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Steffan works at Beefy Burgers, a local chain that makes diner style burgers and shakes. At his last job, Steffan was a shift manager for a sit-down restaurant and made good money, more than he makes now. However, the last restaurant went out of business even though it was quite popular. There were supply chain problems that the owners never seemed to be able to get worked out even though Steffan had given them insight and advice to fix the problem.

Now Steffan is working as a line cook, a job that doesn’t utilize all of his skills, but one he is still very good at. The boss at Beefy Burgers doesn’t seem very interested in being involved in the operations of the business and spends most his time in the back office. Steffan has expressed ideas about how to do something’s differently to make the restaurant run better and bring up morale of the employees. The boss told Steffan he just needs to cook the food and get his work done and not worry about things above his paygrade.

Describe how affect, behavior, and cognition are likely to shape Steffan’s attitude toward his current situation. Then talk about what can be done by the business and by Steffan to change the attitude.

Sample Solution

Tertiary care intervention • Used for severely obese children who failed in comprehensive multidisciplinary intervention stage but are willing to maintain physical activity and healthy diet. Options include pharmacotherapy and bariatric surgery but children should be carefully selected for this intervention and only is absolutely required. If there is no improvement after 3-6 months of stage1 adaptation, the patient can move on to stage 2. Similarly after 3-6 months in a structured weight management program, some patients who have not achieved goals can move to stage 3. TABLE 10 Age Weight goals according to BMI percentiles 2-5y 85-94th: weight maintenance until BMI is <85th percentile, or slowing of weight gain as indicated by lowering of BMI ≥95th: weight maintenance until BMI is <85th percentile (weight loss of up to 0.5kg/month is acceptable) 6-11y 85-94th: weight maintenance until BMI is 99th: weight loss (maximum 1kg/week) 12-18y 85-94th with no health risks: weight maintenance 85-94th with health risks: weight maintenance or gradual weight loss 95-99th: weight loss (maximum is 1kg/week) >99th: weight loss (maximum is 1kg/week) For infants, exclusive breastfeeding should be encouraged till 6months of age and continue breastfeeding after introduction of solid food till 12 months of age and beyond. Sugar sweetened beverages should be avoided in infants and there should be not television in the infant’s sleeping room. For overweight/obese 12-24months old children, healthy diet and age appropriate physical activity is recommended. Three major meals should include healthy food, with plenty of fruits & vegetables. Fruit juices and sugar-sweetened beverages should be avoided. No television viewing during meals and overall screen time should be limited. MARG intervention study (29) conducted in India aimed to evaluate the imp>

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