Skills and Personality Traits of Successful Project Managers

Skills and Personality Traits of Successful Project Managers Tom Osaer amp; Kristin Hart BIT 562 Spring Semester Professor David Wood Walsh College Table of Contents Abstract †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.3 Introduction †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 4 Skills and Traits †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 5 Signs One Is Not Cut Out to Be a Project Manager †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 6 Communication†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦... 7 Leadership Skills †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦... 8 Conflict Resolution †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 9 Personal Characteristics †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 12 Conclusion †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 13 Annotated†¦show more content†¦For the first time, in 2012 the Standish Group included emotional maturity in their CHAOS report as one of the critical success factors for an IT project. In his article, â€Å"IT Success and Failure – the Standish Group CHAOS Report Success Factors,† Carroll points out that the Standish Group’s â€Å"analysis of emotional maturity is largely about character and behavior,† and the fact that it’s ranked fourth (only executive support, user involvement, and clear business objectives are higher) sends the message that â€Å"at one level technical stuff will get done if and only if you have competent people actually doing it – it’s make or break.† He goes on to summarize, â€Å"good people who know what they are trying to achieve, with good involvement amp; communication with who they’re achieving it for, when well-supported, will succeed if success is possible.† â€Å"Competent† is the key trait, but what skills define it? Schwalbe states, â€Å"Achieving high performance on projects requires soft skills, otherwise called human relations skills. Some of these skills include effective communication, influencing the organization to get things done, leadership, motivation, negotiation, conflict management, and problem solving.† (2011, p. 23). In today’s economic market, though, there is more emphasis on globalization than in the past, with stakeholders and/or project teams being increasingly spread out over different parts of the company, differentShow MoreRelatedEssay on Annotated Bibliography: Leadership1362 Words   |  6 PagesAnnotated Bibliography Lilienfeld, S. O., Waldman, I. D., Landfield, K., Watts, A. L., Rubenzer, S., Faschingbauer, T. R. (2012). Fearless dominance and the U.S. presidency: Implications of psychopathic personality traits for successful and unsuccessful political leadership.  Journal of Personality and Social Psychology,  103(3), 489 -505. http://library.gcu.edu:2048/login?url=http://search.ebscohost.com.library.gcu.edu:2048/login.aspx?direct=truedb=pdhAN=2012-19403-001site=eds-livescope=site InRead MoreWeek 7 Leadership Paper1424 Words   |  6 PagesArticle 1: Fearless Dominance and the U.S. Presidency: Implications of PsychopathicPersonality Traits for Successful and Unsuccessful Political Leadership by S.O. Lilienfeld, I.D. Waldman, K. Landfield, A.L. Watts, S. Rubenzer and T. Faschinbauer. Article 2: Impact of personal growth projects on leadership identity development by J. Williams. Article 3: Leadership Styles and AssociatedPersonality Traits: Support for the Conceptualisation of Transactional and Transformational Leadership by R. Van EedenRead MoreAnnotated Bibliography On The Implications Of Psychopathic Personality Traits For Successful And Unsuccessful Political Leadership1312 Words   |  6 PagesImplications of psychopathic Personality traits for successful and unsuccessful political leadership. Journal of Personality and Social Psychology, 103(3), 489-505. Lilienfeld et al., (2010) examined the attentiveness of psychopathic personality traits that aligned with job performance and leadership of the past presidents including George W. Bush, whereas their successful or unsuccessful behaviors were a matter of public records. The description of a psychopathic personality is conveyed as superficialRead MoreBig Five Personality Model Of A Professional Workplace964 Words   |  4 PagesBig Five Personality Model A professional workplace is an environment that produces numerous challenging situations and if not handled correctly, could create a very unproductive organization. A well-qualified employee is selected to be responsible for overseeing many aspects of a company, including difficult situations that arise between co-workers. The term given to this worker is a manager; their main task in the organization is to help other employees work more effectively towards their goalsRead More1.The Role Of The Project Manager On Construction Projects..1062 Words   |  5 Pages1.The role of the project manager on construction projects. Generally, as a project manager, he(or she) should be able to have thorough control of time, cost and quality of the project, and have the overall responsibility for the successful initiation, planning, design, execution, monitoring, controlling and closure of a project. The following are some specifications: 1) Leader of the team A project manager should form and lead a team which has the professionals and specialists, and enable themRead MoreThe Career Of A Professional Workplace937 Words   |  4 Pagesthis worker is a manager; their main task in the organization is to get things done through the efforts of other people. This may sound like a rather simple task, but it is very deep and layered with different difficulties. Henry Mintzberg, an internationally renowned author on business and management, broke down the tasks a manager faces into ten different interrelated roles. According to Mintzberg’s managerial roles, there are three categories that break up the ten roles a manager performs: InterpersonalRead MoreItm533 It Project, Logistics, and Contract Management1215 Words   |  5 PagesITM533 IT Project, Logistics, and Contract Management Summer 07 Module 1 Case Assignment Dr. Kathleen Hargiss Project management is definitely more art than science. 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The team leader usually looks for specific skills in his or her members in orderRead MoreEconomic Liberalization- Overview1065 Words   |  4 Pagescountry which is different from their own, to accomplish a job or organization related goal for a pre-designated temporary time period of usually more than six months and less than five years in one term.† The number of employees working abroad for a project/assignment or a related business affair has drastically increased in the last couple of years. Reports from the World Bank and the UN state that there were a ‘mere’ 73 million expatriates worldwide in the year 1960. That figure grew to 215 millionRead MoreThe Assessment And The Myers Briggs Type Indicator876 Words   |  4 Pagesor even full agreement as to what exactly motivates individuals to be successful. The extensive amount of research has included studies across a variety of work settings and at the level of the individual, the group, and the organization leaving us with many theories to explore. Researchers have identified and agreed upon that individual behavior and personality relate to individual performance. I am no different. PERSONALITY Based on the Keirsey assessment and the Myers-Briggs Type Indicator

Struggle For Independence Pivotal Battles of the Revolution

Americans of the eighteenth century might question: What were the most pivotal battles of the revolution? Was it at Saratoga, where the British marched through the dense forests of Massachusetts, trying to isolate the northern colonies and then attack them? When the Americans in Massachusetts heard of this plan, they constructed a plan to attack this convoy? Wa s it at Trenton, when Washington took his men on December 25th across the frigid Delaware River to surprise the Hessians? Then captured around 1,500 Hessians, and marched through the city of Philadelphia. Was it at Yorktown, where the final battle was held against the British? And were assisted by the French in taking down British forts. The most pivotal battles of the†¦show more content†¦Even though Bemis Heights had more deaths at six hundred, the warfare was more brutal at Freeman’s Farm. â€Å"The British, who enjoyed a degree of success at Freemans Farm, now suffered from reduced rations, and t heir horses died of starvation.†(American Revolution). The British general John Burgoynes men were shivering in the cold fall nights while still wearing their summer uniforms The second battle was Bemis heights, where 1,600 British were sent to flank the Americans. Then the Americans launched two attacks on British redoubts. By this time, Burgoyne was waiting for reinforcements when British general William Howe (the reinforcements) decided to attack the rebel capital Philadelphia. Now Burgoynes supplies were coming more infrequently. Five thousand eight hundred and ninety five hessian and British troop surrendered on October 17, 1777, after the battle of Bemis heights. After the battle, the Americans signed the Treaty of Amity and Commerce, allying them with the French. This battle changed the nature of the war because having a treaty with France caused an international conflict. This battle changed the nature of the war, and annihilated about 83 percent of Burgoyneâ€⠄¢s infantry. The Battle of Trenton was another key part of the American Revolution, because it granted the Americans a chance to win the war. Before the war started, Washington retreated from The BattleShow MoreRelatedRevolutionary Mothers : Women During The Struggle For America s Independence773 Words   |  4 Pagesâ€Å"Revolutionary Mothers: Women in the Struggle for America’s Independence† is neither a romantic tale nor an attempt to revise traditional history by making women the pivotal players in war for independence. It does not tell one woman’s story, but many, and not all of those stories end in victory or triumph. 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An interpretation of Love in Chang-Rae Lee’s “A Gesture Life” Free Essays

Love, as they say moves in mysterious ways, we can say that it really did in Chang-Rae Lee’s novel â€Å"A Gesture Life.† The novel was basically about the life of Franklin â€Å"Doc† Hata and his reminiscing of his colorful and interesting past to restore his present life. The bulk of the narrative was mostly about how Hata expresses his love for the other characters in the novel. We will write a custom essay sample on An interpretation of Love in Chang-Rae Lee’s â€Å"A Gesture Life† or any similar topic only for you Order Now Interestingly, â€Å"A Gesture Life† is certainly not the kind of story that portrays love in a typical manner. It is quite amusing that there are lots of ironies if love was to be discussed in this book . This essay will show the readers that the desire for love in â€Å"A Gesture Life† had ironically hindered the acquisition of love. The novel of Chang-Rae Lee was basically about probably the worst kind of tragedy there is, not being loved by everyone even by oneself. If we are to classify the different forms of love in â€Å"A Gesture Life,† there are lots of technical terms that are always related to the concept of love like agape, pragmatic love, eros, complex chemical reactions and terms like pheromones and dopamine, and lots of scientific terms that few of us comprehends. This essay will only employ types of love that is understandable by all for the purpose of keeping this essay from being too general. This essay will focus on the main character’s love for the other characters and concepts in his life. But the essay will not settle for mere descriptions of the protagonist’s love, it will show the reader how love had been distorted and given meanings by the traumas that the protagonist had suffered during the war. The first kind of love from the novel is the love for acceptance. The protagonist Hata, had been begging (although he didn’t express this explicitly) for acceptance from the people in his life and his neighborhood. Hata was too careful about everything he does in his neighborhood. That is because he doesn’t want to commit mistakes that could get him noticed. He wanted a low-profile life in his neighborhood because he has this assumption that he will be the target of discrimination in the community. But contrary to what Hata is thinking, the citizen’s of his community, Bedley Run, appears to like Hata, but in the way Hata wants them to like him. Hata was treated like an Oriental mascot because the people in Bedley Run seem to like him only for the differences he and most of the people in Bedley Run share. Hata speaks of his love for acceptance in his community, â€Å"†¦my assumption is that once I settle in†¦I will be treated like as people should be treated† (Lee 3).   His assumptions of being accepted was brutally debunked by what had transpired during his stay in Bedley Run, â€Å"It seems to me that people took a weird interest in making me feel that I am unwelcome† (Lee 3) Hata’s love for acceptance didn’t end with his failed attempt with his neighborhood. It appears that Hata’s love for his adopted daughter Sunny, whom he had adopted when he was still in Korea when Sunny was just a child. While Sunny was growing up, she and her father were having endless disputes. In the long run, Sunny ran away from home even when she was just a teenager. Later in the story, Hata will have the chance to make up with her daughter. Sunny went back to Hata and asks for support for she was pregnant. Irritatingly, Hata denied Sunny’s plea for support. Hata had prioritized more his and his family’s reputation more than the well being of her daughter. It appears that even though Hata loves her daughter, his family’s reputation weighs more than the affection of his daughter. This is Hata’s real and unfortunate dilemma. He had stated several times in the narrative that he loves her daughter very much, but still he is quite unable show his love. After this he will contemplate heavily as to why his life is devoid of love, he will contemplate heavily as to why his life is remote to the lives of the ones he dears most. Hata’s weird and unproductive approach to love will backfire at him at the most tragic of scenarios. Hata had accidentally brought his house on fire and he was hurt in the fire and was hospitalized. After that he was caught in a web of nostalgia, he reminisced about the time he served as a paramedic in an army camp in the pacific war. There he had fallen in love with a certain woman whom he calls â€Å"K† who was about the same age as her adopted daughter Sunny. He had loved K as genuinely a man could love a woman. He was even willing to die and kill for K as she had committed murder and Hata was willing to offer help in covering up. But then, just like in the bulk of the story, Hata’s love remains unrequited. K had viewed his love as having ill intentions. K thought that Hata was only after her youth and was only after sex. This tragic memory of Hata had some great effects in later in his life especially the relationships he had, especially with her daughter. In a weird but true manner, Hata’s kind of loves are real and unfortunately remains unrequited. Hata’s situation is what we see everyday happening to real people. That is just the truthfulness that made this story a success. The novel â€Å"A Gesture Life† may have been talking about the tragic life of Hata when it comes to love, but what it was actually talking about is how some people find it very hard to be loved just because they themselves find it hard to love others. In the story, Hata seems to be the kind of person who never knew the feeling of being loved. He has this hunger to be loved by the people around him. This for me is one of the reasons why many people find it easy to empathize with the character of Hata. Work Cited Lee, Chang-Rae. A Gesture Life. CA: Riverhead books. 1999    How to cite An interpretation of Love in Chang-Rae Lee’s â€Å"A Gesture Life†, Essay examples

Post Operative Nursing Intervention Type 2 Diabetes Mellitus

Question: Describe about the Post Operative Nursing Intervention for Type 2 Diabetes Mellitus. Answer: 1. 65 year old Mr. Jensen underwent an open reduction and external fixation of the open fracture of his right tibia and fibula. He has a history of type 2 Diabetes mellitus and hypertension. Clinical measurements were made post-operatively on arrival to the ward. His right leg was cool to touch and pain score was 7 on a scale of 1-10. There was serious oozing of fluid from the fracture and pin sites. His heart rate was high, 107BPM, and blood pressure was significantly low, 104/55 mmHg. His temperature, respiratory rate and oxygen saturation levels did not show any significant deviation from the normal values. The urine output measured via IDC Floey was normal although the urine was dilute. Mr. Jansen is suffering from moderate post-operative hypovolemia. His vital signs are clear implications of the condition. Hypotension, tachycardia and a moderately increased respiratory rate are explicit determinants of hypovolemia (Convertino, Cooke Holcomb, 2006).In postoperative conditions hypovolemia is generally regarded as secondary to blood loss (Pacagnella et al., 2013). Anesthetics administered during the operation can also act as a contributing factor for hypovolemic conditions (Haskins, 2006). Hypovolemia is a disease of excessive fluid and electrolyte loss or blood loss from the body. Deficiency of fluid volume decreases capillary hydrostatic pressure and fluid transport, because of which normal cellular functions like metabolism, nutrient and oxygen supply, etc. are disrupted (Munson Traister, 2005). Considering the vital stats of the patient onset of moderate hypovolemic shock can be inferred. The body employs several physiological responses in a hypovolemic condition with the prime aim to prevent further loss of water and electrolytes. Due to loss of the vascular volume the filling pressure of the heart declines, hence, the change in fiber lengths of the cardiac muscles and a subsequent reduction in the force of contraction occurs which is consistent with the Sterling Law of heart contractions (Bajwa Kulshrestha, 2012). Tachycardia observed in the patient is a result of the cardiovascular adaptation the body is going through. When the body tries to compensate for the low circulating fluid volume, it pumps faster to circulate the fluid left as fast as possible i.e. to increase the cardiac output of the body. This is consistent with the notion that Heart Rate x Stroke Volume = Cardiac Output (Keurs Noble 2012). In this case, as the Stroke Volume is decreased (due to hypovolemia) the body increases the Heart Rate to maintain a constant Cardiac Output. In severe cases, this compensation is not enough to maintain a steady Cardiac Output and both, the Stoke Volume and the Cardiac Output suffer a decrease from normal va lue. The loss of fluid causes a decrease in blood pressure of the patient. The reduction in Stroke Volume and Cardiac Output contributes to the reduction in mean arterial pressure. For patient with a history of hypertension his systolic and diastolic pressures are considerably low as there is insufficient blood in the circulatory system. The patient may have suffered from severe blood loss from the open fracture of tibia and fibula he suffered during the accident. Anesthetics affect the cardiovascular system in various ways causing hypotension, vasodialation, and decrease in systemic vascular resistance. The ultimate consequences ate tachycardia and hypotension. The respiratory rate suffered a moderate increase as the tissues are not perfused properly and there is a lack of oxygen supply to the cells (Mestek Lisogurski 2014). The lungs try to compensate for the lack of oxygen by increasing the breathing rate and thus increasing the gas exchange efficiency. The human body reacts to hypovolemia by employing several physiological compensatory mechanisms. Immediately after loss of fluids there is a baroreceptor-mediated response where the fall in cardiac output is compensated by sympathetically mediated increase in peripheral resistance. Baroreceptors are present in the atria and pulmonary arteries of the heart. They can detect a lowering of blood pressure and respond to it accordingly. They respond by activating the sympathetic nervous system and by releasing atrial natriuretic factor (ANF). The release of catecholamines, epinephrine and norepinephrine by the sympathetic nervous system promotes peripheral vasoconstriction, increases the cardiac contractility and the heart rate (Ryan et al., 2012). Tachycardia helps in sufficient redistribution of the blood to the vital organs. Renal volume receptors are another set of receptors that respond to fluid volume changes in the body. The volume receptors in the juxtaglomerular apparatus and the afferent arterioles act via the rennin- angiotensin-aldosterone system. It promotes the retention of Na+ in the body (San-Cristobal et al., 2009) by increasing reabsorption of the same, which subsequently help restore the normal fluid volume of the body. Considering all the vital signs of the patient and his medical history it can be concluded that the patient is currently suffering from moderate post-operative hypovolemic shock, which needs continuous monitoring and nursing attention. Any deterioration in the vital signs must be addressed immediately. 2. The first priority problem of the patient is the pain of the operated region the patient is suffering from. Open Reduction and External Fixation of tibia and fibula is related to several postoperative complications. A few common problems are relevant to the case of Mr. Jansen. His pain score is 7 on a scale of 1-10, which need to be taken care of and monitored. Swelling of the affected limb is observed, which is common postoperatively. The pain maybe related to the edema of the leg, or muscle spasms suffered as result of trauma of the operation. Although edema is a normal sin of healing after tissue injury, persistence of edematous fluid in the interstitium may cause injury to the nearby soft tissues and joint structures. It can hinder the rehabilitation of the patient delay the wound healing procedure by preventing the washout of wound elements that may lead to the stimulation of pain receptors and also stimulate the nocioceptors by applying fluid pressure which also causes event ual pain in the concerned region. Often the pressure of the edematous fluid also affects the lymphatic system. The lymphatic vessels may collapse or suffer damage because of edema. Preventive strategies should consider the influence on the pain receptors as well as the lymphatic system ("Treatment of Post-Surgical Edema in the Orthopedic Patient A Case Report", 2016). Hypovolemia is the second most important priority problem of the patient. Signs of tachycardia and hypotension are fairly logical considering that the patient is suffering from hypovolemia from postoperative trauma and blood loss during the accident. Hypovolemia may lead to insufficient or reduced blood flow to the different organs of the body, vascular injury, tissue trauma and edema as already observed in the patient. Increased pressure in muscle compartment may cause Acute Limb Compartment Syndrome (ALCS) (Wall et al., (2010), which leads to compromised perfusion of the tissues and ischemic conditions. Failure to take necessary actions and precautions may result in necrosis and even limb amputation. The most frequently affected sites of Acute Limb Compartment Syndrome are forearms and legs ("Peripheral neurovascular observations for acute limb compartment syndrome", 2016). Reduction in circulating volume lowers the venous return to the blood irrespective of the causes and fall in arterial pressure is a consequence of severe hypovolemia. Prolonged hypovolemia may cause severe dysfunction of the peripheral neurovascular system. The intravenous Hartmans solution the patient is being provided with should be controlled according to his needs, as administration of excess fluids can cause other significant consequences. Overall, the hypovolemic condition of the patient and the swelling and pain of the affected limb is of utmost importance for nursing care presently. 3. After precise examination and evaluation of the patients condition two nursing goals are of extreme priority: Pain Management and Fluid Resuscitation. Various nursing interventions can be applied for pain management of the patient. The prime outcomes to be expected out of the interventions are to verbalize the relief of pain, ensure that the patient sleeps and rests in comfortable and relaxed postures and finally demonstration of relaxation skills and diversion activities particularly relevant to the patients condition. Achieving these goals may alleviate the stress, anxiety, pain, immobility and muscle spasms the patient is suffering from. The appointed doctor should be consulted and made aware of the assessment data for any further change in medication. Fluid resuscitation, the other primary concern regarding the patient condition can be achieved through various monitoring and corresponding intervention procedures. The main aim is to maintain sufficient tissue perfusion, which can be monitored by observation of the palpable pulses, skin temperature, and sensation of the affected region, vital signs like blood pressure, heart rate and respiratory rate, and the urine output of the patient. Fluid balance of the body is a highly sensitive physiological parameter for the normal functioning of the body. 4. Patient-specific pain alleviation in a postoperative patient is always recommended (Corke, 2013). Specific nursing interventions are indispensable in context of the patient, as the recovery process may take substantial amount of time considering the severity of the open fracture and the age of the patient (Imani, 2011). Primarily the nurse need to ensure that the affected part is maintained in an immobilized position with the aid of traction, cast or bed rest. Pillows or plastic materials are to be avoided to support the leg. An elevated position is to be maintained. This can promote the venous return to the heart, reduce edema, which in turn can reduce the pain sensations. Immobilization prevents further tissue injury and displacement of bone. Following the nursing standards and guidelines proper documentation of the location and intensity of pain must be done using the intensity scale of 1-10. Non-verbal cues such as vital signs, behaviors and emotions also require documenting. Continuous monitoring can provide information regarding the effectiveness of interventions. As the patient has undergone operation in the recent past direct physical intervention are not recommended in any way. Therapeutic interventions may prove to be effective in this particular case. Psychological and emotional support along with managing stress by deep-breathing exercises, visualization of imagery, etc. may augment the pain coping abilities of the patient. This can be particularly useful when long-term persistence of pain is observed, which not improbable in this context. Conducting discussion sessions and talking about the problems and difficulties the patient is suffering helps the patient to manage postoperative stress and anxiety. Psychological counseling may be required to make the patient cope with the trauma of the accident experience. The complication regarding hypovolemia may affect the patient in various adverse ways and disrupt the normal physiological homeostasis of the body if not addressed with special care and actions. Evaluating the peripheral pulse nearest to the injury site monitoring its presence and quality reflects the blood circulation of that region. Decrease of absence of peripheral pulse is a good indicator of vasculature rupture caused by injury. Recording the skin temperature and coloration can provide ample information regarding circulation of the concerned region. Pale, white skin with a low temperature indicates arterial impairment. Cyanosis or bluish skin indicates venous impairment. Extreme pain in regard to the type of injury and/or increase of pain on passive movement must be reported to the doctor. Paraesthesia or damage to peripheral nerves may occur due to fluid pressure of the edema (Queiroz et al., 2009). Continual bleeding or progressive edema formation can lead to abnormal blood fl ow, ischemia and onset of compartmental syndrome. Al the mentioned conditions require immediate medical intervention and hence the symptoms should be promptly reported to the concerned practitioner. Sudden signs of limb ischemia need proper investigation; dislocation of the fractured bones may lead to the damage of adjacent blood vessels hindering blood flow to the extremities. Encouraging the patient to perform routine movements of the digits of the affected limb can somewhat promote blood circulation to the extremities. For patients whose operated parts remain immobile for a long period of time thrombosis and embolism are considerably common medical conditions. Thrombosis of blood may lead to inflammation of the walls of the blood vessels causing Thrombophlebitis (Di Nisio, Wichers Middeldorp, 2007). Even a minor embolus can lead to pulmonary embolism in patients (Torbicki et al., 2008). Tenderness and swelling of the region is of special interest in this regard, as at an old age often there is reduced sensation of pain. Vital signs those are indicative of insufficient tissue perfusion needs monitoring on a regular basis. Applying ice bags on a around the region of fracture for very short periods may reduce hematoma and edema formation. Relevant neurovascular assessments should be made on a periodic basis. To sum up, patient-centered care is mandatory for serious cases per se. Nurses without adequate expertise and relevant training are not recommended for critical patients as such. References Bajwa, S. S., Kulshrestha, A. (2012). Diagnosis, prevention and management of postoperative pulmonary edema. Annals of medical and health sciences research, 2(2), 180. Convertino, V. A., Cooke, W. H., Holcomb, J. B. (2006). Arterial pulse pressure and its association with reduced stroke volume during progressive central hypovolemia. Journal of trauma and acute care surgery, 61(3), 629-634. Corke, P. (2013). Postoperative pain management. Australian Prescriber, 36(6). Di Nisio, M., Wichers, I. M., Middeldorp, S. (2007). Treatment for superficial thrombophlebitis of the leg. The Cochrane Library. Haskins, S. C. 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