Saturday, January 25, 2020

Boundary Issues in Therapy: Case Study

Boundary Issues in Therapy: Case Study Critically analyse the actions of the therapist from the perspective of the BACP and BABCP codes of practice and from the perspective of boundary issues. The initial assessment of S revealed the presence of depressive symptoms, alcohol and substance use and poor coping skills, characterised by a chaotic household routine and difficulties managing her two children. Although limited information is available regarding the development of S’s current problems, it would appear that predisposing factors may include a history of physical abuse in her own family and pre-existing â€Å"low mood and irritability†. During the assessment, S described a vicious cycle of depressive feelings, negative automatic thoughts and avoidance behaviours, which appear to have maintained and exacerbated her current state. In addition to the disordered domestic situation previously mentioned, S depicted her relationship with her two young children as being something of a struggle, as she found their fighting with each other problematic and she stated that she â€Å"sometimes loses control† and slaps them â€Å"hard on their legs and handsâ € . Furthermore, S stated that she leaves her 11 year old child daughter to look after her 5 year old daughter. Whilst professing her wish for help, S also acknowledged her fear of losing her children. The counsellor articulated their wish to help S with her depression. In doing so, the counsellor is complying with fundamental principles of both BABCP and BACP guidelines, in terms of â€Å"aiming to resolve problems and promote well-being† (BABCP, 2007) and adhering to the â€Å"beneficence† principle (BACP, 2007). However, the counsellor did not, at this stage, expand upon any possible interventions which may be employed for S’s depression, nor did they explicate a plan to manage S’s alcohol and substance use. At this stage of therapy, it would be useful to begin the process of establishing a therapeutic alliance (Derisley and Reynolds, 2000), in terms of introducing mutually agreed goals and a shared formulation (Kirk, 1989). Such an alliance has been demonstrated to be positively associated with treatment participation and outcomes amongst alcoholics (Connors, DiClemente et al., 1997). Furthermore, this is congruent with the BACP principle of â€Å"a utonomy†, i.e. â€Å"the importance of the client’s commitment to participating in counseling or psychotherapy† and with the BABCP’s guideline of discussing and agreeing the aims and goals of interventions from the outset of therapy. The quality of empathy, an attribute described in BACP guidelines as one which counsellors and therapists should â€Å"aspire to† is not manifestly portrayed in the case study. An empathic therapist style has been associated with low levels of client resistance and with greater long-term change amongst individuals with addictive behaviours (Miller, Sovereign and Krege, 1989 cited in Miller and Rollnick, 1991). Accurate empathy has also been described as facilitating further disclosure of feelings and cognitions and thus, therapeutic collaboration (Marshall, 1996). Confidentiality within a therapeutic relationship is acknowledged as a crucial and implicit feature within BACP codes of practice. This is reflected in the principle of â€Å"fidelity†, i.e. â€Å"honouring the trust placed in a practitioner †¦ confidentiality is an obligation †¦.. any disclosure is restricted to furthering the purposes for which it was disclosed† (BACP, 2007). The BABCP also lists confidentiality within its guidelines for good practice, but is slightly less robust in its communication of this, stating that â€Å"information acquired by a worker is confidential within their understanding of the best interest of the service user and the law of the land† (BABCP, 2007). The counsellor working with S made the decision to break confidentiality due to their concerns about the welfare of S’s children and informs S that she will be requesting a social services assessment of the home situation. In view of S’s previous expression of her fear of losing her children, this information is highly likely to reinforce her anxieties and potentially risks alienating her from the therapeutic alliance and disengaging from any intervention. However, the clear dilemma facing the counsellor was acting upon the perceived risk to S’s children, whilst maintaining confidentiality and trust. Both BACP and BABCP codes of practice affirm that confidentiality must be within legal constraints. When elucidating the principle of â€Å"justice†, the BACP refers to â€Å"remaining alert to potential conflicts between legal and ethical obligations† and further to â€Å"be aware of and understand legal requirements and be legally accountable†. With regard to legal aspects of S’s case, the children’s act of 2004 continues to allow smacking as long as it does not cause visible marks. It is not clear whether S’s smacking of her daughters constitutes illegal activity, however of more concern is her admission that she â€Å"loses control† when slapping them. Also of concern is the information that S allows her 11 year old daughter to care for her 5 year old when she herself feels unable to cope. Whilst S does not actually leave the children alone in the house and therefore is not breaking the law, the emotional impact upon her children would be a potential issue requiring attention. Returning to the actions of the counsellor in this circumstance, it would be highly beneficial to obtain more information about the nature of S’s relationship with her daughters, including the frequency of her smacking them and a clearer impression of their routine, in order to establish the possibility of neglect. The BABCP code of practice states that the therapist should â€Å"minimize possible harm and maximize benefits whilst balancing these against any possible harmful effects to others† (BABCP, 2007) and this is echoed by the BACP, which draws attention to â€Å"situations in which clients pose a risk of causing serious harm to themselves or others†¦ the therapist should be alert to the possibility of conflicting responsibilities between those of their client, others and society† (BACP, 2007). Whilst the decision faced by the counsellor was a difficult one, a possible course of action would have been to declare the potential need to break confidentiality from the outset. Good practice guidelines typically incorporate an initial statement which refers to disclosures remaining confidential unless there is a risk of harm to the self or others (Jenkins, 1997; Bond, 2000) and apprising S of this possibility from the outset may have attenuated, to some extent, the impact o f learning that a social services assessment would be requested. One alternative course of action for the counsellor in this situation would have been to postpone a social services assessment until S had had an opportunity to implement the contract of behaviour regarding her children and the counsellor had sought supervision. There did not appear to be any urgency in S’s home situation, therefore it would seem reasonable to seek supervision prior to taking any immediate action. Both BACP and BABCP codes strongly dictate seeking supervision if â€Å"faced with a situation outside their competence† (BABCP, 2007) and paying â€Å"careful consideration to the limitations of their training and experience† (BACP, 2007). In terms of informing the GP of S’s overall problem issues, but keeping the substance and alcohol abuse confidential, this would appear to be consistent with guidelines of keeping communication between colleagues â€Å"purposeful† (BACP, 2007) and â€Å"relevant† (BABCP, 2007). The counsellor mentions working on strategies to reduce S’s behaviours around substance and alcohol abuse and, as previously mentioned, further clarification of this intervention would have been helpful. Cognitive therapy for substance abuse emphasises identifying and testing thoughts and images about using drugs, modifying beliefs that increase the risk of drug use, coping with drug cravings and providing relapse prevention (Beck et al., 1983; Marlett and Gordon, 1989). Illustrating this process with S may have ameliorated the formation of a working alliance, as well as providing her with greater information about the intervention process, thus increasing her â€Å"self-determinat ion† and â€Å"autonomy† (BACP, 2007). Furthermore, as S appeared to be at the â€Å"contemplation† stage of motivation to change (Prochaska and DiClemente, 1982, cited in Miller and Rollnick, 1991), an informative approach may have consolidated this state and enabled S to further move around the â€Å"wheel of change† into a state of determination or action. With regard to boundary issues in the case study, a clear example of how this may be problematic in the counsellor’s relationship with S is in the area of a dual relationship (Schapp et al., 1996). That is, the emergence of conflicting responsibilities relating to S being the client but her children’s welfare being a clear cause for concern contributed to a potentially disruptive, ambiguous boundary. In this case, the ethical dilemma was apparent and although the codes of practice referred to provide some guidance and principles for managing such difficulties, it has been noted that guidelines and standards inform rather than determine our ethical decisions (Gillon, 1986). As such, in dealing with a client with sole parental responsibility, this is the nature of the issues confronted by a counsellor. References Beck, A.T., Wright, F.D., Newman, C.F. and Liese, B.S., 1983. Cognitive Therapy of Substance Abuse. The Guildford Press. Bond, T., 2000. Standards and Ethics for Counselling in Action. London: Sage. British Association of Behavioural and Cognitive Psychotherapy, 2007. Guidelines for Good Practice of Behavioural and Cognitive Psychotherapy.  Available from: www.babcp.co.uk  [cited: 30 April, 2008] British Association of Counselling and Psychotherapy, 2007. Ethical Framework for Good Practice in Counselling and Psychotherapy.  Available from: http://www.counselling.co.uk  [cited: 30 April, 2008] Children’s Act, 2004. Chapter 31. London: HMSO. Connors, G.J., Carroll, K.M., DiClemente, C.C., Longabaugh, R. and Donovan, D.M., 1997. The therapeutic alliance and its relationship to alcohol treatment participation and outcome. Journal of Counselling and Clinical Psychology, 65 (4), pp. 582-598. Derisley, J. and Reynolds, S., 2000. The transtheoretical stages of change as a predictor of premature termination, attendance and alliance in psychotherapy. British Journal of Clinical Psychology, 39, pp. 371-382. Gillon, R., 1986. Philosophical Medical Ethics. New York: Wiley. Jenkins, P., 1997. Counselling, Psychotherapy and the Law. London: Sage. Kirk, J., 1989. Cognitive Behavioural Assessment. In, Hawton, K., Salkovskis, P., Kirk, J. and Clark, D.M. (Eds), 1989, Cognitive Behaviour Therapy for Psychiatric Problems: A Practical Guide. Oxford: Oxford University Press. Marlett, G.A. and Gordon, J.R. (Eds), 1989. Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviours. New York: Guildford. Marshall, S., 1996. The Characteristics of Cognitive Behaviour Therapy. In, Marshall, S. and Turnbull, J., 1996. Cognitive Behaviour Therapy: An Introduction to Theory and Practice. Balliere Tindall. Miller, W.R. and Rollnick, S., 1991. Motivational Interviewing: Preparing People to Change Addictive Behaviour. New York: Guildford. Miller, W.R., Sovereign, R.G. and Krege, B., 1989. The Check-up: A Model for Early Interventions in Addictive Behaviours, cited in, Miller, W.R. and Rollnick, S. (Eds.), 1991, Motivational Interviewing: Preparing People to Change Addictive Behaviour. New York: Guildford. Prochaska, J.O. and DiClemente, C.C., 1982. Transtheoretical therapy: toward a more integrative model of change, cited in Miller, W.R. and Rollnick, S., 1991. Motivational Interviewing: Preparing People to Change Addictive Behaviour. New York: Guildford.

Friday, January 17, 2020

Everybody Hates Chris

â€Å"Everybody Hates Chris† I have watched Everybody Hates Chris ever since I was 10 years old and I still find it to be the best comedic television show on Nick at Night. When you have Chris Rock as the narrator, how can you not laugh? This show is considered to be one of the best shows on TV for family’s and younger children. It normally plays at 9:00 pm every weekday on Nick at Night. You can sometimes catch it weekdays around noon on B. E. T. I like having the show on at this time because on school nights it gives me something to relax to and laugh at.I love everything about this show because it has a common aspect to each episode, has many genres, and the characters are fun and easy to relate to. The main character of the TV show is named is Chris and every episode revolves around him and his family. Chris is a normal child who has a sister, brother, mother and father. They live together in NY, where they spend their days working and going to school just like any other family. He is the oldest child, so he is in charge of taking care of his younger siblings Drew and Tonya.While Chris is at school, he is the only black kid in his class so he gets picked on and judged all the time. Him and his best friend, Greg, are what you would call the nerds or losers in the class. His sharpness and character helps Chris throughout the show but he will have to go through many obstacles, at home and in school, in order to grow up. In every episode the plot is that Chris, the oldest child in the family, must make certain decisions and act upon helping the people he is surrounded by. Each episode he is given a certain task or problem he has to solve.The best part of the show is that no matter what Chris does in the end someone hates him for what he did. For example, in one episode he has to make $100 to pay back his dad for buying tickets to a concert. He lied to his dad that he needed books for the new job, which comes back to haunt him. The first thing he d oes was find a job, which happened to be at a funeral home. But of course Chris didn’t read the agreement he signed and didn’t see that he does not get paid in cash. Instead they give him money for books to learn more about the funeral home process.Then the day the concert arrives the manager makes Chris stay until he finishes all his work. Chris was left sitting and carving the caskets until the next day which meant he didn’t make the concert. He was okay with this because he learned something new and had a fun time with the manager. Never the less in the end he goes to receive his pay check to pay-back his dad and realizes it isn’t cash! â€Å"What is this, I thought I was getting paid, not a gift certificate for books! † explained Chris. â€Å"You mean you didn’t use my money for books when I gave you that $100! Chris’s dad screamed. â€Å"Well Chris you still owe me $100 dollars and are in a lot of trouble. † You can start to see the trend because in the end his dad is upset with him and he can never make everyone happy. This is where the different genres come into play because you have this comedy TV show that also has suspense and humorous drama. Some scenes can also dramatic relief and heartfelt ones. Most of the heartfelt scenes come when Chris’s mother explains the situation to him and helps him solve his problems.An example would be where she sat him down to talk about why he shouldn’t have skipped school. This plays a huge role in the reoccurring theme of Everybody Hates Chris. Every episode you can one hundred percent count on having the same theme, where Chris is given a problem and must find a way to solve it. Then you will have his parents and siblings argue with him or one another. His mother can be very outspoken at times! While his father, on the other hand, is more conscious about their money and how it affects him. His siblings like to get him trouble a lot and they succ eed at doing this.After all the action happens Chris will usually have a break through and solve his problem. Then he thinks he has done a good job and got away with whatever he did wrong. When in the end, all of the viewer’s know someone always makes that solution turn around and have them hate Chris. This TV show does an excellent job of portraying a typical family back in the day where you have three children; and normally the father would work two jobs with the expenses being so high. It is a great stereotypical family that will make your own family laugh at the things they do.Viewers find it humorous because they can relate to the jokes and activities Chris’s family pulls during the TV show. I know that I have related the show to my own family multiple times. This is a great family show that will let you relax and give you a few laughs to relieve all that stress. If you love to be with your family and laughing at comedy TV shows, I would recommend this show becaus e I believe it is the best one out there. Compared to today’s shows, Everybody Hates Chris, sticks to the family appropriate level and will have your family laughing for hours at a time.

Thursday, January 9, 2020

Racial Conservatism, Race, Ethnicity, And National Origin

Following the Second World War, the United States experienced a period of activism for the sake of providing basic human rights to whites and people of color alike until the early 1970s. This period was recognized as the Second Reconstruction, which primarily paved the way to end discrimination against African Americans and give them the freedom and equal rights whites had become entitled to as the country’s citizens. Due to the growing tension and unrest triggered by the segregation of people of color from white establishments, blacks and other minorities were cornered into a state where they had little choice but to seek ways to improve the treatment they receive. Daniel Martinez HoSang defined racial liberalism as the idea that the government would play an active role in ensuring the end of racial discrimination because it defied the â€Å"American Dream† of disregarding â€Å"religion, race, ethnicity, and national origin† when discussing the people’s rights (13). Therefore, the existence of racial liberalism arguably served as the catalyst that brought discriminatory and unequal issues on black people to the forefront of society. Racial liberalism essentially led to the Civil Rights Movement which advocated for the end of segregation and the subsequent Black Power movement which empowered blacks to take matters into their own hands in an act of self-determination. Despite the varying successes that marked the period, however, the consequences of the unpopular decisions of aShow MoreRelatedRacial Profiling And The Civil War On Drugs1342 Words   |  6 PagesMany People think of racial profiling as relatively recent phenomena that manifested in the 1980s, as the news of Blacks being pulled over for â€Å"driving while black† began making national headlines. 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Wednesday, January 1, 2020

Ceres Gardening Essay - 1629 Words

Ceres Gardening Company Case Study 1. How has the company grown? What is its basic strategy + how has it evolved? What have been the key factors in the companys growth? The growth of the company has been fueled by the market demand growth in organic products. Ceres increased their revenues by over 75% in just five years, while growing profits by over 25% (based on Exhibits 2, 3 amp; 4). Ceres’s basic strategy started with its founder, Jonathan Wydown, to promote sustainable organic gardens and landscapes to environmentally conscious consumers. Mr. Wydown has been a proponent of soil preservation, biodiversity, and natural fertilizers and pest control. Mr. Wydown was confident that the same principles behind organic†¦show more content†¦These further strengthened Ceres’ production capability. * Distribution Channel – In the early years, Ceres operated primarily as a mail-order catalog company. This was their main distribution channel. The operation was ran well and valued for its quality, reliability, and hands-on customer service. Moreover, Ceres provided a free bimonthly company newsletter, which included gardening tips, introduced new products, and created a sense of community among the expanding customer base. This alternative marketing expanded Ceres’ channel from one time purchase to future incremental (post-sale) reve nues. Eventually, Ceres expanded its channels to include retail channels, and direct sale through a sales force model. * GetCeresâ„ ¢ Program – enabled the average nursery or garden center to stock a sufficient inventory of Ceres’ products to meet the seasonal demands of the customer. If a retailer ran out of seasonal products, the customer would probably not return later, thus a potential loss of sale. Essentially the program meets the challenge of having the plenty of stock of the right product in the store at the right time based on consumer attitudes, behaviors, and preferences. 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It also provides garden plots for members of the public to rent, which allows people to grow their ownRead MoreCase 1 Fordlandia2871 Words   |  12 Pagesdown from Dearborn, Michigan 7 Fordism in Fordlà ¢ndia ï‚ § Attempting to replicate small-town America, Fordist vision, social engineering in the Amazonas basin ï‚ § â€Å"Civilizing the Jungle† ï‚ § Strict enforcement, controls ï‚ § Prohibition ï‚ § Cultural events ï‚ § Gardening classes, square dance, mandatory poetry sessions ï‚ § Strict diet ï‚ § [†¦] 8 â€Å"Civilizing the Jungle† 9 10 ï‚ § Grandin, G. 2009. Fordlandia. The Rise and Fall of Henry Fords Forgotten Jungle City. London: Icon Books. 11 2. WHAT ARE THE TRADE-OFFS

Monday, December 23, 2019

No Comfort Zone By Marla Handy Essay - 1461 Words

In No Comfort Zone, Marla Handy brings to the surface something many people tend to avoid: post-traumatic stress disorder. Unlike for many members of society, for Handy, it is not and never will be something she can avoid. She works to, momentarily, at least, bridge this gap for her readers by describing some of the symptoms that she and many others with PTSD live with on a frequent basis. Handy is one of about 8% of people who have been diagnosed with PTSD, defined as â€Å"a disorder that develops in some people who have experienced a shocking, scary, or dangerous event† (Carani). Here it is important to note, however, that this definition does not completely encapsulate Handy’s and some others’ situations. While it uses the singular event, Handy does not have one single moment, day, or occurrence that directly led to her PTSD. Rather, years of child abuse as well as sexual abuse and rape all led to symptoms that manifest in different ways through different triggers. While not many past perceptions of post-traumatic stress disorder can be found due to it being a relatively new diagnosis, the ones that can are largely negative and dismissive. People with PTSD were â€Å"generally viewed as crazy and faking symptoms because they didn’t have an organic cause† (Carani). While this has changed somewhat in current times, there is still a long way to go. For cases like Handy’s that do not stem from one specific event, many are still dismissive: I can only assume that it’s too difficult,Show MoreRelatedLibrary Management204752 Words   |  820 Pagesglobalization, ever-changing technology, and the pace of change. The only constant in today’s organizations is change. Although all change is challenging, that occurring at the present presents particular problems, for as the British management expert Charles Handy has stated, it is not change as we have known it in the past, but discontinuous change, which is particularly disturbing and confusing.5 Libraries will need good managers at all levels to manage the change as they face the redefined world of information

Sunday, December 15, 2019

Admiration Free Essays

I love my parents, but I personally admire an American leader, Steve Jobs. In my opinion he was the best CEO of Apple and of course the most famous. As you know he is no longer alive, however his accomplishments are still remembered by people worldwide. We will write a custom essay sample on Admiration or any similar topic only for you Order Now In fact Jobs was not an easy person to work for – by that I mean he had a temper and many people found It hard to work with him, but they still did! This was because he was an absolute genius and his subordinates knew that he would make the company thrive. Many people, Including me don’t really care about his attitude problems since his Inventions are fantastic. SYNC has named Steve Jobs the most Influential person of the last 25 years. Thus, he Is also my hero and without him I would never have been able to play games with the touch screen, listen to music, take photos and make phone calls on the same device. It Is clear that Steve Jobs had an undeniable passion for what he did. Passion Is to make a difference. Such passion Is well established as one of the key ingredients in the world’s most successful businesses. It’s something I ‘eve come to actively look for to become a successful individual. As a result, stilettos is always the basketballs for s ©eking 4 success There are some leaders who are great because of their charisma while others are famous for their intelligence. Steve jobs is a perfect example of this It is a shame he died at such a young age, I think he could have helped society much more with his inventions – but I guess that was his fate. How to cite Admiration, Papers

Saturday, December 7, 2019

Computer Interaction for End User of Tele-Health

Question: Discuss about the Computer Interaction for End User of Tele-Health. Answer: Introduction Tele-health is a new approach of technological development and it is related to health service and information. The service and information are distributed electronically over the internet (De Luca et al., 2015). It gives the facility to the old patients or the patients living in long distance to contact with the physician and get advice, care or information about their health remotely. Tele-health is an online health management system that integrates the practical data in their system and generates a report for its patients (ONeil et al., 2014). Positioning The patients interact with the clinicians over video conference form the tele-health tablet provided to the patient. The tablet is connected various tele-health device like Total ECG, TotalVitals, ClearProbe Ultrasound, etc. (Ringbk et al., 2015) These devices take the reading form the patients and transmit the data to the tele-health servers and the tele-health servers in return generate report from the raw data provided and identify the problem of the patient. Problem Statement The main problem associated with the Tele-health system is the management of the database where the patients records are kept. There may be inaccurate assessment of the health of the patient due to an error in the assessment device provided to the patient. The problem of There may be a case when the patient is using a faulty appliance and the data collected thus have an error. Planning the infrastructure to increase the capacity and analyzing the historical trends Monitoring the endpoint status at a real time and the capacity of the network (Lee et al., 2015) Affects When the data is uploaded to the tele-health servers an inaccurate report is generated and the physician may lead the patient in a wrong way and this can cause a life risk. In case of intruder attack the patient data base can be used by the hackers or modified for profit of another business organization(Ringbk et al., 2015). The credit or debit card details can also be accessed by the hacker from the tele health database servers. the impact of which is Improper diagnosis of the health can cause life risk of the patient. The patient may face loss of money due to the intruder attack. a successful solution would be The devices provided to the patients for checkup should have a routine maintenance and the device should be checked before use (Grant, Rockwood Stennes, 2015). The security for the network and the cloud servers should be increased and the data should be kept in encrypted form to prevent unauthorized access. Product Position Statement The tele-health system is a unique product and if implemented would have a great response throughout the world. Using this system all the users would be benefited, the patients benefit would be reducing the cost for the health checkup and cutting the travelling cost(Lakenauth Tang, 2014). The physical would be benefited as they can visit more number of patients throughout the world and the health care system would be benefited by reaching to the peoples located in the rural areas and dont have access to the modern treatment process. For The people of older age, Rehabilitated patients, Patients of rural areas Who The older aged people who cannot travel long distance for consult the physician or the rehabilitated patients who have changed their place due to some reasons or the peoples living in village and not have access to the modern facilities and service(De Luca et al., 2015). The (product name) Tele-health system That It would provide facilities to have a clinical checkup from any location in the world without travelling long distance and reducing the wastage of time. Unlike It is different from the traditional clinical method where the patient have to travel and search for the specialized doctor Our product Using the Tele-health system the patients can have conversation with the doctors sitting at home(Grant, Rockwood Stennes, 2015). They can also fix appointment according to their time. Tele-health is the recent trend of consulting the doctor and get an accurate health report Stakeholder Descriptions Here in the tele-health system the main stake holders are the patient, clinical staffs and the administration. Stakeholder Summary Name Description Responsibilities Patients Clinical staffs Administrator Patients are the client and using the tele-health system The clinical staffs are the physician or the specialized doctors. The administrator may be the hospitals which have deployed the tele-health system or some private organization The key responsibility of the stake holders is to use the system as per the requirement and provide proper solution regarding the diagnosis report they get after the assessment of the patients health (ONeil et al., 2014). The administrator should properly manage the system and avoid the errors in the system. User Environment There is an online interaction between the clinical expert and the patient. The patient health is checked using different Tele-health devices and the data is uploaded to the server and a report is generated according to the gathered data (Lee et al., 2015). This need a very less amount of time and if the patient is outdoors and not carrying the tele-health devices then he might face problem because then the clinical expert cannot check the patient health condition and thus cannot give a diagnosis report(Grant, Rockwood Stennes, 2015).. The traditional database servers are used for the storage of the patient data and other data but it could be moved to the cloud platform to make the system more efficient. Product Overview Tele-health is the best solution for the patient to have a consult with the physician and get the accurate test report of the health. Recommendation according to the report are also provided by the clinical expert using the tele-health service. Product Perspective The main Vision of the tele-health system is to reach all the people in the world. Using the product the patient can independently get clinical advice from the clinical expert i.e the patient does not have to wait for the system(De Luca et al., 2015). The patient can interact with the clinical expert using a tablet or any mobile device anytime. Assumptions and Dependencies The adoption of cloud platform in the tele-health system would benefit the patient and the system. The patient can access the system from any location and it would take less response time to respond to the patient (Lakenauth Tang, 2014). The patient can success tele health system from any platform and this would provide flexibility to the user. Needs and Features Need Priority Features Planned Release To reach the patients in every part of the world High It give medical suggestion that ca be applied for the betterment. The next release version would include support for the patients in all part of the world. Alternatives and Competition The alternative that is available to the patient is the traditional process of treatment that includes travelling time and waiting time to reach the final treatment process. Other Product Requirements The product should meet the requirement of all the users and should have easy to use interface such that the older people and the people living in the rural areas should find it easy to use. References De Luca, R., Bramanti, A., De Cola, M. C., Trifiletti, A., Tomasello, P., Torrisi, M., ... Calabr, R. S. (2015). Tele-health-care in the elderly living in nursing home: the first Sicilian multimodal approach.Aging clinical and experimental research, 1-7. Grant, L. A., Rockwood, T., Stennes, L. (2015). Client Satisfaction with Telehealth in Assisted Living and Homecare.Telemedicine and e-Health,21(12), 987-991. Lakenauth, G., Tang, S. (2014, May). Benefits of Telehealth across different socio-economic communities. InSystems, Applications and Technology Conference (LISAT), 2014 IEEE Long Island(pp. 1-6). IEEE. Lee, J. F., Schieltz, K. M., Suess, A. N., Wacker, D. P., Romani, P. W., Lindgren, S. D., ... Dalmau, Y. C. P. (2015). Guidelines for developing telehealth services and troubleshooting problems with telehealth technology when coaching parents to conduct functional analyses and functional communication training in their homes.Behavior Analysis in Practice,8(2), 190-200. ONeil, A., Taylor, B., Sanderson, K., Cyril, S., Chan, B., Hawkes, A. L., ... Amerena, J. (2014). Efficacy and feasibility of a tele-health intervention for acute coronary syndrome patients with depression: Results of the MoodCare randomized controlled trial.Annals of Behavioral Medicine,48(2), 163-174. Ringbk, T., Green, A., Laursen, L. C., Frausing, E., Brndum, E., Ulrik, C. S. (2015). effect of tele health care on exacerbations and hospital admissions in patients with chronic obstructive pulmonary disease: a randomized clinical trial.International journal of chronic obstructive pulmonary disease,10, 1801.