Happiest, because it is the day where I found my peace of mind, my happiness, my one and only and my other half. I know that it is really weird to say that I am so madly, truly, deeply and passionately inlove with her, but I can’t really deny it, because I know deep inside my heart, it is true. I really love her so much that I can’t find the right words to describe my love for her. Whenever I’m with her, it feels like I can do anything. And I’m so confident, because I know that person accepts me as I am. Not like the other people, who expects too much on me, and criticizes my wrong doings. She accepts my mistakes, and everything. She is my strength to go on and continue my everyday life with love in my heart. She serves as my inspiration to strive harder and study more than I usually do. She is my everything. I would do anything just to prove that I really love her. Words will never be enough to say how much she means to me. I never felt like this before. It’s like, I don’t need any other because I have her who completes me. I feel so contented and I’ll never search for anyone else. Even if I can find someone who is better, still I will choose her. Maybe my someone is not perfect, my someone have a bad side, but no one will be like her because that someone is the only one in my life and in my world. If only I can build a world where we can spend the rest of our lives together at this moment, I would. Because I never wanted to be without her. It is weird if I say that that someone is my life because I know, I had lived 14 years of my life without that someone. But as time passes by, she really became my world, my life and my everything. I can’t be myself without her and if she walks away in my life, I will be empty. She has been out of my life many times, but as they say if someone walks out of your life and returns, it is for yours to keep and take care. So that’s it. We will never be broken again, because this time I will take care of what we have so that until forever, we will still be together and I will grow old someday in her side. I can’t wait for the day where I will wake up and sleep beside her. Everything will be perfect as long as I’m with her. There are things I want to say to that someone and I want to write those things here in my last journal, because when I got into college, I know that I will miss doing this so I want to make this last Reflective Journal of mine to be so special like my someone who is so special to me. Dear You, If you’re reading this Rj of mine, I just want to say thank you. Thank you for those times you made me happy everytime I’m sad. Thank you for being my strength every time I feel so weak. Thank you for fulfilling my life. Thank you for everything. THANK YOU, REALLY. Thank you for being mine. Thank you for giving me an opportunity to love you, I promise I wouldn’t waste this chance that you gave me. Thank you for trusting and loving me, in return, I will love you everyday, every hour, every minute and every second of my life. You are that someone who inspires me, who gives me reasons to hold on, to fight, to be happy, to strive harder, to be better of what I am now. I dream high because of you, because of us. I never wanted you to leave me. i really love you. I am so thankful that God has given you to me, for me to take care of. For me, to love†¦ I still remember the first time I heard your name, it’s so unique. From that day on, I said to myself that I will know you. And when I saw your face, it’s like I saw an angel come down from heaven. Your face has this beauty that captured my eyes. You had me the first time I glanced my eyes on you. Seeing you smile from apart makes me smile. You had my attention but I am afraid to go near you, because in that same time, somebody owned me. Somebody had my heart, but you have this appeal my eyes couldn’t resist, because everytime I see you, my eyes would just follow you and I’m glad that you didn’t notice it. I still remember the first time I told you I love you. You said you love me too. I am so happy, so happy that I couldn’t explain how overflowing my happiness is. You make me happy, in your simple ways. You make me happy by just being a part of me. Part of me, that I will always love. Part of me, that I will never forget. You are a part of me, that no matter what happens, will always be in my life. We were not perfect couples, but we’re happy. I have found a new reason to smile again. I found it in you. Everytime I think of describing how much I love you, my mind goes blank. I don’t know why, but I just love you. And when I think of reasons on why I love you? I go speechless. But one thing I know is for sure, I love you so much babe. I love you. I won’t give up on you. And i hope that we’ll be happy for the rest of our lives, with each other†¦ You mean everything to me babe! I love you. And I always will. * The one who will love you forever, Babe14 How to cite Reflection Paper About Love, Papers

Friday, May 1, 2020

Case Study of Kathleen Johnson Samples †MyAssignmenthelp.com

Question: Discuss about the Case Study of Kathleen Johnson. Answer: Introduction: The report reviews the case study of Kathleen Johnson, a 45 year old woman with obesity and Type 2 diabetes. Due to the problem of overweight and challenges in managing appearance, she was admitted to the hospital for sleeve gastrectomy surgery. The report discusses about the etiology and pathophysiology of patients presenting condition (obesity) and then reviews her observation after 2 hours in post-anesthetic recovery room (PARU) to detect deterioration and the pathophysiology behind the deteriorating symptoms. Based on this justification, appropriate nursing management and role of interdisciplinary health care team to manage patients condition is provided. Etiology and pathophysiology of patients presenting condition Since Kathleen has been admitted to the hospital for sleeve gastrectomy surgery, it is evident that obesity is main presenting condition in patient. Her BMI is 40kg/m2 and due to weight gain and appearance issue, she had to undergo sleeve gastrectomy surgery. Obesity is a clinical condition leading to excessive deposition of fat or adipose tissue in the body of a person. Any person having a BMI of over 30 kg/m2 is regarded as obese (Cummings Cohen, 2016). The etiology of obesity involved multiple factors. For instance, metabolic factors, diet, genetic factor and physical activity level play a role in regulation of body weight. Although genetic factor also plays a role in risk of obesity, however behavioral, environmental, physiological and socio-cultural factors also increase energy balance and contribute to obesity. The most common behavioral and environmental risk factor obesity includes sedentary lifestyle, excess energy intake and poor physical activity (Saunders, Chaput Trembl ay, 2014). Social link to increase in weight includes impact of parent lifestyle and food habits on health behavior of children and youths Increase in weight is associated with other comorbidities such as insulin resistance, type 2 diabetes and cardiovascular disease (Bray 2014). Kathleen is a patient with type 2 diabetes and struggling to control her diet and blood sugar level. To prevent risk of other complication, weight loss surgery was important for her. From the etiology of obesity, it is understood that genetic as well behavioral factors increase the risk of excess fat deposit in patient. The adipocyte is the main cellular basis for obesity and increased in size or number of these cells contributes to obesity. Although in normal condition, fat is stored in the body for survival during starved state. However, when a person takes high energy food in large amount, it results in excessive storage of fat and the end result for which is obesity (Goossens Blaak, 2015). Hence, the cause begin obesity is high calorie food and the cellular basis for obesity is the adipocyte. In case of Kathleen, her obesity was untreated before the surgery. Although she was gaining weight, she had not taken any preventive steps to control the condition. For this reason, opting for sleeve gastrectomy was a necessary option for her to manage her condition. Obesity mainly contributes to metabolic dysfunction and damages the function of cardiac, liver, endocrin e and intestinal gland if it left untreated (Saltiel Olefsky, 2017). Hence, bariatric surgery is the best option for obesity management. Evidence has shown that bariatric surgery leads to weight loss and contributes to improvement in metabolic disorders like diabetes too (Reges et al., 2018). Sleeve gastrectomy is also one of the bariatric surgeries that promotes weight loss and improved gyclemic control in patient (Fuchs et al., 2017). Therefore, by opting for surgical option, Kathleen can improve her symptoms related to diabetes too. Pathophysiology and nursing management of the patient Pathophysiology of patients post-operative deterioration Kathleen observation after two hours in the PARU revealed several deteriorating signs and symptoms. For instance, Kathleen respiratory rate was 28 breaths per minute whereas pulse rate was 130 beats per minute. By comparing these vitals signs with normal parameters, it can be said that respiratory rate of patient is abnormally high as normal respiratory rate is 12-20 breaths/min. His pulse rate is also an area of concern as it is above the normal value of 60-100 beats/min. Such abnormalities in Kathleens respiratory and pulse rate might have occurred due to the effect of obesity, smoking and alcohol consumption in patient. Obesity is highly associated with respiratory complication in obese patient. Obese patients tend to have higher respiratory rate because of the impact on lung function (Pepin et al, 2016). Abdominal obesity and lung dysnfunction affects systemic inflammation thus leading to respiratory disorder in patient (Oppenheimer et al., 2014). The review of Kathleens history revealed that he was heavy smoker and consumed four bottles bear every night. Cigarette smoking is one factor that has an impact on pulse rate, breathing rate and oxygen consumption of an individual. This occurs because the chemical found in cigarette aggravates the cilia, leads to the deposition of tar and narrows the air passage. Such change in the lung is reason for abnormal respiratory rate in patient (Papathanasio et al., 2013). Hence, patients presenting condition exacerbated his vital signs post operation. The review of other vital signs in patient included blood pressure of 190/100 min. This clearly indicates that Kathleen was hypertensive. The likelihood of hypertension might have increased in patient due to the effect of surgery as well as due to obesity. Overweight and obese patients are more likely to suffer from hypertension. Such association between obesity and hypertension is seen due to the impact of obesity on metabolic functions. Other mechanisms linking obesity to hypertension includes endothelial and vascular impairment, neuro-endocrine imbalance, maladaptive immune response and dietary factors (DeMarco, Aroor Sowers, 2014). This explanation confirms that obesity is the reason for deteriorating post-operative sign for Kathleen. Other factors that might have contributed to high blood pressure for patient includes smoking and diabetes. The link between diabetes and hypertension has been established because both have common pathways such as inflammation, oxidative stress and insulin resistance. Low-grade inflammatory response and insulin resistant increased in type 2 diabetes patient thus contributing to hypertension (Lingam et al., 2018). As Kathleen had undergone sleeve gastrectomy surgery and effect of anesthesia and surgery might have also lead to hypertension in patient (Brethauer et al., 2015). Another sign of post operative deterioration found in Kathleen was low urine output and pain score in patient. Kathleens indwelling urinary catheter (IDC) volume was 5mls in the last hour, although the normal urine output per hour is 50-60 mL. Surgery is one of the reasons for low urine output. Surgical blood loss and dehydration in patient decreases urine output and lead to acute kidney injury on surgery patients. Poor renal perfusion and decreased urine output are common complication seen in the post anesthesia care unit (Canales Hatch, 2014). Hence, the reason for such clinical deterioration in patient is clear. Another parameter that was affected for patient post operatively was her pain score. Kathleens pain score was 7/10 and the severity of the pain might also be the reason for presence of abnormal BP and respiratory rate. Blood pressure of Kathleen might have increased due to effect of pain. Pain promotes sympathetic activity thus leading to high blood pressure (Laquian et a l., 2018). Hence, while deciding treatment for patient, the effect of pain on other vital signs must be carefully examined. Nursing management of patient post-operatively Based on analysis of post-operative deterioration in patient, the main care priorities for patient are management of abnormal vital signs of patient hypertension, pain score and respiratory rate and low urine output). Since Kathleen is obese and has diabetes, hence it is necessary to improve respiratory and vascular function as leaving these sign untreated may further complicate his condition (Mahajan, Lau Sanders, 2015). The management of hypertension can be done by providing hypertensive medication to patient. After consultation with physician, the nurse can provide beta-blockers or angiotensive converting enzyme inhibitors to control his blood pressure (Wolf et al., 2016). To promote recovery in patient, the nurse also need to focus on dietary changes so that blood sugar level is maintained. Due to high pulse rate and respiratory rate, the patient may have ineffective breathing pattern. Hence, the care priority will be to assess respiratory rate and monitor ventilation status of Kathleen regularly. The rate and depth of respiration and need for oxygenation can also be examined. To provide comfort to patient, proper body alignment should be maintained too (Gordon, 2014). To address the issue of low urine output, there is a need to provide both fluid and drug therapy to prevent dehydration. During gastrectomy, some parts of her stomach were removed. Hence, it will be necessary to monitor wound healing and prevent signs of infection in patient. Apart from clinical intervention for management of vital signs, another care priority is to provide health education to patient so that Kathleen could be motivated to make changes in her lifestyle and eating habits. Since she is a smoker and consumer, making her quit both is necessary to maintain her health in the long term. Smoking has deleterious impact on obese patient and those with obesity (Lycett et al., 2015). Hence, the nurse needs to make Kathleen aware about the harmful effect of smoking on alcohol consumption on her metabolic and respiratory function. After this education, the patient can be supported to quit smoking by means of nicotine replacement therapy. Involvement of interdisciplinary health care team for the care of patient: Apart from nurses and medical team, the contribution of dietician is necessary to help Kathleen take low calorie foods and avoid food containing high amount of salt and sugar. Dietary intervention can reduce risk of diabetes related complication and prevent patient from gaining weight. Secondly, the involvement of physiotherapist is necessary as due to surgery, her mobility is affected. By collaborating with physiotherapist, Kathleen can learn to do exercise so that she can build her muscle strength. The role of a bariatric consultant is also necessary to educate Kathleen about her care needs and ways to manage her wound after discharged (Torti et al., 2017). Conclusion: The report discussed about the process of planning care for Kathleen by examining her medical history and discussing about the pathophysiology of obesity. The etiology and pathophysiology of obesity gives the insight that presence of various risk factors predisposed patient to obesity. The review of deterioration in vital signs and justifying them with the path physiology also helped to understand the mechanism by which Kathleen faced such clinical deterioration in patient. To enhance recovery in patient, proper collaboration between inter-professional team is necessary too. References: Bray, G. A. (2014). Obesity in adults: Etiology and natural history.Pi-Sunyer FX, Mulder JE (eds). Brethauer, S. A., Kim, J., El Chaar, M., Papasavas, P., Eisenberg, D., Rogers, A., ... Kothari, S. (2015). Standardized outcomes reporting in metabolic and bariatric surgery.Surgery for Obesity and Related Diseases,11(3), 489-506. Canales, B. K., Hatch, M. (2014). Kidney stone incidence and metabolic urinary changes after modern bariatric surgery: review of clinical studies, experimental models, and prevention strategies.Surgery for Obesity and Related Diseases,10(4), 734-742. Cummings, D. E., Cohen, R. V. (2016). Bariatric/metabolic surgery to treat type 2 diabetes in patients with a BMI 35 kg/m2.Diabetes Care,39(6), 924-933. DeMarco, V. G., Aroor, A. R., Sowers, J. R. (2014). The pathophysiology of hypertension in patients with obesity.Nature Reviews Endocrinology,10(6), 364. Fuchs, T., Loureiro, M., Both, G. H., skraba, H. H., Costa-casagrande, T. A. (2017). The role of the sleeve gastrectomy and the management of type 2 diabetes.ABCD. Arquivos Brasileiros de Cirurgia Digestiva (So Paulo),30(4), 283-286. Goossens, G. H., Blaak, E. E. (2015). Adipose tissue dysfunction and impaired metabolic health in human obesity: a matter of oxygen?.Frontiers in endocrinology,6, 55. Gordon, M. (2014).Manual of nursing diagnosis. Jones Bartlett Publishers. Laquian, L., Scali, S. T., Beaver, T. M., Kubilis, P., Beck, A. W., Giles, K., ... Feezor, R. J. (2018). Outcomes of Thoracic Endovascular Aortic Repair for Acute Type B Dissection in Patients With Intractable Pain or Refractory Hypertension.Journal of Endovascular Therapy,25(2), 220-229. Lingam, S., Rani, P., Sheeladevi, S., Kotapati, V., Das, T. (2018). Knowledge, attitude and practices on diabetes, hypertension and diabetic retinopathy and the factors that motivate screening for diabetes and diabetic retinopathy in a pyramidal model of eye health care.Rural and remote health,18(1), 4304-4304. Lycett, D., Nichols, L., Ryan, R., Farley, A., Roalfe, A., Mohammed, M. A., ... Aveyard, P. (2015). The association between smoking cessation and glycaemic control in patients with type 2 diabetes: a THIN database cohort study.The Lancet Diabetes Endocrinology,3(6), 423-430. Mahajan, R., Lau, D. H., Sanders, P. (2015). 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