Obesity A Global Problem - 3403 Words

Approximately 1.6 billion adults over the age of 15 were obese in 2005. At least 20 million children under the age of 5 years are overweight. Obesity of children in the United States has recently skyrocketed in the last decade. Obesity and weight gain have become a global problem, according to the World Health Organization. Encouraging children to maintain a healthy diet and fitness routine will help prevent obesity now and later on in life (Department of Health). The definition of obesity is having an excessive amount of body fat, according to MayoClinic.com and is not a subjective measure. A measure called the Body Mass Index, or BMI, which is a height to weight ratio, determines if a person is obese, states Medlineplus. In addition to†¦show more content†¦Overweight or obese children are at high risk of becoming overweight adolescents and adults. This places children at risk of developing chronic diseases such as, heart disease and diabetes later in life. Obese children a re also more prone to develop stress, sadness, and low self-esteem (Kids Health From Nemours). Recently, obesity in children of the United States has increased dramatically in the past years. Approximately 10 % of 4 and 5 year old children are either obese or overweight, double that of 20 ago. This increases more as children begin to get older. For ages 6 to 11, at least one in five children are overweight. Over the last two decades that number has increased by more than 50 % and continues to double (Department of Health). Children are at risk for numerous types of things, but the more seen diseases are: high cholesterol, hypertension, early heart disease, diabetes, bone problems, and skin conditions such as acne. High cholesterol is a high risk factor for coronary heart disease, heart attack, and stroke. As blood cholesterol rises from all the sodium in foods this increases the risk of these diseases. Coronary heart disease is a major risk to anyones life. If a person has diabete s and high blood pressure on top of that, then that person is at high risk for death. When too much LDL cholesterol circulates throughout the bloodstream, this can slowly build up the inner walls of

The Contrast of Love and Violence in Romeo and Juliet - Free Essay Example

Sample details Pages: 4 Words: 1297 Downloads: 3 Date added: 2019/03/13 Category Literature Essay Level High school Tags: Romeo and Juliet Essay William Shakespeare Essay Did you like this example? Throughout the play, Romeo and Juliet by Shakespeare, love, and violence have come in contact with each other multiple times. Through the few scenes where these two meet, Shakespeare shows his audience, or readers, that the differences may not be so far apart. The contrast introduces the audience to the theory that love can be violent, and in the midst of violence, there can be love. Don’t waste time! Our writers will create an original "The Contrast of Love and Violence in Romeo and Juliet" essay for you Create order The juxtaposition of the two elements helps move along the thematic tension of the two houses, the Capulets and the Montagues. The first time that Romeo and Juliet meet, the contradiction begins. It sets the stage for the rest of the comparisons and eventually foreshadows the two lover’s end. Shakespeare does a good job of introducing the juxtaposition early on. In act, I, scene v, Romeo says something flattering about Juliet, and Tybalt, Juliet’s cousin, overhears him and know right away that he is a Montague. Tybalt then wants to kill him on sight and asks for his sword. But love conquers hate, and Lord Capulet says that Romeo is a dignified man known around Verona for his virtue and that he would not start a fight so it would be disgraceful if Tybalt started a fight with him. The first time that Romeo sees Juliet, he is blown away by her beauty and completely forgets about Rosaline. He says, â€Å"Oh, she doth teach the torches to burn bright! It seems she hangs upon the cheek of night like a rich jewel in an Ethiope’s ear, beauty to rich for use, for earth too dear. So shows a snowy dove trooping with crows as yonder lady o’er her fellows shows†¦. Did my heart love till now? Foreswear it, sight! For I ne’er saw true beauty till this night.† (I, v, 42-50) This is the love half of the dynamic duo. The hate comes from Tybalt when he says, â€Å"This, by his voice, should be a Montague. Fetch me my rapier, boy. What, dares the slave come hither, covered with an antic face, to fleer and scorn at our solemnity? Now, by the stock and honor of my kin, to strike him dead I hold it not a sin.† (I, v, 51-57) From these two quotes, the audience is exposed to the notion of love vs. violence, or love vs. hate. In Shakespeare’s contrast, love does not always have to be for one’s romantic partner. It can be for a friend or relative, too. In act III, scene i, the audience sees the love for a friend guide Romeo to partake in violent actions. Romeo and Juliet have just been married, and Romeo is with Benvolio and Mercutio when they run into Tybalt, Petruchio, and other Capulets. Mercutio and Tybalt end up in a sword fight, and Romeo tries to break up the fight for the love of his new cousin in law and his friend. But Tybalt ends up killing Mercutio. Romeo is determined not to get in a fight with Tybalt, his new cousin in law. He sees his love for Juliet spread to her family, even if it is not a reciprocated feeling. Romeo hints to Tybalt that he married his sister, but very subtly. He says, â€Å"Tybalt, the reason that I have to love thee doth much excuse the appertaining rage to such a greeting.† (III, i, 58-60) Romeo also says, â€Å"I disagree. I’ve never done you harm. I love you more than you can understand until you know the reason why I love you.† (III, i, 64-66) Romeo lets his love for Tybalt overweigh his anger from the things that Tybalt said to him. Romeo’s first defense is love and trying to talk things out. But when Tybalt kills Mercutio, Romeo snaps and lets love guide his anger. When Tybalt returns to the scene of the crime, Romeo says, â€Å"Alive in triumph-and Mercutio slain! Away to heaven, respective lenity, and fire-eyed fury be my conduct now. Now, Tybalt, take the ‘villain’ back again that late thou gavest me, for Mercutio’s soul is but a little way above our heads, staying for thine to keep him company. Either thou or I, or both, must go with him.† (III, i, 118-125) Translated to a more modern dialect of English, Romeo says, Tybalt is alive and victorious, while Mercutio is dead? Enough with mercy. It’s time for rage to guide my actions. Now, Tybalt, go ahead and call me a villain like you did before. But know that Mercutio’s soul is floating above our heads. He’s waiting for you die and keep him company up in the heavens. You, or I, or perhaps both, must accompany him. Romeo and Tybalt proceed to fight, and true to his words, Romeo kills Tybalt. In the end, Romeo and Juliet’s love for each other lead to their death. Juliet has been promised to Paris, but she is already in love with Romeo, so she fakes her death. Romeo thinks that she is dead so he buys a poison that he plans to kill himself with, but first, he goes to Verona. While visiting Juliets tomb, Romeo says, â€Å"Thou detestable maw, thou womb of death, gorged with the dearest morsel of the earth†¦Ã¢â‚¬  (V, iii, 45-46) Romeo calls the tomb a horrible mouth of death and says that is has eaten up the dearest creature on Earth, which would be Juliet. His love for his wife has lead him here so that he can be with her in his final moments. He could not bear to live without her, so violent ideas came into his mind. When he encounters Paris, those ideas transfer to actions. Romeo knows that he is on a short fuse already when Paris comes along, so he warns him, â€Å"tempt not a desperate manput not another sin upon my head by urging me to fury. O, be gone!† (V, iii, 59-63) He tells Paris not to anger a desperate man, and that he should leave before he tempts Romeo to commit another crime. But Paris does not heed his advice and tempts him. The two fight and Paris ends up dead. But Romeo recognizes his actions and quickly dispels the anger. He goes into the tomb to do what he came there to do. When he sees Juliet, he says, â€Å"A lanternfor here lies Juliet, and her beauty makes this vault a feasting presence full of light.† His love for his wife has replaced the anger that persuaded him to kill Paris just a few moments ago. He says that she is still beautiful, even in death, and that her beauty makes the tomb shine with light. It was not a coincidence that when Romeo first saw Juliet, he said that she teaches torches how to shine bright because she was so beautiful that she outshone them. From their first breath shared, to their last, Juliet will always be the light in Romeo’s life. As the audience knows, Romeo and Juliet kill themselves in the end. Their love for each other was so strong that they couldn’t be without the other. When Juliet found Romeo dead, she killed herself with his dagger. Ultimately, it was their decisions that lead to their downfall. Throughout the play Romao and Juliet, the audience becomes familiar with the theory that love can be violent, and in the midst of violence, there can be love. In moments of violence, Romeo used his love to fuel his anger. Like when he killed Tybalt, his love for his friend Mercutio could be found in the midst of the violence. And just li ke the tragedy of Romeo and Juliet, love can lead to violence. A rose has thorns, after all.

Human Genetic Engineering is Morally Justified Essay

Affirmative—Human Genetic Engineering is Morally Justified When they are finally attempted†¦genetic manipulations will†¦be done to change a death sentence into a life verdict. In agreeing with this quote by James D. Watson, director of the Human Genome Project, I affirm today’s resolution, Human genetic engineering is morally justified. I will now present a few definitions. Human genetic engineering is the altering, removal, or addition of genes through genetic processes. Moral is pertaining to right conduct; ethical. Justified is to be proper; well-deserved. Therefore, something that is morally justified is ethically beneficial. My value today will be cost-benefit justice. When we examine the benefits that human genetic†¦show more content†¦If we negate the resolution today, we stop this research, we stop the chance to cure cancer through genetic engineering, and most importantly, we stop any ability to cure any disease when we are moving towards such a goal. CONTENTION 2: Human genetic engineering can help prolong life. An example should prove my point. Thanks to genetic engineering, in the future we will be able to clone organs to help people live longer. A person with one kidney could very well clone that kidney through genetic engineering, and end up with two kidneys. This would remove the long waiting lists and the needs for organ donors. People would no longer be turned away because science couldn’t help them. Genetic engineering would provide organ cloning as a possibility to prevent disease and improve the health of society, when without it, no such possibility could even exist. People would undoubtedly die because genetic engineering wasn’t there to provide that extra kidney, or that replacement heart. But if we affirm the resolution, say that genetic engineering is morally justified, we can cure disease and we can prolong life, and thus the health of society is improved. Such a benefit cannot be ignored, and thus m y value of cost-benefit justice is provided for by affirming the resolution. CONTENTION 3: The possibleShow MoreRelatedGenetic Engineering Is Ethically Justified824 Words   |  4 PagesAS Level Ethics Genetic engineering Example of part (b) question (b) â€Å"Genetic engineering is ethically justified.† Discuss [10] Since the development of genetic engineering in the 1970s, scholars have questioned its ethical justification, claiming that it was playing God’ and was unnatural. Others claimed that humans have always altered their environment to benefit themselves. An example is that of genetically modified crops which some people believe can be justified for a number ofRead MoreGenetic Engineering : Medical Perfection Or Playing God1280 Words   |  6 PagesThesis Statement â€Å"Genetic engineering differs from cloning in key ways. Whereas cloning produces genetically exact copies of organisms, genetic engineering refers to processes in which scientists manipulate genes to create purposefully different versions of organisms—and, in some cases, entirely new living things†, duplication of genetic cells is known as human cloning. Development of genetic engineering biotechnologies undermines the natural autonomy of life. Does genetic engineering interfere withRead MoreJohn Stuart Mill And Utilitarianism1202 Words   |  5 Pages Furthermore, Despite Walter Glannon’s second argument against genetic enhancement for personal gain, I contend that the philosophy of John Stuart Mill and Utilitarianism can be used to show that society should will that genetic enhancement be morally acceptable if the adverse cognitive or emotional effects are outweighed by the benefits. Glannon argues that gene enhancement is morally objectionable because â€Å"there would be the unacceptable social cost of some people suffering from adverse cognitiveRead MoreThe Effects Of Cloning On The World Today? Should Scientists Advance Further Through Experimentation Of Human Cloning?940 Words   |  4 Pagesexperimentation of human cloning? Cloning is a generic term that describes the fabrication of a biological material with the same genetic makeup as that of the original or copied material. Mammalian cloning has its benefits, such as the eradication of defective genes (gene cloning), the use of cloning as an alternative infert ility treatment (reproductive cloning), and the provision of a companion of sorts (therapeutic cloning). However, recent statistics show that sixty percent proclaim it is morally wrong toRead MoreHumans, Animals, And Nature2341 Words   |  10 PagesPY 4647: Humans, Animals, and Nature (Ben Sachs) Thom Almeida (110003776) Word count: 2,216 Introduction Modern technological advances in animal farming coupled with a greater desire for food production have led to increased suffering of animals to suit our own interests. Bernard Rollin has argued that unless this trend is discontinued, which he deems unlikely to happen, genetic engineering of animals is a morally preferable option compared to not intervening at all in order to ameliorate the frustrationRead More Genetic Engineering: The Solution to Hunger and Disease Essay1593 Words   |  7 PagesGenetic Engineering: The Solution to Hunger and Disease   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In case you were not sure, we don’t live in a perfect world. Millions of people die every year. Two significant causes of death are hunger and disease (I am aware that there are more causes such as war and crime, but they are irrelevant to this essay). There are about 5.6 billion people on earth; all of whom need to eat. However, only a certain amount of food (less that what everyone needs) can be produced. With the use ofRead MoreSavior Siblings1071 Words   |  5 Pagespre-implantation genetic testing moral? Can parents make the decisions for their kids about organ donation? In order for this ethical dilemma to be resolved these questions need to be answered. In the case of Molly Nash, the family was not morally culpable for their decision to have another child to save Molly’s life because Adam was not born solely to save his sister’s life and because the methods used to save Mollys life had no adverse effects on Adam. Using preimplantation genetic diagnosis (PGD)Read MoreShould New Zealand Allow Genetically Modified Food? Essay1570 Words   |  7 Pagesof molecular genetics. New ways are discovered and implemented to improve what nature has to offer, a variety of species are being genetically modified in order to produce new substances and carry out different functional roles (Ministry for the Environment, 2004). With the use of genetic engineering a gene of interest is introduced into a different species, allowing for a desired trait to be acquired in that species (Hui Culbertson, 2006). With the introduction of genetic engineering it is now possibleRead MoreThe Invention Of The 21st Century2497 Words   |  10 Pageshave not just been a break from the normalcy, but a sudden leap forward in revealing the dark secrets of biological life and bringing them into the light of human knowledge (Fletcher 8). The act of genetic manipulation or engineering may be akin to the Greek myth of Prometheus. He stole fire from the heavens in a compassionate act to ease human suffering. While this fire may have been frightening at first, when man learned to harness it he was able to make vastly improve the quality of life. PreservingRead MoreThe Invention Of Designer Babies1257 Words   |  6 PagesIntroduction Throughout the world, the potential to genetically modify embryos has created controversy whether this procedure if ‘morally correct.’ ‘Designer babies’ have been created by screening embryos for genetic diseases. However, ‘Designer babies’ has also been used to contain selected desired qualities such as eye colour, hair colour and skin complexion. The question remains, â€Å"where is the line drawn for ‘designer babies?’† In Vitro Fertilisation â€Å"In Vitro Fertilisation (IVF) is a procedure

Humans - 674 Words

Paper 1 Aristotle, a man whose beliefs were that non-greek people were barbarians and that slavery was the key to our society. There was also an english philosopher go by the name of Thomas Hobbes, his beliefs about society was that every man was naturally equal. His belief of society are humans coming together and living in peace. John locke was also an english philosopher. He agured that everyone have rights, such as life, liberty, and property. His thoughts were that men were born free and naturally equal. Each of these philosophers have their own beliefs of natural law but in this case, laws will be laws. In the beginning of civilization, there was three important philosopher, each had a different perspective about the laws of†¦show more content†¦Its your life and you have control of it, there are boundaries but if youre not crossing them, then no one should be able to tell you what you can and can not do. I do believe that every individual has the right to protect their lif e, liberty, and property. If you bought something, clearly it belongs to you. You can do whatever you please with it without anyone saying anything, unless you are breaking the law of course. With liberty and life, I think everyone have the right to protect themselves from harm or threat, you have the right to defend yourself against enemies. The main idea is that in society, everyone can learn to get along and help each other, instead of currupting one another. Together we can build a better and stronger society. Im not saying that I hate Aristotle for going with slavery but thats not what I would want humans to do. Everyone at least gets a chance at being free, no one should have to do labor because its the law, to me its wrong. Especially because I dont want to be a slave myself so why should I see others like that. As for society, I would not choose Ancient Egypt. Ancient Egypt is kinda like Aristotles beliefs, there is a ruler which in this case is the pharaoh. The pharaoh is p retty much the leader, the government, and the ruler of Egypt. Even though Egypt is big and fascinating I see it being better without a leader, ifShow MoreRelatedHuman Primates, Humans, And Humans1679 Words   |  7 PagesHumans evolve from apelike ancestors approximately five million years ago. Most closely related to us are our non-human primates such as African great apes, chimpanzees and gorillas. Scientific studies reveal that more similar traits are being share by human and our non-human primates compared to other animals. As human evolve from our apelike ancestors, changes in our DNA differentiate ourselves from our non-human primate. Even though we evolve from our non-human ancestors and share similar anatomicalRead MoreHuman Nature : Humans And Humans1801 Words   |  8 PagesOn the Subject of Being Human Anything on this earth that falls under the scientific classification of homo sapiens is a human being. From the time of introduction to this earth to present day, we as a species have advanced socially, physically, cognitively, and technologically. With the introduction of religion and philosophical movements we’ve pondered our existence as human beings and emphasized our superiority over other beings, and other human beings. Humans distinguish themselves from otherRead MoreThe Human Of Human Cloning1100 Words   |  5 PagesHuman Cloning 1. INTRODUCTION Human  cloning  is the creation of a genetically identical copy of a human. However, this term not only refers to the entire artificial human, but also the reproduction of human cells and tissues. 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However, this term not only refers to the entire artificial human, but also the reproduction of human cells and tissues. There are two types of theoretical human cloning: reproductive cloning which would involve making an entire cloned human and the other, therapeutic cloning, which would involve cloning cells from a human for use in medicine and transplants by somatic-cell nuclear transfer or pluripotent stemRead MorePrimates, Humans, And Humans1956 Words   |  8 PagesPrimates, unlike humans are found only in tropical or subtropical regions of the Americas, African, and Asian continent. Primates come in different sizes and shapes. They range from Lemurs as small as, Madame Berthes Mouse Lemur to the largest primate living known as the Eastern Gorilla. Primates, similar to humans are species that play an important role in maintaining and influencing our ecological system. They maintain the forest syste m between animals and its resources by taking on various rolesRead MoreHuman Primates And Human Primate1661 Words   |  7 Pagesgoing over and portraying the behavior of non-human primate and human primate in the literature and movies we went over, compared to the evolutionary understandings of primate behavior. Throughout this class we studied and compared the different primates, including human and non-humans. According to the Wikipedia, â€Å"The primate lineage is thought to go back at least 65 million years ago.† with that one could say that research on non-human and human primate can somehow explain the theory behind evolutionRead MoreHuman Neutering And Its Effects On Humans1224 Words   |  5 Pagestwenty-five. All humans being unable to reproduce at a certain age could save the Earth. The Earth is in a very fragile state; Earth is losing its ability to be a habitat for the human race due to the volume of people living on its surface. There could be a way to slow down this process though, through human neutering. Human neutering would decrease overpopulation, allow the earth to reproduce its natural resources, and stop deforestation from rapidly occurring. A form of human neutering does existRead MoreBiological Traits Of Humans And Humans Essay1529 Words   |  7 Pagesseparates us in greater or lesser degree of species that are genetically closer to us as humans. However, science through observations, experiments and studies has shown that humans and primates share many similarities; both from the physical point of view and from an emotional perspective. Many biological traits, as well as emotions and some communicative behaviors are common and particularly relevant between humans and great apes, which, of all the members of the animal Kingdom, are our closest relativesRead MoreHuman And Non Human Primates847 Words   |  4 Pagesdistinguish humans from others (Zuberbà ¼hler, 2014). Human communication has formally derived from past primate communication systems (Ghazanfar Eliades, 2014). Humans express themselves in verbal, gestural, and written forms (Zuberbà ¼hler, 2014). Human and non-human primates have totally diverse form s of communication systems (Ghazanfar Eliades, 2014). Speech has evolved from non-human primates to its current compound state that humans utilize present day (Zuberbà ¼hler, 2014) Non-human primates

Subway Is the Better Fast Food Restaurant. Free Essays

COM155 Subway Is The Better Fast Food Restaurant. Living in this crazy world that is today, where family dinners consist of whatever fast food restaurant is on the way home from work. According to the Center for Disease Control and Prevention, it is no wonder why 33% of American adults and 17% of American children are obese. We will write a custom essay sample on Subway Is the Better Fast Food Restaurant. or any similar topic only for you Order Now Subway and McDonald’s are the two giants in the fast food world. They have both fans and boycotters. However Subway is a better fast food restaurant than McDonalds, due to Subway’s children’s meals choices, advertising, amount of locations and nutrition. Advertising is the way that companies bring in customers. Advertisements can make mouth water and the consumer crave what the advertisement is offering. Subway has an advertising campaign that offers a â€Å"limited time† deal where the consumer can get a certain type of Foot long sandwich for five dollars. The deals last a month long. At the end of the month the sandwich is switched out and another one is put in its place. McDonald’s has a similar deal. They come out with specialty sandwiches or burgers every few months for example the McRib which is only three inches and cost four dollars. McDonald’s advertises to the younger consumers while Subway advertises to a â€Å"healthier† consumer. Both ways of advertising are far and legal. However no parent wants to deal with their child, which has just seen an ad for a â€Å"Happy Meal†, throwing a temper tantrum because they do not get to have a â€Å"Happy Meal. † Both companies are bringing in consumers in the masses. McDonald’s and Subway have kid’s meals. This is a meal that has a smaller portion meant for a child. The Subway â€Å"Fresh Fit† kid’s meals have a choice of â€Å"mini sandwich† which is three inches, and the child’s choice of a side and a drink. The choices include: chips, apple slices, or a cookie for the side and three different kinds of milk, juice, water, or a small soda for the drink. The calories range for these meals is from 150 to 220 calories per meal with the average meal being 208 calories. McDonald’s â€Å"Happy Meal† comes with a burger, or chicken nuggets, a â€Å"kids† fry, apple slices, and a drink. The drink choices are two different types of milk, juice or soda. The calories range for these meals is from 320 to 430 calories per meal with the average meal being 376 calories. That is almost double the amount of calories than the kid’s meal is at Subway. As a parent, McDonald’s â€Å"Happy Meals† have too many calories and are making today’s kids fatter than ever. The amount of locations and sales are important to any company. Heller (2011) noted that Subway is now the largest fast food company in the world. It has 33,749 locations all over the world, while McDonald’s has 32,737 locations. However by the amount of sales McDonald’s in the largest. McDonald’s has reported that they have 24 billion dollars in sales a year. Subway posts sales reports at 15. 2 billion dollars a year. So why is it that a restaurant that has more location has less reported earnings? The cost of subway’s food is more expensive. When a company buys fresh food versus frozen foods, the earnings go down because the fresh food costs more money. On top of that Subway would rather make a little less profit and get a better product to its consumers that is healthier for them and that cost the same amount of money than a place that is not as nutritious for them, like McDonald’s. The menu options and nutrition are very different at these two places. Subway has choices like sandwiches, salads, and soups as a main course, while McDonald’s has burgers, chicken pieces and salads as a main course. The sides for these two places are similar with things like apples, yogurt and cookies. Nevertheless they can be very different as well with McDonald’s carrying things like fries, ice cream while Subway Choices to carry things like baked chips. As for drinks McDonald’s carries: soda, water, tea, milk, juice, and coffee. Whereas Subway carries soda, water, juice and milk. With all these options the choices are endless, however so are the calories. So let’s look at just the main course. When a consumer orders a meal from Subway they are looking at a range of 230 calories to 600 calories for just the sandwich with an average of 391 per sandwich. At McDonald’s the same consumer ordering a meal is looking at a range of 250 to 800 calories for just the burger with the average of 444 calories per sandwich. Now if this consumer does not just eat a burger or sandwich, which most consumers eat a whole meal, then they are looking at close to 1000 calories per meal at McDonald’s and 600 calories at Subway. Concerning menu options and calories the clear winner is Subway. McDonald’s or Subway is the million dollar question. McDonald’s with its deep fried and frozen foods can do nothing but add more fat to an already obese country. Subway could help Americans out of their obesity problem, with their fresh healthy foods. After all the talk about children’s meals, advertisement, amount of locations and reported sales, and nutrition it is easy to see why Subway it the healthier and smarter fast food choice that more Americans should be making. References page Center for Disease Control and Prevention at www. cdc. gov Overweight and Obesity, Data and Statistices, U. S. Obesity Trends February 27, 2012 Laura Heller, Subway Is Now Bigger Than McDonald’s, March 08, 2011 www. dailyfinance. com How to cite Subway Is the Better Fast Food Restaurant., Essays

Deinstitutionalization of Mental Health Services

Question: Discuss about the Deinstitutionalization of Mental Health Services. Answer: Deinstitutionalization entails replacement of long-stay mental institutions with relatively short-stay ones for persons diagnosed with mental health illnesses. The policy on deinstitutionalization of mental health focuses on trimming the population size in mental health institutions by discharging patients, reducing hospital stays and reducing unwarranted admissions and readmissions. According to Hiday and Moloney (2014), another central focus of deinstitutionalization is a reformation of mental health facilities in order to lower dependence and the feeling of helplessness and other undesirable behavior among patients. Before deinstitutionalization, the role of caregivers and people with lived experience on mental illnesses was not highly regarded. However, with the adoption of the Recovery Framework, the Australian mental health services have since embraced deinstitutionalization (Rosen, 2006). Before the deinstitutionalization practice, it was common and easier to ignore and dismiss people with lived experience of mental illness. However, as the caregivers and patient (themselves) sought a platform to address their own issues; the greater picture began to emerge. It is possible that individuals who possess lived experience on mental health could be having more knowledge and deeper understanding beyond the conventional of medical books (Davidson et al. 2005). Their daily encounter with the patient or by being patients (themselves), they understand the situation better that anyone else. As guided in the recovery approach, health facilities started to integrate the recovery tactic into treatment plans and service delivery in grass root areas and grew into a policy later on widespread acceptance of Recovery Framework is an indicator of its commendable contribution to the health services in Australia (Slade et al., 2014). Great enthusiasm and confidence have been shown in mental health service delivery following deinstitutionalization and Recovery Framework. The process creates humble grounds for collaboration and coordination between various department and chief psychiatrists in sharing of research and merging it with newly observed behavior among patients. In addition, the opportunities for collecting new evidence, creating opportunities for leaders and practitioners to exchange information looms large when deinstitutionalization and Recovery Framework are at play (Goldstrom et al., 2006). There is uniqueness that comes with different involvement stakeholders in the management of mental patients. The health caregivers get to learn the unique skills used by family members to give services to their and the kind of response it triggers. People give their loved ones unconditional love and serve them with humility with rebuking them because of their slowed ability to perform basic tasks. In the family members also get to learn how to handle their mentally ill lovely ones (Davidson et al. 2005). Continued consultations among loved ones of the patient, the patients themselves and the mental health practitioners cannot be down played (Anthony, 2000). Judging from the contributions, they have made National Mental Health Recovery Forum over the years, loved of mental health patients are physicians of their kind. They act as the primary physician in preventing frequent and prolonged institutionalization (Le Boutillier et al., 2011). While tackling mental health conditions, a succinct evaluation tool is vital to decipher the unique defiant behavior. In the absence of a suitable assessment technique, it is problematic to design workable interventions appropriate for patients and their loved families. According to Emerson and Einfeld (2011), utilization of semi-structured interview plan can be instrumental in ascertaining the triggers of specific behavior in people and make use of the facts gathered to devise appropriate and useful support plans. FAI is utilizable in triple-dimensional fronts, that is, direct observation, informant approaches and outcomes (Anthony, 2000). While addressing mental health illness, a succinct evaluation tool is essential to deduce the distinctive challenging behaviors. Exclusive of appropriate assessment, it is problematical to design workable interventions apposite for any patient irrespective of the fact whether they are being institutionalized or be treated from short-stay mental health facilities. According to Emerson and Einfeld (2011), use of FAI, which is a semi-structured interview plan, can be instrumental in determining the causes of actual behaviors in patients and make use of the information gathered to propose usable and meaningful support strategies together with family members. Brinkley et al. (2007) notes that FAI should illustrate an authentic behavior, typify possibilities which predict the occurence and non- occurence of the of an action or behavior. The interview enquiries foretell what initiates the behavior and then oitcome or safeguarding undercurrents that are accountable for creating a hypothesis concerning the behavior exhibited. The collection of more data to sustain or disfavor the inference is dominant (Goldstrom et al., 2006). Information required in mental patients case entails their behaviors with regards to their coping mechanisms, regularity of bouts of anger and distress, longevity, and intensity. In addition, prevailing events related to their treatment, medical or physical health aspects, sleep patterns, dietary habits, programed movements, predictability, alternatives, personnel training and the input of other residents as well as the general environment. Careful coordination is essential to ensure that all these happen are enshrined in the Recovery Framework (Davidson et al. 2005). Conclusion, the framework is now alive and well known in the public front; the actual work is getting underway. Keeping the framework continuously operational is the hard part. This can, however, be realized through embedding its core values into daily health service delivery in very facility around Australia. There is a need for the country to take advantage of the impetus gained following the strategic goals aimed at obtaining frequent access to information on how to respond to mental health patients and their familial affiliations. As an approach that acknowledges persons with lived experience as central to any treatment plans meant for mental health care is vital because it has shown that long-term positive impacts can be attained even in points of primary health care delivery. As partners united towards a common goal, there should be enough attention paid to promote the individuals well-being, preventing ill health and meeting the health happen to be very dynamic. Addressing challenging amo ng mental health patient is paramount towards ensuring that deinstitutionalization is not reversed. The concept takes into consideration the factors that are intrinsic and extrinsic, as well as those, are involved in the etiology. References Emerson, E. and Einfeld, S. L. (2011) Challenging Behaviour 3rd Edition, Cambridge University Press, The Edinburgh building, Cambridge, CB2 8RU. UK Brinkley, J., Nations, L., Abramson, R. K., Hall, A., Wright, H. H., Gabriels, R. (2007). Factor analysis of the Aberrant Behavior Checklist in individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37(10), 19491959 Rosen, A. (2006). The Australian experience of deinstitutionalization: interaction of Australian culture with the development and reform of its mental health services.Acta Psychiatrica Scandinavica,113(s429), 81-89. Slade, M., Amering, M., Farkas, M., Hamilton, B., O'Hagan, M., Panther, G., ... Whitley, R. (2014). Uses and abuses of recovery: implementing recovery?oriented practices in mental health systems.World Psychiatry,13(1), 12-20. Anthony, W. A. (2000). A recovery-oriented service system: setting some system level standards.Psychiatric Rehabilitation Journal,24(2), 159. Le Boutillier, C., Leamy, M., Bird, V. J., Davidson, L., Williams, J., Slade, M. (2011). What does recovery mean in practice? A qualitative analysis of international recovery-oriented practice guidance.Psychiatric services,62(12), 1470-1476. Goldstrom, I. D., Campbell, J., Rogers, J. A., Lambert, D. B., Blacklow, B., Henderson, M. J., Manderscheid, R. W. (2006). National estimates for mental health mutual support groups, self-help organizations, and consumer-operated services.Administration and Policy in Mental Health and Mental Health Services Research,33(1), 92-103. Davidson, L., O'connell, M. J., Tondora, J., Lawless, M., Evans, A. C. (2005). Recovery in serious mental illness: A new wine or just a new bottle?.Professional Psychology: Research and Practice,36(5), 480. Hiday, V. A., Moloney, M. E. (2014). Mental illness and the criminal justice system.The Wiley Blackwell Encyclopedia of Health, Illness, Behavior, and Society.

Nurse Led Foot Care Services for Diabetes Patients in Chennai

Questions: 1. Executive summary This outlines your business proposal. This is the first section in your plan but it is the last to be written. It should highlight the most important elements of the plan, which could include why you are proposing the change, what could be the potential benefits for the service user and the organisation and how the outcomes or clinical effectiveness to demonstrate achievement is being planned.2. Background and rationale for the service development. This includes highlighting the potential need for the service. It could also include current practice and resources.3. Who is the service development aimed at? Prevalence and demographic information could be included. Illustrate any important trends and reasons behind them.4. The service change. Here you detail comprehensively what the service will be about, how it will be organised, resources required. How will outcomes be identified/measured to identify achieved objectives? Identify what could be financial or human r esources benefits to the change of service. Relationship of the service in relation to either local, national or international strategic priorities. How does the change (if appropriate), address changing needs in the client population?5. Clinical effectives or Outcome: potential impact of the service: service aim,service change should include.patient feedback or surveya) for the service user/client (e.g. better concordance, empowerment, self-efficacy, improved knowledge)b) for the organisation (e.g. reduce consultation time with GP, reduced hospital admissions, improved patient survey results, improved job satisfaction) 6. Distribution of your plan. Who would you disseminate your business plan to and why. What benefits would there to sharing the plan with the respective individuals ?(benefit patients,nurses,community decrease mortality,morbidity,7. Action plan. It is not included in word count.it should be written in table template formThis could be a listed box of what are the prio rity actions to be taken, when to action and by whom.8. Appendices. It is also included in word count.The SWOT analysis should be one of the appendices9. References. Must be Harvard style Answers: 1. Executive Summary The report presents a business plan for the establishment of a foot care service center for the diabetes patient. The service will be provided by the nurses. The center will be Chennai. Chennai is known as the Health Capital of India. From various reports it is evident that the maximum numbers of patients suffering from diabetes are from Chennai. Diabetes results in various types of health complications. Among the various health complications, diabetes damages the blood vessels which prevent the smooth flow of blood throughout the body. This creates several foot problems among the diabetes patients. Thus it is very essential to take care of the feet. A foot care center will be able to provide right guidance to the patients as they will provide the service scientifically. This will help the patients to overcome their feet related problems. The problem has been discussed in the report. It also provides a guideline of the various services that are provided by the health care center. Typ e 2 diabetes has influenced the individuals with the 40 or more age gathering. In any case it is perceived that there is increment in the quantity of diabetic patients in the age gathering of 20-29 years. Around 15% of the patients experiencing Diabetes have foot issues. The foot issues are consequences of lower appendage removal. More than half of this sickness happens as an aftereffect of diabetes. Diabetes is common among offspring of the age gather over 20 years. The administration will be given to individuals of the age gathering of 20 years or more. Diabetes has been common among the adolescent in India fitting in with the age gathering of 20 to 29 years. From the information of 2012 gave by the International Diabetes Federation, the predominance of diabetes among the grown-ups is in the age gathering of 20 to 79 years. Thus it is important to develop a foot care center for the diabetes patients to reduce the complication related to diabetes. 2. Background for the service Diabetes is a non- communicable disease that constitutes a larger portion of the cost, time and human resources of the health systems of the world. The changes in lifestyle and industrial process there has been increase in the rate of incidence of diabetes and the complications to this disease has also increased. Diabetic foot is considered as the most common complications of this disease. According to a report presented by World Health Organization (WHO) the number of patients suffering from diabetes will increase to 171 million. The increase the number of patients suffering from diabetes will be by 380 million by 2025(Jha, 2015). Diabetes has become an epidemic disorder. Diabetes has significant consequences on the health care providers as well as the community. This problem has to be solved in a serious manner by development of national as well as international strategies by interaction with the health team members. It is necessary to provide health care services to patients and t he families must have knowledge of the ways in which a diabetes patient should be handled. Improving the quality of service by the nurses, the clinical performance can be superior which can lead to effective changes in the client and patient societies. Diabetes has become an epidemic disease in South India (Who.int, 2015). Diabetes is a common disease in Chennai and Bangalore. The major reasons for diabetes in the urban areas are sedentary mode of lifestyle and eating habits (Jha, 2015). Among the various other complications that results from diabetes, different types of foot problems also arises from diabetes. The treatment of diabetic foot is expensive all over the world. Nurses are the health care providers that are actively involved in the prevention of diabetes and its early detection. The diabetes nurses play an educating role in this field for the prevention of diabetic foot, care of foot and prevention from foot injury (Aalaa et al., 2012). In addition to this nurses play an important role for the detection of any kind of change in the sensation of foot or skin by application of appropriate technology. The nurses have to attend special training so that they can apply the latest instructions of diabetic foot on the patients so that they can provide effective service to the patients and promote the health care service to the patients (Aalaa et al., 2012). 3. Target Customers Nearly 80% of the people suffering from diabetes come from low and middle income countries. The major regions in the world affected by diabetes are Asia and eastern Pacific regions. The largest number of adults suffering from diabetes is from China (around 9% of the population) followed by India (8% of the population). However the Government is unaware of the current prevalence of diabetes. There will be future rise of the disease which will lead to further complications. There must be implementation of new strategies and policies for the prevention and management of the disease (Who.int, 2015). According to the data provided by the International Diabetes Federation (2013), approximately 50 % of the populations suffering from diabetes live in the three countries China, India and USA. The major reasons behind diabetes are unhealthy eating habits; physical inactivity along with inherent genetic attributes has resulted in the increase in diabetes. The complications related to diabetes have resulted in the increase in complications which has contributed to the overall morbidity and mortality rate. The highest prevalence of diabetes is in Ernakulum in Kerala (19.5%) and the lowest prevalence of diabetes is in the Kashmir Valley (6.1%) (Better Health Channel, 2015). Diabetes is prevalent in the rural as well as the urban areas. But diabetes has been growing at a faster rate in the urban areas than in the rural population. The increase in prevalence of diabetes is evident from the studies that have been performed in Chennai city in South India. It shows that the increase in Diabetes from 1989 to 2006 is 8.3 % to 18.6% (India, Tandon and Raizada, 2015); (Better Health Channel, 2015). Type 2 diabetes has affected the people belonging to the 40 plus age group. However it is noticed that there is increase in the number of diabetic patients in the age group of 20-29 years. About 15% of the patients suffering from Diabetes have foot problems. The foot problems are results of lower limb amputation. More than 50% of this disease occurs as a result of diabetes (Nytimes.com, 2015). Diabetes is prevalent among children of the age group above 20 years. The service will be provided to people of the age group of 20 years and above. Diabetes has been prevalent among the youth in India belonging to the age group of 20 to 29 years. From the data of 2012 provided by the International Diabetes Federation, the prevalence of diabetes among the adults is in the age group of 20 to 79 years (International Diabetes Federation, 2015). The nurse led foot care service centre will be established for the age group of people more than 20 years of age. It has been seen that in urban as well as in the rural areas, diabetes is seen to be a common disease among the people of the age group of 20 to 29 years (International Diabetes Federation, 2015). The major reasons for diabetes at such an early age are the sedentary lifestyle and bad eating habits. The target audience of the organization will be people of this age group. 4. The service Change The diabetes foot care service centre will be developed in Chennai named Diabetes Foot care Centre (Hamid, 2012). There is high prevalence of diabetes in the urban population in South India. An oral glucose tolerance test was performed which showed that out of the 678 people suffering from diabetes (346 men and 332 women), 21% of diabetes was prevalent among people who were above the age of 40 years. The peak prevalence of diabetes was seen among the age group of 55 to 64 years (Ramachandran et al., 1988). Thus the service center will be developed in Chennai (The Times of India, 2015). The objectives of the service care center will be as follows 1. To create medical practice that will exceed the expectations of the patients.2. To form a health care practice that will be able to provide complete foot care to the diabetes patients.3. To increase the number of patients in the foot care centre by 20% each year by providing superior performance and generating positive word of mouth.4. To develop a comprehensive website that will include online booking capability. It will also contain information about the various ranges of services provided by the service care centre. Time bound - The organization will start its operation within one year. It will start its establishment once the business plan is sanctioned. Services Diabetes Foot care center will have an efficient team of experienced nurses. There will be 25 nurses in the Foot care center. There will be three doctors attending the patients. The nurse will work under the guidelines of the doctors. Since the people suffering from diabetes are vulnerable to nerve and vascular damage. It results in poor circulation and poor healing of the ulcers of the foot. This results in high rate of amputation among the patients. The procedures to be followed in the service center are as outlined below. The center will have a website that will contain information about their various services. It is designed to provide primary care to the patients counseled by the health care providers (Kerr, 2012). Identification of the high risky diabetic foot by conducting various tests. Diagnosis of the foot problems. Starting the intervention as early as possible to prevent further deterioration which can lead to damage of the nerves. The nurses will provide proper foot care advice to the patients after the service has been provided. The entire procedure of foot care to the patients will comprise of the following steps- A pocket card will be provided to the patients for quick reference for preventing the foot problems. The pocket card will consist of a disposable monofilament which is used for sensory testing. A visual foot inspection will be conducted. The patients have to fill a reproducible form for the annual foot examination. The patients will be provided with prescription forms and therapeutic foot ware will be advised to the patients. There will be additional tools in the foot care center that will facilitate visual and comprehensive foot exams. After the entire procedure has been completed in the care center, the patients will be provided with education materials for taking care at home (Ndep.nih.gov, 2015). Cost of the service The cost of providing the foot care service to the patients will depend on the severity of the disease suffered by the patients. Chiropody is a service provided to the patients to prevent amputation (Nhscareers.nhs.uk, 2015). The nurses will be trained to provide the treatment to calluses, corns and ulcers of the diabetic foot (Ontariochiropodist.com, 2015). The treatment will also comprise of pedicure services like trimming of the nails. The clinic will provide chiropody at a reasonable rate of Rs 2500 per session. The duration for each session is three hours. At the end of the session the patients will be advised to use proper foot wear so that the reoccurrence of the disease can be prevented (Nhs.uk, 2015). Training of the employees The nurses will be trained by the Doctors specialized in the field of providing treatment to the diabetic patients (Aalaa et al., 2012); (Nawccb.org, 2015). The nurses will be provided a three months training prior to the inauguration of the foot care center (cafcn.ca/education, 2015). The center will be able to avoid any kind of negligence of treatment to the patients (Nursingtimes.net, 2015). The nurses will be treated in the following aspects 1. Examination of the foot Symptoms of neuropathy (conditions in which the nerves will be affected) will be checked by the nurses (Medical News Today, 2014) ; (Mayoclinic.org, 2015). The nurses will also check for infection development. Necrosis is done at the clinic for this purpose (Mayoclinic.org, 2015) ; (Healthline, 2015).2. Use of equipments 3. The nurses will be trained to use the various equipments like the Biothesiometry for the detection of the sensory loss in the patients (DAVIS et al., 2015) ; (Whyde, 2015) ; (Range et al., 2015).4. The nurses will be trained to use Doppler for the detection of the decrease in circulation of blood (Webmd.com, 2015); (Imd.gov.in, 2015) ; (Mayoclinic.org, 2015).Measurement of Foot pressure distribution will identify the areas in which the callus and corn in the foot are prone to develop. The nurses will be trained for proper measurement of these areas (Thibodeaux, 2015).1. Apart from the technical aspect, the nurses will be trained with sp ecial skills to provide good hospitality to the patients (Dr. Mohan's Diabetes Specialities Centre | Diabetes Care in Chennai, 2015). Fund arrangement for the establishment of the foot care center The fund required for starting the foot care center for the diabetes patients will be Rs 5, 00,000. The distribution of the funding system will be as follows Fund Arrangement Amount ( Rs) Donation by Charitable organization Rs 1,00,000 Loan from Bank Rs 4,00,00 Measurement of the outcomes The foot care service center will be set up in Chennai since Chennai is one of the most diabetes prone areas in the country. The service will bring positive change in the patients. The service care center can determine the changes provided by the service by the increase in the number of patients each month. This will achieved by generation of positive word of mouth by the patients. The number of booking for the service will increase. The patients will can do the booking online. Good service will increase the number of bookings and the profitability of the company will increase. 5. Clinical effectiveness Aim of the service The service provided by Diabetes foot care center aims at reducing the foot problems of the diabetic patients. This can be achieved by providing service to the patients at an early age of onset of the disease. Prolonged suffering from diabetes can make the foot related problems more complex. Thus the service care center aims at raising the awareness among the general public of the importance of taking proper foot care. The inception of various critical diseases can be prevented. The objectives of the organization will be fulfilled if it can bring positive change in the patients. The organization will improve its service by taking regular feedback from the customers visiting the health care center. This will help to identify the fallacies in the treatment which can be improved in future. a) Outcome of the service for the clients The outcome of the treatment can be known by direct response from the patients. This can be done by the foot care center by providing them a feedback form at the end of each treatment. The feedback form will identify the strengths and weakness of the treatment. The direct response from the patients is crucial for the organization. Positive feedback will generate goodwill and increase the number of customers of the organization (Aldrich and McGraw, 2011). Negative feedback will help to identify the fallacies which can be improved further (Small Business - Chron.com, 2015). The service will make the clients knowledgeable of the various ways in which they can take adequate care of their foot. There will be increase in awareness among the patients about the adverse effects of diabetes. They will attend the foot care center on a regular basis. This will be beneficial for their health in the long run (How To Be Your Own Management Guru, 2015). b) Outcome of the service for the organization The organization can grow in the future by providing good service to the patients. This can be achieved by having a good team of nurses and doctors who will be responsible for providing good service to the patients. This will improve the good will of the organization. It will generate positive word of mouth which will be increase the number of bookings from the patients. The clients have to fill a feedback form at the end of the treatment. This will help the organization to ascertain the positive and negative feedback about the organization. The results from the survey will help to identify whether the procedure of the treatment is not helpful for the patients or the nurses are not trained well. This will help the organization to improve its performance. The job satisfaction of the employees will improve by gaining positive feedback from the clients. Their interest in the job will increase. In order to improve their service further, the doctor and the nurse will increase the consulta tion time. This will help them to identify the problems of the patients minutely and they will be able to provide services that will be effective. The admissions at the service care centre will increase. This will increase the profitability of the organization. It will be able to hire more employees to provide service to more patients. 6. Distribution of the plan The organization can perform its distribution activities by making contacts with various hospitals in Chennai. Chennai is known for providing best health care service to the patients in India. They can visit the health care centers so that the doctors from the health care centers can recommend about their patients to take treatment from the foot care service center. In this way the popularity about the foot care center will increase at an early stage. Chennai is known as the health capital of India (Indiahealthvisit.com, 2015). Thus the foot care center will get enough patients from the various hospitals in Chennai (The Times of India, 2015). The doctors of the foot care center can contact with their colleagues from various clinics to send the diabetic patients to their foot care center. At the initial stage the organization will be able to gain popularity by contacts. But the foot care center has to provide good service to the patients in order to run their business in the long run. This can be achieved by collaborative effort from the doctor and the nurses. Positive word of mouth is an effective strategy to grow business. 7. Action Plan Conclusion It is important for the diabetes patients to take proper care of their feet. Amputation is a major problem faced by the diabetes patients. Chennai has one of the most diabetes affected people in India. Diabetes Foot care center will be able to treat the patients effectively. 8. References Aalaa, M., Malazy, O., Sanjari, M., Peimani, M. and Mohajeri-Tehrani, M. (2012). Nurses role in diabetic foot prevention and care; a review. Journal of Diabetes Metabolic Disorders, 11(1), p.24. Aalaa, M., Malazy, O., Sanjari, M., Peimani, M. and Mohajeri-Tehrani, M. (2012). Nurses role in diabetic foot prevention and care; a review. Journal of Diabetes Metabolic Disorders, 11(1), p.24. Aldrich, J. and McGraw, K. (2011). Improving public opinion surveys. Princeton, N.J.: Princeton University Press. Better Health Channel, (2015). Diabetes - foot care - Better Health Channel. [online] Available at: https://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Diabetes_and_feet [Accessed 16 Jan. 2015]. cafcn.ca/education, (2015). Canadian Association of Foot care Nurses. [online] Available at: https://www.cafcn.ca/education.html [Accessed 17 Jan. 2015]. DAVIS, E., JONES, T., WALSH, P. and BYRNE, G. (2015). The Use of Biothesiometry to Detect Neuropathy in Children and Adolescents With IDDM. [online] care.diabetesjournals.org. Available at: https://care.diabetesjournals.org/content/20/9/1448.full.pdf [Accessed 17 Jan. 2015]. Dr. Mohan's Diabetes Specialities Centre | Diabetes Care in Chennai, (2015). Diabetic Foot Care | Diabetic Foot | Reflexology. [online] Available at: https://drmohansdiabetes.com/patient-care/foot-clinic [Accessed 17 Jan. 2015]. Hamid, Z. (2012). The medical capitals place in history. [online] The Hindu. Available at: https://www.thehindu.com/news/cities/chennai/article3796305.ece [Accessed 17 Jan. 2015]. Healthline, (2015). Peripheral Neuropathy. [online] Available at: https://www.healthline.com/health/peripheral-neuropathy#Overview1 [Accessed 17 Jan. 2015]. How To Be Your Own Management Guru. (2015). pp.100-200. Imd.gov.in, (2015). Doppler Radar Products. [online] Available at: https://www.imd.gov.in/section/dwr/dynamic/dwr.htm [Accessed 17 Jan. 2015]. India, T., Tandon, N. and Raizada, N. (2015). The burden of diabetes in India - Introduction to diabetes mellitus - Diapedia, The Living Textbook of Diabetes. [online] Diapedia.org. Available at: https://www.diapedia.org/introduction-to-diabetes-mellitus/the-burden-of-diabetes-in-india [Accessed 16 Jan. 2015]. Indiahealthvisit.com, (2015). :: India Health Visit ::. [online] Available at: https://www.indiahealthvisit.com/chennai-health-capital.htm [Accessed 17 Jan. 2015]. International Diabetes Federation, (2015). India. [online] Available at: https://www.idf.org/membership/sea/india [Accessed 16 Jan. 2015]. Jha, D. (2015). South India worst hit by diabetes - The Times of India. [online] The Times of India. Available at: https://timesofindia.indiatimes.com/india/South-India-worst-hit-by-diabetes/articleshow/18175487.cms [Accessed 16 Jan. 2015]. Kerr, M. (2012). Foot Care for People with Diabetes: The Economic Case for Change. [online] diabetes.org.uk. Available at: https://www.diabetes.org.uk/Documents/nhs-diabetes/footcare/footcare-for-people-with-diabetes.pdf [Accessed 17 Jan. 2015]. Mayoclinic.org, (2015). Diabetic neuropathy Symptoms - Diseases and Conditions - Mayo Clinic. [online] Available at: https://www.mayoclinic.org/diseases-conditions/diabetic-neuropathy/basics/symptoms/con-20033336 [Accessed 17 Jan. 2015]. Mayoclinic.org, (2015). Doppler ultrasound: What is it used for? - Mayo Clinic. [online] Available at: https://www.mayoclinic.org/doppler-ultrasound/expert-answers/faq-20058452 [Accessed 17 Jan. 2015]. Mayoclinic.org, (2015). Peripheral neuropathy Symptoms - Diseases and Conditions - Mayo Clinic. [online] Available at: https://www.mayoclinic.org/diseases-conditions/peripheral-neuropathy/basics/symptoms/con-20019948 [Accessed 17 Jan. 2015]. Medical News Today, (2014). What are the signs and symptoms of neuropathy?. [online] Available at: https://www.medicalnewstoday.com/articles/239561.php [Accessed 17 Jan. 2015]. Nawccb.org, (2015). Diabetic Wound Certification Program. [online] Available at: https://www.nawccb.org/dwc-certification [Accessed 17 Jan. 2015]. Ndep.nih.gov, (2015). Feet Can Last a Lifetime: A Health Care Provider's Guide to Preventing Diabetes Foot Problems. [online] Available at: https://ndep.nih.gov/publications/publicationdetail.aspx?pubid=116 [Accessed 17 Jan. 2015]. Nhs.uk, (2015). Podiatrists, chiropodists and foot problems - Live Well - NHS Choices. [online] Available at: https://www.nhs.uk/Livewell/foothealth/Pages/Foot-problems-podiatrist.aspx [Accessed 17 Jan. 2015]. Nhscareers.nhs.uk, (2015). Chiropodist/podiatrist - NHS Careers. [online] Available at: https://www.nhscareers.nhs.uk/explore-by-career/allied-health-professions/careers-in-the-allied-health-professions/chiropodistpodiatrist/ [Accessed 17 Jan. 2015]. Nursingtimes.net, (2015). Diabetic Foot Problems - Online Nurse Training Course from Nursing Times Learning. [online] Available at: https://www.nursingtimes.net/online-nurse-training-courses/diabetic-foot-problems/ [Accessed 17 Jan. 2015]. Nytimes.com, (2015). Type 2 DiabetesComplications - Type 2 Diabetes Health Information - NY Times Health. [online] Available at: https://www.nytimes.com/health/guides/disease/type-2-diabetes/complications.html [Accessed 16 Jan. 2015]. Ontariochiropodist.com, (2015). What is Chiropody?. [online] Available at: https://www.ontariochiropodist.com/pg_1.asp?CategoryID=0ArticleID=1 [Accessed 17 Jan. 2015]. Ramachandran, A., Jali, M., Mohan, V., Snehalatha, C. and Viswanathan, M. (1988). High prevalence of diabetes in an urban population in south India. BMJ, 297(6648), pp.587-590. Range, P., Coverage, N., Us, C. and Equipment, B. (2015). Biothesiometer Equipment - Biothesiometer Vibrotest Equipment, Biothesiometry Equipment, Digital Biothesiometer Vibrometer and Digital Biothesiometer Manufacturer Exporter from Chennai, India. [online] Diabeticneuropathy.co.in. Available at: https://www.diabeticneuropathy.co.in/biothesiometer-equipment.html [Accessed 17 Jan. 2015]. Small Business - Chron.com, (2015). Advantages Disadvantages of Customer Feedback Surveys. [online] Available at: https://smallbusiness.chron.com/advantages-amp-disadvantages-customer-feedback-surveys-40864.html [Accessed 17 Jan. 2015]. The Times of India, (2015). Chennai High: City gets most foreign tourists - The Times of India. [online] Available at: https://timesofindia.indiatimes.com/city/chennai/-Chennai-High-City-gets-most-foreign-tourists-/articleshow/6442393.cms?referral=PM [Accessed 17 Jan. 2015]. The Times of India, (2015). Chennai's medical history unveiled - The Times of India. [online] Available at: https://timesofindia.indiatimes.com/city/chennai/Chennais-medical-history-unveiled/articleshow/9705916.cms?referral=PM [Accessed 17 Jan. 2015]. Thibodeaux, W. (2015). How to Set Up a Diabetic Clinic. [online] Small Business - Chron.com. Available at: https://smallbusiness.chron.com/set-up-diabetic-clinic-15764.html [Accessed 17 Jan. 2015]. Webmd.com, (2015). Doppler Ultrasound. [online] Available at: https://www.webmd.com/dvt/doppler-ultrasound [Accessed 17 Jan. 2015]. Who.int, (2015). WHO | Prevalence of diabetes and prediabetes and their risk factors among Bangladeshi adults: a nationwide survey. [online] Available at: https://www.who.int/bulletin/volumes/92/3/13-128371/en/ [Accessed 16 Jan. 2015]. Whyde, w. (2015). BIOTHESIOMETER USA|Threshold Vibration Measurement|Bio-Medical Instruments Co.. [online] Biothesiometer.com. Available at: https://www.biothesiometer.com/ [Accessed 17 Jan. 2015]. 9. Appendix SWOT analysis Strengths The foot care center will be located in one of the most populated urban place in The organization will get adequate patients from the various hospitals of Chennai. Weakness At the initial stage gaining confidence of the clients will be a problem. There are many diabetes care centers in Chennai which will be a problem. Opportunities Chennai is known as the Health Capital of India. Chennai is one of the highest diabetic prone areas in India. Thus it is a good location for the foot care center. Threats There are many foot care centers in Chennai for diabetes patients. Immense competition is a major threat. There are less health care professionals in the organization. This creates stress among the nurses.