Anatomy Case paper Essay

You are a first-year RN student and you volunteered to work for San Antonio Hospital in the ER Department. Patient John Doe was brought by the ambulance after he collapsed at work. The triage nurse is assessing him for further evaluation by the ER Physician on duty. Based on your study of Anatomy and using your critical thinking skills, you were given the following criteria about Mr. Doe: 1. Personal History: 65 years old, married with two children. 2. Medical History: Diabetes Mellitus, Hypertension, Renal Stones, Anemia, Acne, Prostatic Hyperplasia, Muscular Dystrophy, Hemiplegia, Coronary Artery Disease, G.E.R.D. and ED. The Triage Nurse asked the patient to wait for his turn, until Dr. Johnson examines him. A. Definitions: Diabetes Mellitus: a disorder in which the pancreas no longer produces enough insulin, or cells in the body stop responding to the insulin being produced. This causes high levels of glucose in the blood and cannot be absorbed into the cells in the body. Hypertension: is abnormally high blood pressure, blood pressure is a type of measurement to be able to tell what the force is against the walls of the arteries as the heart pumps blood through the body. Renal Stones: a Kidney stone is a solid mass which is made up from crystals that separates from the urine and builds up on the inner surfaces of the kidney. Anemia: is a condition where the body has a deficiency of healthy hemoglobin (red blood cells) to carry adequate oxygen to the tissues in the body. Acne: is an inflammatory skin disease that occurs when the hair follicles becomes inflamed or infected due to clogging of sebaceous glands. Prostatic Hyperplasia: benign enlargement of the prostate gland. Muscular Dystrophy: is a group of inherited disorders that involve muscle weakness and muscle loss gradually decline over a period of time. Hemiplegia: is paralysis of one side of the body. Coronary Artery Disease: condition due to a blockage or narrowing of small blood vessels that supply the blood and oxygen to the heart. Gastroesophagel Reflux Disease (G.E.R.D.): condition due to when the muscle at the end of the esophagus doesn’t close causing the stomach contents (food or gastric acid) that leaks backwards from the stomach into the esophagus. Erectile Dysfunction (E.D.): a sexual dysfunction which is the inability to achieve, or maintain an erection of the penis long enough to engage in satisfactory sexual intercourse. Blood Calcium level: Normal values range from 8.5 to 10.2 mg/dL. Note: gm/dL = grams per deciliter Hemoglobin: Male: 13.8 to 17.2 gm/dL Female: 12.1 to 15.1gm/dL C. Based on your knowledge of the normal values and Mr. Doe’s condition, explain the homeostatic disturbance of each problem that Mr. Doe suffers from. Diabetes Mellitus: Hemostasis in correlation with diabetes is the hemostatic system which is responsible for checking, maintain, and balancing the proper rise and fall of glucose levels in the blood. In Mr. Doe’s body since he had diabetes, his pancreas produces too not enough or no insulin. People with type II diabetes is normally developed later in life and becomes resistant to the effects of insulin overall, but can be reversed and controlled. Hypertension: Homeostatic disturbances that could be responsible for Mr. Doe’s HTN could be a result from some of the medication he is taking. Another factor is his weight, diet, and lack of physical exercise. In a normal system the force of blood against the artery walls doesn’t have a negative effect. Therefore, would not cause physical him to have any serious health conditions. However, when a person like Mr. Doe suffers from HTN, the force of the blood against the artery wall thus resulting in heart disease. Renal Stones: In a normal system the calcium levels in the blood are at a safe level, and helps with contracting muscles, releasing hormones making sure that nerves and the brain are functioning properly. In like Mr. Doe who has too high calcium levels in his blood can cause renal stones can begin to develop. Renal stones block the ability of homeostasis to occur. When these calcium deposits get lodged and block urine from being able to exit in order empty out the bladder, thus the body isn’t able to function properly. Anemia: Healthy hemoglobin (red blood cells) are extremely important in a person’s system, because they are rich carriers of oxygen to the tissues in the body. When a person like Mr. Doe loses this ability many negative symptoms can occur in the body. The cause of Mr. Doe’s anemia may be a result from any Non-Steroidal Anti-inflammatory Drug (NSAID) he may be on for any number of the other complications he is suffering from. He may also have a vitamin deficiency which would be a factor in low iron levels. Without proper homeostasis it would be easy to understand why a patient like Mr. Doe is experiencing this condition. Acne: In a normal system the hair follicles on different surfaces of the body function properly and do not become clogged. When a person has hair follicles becomes plugged with oil from the sebaceous glands mixed with dead skin cells will result in acne. Homeostasis correlates to the removal of toxins from the body, and causes a disturbance which results inflammation and infections in the skin. Prostatic Hyperplasia: As men age they are more prone to experience enlargement of their prostate glands. Mr. Doe is experiencing this condition which is more common for men his age, due to the homeostatic disturbance in his hormones and cellular growth. Muscular Dystrophy: Muscle fibers in a normally functioning system are extremely touch and resistant to damage and injury. In a person who is suffering from muscular dystrophy these fibers become weaker gradually over time and become more susceptible to damage. This is caused to defective genes that are involved in making proteins that protect the muscle fibers. Disturbance in homeostasis could factor that is responsible for some of these genetic mutations. Hemiplegia: Most people have normal functions with movement on both sides of their body. When someone like Mr. Doe suffers from one side of their body having the same paralysis and limitations of movement. This is most often the leading culprit that is heard about hemiplegia. The homeostatic disturbance in Mr. Doe’s system related to HTN which could also be what is causing his movement disorder. Having a stroke could also be responsible for this condition and may have gone un-detected and untreated because Mr. Doe may not have realized he was having a stroke. Coronary Artery Disease (CAD): The coronary arteries (which are the major blood vessels that supply the heart with oxygen, blood and nutrients) can become damaged if a high amount of cholesterol is continuously deposited over time. Homeostatic disturbances such as HTN and diabetes are indicators of why Mr. Doe is experiencing this disease. This is turn can cause him to suffer from a heart attack. G.E.R.D.: In a normal functioning system after a person eats a meal the food goes to the stomach to begin the digestion process. The homeostatic disturbance that causes a patient like Mr. Doe to experience a reflux of stomach acid relaxation of muscles in the lower esophageal sphincter and its failure to close and prevent the back flow of food or liquid from returning upwards. E.D.: As most men age and are in Mr. Doe’s age begin to start experiencing issues, or complications with their prostate and the ability to perform sexually. A patient that is younger is able to maintain an erection for a longer period of time and perform a satisfactory sexual intercourse. Not have to worry or be concerned with experiencing this complication. Due to the fact Mr. Doe has an enlarged prostate gland and diabetes could be a leading indicator resulting in some of the homeostatic disturbances that is resulting in him having erectile dysfunction. D. Upon histological examination of mammal pancreas under the microscope, describe the different features of this Specimen. Figure 1 Anatomy of the pancreas Upon histological examination of a normal human pancreas the Aplha cells which produce glucagon, and Beta cells which produce insulin can easily be identified under the microscope. The bulk of the pancreas is an exocrine gland secreting pancreatic fluid into the duodenum after a meal. However, scattered through the pancreas are several hundred thousand clusters of cells called islets of Langerhans. Upon histological exam of a human pancreas with diabetes it is easy to identify the difference in the cells from a healthy pancreas. The reason is due to the fact the Beta cells are either attacked, or rejected the insulin which is causing the insulin production to be affected. The alpha cells are responsible for elevating the glucose levels in the blood which are also being affected due to the diabetes. The following describes the process of insulin in the pancreas: The islets are endocrine tissue containing four types of cells. In order of abundance, they are the: †¢ beta cells, whi ch secrete insulin and amylin

Word of the Day

Omnipotent- unlimited authority or influence a. The king was an omnipotent force in the kingdom. 2. Asunder- into parts, torn apart a. Cats asunder mice for dinner. 3. Usurpation- to seize, take hold of through force, without rights, infringement a. The usurpation of Poland by Germany was unexpected. 4. Evinces- to clearly display, show evidence a. Clearly, the note evinces that you are guilty. 5. Abdicated- to cast off, to formally relinquish a. The queen abdicated her power due to her old age. 6.Perfidy- being faithless or disloyal, treachery a. The perfidious servant became a double agent for the enemy. 7. Magnanimity- lofty spirit, bear trouble calmly, display noble generosity a. The dog displayed much magnanimity in rescuing the young drowning boy. 8. Acquiesce- to accept, comply, submit a. The submissive girl always acquiesced to her overbearing mother. 9. Countenance- mental composure, facial expression a. In despite of his pain, the man maintained his countenance. 10. Accosti ng- to approach and speak to in a challenging or aggressive way a.Marry, in an accosting way, approached Jessica to start a fight. 11. Supinely- with the face upward, an indifferent manner a. Supinely, the king ignored the requests of the farmers. Part A: Dear Corporate America, You are making us fat. You are making us fat through your trans-fat-rich foods complete if, and only if, they contain enough saturated fat to clog our arteries and heart. It is the foods that you are creating that are resulting in the downfall of American health. Daily, processed foods asunder any nutritional integrity that we possess.In a way, such corporations, producing unhealthy foods, are an omnipotent force that usurper our everyday lives in an effort to produce revenue. We acquiesce to societal norms by ingesting the slop that corporations like you produce; yet, we are the ones making the decision to put poison into our bodies. You do not accost us and force feed us your food; nay, we enthusiastically devour crunchy chips out of shiny bags without considering the lifetime consequences. You are the devil snake tempting us with fruit, and we are Eve: innocent and blissfully unaware of the future effects that your fruit will have.While it is not your responsibility to ensure that people are consuming your food responsibly, it is your fault that foods that cause atherosclerosis and heart attacks are even available. While the American public does need to change its thoughts about nutrition, large corporations need to change their ingredients and their mentalities. Respectfully, part a: French fries are delicious. Truly, they are a staple food in the American diet. Any American that doesn't regularly partake in the consumption of fries is essentially omitting perfidy.To date, McDonald's is an omnipotent leader in the fast food world. Other fast food chains may try to accost the spread of McDonald's' successful corporation, but they are forced to acquiesce to the standards that have al ready been set. Recently, there has been much debate over the use of healthy foods and their practical use compared to unhealthy, fatty foods. Many have evinced data concerning heart disease and other health problems. These people are in favor of creating healthy alternatives for regular fast food buyers to choose.However, it is my belief that by implementing healthy choices will not change the lifestyle of people that are accustomed to eating fatty foods every day. Americans should make their own food choices and be actively aware of what they are consuming; supinely choosing meals anymore is not an option. It is not the duty of the fast food restaurants to change America's eating habits. Those that wish to live a long and healthy life need to abdicate unhealthy foods from their life and make a true lifestyle change.

Persian Battle at Thermopylae in 300 Movie

Thermopylae (lit. hot gates) was a pass the Greeks tried to defend in a battle against the Persian forces led by Xerxes, in 480 B.C. The Greeks (Spartans and allies) knew they were outnumbered and hadnt a prayer, so it was no surprise that the Persians won the Battle of Thermopylae. The Spartans who led the defense were all killed, and they may have known in advance that they would be, but their courage provided inspiration to the Greeks. Had the Spartans and allies avoided what was, in essence, a suicide mission, many Greeks might have willingly medized* (become Persian sympathizers). At least that is what the Spartans feared. Although Greece lost at Thermopylae, the following year they won battles fought against the Persians. Persians Attack the Greeks at Thermopylae Xerxes fleet of Persian ships had sailed along the coastline from northern Greece into the Gulf of Malia on the eastern Aegean Sea towards the mountains at Thermopylae. The Greeks faced the Persian army at a narrow pass there that controlled the only road between Thessaly and Central Greece. Spartan King Leonidas was general in charge of the Greek forces that tried to restrain the vast Persian army, to delay them, and keep them from attacking the rear of the Greek navy, which was under Athenian control. Leonidas may have hoped to block them long enough that Xerxes would have to sail away for food and water. Ephialtes and Anopaia Spartan historian Kennell says no one expected the battle to be as short as it was. After the Carnea festival, more Spartan soldiers were to arrive and help defend Thermopylae against the Persians. Unfortunately for Leonidas, after a couple of days, a medizing traitor named Ephialtes led the Persians around the pass running behind the Greek army, thereby squashing the remote chance of Greek victory. The name of Ephialtes path is Anopaea (or Anopaia). Its exact location is debated. Leonidas sent away most of the amassed troops. Greeks Fight the Immortals On the third day, Leonidas led his 300 Spartan hoplite elite troops (selected because they had living sons back home), plus their Boeotian allies from Thespiae and Thebes, against Xerxes and his army, including the 10,000 Immortals. The Spartan-led forces fought this unstoppable Persian force to their deaths, blocking the pass long enough to keep Xerxes and his army occupied while the rest of the Greek army escaped. The Aristeia of Dieneces Aristeia relates to both virtue and the reward given the most honored soldier. In the Battle at Thermopylae, Dieneces was the most honored Spartan. According to Spartan scholar Paul Cartledge, Dieneces was so virtuous that when told there were so many Persian archers that the sky would grow dark with the flying missiles, he replied laconically: So much the better -- we shall fight them in the shade. Spartan boys were trained in night raids, so although this was a show of bravery in the face of countless enemy weapons, there was more to it. Themistocles Themistocles was the Athenian in charge of the Athenian naval fleet that was nominally under the command of the Spartan Eurybiades. Themistocles had persuaded the Greeks to use the bounty from a newly discovered vein of silver at its mines at Laurium to build a naval fleet of 200 triremes. When some of the Greek leaders wanted to leave Artemisium before the battle with the Persians, Themistocles bribed and bullied them into staying. His behavior had consequences: Some years later, his fellow Athenians ostracized the heavy-handed Themistocles. The Corpse of Leonidas There is a story that after Leonidas died, the Greeks tried to retrieve the corpse by means of a gesture worthy of the Myrmidons trying to rescue Patroclus in the Iliad XVII. It failed. The Thebans surrendered; the Spartans and Thespians retreated and were shot by Persian archers. The body of Leonidas may have been crucified or beheaded on Xerxes orders. It was retrieved about 40 years later. Aftermath The Persians, whose naval fleet had already suffered seriously from storm damage, then (or simultaneously) attacked the Greek fleet at Artemisium, with both sides suffering heavy losses. According to the Greek historian Peter Green, the Spartan Demaratus (on Xerxes staff) recommended splitting the navy and sending part to Sparta, but the Persian navy had been too heavily damaged to do so -- fortunately for the Greeks. In September of 480, aided by northern Greeks, the Persians marched on Athens and burned it to the ground, but it had been evacuated.

Reader-oriented Theories and Their Application to Ernest...

Reader-oriented Theories and Their Application to Ernest Hemingway’s Hills like white elephants From the very beginning of the literature people tended to criticize the literary works according to some certain criteria. Some critics claimed that the text itself is important and some other said the author and his style is the thing that should be focused on. Form and content were the other significant elements in the history of the literary criticism. In addition, the social and political influences of the time that the work was written were also considered as important. However the reader who reads the work and his thoughts and his interpretations were not as valuable as the other criteria until late 19th and early 20th century. From†¦show more content†¦So there is another new term in the criticism, subjective perception, that is to say how a reader understands and reacts to a work. There are many approaches about how people perceive the real world, they have different results but the only thing they agree is that the perceiver is active and not passive in the act of perception. Here the perceiver, the reader, is the center of the literary criticism. According to Formalist critics a poem is about itself (its form, its imagery, its literary meaning) before it is about the poet, the reader, or the world. However, if we reject formalism and adopt the perspective of the reader, we can say that the poem has no real existence until it is read, its meaning can only be discussed by its readers. Every reader can find different things in a work because our ways of reading differ. Walker Gibson can be claimed as one of the first critics of this New Criticism. His view of literature is text-centered. It assumes the value and uniqueness of the literary work of art. In his essay, the concept of the reader is introduced as a way of unlocking further treasures in the text. Shortly, the text is still important but the reader is there to achieve some certain tasks. Here we see a new term, mock reader. As its name suggests, it is not a real reader but is a role that the real reader is invited to play for the duration of the novel. As for Gibson, the concept of the mock reader is a property of the text and not a

Emotional Intelligence As A Skill - 945 Words

Since the emergence of emotional intelligence, many theorists have contributed to the understanding and development of the concept. Of those, Mayer and Salovey were the first to introduce emotional intelligence as a skill; recognizing it as the capacity to identify, reason, problem solve, and enhance thinking through the use of emotion (Mayer and Salovey, 1990). Termed as the ability theory, the model also proposes that individuals vary in their emotional processing abilities and that they are able further develop and refine these skills promoting both emotional and intellectual growth (Akerjordet and Severinsson, 2007). By using the four branches of emotional ability, individuals are able to improve the management of emotions and interpersonal connections (Mayer, Salovey, and Caruso, 2011). As previously noted, the ability theory contains four branches, perception, assimilation, understanding, and regulation, which are developed to help an individual become more emotionally intelligent (Mayer and Salovey, 1997). Described as the most important level, perception utilizes nonverbal reception and expression of emotion; without this basic skill, the other branches would not be possible. In their 2011 study, Collins, Schrimmer, Diamond, and Burke examined the relationship between nonverbal communication skills and rapport among medical students and their patients. Interviews from 19 medical students and residents were videotaped and assessed using a nonverbal item checklistShow MoreRelatedEmotional Intelligence And Social Skill1592 Words   |  7 PagesWithin Emotional Intelligence, which was discussed in my previous tenet, there are several components. 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All the traits just mentioned are extremely importantRead MorePersonal Statement On Emotional Intelligence1593 Words   |  7 Pages Emotional Intelligence Tanveer Vora 1610793 University Canada West Professor: Dr. Michele Vincenti MGMT601 Leadership in the Global Context 16th January 2017 Abstract The paper discusses about the emotional intelligence, which has various factors. The factors are self awareness, motivation, self regulation, social skills and empathy. In case of effective leadership, these factors plays major role. However, emotional intelligence is teachable to improve the personal skills and personality.Read MoreEmotional Intelligence And Interpersonal Intelligence912 Words   |  4 PagesEmotional Intelligence Picture a world where humans could not understand each other’s feelings. It looks pretty bleak, right? Luckily, humans do have the ability to comprehend others’ facial and body expressions, emotions, and language. 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Australian Is Mandated To Withdraw Benefits-Myassignmenthelp.Com

Question: Discuss About The Australian Is Mandated To Withdraw Benefits? Answer: Introduction The government of Australian is mandated to withdraw any benefits to the members of a family should it be to the consent of the government that the family does not vaccinate its children against any infectious diseases that may be deemed harmful to the children. This is done to ensure the citizens of the country are protected against diseases. The aim of this report is to communicate to the families of the importance of vaccination and how it works. The immune system The human immune system is made up of numerous cells which depend on each other in ensuring a collective responsibility in protecting the body against infections from bacteria, viruses, fungi, parasites or from the growth of any tumor cells. These cells are specialized and perform specific functions or roles in achieving the immunity of the human body. While some cells consume bacteria, others destroy parasites or tumor causing cells and still other kill the cells which are infected by any forms of viruses(Q. Ashton Acton 2013, p. 239). In order to effectively perform their roles, the cell relies on the T helper which activates signals in the form of either lymphokines or cytokines or even more categorically interleukins in secretion forms. The immune system is made of organs which interact with various types of cells which lead to a self-sustaining immune management. The organs of the immune system include; Thymus whose role is to release mature T cells. Prothymocytes which are premature T cells migrate into the thymus from the bone marrow and mature in the process of thymic education. During this process, T cells found to be of benefit to the immune system are retained while the autoimmune ones are eliminated Bone barrow which is the source of all the cells found in the immune system(Tenney 2014, p. 369). The cells are formed through the process of hematopoiesis in which there is differentiation of cells which are derived from the stem of the bone marrow into mature immune system cells. Among the cells produced by the immune system include natural killer cells, premature thymocytes, and granulocytes besides the red blood cells and platelets. Lymph Nodes which are the filter of the lymphatic fluid. They are mainly composed of T cells, dendritic cells B cells and macrophages. It is at the lymph nodes that antigens are filtered out together with lymph fluid before the fluid flows back into the system. Spleen is made up of B cells, natural killer (NK) cells, red blood cells, macrophages and T cells and serves an immunologic filter of the blood(Q. Ashton Acton 2013, p. 486). The dendritic cells and the macrophages are responsible for bringing antigens into the spleen through the bloodstream. Among the cells of the immune system include; Natural killer cells, abbreviated as NK cells and function to kill certain growths and tumors directly. Such tumors include lymphomas, melanomas and other cells infected by viruses. NK cells kill their target without a prior presence in the lymphoid organs. The effectiveness of the NK cells is increased upon stimulation by secretions from CD4+ T cells. T cells are divided into two phenotypically different groups; CD8+ T cells and CD4+ T cells. CD4+ T cells mainly potentiate the responses of the immune system through the secretion of specialized factors responsible for the activation of white blood cells to fight infections. CD8+ T cells are vital in directing the killing of parasites, viral-infected cells, and tumor cells(Parham 2014, p. 187). Granulocytes are a collection of leukocytes and are made of three different types of cells basophils, neutrophils and eosinophils determined by their staining features with specific dyes. Granulocytes are important in the elimination of parasites and bacteria from the body by engulfing these antigens and destroying them by the use of the strong enzymes. Dendritic cells trace their origin from the bone marrow. Dendritic cells serve as cells that present antigens hence antigen presenting cells(Sompayrac 2011, p. 325). These cells are believed to be trapping antigens and bringing them to the lymphoid organs in which immune responses are initiated. Vaccination Vaccination is the process of administering an antigen in order to activate the immune system of an individual so as to develop an adaptive immunity to a pathogen. Vaccines usually ameliorate or prevent the attack of the body by infectious diseases and it serves as the most effective and abundantly used method in the prevention of infectious diseases(Bertolli 2014, p. 568). Vaccines serve to prepare the body in readiness to repel a disease without necessarily exposing the body to any disease symptoms. Some infectious diseases are too powerful for the immune system and are therefore able to kill an individual. This is where vaccines help by supplementing the immune system. There are various types of vaccines including; Live, attenuated vaccines which are composed of a live microbe that has been weakened so that it is not able to cause diseases. These vaccines are treated to be the closest to natural infection since they are alive(Sompayrac 2011, p. 896). The limitations of these vaccines include the required refrigeration to remain potent and that being living organisms they may mutate or change hence can turn to be a cause of infection. Subunit vaccines which are made up of just the antigen as a stimulant of the immune system. Subunit vaccines at times use epitopes and due to the absence of complex molecules of the microbes, these vaccines reduce the chances of any complicated reactions with the body. Conjugate vaccines are made by linking toxoids or antigens from a microbe to polysaccharides that can be recognized by the immune system of an infant(Tenney 2014, p. 569). Through this linkage, the immature immune system of the infant is made more defensive through the coatings of the polysaccharide. Toxoid vaccines are used when the main cause of illness is bacteria as they inactivate toxins from these bacteria by treating them using formalin. Vaccines are very effective and have produced immunity of between 90-100% among children. All vaccines are normally tested and approved before they can be used on human beings. This ensures that all vaccines that are licensed meet the medical required standards of safety and efficacy of use(Miller 2015, p. 254). It is for this reason that there is need to vaccinate children so as to help them build their immunity. As a result of their weak immunity, they are susceptible infections by various diseases which would otherwise be prevented by vaccination. Importance of Lifestyle Lifestyle refers to the style in which one has opted to live hence the approach and finesse that one gives his life. It is important to have a properly balanced lifestyle as it enables an individual to live in the present as well as enjoy the different components of his life. With a balanced lifestyle, it becomes very easy to maintain an overall balance of life. In order to establish a balanced lifestyle, one needs to know the different elements that compose his life and thereby strike a balance between those elements. Conclusion In this light, the government reserves the right to ensure all the children in a country undergo any type of immunization that has been proved by the healthcare sector to be necessary for the infants(Bertolli 2014, p. 410). The role of a government is to ensure the safety and well-being of its citizens and this it can achieve by ensuring the young and infant population of the country is adequately protected against infectious diseases. References Bertolli, JM 2014, A case-control study of the effectiveness of BCG vaccine for preventing clinical leprosy in Yangon, Myanmar, 3rd edn, UCLA, New York. Miller, NZ 2015, Vaccines: Are They Really Safe and Effective?, 7th edn, New Atlantean Press, management. Parham, P 2014, The Immune System, Fourth Edition, 3rd edn, Garland Science, New York. Ashton Acton, P 2013, Advances in Communicable Disease Control Research and Application: 2013 Edition, 5th edn, ScholarlyEditions, New York. Schindler, LW 2014, Understanding the Immune System, 5th edn, Understanding the Immune System, London. Sompayrac, LM 2011, How the Immune System Works, 4th edn, John Wiley Sons, New York. Tenney, L 2014, Lydia Woods Schindler, Woodland Publishing, London.

Management and Business Measurement Process free essay sample

Darien Walker’s approach to audit Mercedes Benz U. S. International (MBUSI) exemplifies the business measurement process method. Walker begins with a strategic analysis of her client by conducting research on the SUV market and MBUSI’s business and strategic objectives. Some important external forces in the industry include economic factors such as international oil prices, employment rate, interest rates, and inflation. Though faced with taxation and tariff complications, MBUSI enjoys a strong relationship with the state of Alabama government. The merger with Chrysler Corporation, on the other hand, poses several risks. Unionization and additional disclosures under GAAP reporting may significantly impact on the company’s operations. The elevation of competition in the SUV segment may also lead to decreased market shares of the M-Class, however, high product quality and customer satisfaction would ensure the M-Class a niche within the market. Assembly and supply chain management are MBUSI’s core business processes, and a number of controls have been placed throughout these processes to ensure operational effectiveness and efficiency. We will write a custom essay sample on Management and Business Measurement Process or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page MBUSI excels in its assembly line management through collaboration with workers and suppliers, as well as establishing and monitoring of key controls. The company also enjoys a superb supply chain, mainly due to its close, integrated relationships with its suppliers. In addition, resource management processes, such as procurement and information management, are also crucial to the success of the company. From Walker’s risk-based strategic systems approach to audit MBUSI, there are two key takeaways. First, Walker’s comprehensive strategic analysis on MBUSI demonstrates that auditors must conduct extensive research about the client’s business and the environment of which it operates in. The BMP audit approach would not otherwise work if auditors fail to become familiarizedwith the business entity. An example to demonstrate this point is the fall of Enron. Due to the gas industry’s complex business nature, Enron’s financial statements tend to be vague and confusing. By further obscuring its financial statements, Enron fools its auditors through easy manipulations. In hindsight, however, if the external auditors understood Enron’s business structure and industry, they would have detected the misstatements in financial results. Finally,from MBUSI’s perspective, it is notable that the companys integrative relationships with the employees, suppliers, and the state of Alabama government are the keys to success. MBUSI’s active engagement with these key players allows the company to leverage these relationships through its business processes to deliver â€Å"Mercedes-Benz quality† to its customers. Another company that successfully leveraged its relationships with internal and external parties is Starbucks Inc.