Disposal Of Unused Medications ( Fda ) Essay - 969 Words

Background: Disposal of unused medications has grown into significant public health and environmental issue in the United States. If not disposed of properly, prescription and over-the-counter medications can pose a hazard to our environment, increase the chances of accidental poisoning or get into the hands of children or others who may abuse the drugs. In the last decade nearly 60% of Americans have reported use of prescription medication, and out of 4 billion medications sold about 40% of them end up unused.1 In order to prevent drug diversion and protect our environment the FDA scheduled take –back days and proposed safe and effective strategies of drug disposal. Response/Literature review For many years, limited options and lack of proper education on medication disposal have contributed to increasing rates of environmental pollution and drug abuse. In order to prevent accidental or intentional misuse of the drugs Food and Drug Administration (FDA) recommends that consumers discard their unused medication immediately2. The most responsible and effective way to dispose of unwanted prescription is to drop it off at the local take –back program. Twice a year, the U.S Drug Enforcement Administration (DEA) along with local hospitals and pharmacies hosts a Take –Back event, where consumers can drop off their medication, as well as any medical devices, sharps and needles. In addition, the Expanded Syringe Access Program (ESAP) has collaborated with law enforcement andShow MoreRelatedHow Is Prozac Getting Into Our Drinking Water?950 Words   |  4 Pagesour drinking water. Antidepressants such as Prozac are the most commonly prescribed medications in the United States. With approximately 250 million prescriptions filled annually, they also are the highest-documented drugs contaminating waterways. 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Water Is A Vital Resource - 1577 Words

Introduction â€Å"In spite of the fact that water is accessible on this planet in vast amount however it is not uniformly conveyed. It possesses 70% of earth surface from which 2.5% is viewed as fresh water and the staying 97.5% is exceptionally saline Ocean† (Lenine, 1983). â€Å"Appropriation of water has dependably been an issue all through the mankind s history. Appropriation is not an issue when item like water is accessible plentiful and each co-offer get his acceptable offer. It turns into an issue when water is hard to find, that prompts contradictions and question. Water has frequently been a wellspring of contention among shareholders. At the point when a debate emerges over water asset, peace can t be accomplished without determining the topic of water right† (Rajput, 2007). Water is a vital resource that supports all forms of life on earth. 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Evar From Diagnosis To Treatment Health And Social Care Essay Free Essays

string(38) " was discharged without complication\." This essay will discourse a instance survey about an fanciful patient with AAA. The essay is divided into three chief subdivisions. It will foremost see the patient ‘s history, the initial trials undertaken, the imagination methods used and the result of each phase. We will write a custom essay sample on Evar From Diagnosis To Treatment Health And Social Care Essay or any similar topic only for you Order Now It will so travel to depict the diagnosing and process of EVAR and in decision I will sum up the chief points. A 68 twelvemonth old male patient with a household history of AAA, who was a tobacco user and had a knee replacing 15 old ages ago, was referred by his GP to hold an X ray of the lumbar spinal column and pelvic girdle. . The clinical grounds for the X ray was that the patient had fallen down the stairs 2 hebdomads before and had a hurting in the lower dorsum and right hip. After warranting the request card and look intoing his inside informations, they did an AP and Lateral of his lumbar and an AP scrutiny of his pelvic girdle. And they sent him back to obtain the consequences from his GP after 10 yearss. The radiotherapist reported his diagnosing on the X raies and sent it back to the GP. There was an rating of the categorization in the venters and a suspected abdominal aortal aneurism. So the GP asked him to go to the surgery to discourse the x-ray consequence, and requested an ultrasound of venters to hold a better consequence and a unsmooth indicant of the internal diameter and a n accurate appraisal.The GP asked him to wait until he received an appointment missive from infirmary. After 4 hebdomads he had his assignment. The clinical indicant was categorization on the lumbar X ray, and a question sing an abdominal aneurism. The rating of the ultrasound scan was an abdominal aortic aneurism which was 4.5 centimeter. The bosom was normal in size. There was no grounds of any important mediastinal mass or lymph node expansion. The kidneys were normal in size. The radiotherapist recommended supervising the patient. He besides sent a study to the patient ‘s GP. Six months subsequently in Dec 2007, he attended his 2nd assignment for an ultrasound scan of his venters. There was a little addition in his aneurism. Therefore, a study was sent once more to his GP. The rating was a 4.7cm aortal aneurism. In April 2008 he had another scan which indicated a 5.2cm aneurism. The GP referred him to the vascular sawbones, because the size had reached an index diameter of 5cm.After four hebdomads he met the sawbones. He reviewed his medical history and discussed the x-ray and ultrasound consequence with him. He besides strongly advised him to discontinue smoke, because tobacco users are about 5 times every bit likely as non-smokers to endure from AAA ( Hafez 2008 ) . In November 2008, the aneurism was 5.6cm and fix was recommended by his sawbones. hypertext transfer protocol: //www.e-radiography.net/radrep/Vascular/Vascular_AAA_US_55mm/Vascular_AAA_US_55_long.jpg Radiological Report: US Abdominal Aorta: The maximal A.P. internal diameter of the abdominal aorta is 5.6 centimeter. Mural thrombus reduces the internal diameter to 2.0cms ( x-ray 2000 ) .A The Vascular sawbones discussed with the patient that he needs a surgery every bit shortly as possible, he besides explained the being of two possible methods of fix and outlined the major hazards and benefits of each. He besides explained the possible complications associated with the process, including the hazard of endovascular leaks, the possibility of secondary intercession and the demand for lifelong follow up ( H. George Burkit 2007 ) . He offered him an EVAR surgery, so he was referred to hold a CT scan with clinical indicant of EVAR 5.6cm in ultrasound scan. A Week after he had a CT angiogram aorta. The Radiographer asked him if he has allergy to any contrast media or kidney job. Then he had an IV injection of dye in his arm. The sawbones received the study from Radiologist a few yearss subsequently. Evaluation of CT scan was a 6.2cm infrarenal AAA with a satisfactory cervix of 2cm and good possible common iliac set downing zones suited for EVAR ( Bhattacharya V 2007 ) . He was asked to go to a pre-operative appraisal clinic to run into his sawbones and other members of clinical squad. Two hebdomads subsequently in pre-op they took his medical history and the name of all medicine he used and carried out a physical scrutiny. The surgical squad carried out a figure of trials include blood trial and chest X ray to do certain that he is healthy plenty to hold an anesthetic and surgery. And advised him what he needs to make for admittance twenty-four hours. trials Normal Laboratory Test Values ‘ Patients result Red blood cells 3.8 M/mcL to 5.6 M/mcL 4.6 M/mcL. White blood cells 3.8 K/mm^ to 11.0 K/mm 6 k/mm. Hemoglobin 11 g/dL to 18 g/dL 13 g/dl Hematocrit 34 % to 54 % 38 % Blood urea N mg/dL to 0.4 mg/dL 6 mg/dL to 23 mg/dL Bilirubin, direct 0.0 15mg/dl Bilirubin entire 0.2 mg/dL to 1.4 mg/dL 0.2 milligram /dL Creatinine 0.6 mg/dL to 1.5 mg/dL 0.7 mg/dL On admittance twenty-four hours which was hebdomad subsequently, he was seen by the nurse, sawbones and anesthesiologist. Then vascular sawbones went through the questionnaire which was about his past medical history and process once more, and explained the hazard and benefit of making the operation. He took his consent and asked him to subscribe the consent signifier. He was taken to the theater and the anesthesiologist gave him a general aneaestatic. Aneurysm fix was performed and after the process, he was taken to the intensive attention unit for recovery. He made good recovery and was discharged on the fifth postoperative twenty-four hours. Complete recovery was 3 months. After 2nd postoperative yearss he had CT angiography In order to observe any complication. There was no grounds of endoleak detected during arterial stage scanning or after a 2-min hold. The patient was discharged without complication. You read "Evar From Diagnosis To Treatment Health And Social Care Essay" in category "Essay examples" Follow-up CT angiography was performed at 1 month and five month. Then every twelvemonth after that, to do certain there are non any jobs. Discussion: An aneurism is a weak country in aorta. If a blood vas weakens, it starts to bloat like a balloon and becomes remarkably large. If an aneurism signifiers on the abdominal aorta and grows excessively large, the aorta might rupture or tear ( Upchurch and Schaub April 1, 2006, Heather 2008 ) . The most common aneurism is abdominal aortal aneurisms, is below the beginning of the arterias to the kidneys.In work forces, the maximal normal aortal diameter at this degree is about 2.5 centimeter. An aorta that is 3 centimeter or more in diameter at this degree qualifies as being aneurysmal. The happening of AAA varies harmonizing to ethnicity, age and gender. Work force are six times more likely to be affected than adult females. At the age of 65 old ages, 3 % of work forces will hold an AAA. The popularity so increases with age to make about 8 % at the age of 80. AAAs represents about 98 % of aneurism of the whole aorta ( Hafez 2008 and Sparks et al 2002 ) . Any aneurism wider than 5.5 centimeter should be operated upon electively ( Raymond 2006 and Dillon et al 2010 ) .Abdominal aortal aneurism is normally symptomless. Smoke and high blood force per unit area are most of import hazard factors ( patient brochure 2009 and Hafez 2008 ) . Approximately 80 % of patients who present with a ruptured abdominal aortal aneurisms have no old diagnosing. When rupture occurs, mortality is really high ( Scot et al 2008 and Philip et al 2009 ) . On physical scrutiny, AAAs with 3 to 3.9 centimeter scope is tangible 29 % of the clip, compared with those with an AAA more than 5 centimeter. which can be palpated 76 % of the clip ( Gilbert et al 2008 ) . Once the size reaches an index diameter of 5 to 5.5cm or is seen to spread out more than 0.5cm in a twelvemonth needs to mention to vascular sawbones ( H. George Burkit 2007 ) . Harmonizing to Robert et Al 2008 if the abdominal aortal aneurism expands by more than 0.6 to 0.8cm per twelvemonth, fix is normally recommended. The trials were included: Arterial Blood Gas ( ABG ) degrees, to supervise oxygenation, airing, and acerb base position. Complete blood count to supervise Red blood cell, White blood cell ( WBC ) , and thrombocyte counts altered hemoglobin degrees and haematocrit reflect any blood loss and the O transporting ability of the blood. An elevated WBC count reflects an inflammatory response. Serum electrolyte panel-monitors fluid, electrolyte, and acerb base position Serum creatinine and blood urea N ( BUN ) degrees, to supervise nephritic map. Blood curdling surveies to supervise curdling. Urinalysis to supervise nephritic position including secernment and concentration Blood cross fiting necessary for blood replacing Electrocardiography ( ECG ) to look into cardiac alterations associated with ischaemia Chest X ray may uncover abnormalcies of the thorax, bosom and lungs ( Holloway 2004 ) . MRSA Scan to fix his tegument and cut down the likeliness of infection ( trust protocol ) . Patients are normally current or anterior tobacco users and frequently have a history of high blood pressure. Most abdominal aortal aneurisms remain asymptomatic until they rupture, but some are detected by the way either on scrutiny or when the patient undergoes imaging for other grounds. On scrutiny a pulsatile, expandable cardinal abdominal mass may be detected supplying the patient is non grossly corpulent. The femoral and popliteal pulsations should be checked for associated aneurisms ( Scott et al 2004 and Rosalyn 2006 and Louise and Anderson 2001 ) . Compared with unfastened surgery, EVAR has lower operative mortality, lower morbidity, and shorter length of infirmary stay and greater likeliness of discharge to place than unfastened surgery ( Schermerhorn 2009 ) Two option of operation are unfastened fix, where an scratch is made in the venters, and endovascular aneurism fix, where the aneurism is repaired by go throughing instruments through one of the venas ( NHS Choice 2010 ) . Patient demands to hold CT angiogram to cognize if he is suited for EVAR. Because of the form of aneurysm some people are non suited for EVAR Otherwise he should hold unfastened surgery ( NICE 2006 ) . CT is the following measure to assist find which intervention should be used.Serial CT scans can be used to conceive of the proximal cervix ( the passage between the normal and aneurysmal aorta ) , the extension to the iliac arterias, and the patency of the splanchnic arterias. They can besides mensurate the thickness of the mural thrombus. With 3-dimensional imagination, coiling CT and CT angiography can supply extra anatomical inside informations, particularly utile if endovascular process is considered ( Macari et al 2001 ) .The ground of holding CT compared with aortography and MRI is, widespread Availability, systematically consistent consequences, and a comparative cost ( Sparks et al 2002 ) . Elective surgery is to mend an aorta. The sawbones will cover a little metal tubing, which is known as a stent-graft and will attach that to a catheter. The catheter is infixing into one of the arterias in the inguen around the femoral arterias, before being moved up to the site of the aneurism. He will attach the stent-graft to the interior of the aorta with pins, which strengthened the walls of the aorta. The catheter so will be removed. The process will be guided utilizing intensifier x-ray machine and radiographer will take images step by measure. An X-ray imagination process is executing to look into whether the stent transplant is decently placed. The cut will be closed with stitches and a dressing will be placed over the stitches. ( Bupa ‘s Health Information Team 2010 and book ) . X raies of the venters shows Ca sedimentations in the aneurism wall, but we can non see the size and extent of aneurism therefore Ultrasound has approximately 98 % truth in mensurating the size of the aneurism, and is safe and non-invasive. Ultrasonography normally gives a clear image of the size of an aneurism. For surgical fix be aftering ultrasound can non accurately place the extent of the aneurism. Computerized imaging of the venters is extremely accurate in finding the size and extent of the aneurism, and its relation to the nephritic arterias. However, computerized imaging uses high doses of radiation and for rating of blood vass, requires endovenous dye. This carries some hazard including allergic reaction to the dye and annoyance of the kidneys. In patients with kidney diseases, the physician may see an MRA, which is a survey of the aorta and the other arterias utilizing MRI scanning. Both computerized imaging and MRI are effectual for diagnosing. In this instance because pa tient had Knee replacing and no allergic to dye CT is best option. Screening may cut down the incidence of aortal rupture, particularly if applied to bad groups. Erstwhile ultrasound showing for AAA is recommended for all work forces aged a†°?65 old ages and household history of AAA ( NHS Screening plan 2010 ) . Decision: Abdominal aorta aneurism ( AAA ) is a dilation of the aorta. This is about 3 centimeters in most people. Strong hazard factors are cigarette smoke, familial or household history, increased age, male sex, inborn and connective tissue upsets. Diagnostic factors include abdominal, back, or inguen hurting, pulsatile abdominal mass and hypotension. Diagnostic trials are including Plain X ray of venters, Ultrasound, CT scan, MRI and aortography.There are two option for Treatments of Abdominal aortal aneurism which includes unfastened fix and Endovascular aneurysm fix, depending on patient status. REFRENCESS: Upchurch, Jr. G.R. ( M.D. ) and Schaub, T.A. ( M.D. ) ( April 1, 2006 ) ‘Abdominal Aortic Aneurysm ‘ American Family Physician online. Available from: hypertext transfer protocol: //www.aafp.org/afp/20060401/1198.html [ Accessed 16/2/2011 ] Heather, B. P. ( 2008 ) ‘Abdominal aortal aneurisms, testing and the jurisprudence ‘ AvMA Medical A ; Legal Journal. Volume 14 Number 2 online. Available from hypertext transfer protocol: //cr.rsmjournals.com/cgi/content/abstract/14/2/65 [ accessed 12/1/211 ] Mayo clinical staff, ( June 23, 2010 ) , Abdominal ultrasound, Mayo Foundation for Medical Education and Research ( MFMER ) online. Available at: hypertext transfer protocol: //www.mayoclinic.com/health/abdominal-ultrasoundWhat you can expect/ , MY00076/DSECTION=what-you-can-expect [ accessed 23/1/2011 ] RUH, ( 2006 ) ` Endovascular Aneurysm Repair Patient Information` Available from: hypertext transfer protocol: //www.ruh.nhs.uk/patients/services/vascular, [ accessed 21st DEC 2010 ] Vikram, D. and Deborah J. R, ( 2004 ) Ultrasound secrets. Philadelphia: Name of publishing house VeriMed Healthcare Network, ( 2009 ) Abdominal aortal aneurism. Medline plus Medical Encyclopaedia. Available at: hypertext transfer protocol: //www.nlm.nih.gov/medlineplus/ency/article/000162.htm. [ Accessed 12/1/211 ] Hafez, H ( 2008 ) Clinical Risk `Abdominal aortal aneurism disease: wellness hazards, direction and screening` 14: 208-210 DOI: 10.1258/cr.2008.080076 online available from hypertext transfer protocol: //atvb.ahajournals.org/cgi/content/abstract/28/4/764 [ accessed 24/1/2011 ] Robert K. S, Roberta L. H, Katherine E. 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( 2010 ) Endovascular intervention for ruptured abdominal aortal aneurism, The Cochrane Collaboration, Cochrane, John Wiley and Sons, Ltd. Available from: hypertext transfer protocol: //www2.cochrane.org/reviews/en/ab005261.html [ accessed 12/12/2010 ] PATIENT INFORMATION BOOKLET ( 2009 ) Endovascular Stent Grafts: A intervention for Abdominal Aortic Aneurysms, Medtronic, Vol 302, No. 18 Davarn, S. ( MD ) Reardon, R. ( MD ) Joing, S. ( MD ) ( 2008 ) Academic Emergency Medicine, Volume 14, Issue 4, Article foremost published online: available from: hypertext transfer protocol: //onlinelibrary.wiley.com/doi/10.1197/j.aem.2007.01.001/pdf, [ accessed 06/01/2011 ] Baker, P. E. A ; Kumar Ramnarine, V. ( February 2009 ) Development and Application of an Experimental Abdominal Aortic Aneurysm Model, ultrasound, Leicester NHS Trust, N Volume 17 N Number 1, online available from: hypertext transfer protocol: //ult.rsmjournals.com/cgi/content/abstract/17/1/30 [ accessed 12/01/2011 ] Upchurch Jr, G. R. ( MD ) Longo, C. ( MD ) Rectenwald, J.E. ( MD ) ( March 2008 ) Abdominal aortal aneurism, Geriatrics Volume 63. Number 3 Kahan, S. Raves, J. J. ( 2004 ) In a Page Surgery. Philadelphia: Lippincott Williams A ; Wilkins, SPARKS, A.R. ( M.D. ) JOHNSON, P. L. ( M.D. ) and MEYER, M. C. ( M.D. ) ( APRIL 15, 2002, ) Imagination of Abdominal Aortic Aneurysms, AMERICAN FAMILY PHYSICIAN, VOLUME 65, NUMBER 8University of Kansas Medical Centre, Kansas City, Kansas available from hypertext transfer protocol: //www.e-radiography.net/articles/Aortic % 20Anneurysm % 20imaging.pdf [ accessed 21/02/2011 ] Burkitt, G. H. Quick, C.R.G. 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( BA ) Anuj J. Tolia, BA, Mark Adelman, MD, Alec J. Megibow, MD, MPH, August 2001 Infrarenal Abdominal Aortic, Aneurysms at Multi-Detector, Row CT Angiography: Intravascular Enhancement without a Timing Acquisition1, 520 omega Radiology Macari et Al, Volume 220 omega Number 2 online available from: hypertext transfer protocol: //radiology.rsna.org/content/220/2/519.full [ accessed 16/02/2011 ] NICE ( 2006 ) , Royal United Hospital Bath, NHS, Endovascular Aneurysm Repair Patient Information, hypertext transfer protocol: //www.ruh.nhs.uk/patients/services/vascular/documents/Endovascular_Aneurysm_Repair_Patient_Information.pdf, [ accessed 21st DEC 2010 ] Schermerhorn, M. ( MD ) Discussant ( November 2009 ) , American Medical Association. Vol 302, No. 18, online available at hypertext transfer protocol: //jama.ama-assn.org/content/302/18/2015.full.pdf+html, [ accessed 14/2/2011 ] Anderson, L. A. 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People Culture and Contemporary Leadership -myassignmenthelp.com

Question: Discuss about thePeople Culture and Contemporary Leadership forGrowth. Answer: Introduction In the modern era, effective leadership skills play a vital role in growth and development of an individual(Ward 2016). Nowadays, many businesses focus on enhancing the leadership skills of workers so that smooth flow of all operations and activities can be achieved(Tourish 2014). Leadership practices also assist companies in motivating employees and directing their efforts towards the accomplishment of common goals and objectives. The present essay outlines the overview of leadership and theories linked with the concept. In addition to this, my style of leadership and its effectiveness is also highlighted in this report. I have used different types of questionnaires and classroom activities to analyze the overall effectiveness of my leadership style. What is leadership Leadership can be defined as the process in which various tools, techniques, and strategies are employed by a leader to lead and manage the team of people working in an organization(Siegling, Nielsen Petrides 2014). A good leader always encourages team members to give their best towards the accomplishment of business goals and objectives. In todays corporate scenario, leadership has become essential for companies as there are different types of benefits associated with the same(Renko et al. 2015). For example, leaders help in initiating actions, motivating others, building morale and developing coordination among team mates. A leader also plays vital role in designing and maintaining a healthy work environment by resolving issues and conflicts between people working in an organization. To gain insight into the overall concept of leadership, various theories can be taken into consideration. For example, the trait theory of leadership emphasizes on the fact that leaders are born, or there are certain qualities which are inherited by people which make them a leader(Ramchunder Martins 2014). Furthermore, the theory explains that there are certain behavioral characteristics can be commonly found in almost every leader(Northouse 2015). Some common traits of leaders which are highlighted by trait theory include energy, creativity, innovative, business knowledge, honesty and emotional intelligence. Questionnaires Completed I have completed different types of the questionnaire, and this was important because it has helped me to get insight into my leadership style. I was required to answer different sets of questions linked to various aspects of leadership. For instance, I was required to provide my opinion to questions such as is supervision of employee within the workplace is essential or not. In addition to this, the questionnaire has also supported me in identifying the key areas where I was lacking. From the information collected, one strengthens his/her existing leadership skills, and overcome key weakness concerning leadership(Nahavandi 2016). Another benefit of using questionnaire is that it has helped me to improve the way in which I used to communicate with others. Apart from this, it has also highlighted different tools and strategies which I can use to motivate and inspire other staff members working with me. I have completed various questionnaires linked with leadership, and now I can handle and manage changes more efficiently. These all things will directly contribute to individuals overall professional development and will also them to become a highly motivating leader in the long run(Ljungholm 2014). Gibbs Model Learning The Gibbs model or reflective cycle emphasize on six major elements which are mentioned below as: Description- I have filled various questionnaires, and I have also attended different class activities to gain insight into my existing leadership style and its effectiveness. Feelings- At the time of attending class sessions and filling questionnaire I was a little bit worried about getting negative outcomes. However, my experience and knowledge have supported me in staying calm during the process. Evaluation It can be expressed that the entire experience was quite good and I have learned a lot of things about the overall aspect of leadership. For example, it has supported me in knowing that effective leaders are the one who changes their styles as per need and demand of the situation. Analysis- It has been analyzed that I am required to work in some areas to enhance my overall leadership skills. It will also assist in getting better opportunities for personal and professional development(Mugridge 2013). Conclusion Apart from attending class room sessions and filling up the questionnaire, I believe that strategies such as feedback from seniors and coworkers would have been taken. The rationale behind this is that the feedback would have provided me with more relevant and accurate information about my leadership. Action plan I will be using the recommendations and information from questionnaire and class room activities to deal with leadership issues in future. Class Activities The class activities consist of various sessions in which different case scenarios were provided to us. We were required to analyze every situation in the best possible manner. Furthermore, based on our analysis we were required to take corrective actions. The class activities have helped me to developed strong coordination with my fellow team members. At the same time, it has supported me in getting knowledge about my existing style of leadership. During the class room activities, I was required to write some comments on different statements which were linked with the overall concept of leadership. This activity has helped me in explore my knowledge base and skill set about the aspects of leadership. Various types of leadership games and activities were carried out during the classroom session(Goleman, Boyatzis McKee 2013). The result of this is that these sessions have helped me to identify and understand the fact that at present, I am not a great or effective leader. The rationale behind this is I am a democratic leader, and I always prefer to consider the views and opinions of my team mates before making any decisions. In some class activities, fast decision making was required and taking suggestion from other team mates results in delaying the entire process of decision making(Eisenbeiss Brodbeck 2014). Thus, the classroom activities have helped me to understand the fact that it is not useful for a leader to stick to one particular style of leadership and he/she should adopt the style of leadership as per situations and conditions. Own Development Areas Various developmental areas are present where I need to focus on so that I can efficiently perform as a leader and in turn, the performance of my entire team can be easily enhanced with the help of this. No doubt, to become successful leader various traits and attributes are needed which improves individual efficiency to perform as a leader and in turn leads to better results(Daft 2014). My developmental areas involve working on the skills that are not present in me. I lack some skills and particular knowledge due to which my performance declines at the time of working as a leader. Firstly I need to develop time management as it is a well-known fact that leader has to carry out various activities and they have to be managed in particular period. So, this area still requires development where I am unable to manage time as per the tasks that I have to carry out on a daily basis, and it directly leads to delay. Further, I am not able to prioritize which activities are necessary that I need to focus on for enhancing the performance of my entire team. Another area in which improvement is needed is linked with planning where I am not able to plan all the activities properly. It is the moral responsibility of every leader to plan all the key activities properly so that they can be carried out efficiently(Colbert, Barrick Bradley 2014). Stress management is also one of the crucial areas where I need to work upon. In many situations, I have found that situation of stress arises due to which my motivation level declines. Due to this reason, I have to prepare myself so that I can properly deal with stress and this can assist in making me a successful leader. All these development areas are most crucial for a leader as it is a well-known fact that leader must have skills such as stress management, time management, planning, etc., so that contribution of an individual is maximum in the business affairs(Bird Mendenhall 2016). Due to this reason I have realized the importance of working in this area so that shortly my performance as a leader can be enhanced easily and in short period. Further, it has been analyzed that no leader is 100% efficient by skills and knowledge where some areas are present where an individual has to improve. For enhancing time management skills, I will prepare a time table for two months regularly where I will prioritize tasks that need to be conducted by me. For enhancing my planning skills, I will take advice from other leaders to know how they plan and for enhancing stress management skills I will read various books, articles and will indulge myself regularly into the situations that lead to stress. So, this will result in improvement. Type of leader am I and areas of Improvement At present, according to me, I am a democratic leader who prefers to take advice from the team members on a continuous basis. At the time of conducting any particular task I involve every team member and with the help of a motivational tool such as reward, bonus scheme I ensure that every member is actively participating in the company affairs. Further, I am a self-motivated leader who can handle critical situation in an easy was as many time some situations are faced where I am not able to perform better so with the help of self-motivation it becomes easy for me to maintain my performance. I always prefer to take advice from others, and this leads to my personal development. Working as a democratic leader, I have gained trust and confidence of all my team members where they prefer work with me, and they are my real strength. Apart from this, I am a good communicator where my team members are easily able to understand the information and thoughts shared by me. I prefer to interact with my team members orally, and I encourage two-way interaction where I gave more chance to my team so that they can quickly present their views and ideas. The range of skills present in myself makes me an effective leader. Critical thinking as one of the skill makes me different from others where it directly contributes in handling various situations in the better manner(Antonakis 2017). The situations that are adverse allow me to think critically and through this best possible solution is identified about the problem being faced within the workplace(Bolman Deal 2017). Further, I am an honest and ethical leader who takes every decision keeping in view the expectations of all the team members. Till now I have not faced any situation where I was biased and due to this reason team performance declined. Some areas are present where I need to improve. At the moment, I am a democratic leader, but I want to translate myself into situational leader where there is a need that I must act as per the situation. The reason behind the same is that in many cases democratic style fails as dependency on the team members is high and this sometimes leads to decline in the overall performance of the team. So, I want to translate myself where in some critical situation I will decide by the situation and will encourage my team members to act accordingly. Conclusion The entire study carried out has supported in knowing my leadership practice. Further, the skills and attributes that I posses are most crucial and they must be present in a successful leader. As a democratic leader I prefer to involve my team members in every affair, and this enhances the team performance. But I need to transform myself into a situational leader so that I can take appropriate decisions by situations faced. Apart from this, my development areas involve focusing on time, stress management and planning skills. I have received feedback from the questionnaire which I have prepared, and through this, I will work on the development areas. References Antonakis, J 2017, The nature of leadership, Sage publications, California. Bird, A Mendenhall, ME 2016, 'From cross-cultural management to global leadership: Evolution and adaptation', Journal of World Business, vol 51, no. 1, pp. 115-126. Bolman, LG Deal, TE 2017, Reframing organizations: Artistry, choice, and leadership, New Jersey, John Wiley Sons. 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Nahavandi, A 2016, The Art and Science of Leadership -Global Edition, Pearson, London. Northouse, PG 2015, Leadership: Theory and practice, Sage publications, California. Ramchunder, Y Martins, N 2014, ' The role of self-efficacy, emotional intelligence and leadership style as attributes of leadership effectiveness.', SA Journal of Industrial Psychology, vol 40, no. 1, pp. 1-111. Renko, M, El Tarabishy, A, Carsrud, AL Brnnback, M 2015, 'Understanding and measuring entrepreneurial leadership style', Journal of Small Business Management, vol 53, no. 1, pp. 54-74. Siegling, AB, Nielsen, C Petrides, KV 2014, 'Trait emotional intelligence and leadership in a European multinational company', Personality and Individual Differences, vol 65, pp. 65-68. Tourish, D 2014, 'Leadership, more or less? A processual, communication perspective on the role of agency in leadership theory', Leadership, vol 10, no. 1, pp. 79-98. Ward, J 2016, Keeping the family business healthy: How to plan for continuing growth, profitability, and family leadership, Springer, Berlin.