How Nurses Can Best Support Patients With Patients

Estimates are that 20-50% of patients do not adhere to prescribed medication regimens and that this nonadherence may be responsible for up to 10 percent of all hospitalizations.1 Preparing patients to manage their medications upon returning home from the hospital is a critical component to illness management and preventing readmission to the hospital. Patients who report they are unprepared to care for themselves after discharge from the hospital are likely to be readmitted.2 Readmission to the hospital is associated with increased cost,3 and increased risk for mortality4. Thus, understanding how nurses can best support patients to self-manage their medications is imperative. To prepare patients for self-management requires nurses to†¦show more content†¦Furthermore, collaborative communication that emphasizes shared decision making between provider and patient is associated with patient activation and medication adherence.7,8 The purpose of this research is to examine the relationships of hospital inpatients perceptions of nurse communication and patients’ understanding of their prescribed medications to begin to build a framework for interventions to support patients’ medication self-management. Background Medication adherence is simply defined as the extent to which patients follow prescribed medication recommendations.9 Adherence includes taking medication the way it is prescribed (right dose, right time, right route, right person), whereas medication management requires patients to understand their medication (purpose, dose, frequency, how to take it, side effects) as well as developing habits to remember to take the medications within the context of their daily lives. Actually managing medications is a relatively more complex process and can be influenced by patient activation, beliefs about medications, side effects,10 multiple daily dosing, complex regimens,10 polypharmacy,10 and communication with the healthcare team. Self-care management includes treatment adherence (following instructions) as well as symptom management and daily life management,11 Therefore, patients’ understanding of their home self-care involves being able to integrate hospital

Essay on Facades in Henrik Ibsen’s A Doll’s House

When a young girl plays with her doll house, she imagines a make-believe world full of enchantment. However, little does she realize the false and unattainable image of perfection that lies before her. With every miniature doorway and elaborate bookcase, the doll house disguises reality with a mask of flawless excellence. Similarly, Henrik Ibsen describes many appearances in A Doll House as mere faà §ades of deception. These images reiterate the theme that outer appearances are never what they seem. Through his dealing with Nora’s societal role and his use of symbolism, Ibsen effectively contrasts the themes of appearance and reality and suggests that all faà §ades will eventually be revealed. In society’s view,†¦show more content†¦Another form of deception in the play is Nora’s oscillating role between a homemaker and an individual. For Nora’s entire life, society has forced her to succumb to its expectations of a woman’s role as a devoted mother, rather than to her personal desires. However, in raising the children, she continues to reinforce these societal traditions. For example, Nora plays a game of hide-and-seek with her children. Although this amusement may seem infantile, the game itself is based on deception with its emphasis on concealment. Symbolically, Nora continues to hide behind the female persona of a mother. In the game, Nora replies, â€Å"Yes, let me hide first† (1023). As a mother, Nora sets the standards for her children. Thus, in essence, she is telling her children that it is acceptable to hide your true, individual desires. She therefore continues the repressive chain through the symbolic game of hide and seek, as she calls her children her â€Å"little, lovely doll babies† and encourages them in this entertainment (1023). However, Nora soon learns of Krogstad’s discovery of her forgery. She then recognizes that she cannot continue to conceal her past with a clear conscience. As a result, she never plays hide-and-seek with the children again, and, as a result, symbolically recognizes the fact that she â€Å"can’t be together with them as much as [she] was† (1031, original). SheShow MoreRelated Essay on Lies and Self-realization in A Dolls House1162 Words   |  5 PagesSelf-realization in A Dolls House    In Ibsens play,   A Dolls House,   the characters willingly exist in a situation of untruth or inadequate truth that conceals conflict.   Noras independent nature is in contradiction to the tyrannical authority of Torvald.   This conflict is concealed by the way they both hide their true selves from society, each other, and ultimately themselves.   Just like Nora and Torvald, every character in this play is trapped in a situation of untruth. A Dolls House, can beRead More A Dolls House: A Push To Freedom Essay examples1371 Words   |  6 Pagesnbsp;nbsp;nbsp;nbsp;nbsp;Sometime after the publication of quot;A Dolls Housequot;, Henrik Ibsen spoke at a meeting of the Norwegian Association for Womens Rights. He explained to the group, quot;I must decline the honor of being said to have worked for the Womens Rights movement. I am not even very sure what Womens Rights are. To me it has been a question of human rightsquot; ( ). quot;A Dolls Housequot; is often interpreted by readers, teachers, and critics alike as an attackRead MoreAnalysis of A Dolls House Essay1108 Words   |  5 Pageshistorical reality has on an audience. Henrik Ibsens widely regarded work, A Dolls House, was first introduced in 1879 as a theatrical presentation of human rights. Today, Ibsens work remains as such, although often conveyed as more focused on womens rights. The Norwegian playwrights vision of a seemingly common home is quickly translated through Ibsens use of symbolism, setting, and diction. Symbolism is a key aspect in much of Ibsens writing, much of which can be dually interpretedRead MoreA Doll s House By Henrik Ibsen1293 Words   |  6 Pages1879 A Doll’s House by Norwegian author Henrik Ibsen was banned throughout Britain as it challenged ideologies specific to those of Europe during the late nineteenth century. The drama presents itself as a social commentary by provoking the conservative ideals of the role of women and marriage. In the twenty-first century the performance stands harmless. Contrariwise, women of the Victorian age were seen as childlike and subservient, which resulted in much controversy surrounding Ibsen’s modern ideasRead MoreA Doll’s House by Henrik Ibsen Essay961 Words   |  4 PagesIn Henrik Ibsen’s play A Doll’s House, pointedly captures the reality of the Victorian Era within the play. Nora Helmer, the protagonist of the story, represents the typical women in society during that era. The audience’ s first impression of Nora is a money obsessed, childish, obedient house wife to her husband, Torvald Helmer. However, as the play progresses one can see that Nora is far from being that typical ideal trophy wife, she is an impulsive liar who goes against society’s norm to be whomRead MoreThe Masquerade in Henrik Ibsen’s A Doll’s House Essay1015 Words   |  5 Pages   Ã‚   In A Doll House, Ibsen presents us with Torvald and Nora Helmer, a husband and wife who have lived together for eight years and still dont know each other. This rift in their relationship, caused in part by Torvalds and Noras societally-induced gender roles and also by the naivete of both parties to the fact that they dont truly love one another, expands to a chasm by the end of the play, ultimately causing Nora to leave Helmer. Throughout most of the play, Ibsen continually has his charactersRead MoreEssay on Themes and Symbols in Henrik Ibsen’s A Doll’s House1296 Words   |  6 Pagesdoll-child† (Ibsen 1491). Henrik Ibsen’s A Doll House tells a story of scandal and deceit set in the Victorian era. Nora Helmer is married to Torvald Helmer and she feels more like his toy than his wife. Nora had to have Torvald to be able to do anything, because of when she lived. Nora borrows money behind her husband’s back (which is illegal at this time) a nd tries to cover up everything she has done. Ibsen employs the use of many themes and symbols in his A Doll House to show the reader just howRead More A Doll’s House Essay1511 Words   |  7 Pagesmonarchs over their respective homes and all that dwelled within. In Henrik Ibsen’s play, A Doll’s House, Nora is subjected to moral degradation through her familial role, the consistent patronization of her husband and her own assumed subordinance. Ibsen belittles the role of the housewife through means of stage direction, diminutive pet names and through Nora’s interaction with her morally ultimate husband, Torvald. Nora parades the faà §ade of being naà ¯ve and frivolous, deteriorating her character fromRead MoreAttending a Masquerade in In A Doll House by Henrik Ibsen907 Words   |  4 PagesA Doll House by Henrik Ibsen, each character has constructed their own metaphorical mask that they set firmly in place every morning when exiting their bed. Each c haracter: Nora, Torvald, and Krogstad all have masks that they put in place when speaking to each other. Throughout most of the play, it is clear that all of the aforementioned characters have multiple facades that they use when speaking to one another; often switching quickly as they begin speaking to someone else. Henrik Ibsen’s use ofRead Moreâ€Å"A Doll’s House†: Nora and Torvald as Husband and Wife Essay1241 Words   |  5 PagesIn â€Å"A Doll’s House,† Ibsen presents us with the drama of Torvald and Nora Helmer, a husband and wife who have been married for eight years and whose lives are controlled by the society in which they live. Their relationship, although seemingly happy, is marred by the constraints of social attitudes around them and their perceived gender roles. Creating even more conflict is the thin veil of deceit between them, which inevitably breaks them apart. In the Victorian era, the status of women in society

Nelson Mandelas Life Essay - 899 Words

â€Å"The time comes in the life of any nation when there remain only two choices: submit or fight† (â€Å"Nelson Mandela†). Nelson Mandela took the chance and fought for his rights and freedom. Mandela has gone through many troubles in his life since the day he was born. A young man that had no shoes till he approached the age of sixteen, and then transformed into a great political leader of his country. Mandela’s life is an impressing story to be told! Born on July 18, 1918, Nelson Mandela grew up like many other children in his tribe. He was born in Mvezo, South Africa and had no shoes till he was sixteen. â€Å"On the first day of classes I sported my new boots. I had never worn boots before of any kind† (â€Å"Nelson Mandela†). When Mandela wore his new†¦show more content†¦The case did not go to trial for three years. Since the government thought he was trying to attempt treason, they disallowed him from partaking in any meetings or even leaving Johannesburg. A group called the Umkhonto we Sizwe (which means â€Å"spear of the nation†) began to form which was led by Mandela. The group announced to the community on December 16, 1962 that they would take action and defend the people. â€Å"Mandela, who was formerly committed to nonviolent protest, began to believe that armed struggle was the only way to a achieve change† (Crompton 4). Even though Mandela was forbidden to leave the country, he still left South Africa. When Mandela came back, he was tried and sentenced to five years of prison labor for encouraging people to strike, and for also leaving the country illegally. Unfortunately, even more charges were put against him when the police found proof of Mandela trying to commit sabotage. He did not accept any claims of trying to practice guerilla warfare, but he did accept the fact that he tried to commit sabotage. At the end of his trial Mandela said, â€Å"During my lifetime I have dedicated myself to this struggle of the African people†¦ It is an ideal which I hope to live for and to achieve. But if needs be, it is an ideal for which I am prepared to die† (Nelson Mandela). Mandela was sentenced to life in jail at Robben Island, but that didn’tShow MoreRelatedNelson Mandelas Leadership Style and Philosophy of Life2130 Words   |  8 PagesRichard Stengel assisted Nelson Mandela with his autobiography, Long Walk to Freedom (1993) and produced a do cumentary about his life three years later. They also collaborated on Mandelas Way (2010) which offers fifteen lessons on his leadership style, philosophy of life and lessons he learned during this twenty-seven years in prison. Mandela is a genuinely modest and humane man whose entire life was given over to the cause of social justice, the emancipation of the black majority in South AfricaRead MoreNelson Mandela1187 Words   |  5 Pagesconcept with great cultural significance to a wide cultural group (Wikipedia). Abraham Lincoln and George Washington are examples of individuals who are important cultural icons to many Americans. Another person who is considered a cultural icon is Nelson Mandela; an individual who took a stand against apartheid in South Africa and established great strides toward racial equality in that part of the world. Mandela is considered as cultural icon because he achieved widespread recognition for his accomplishmentsRead MoreThe Legacy of Nelson Mandela 1215 Words   |  5 Pagesâ€Å"To deny people their right to human rights is to challenge their very humanity. To impose on them a wretched life of hunger and deprivation is to dehumanize them. But such has been the terrible fate of all black persons in our country under the system of apartheid (â€Å"In Nelson Mandela’s own words†). Nelson Mandela was a moral compass symbolizing the struggle against racial oppression. Nelson Mandela emerged from prison after twenty-seven years to lead his country to justice. For twenty-seven yearsRead MoreA Description of Nelson Mandelas Funeral Service654 Words   |  3 Pagesand presidents, chiefs and priests, celebrities and grandmothers, comrades and cellmates, here to bury Nelson Rolihlahla Mandela. Multimedia Scenes From Mandela’s Funeral Service VIDEO: Mandela Buried in Home Village VIDEO: Video Notebook: Mandela Arrives Home INTERACTIVE FEATURE: The Life and Legacy of Nelson Mandela: 1918-2013 PHOTOGRAPHS: Honoring Mandela MULTIMEDIA FEATURE: Nelson Mandela’s Legacy: Full Coverage World Twitter Logo. Connect With Us on Twitter Follow @nytimesworld for internationalRead MoreQualities Of Nelson Mandela1064 Words   |  5 Pagesimportant South African civil rights leader was born. Nelson Mandela was born into a royal tribe family and grew up under white control. However, Mandela never saw himself as the inferior race and in fact saw himself as an equal to the whites. This led him to become one of the best civil rights leader in the time of apartheid, but because he stuck up for what he believed, he was put in jail for 27 years. After spending the majority of his life in jail when Mandela got out, he became South Africa’sRead MoreAfrican National Congress Youth League1167 Words   |  5 Pageswitnessing the daily dehumanization of black Africans, it became Mandela’s mission to correct the injustice. Association with the ANC and ANCYL provided the platform for Mandela to pursue his Anti-Apartheid mission and to craft strategies like the Defiance Campaign and M-Plan. The methodology utilized by t he ANC and ANCYL inspired the AAM and UDF as well as lay the foundation for a new constitution with democratic elections. My Analysis: Nelson Mandela was a keen influence for the end of Apartheid. HisRead MoreEssay on The Man Who Changed South Africa: Nelson Rolihlahla Mandela955 Words   |  4 Pagesdecades and being a minority race? His name was Nelson Rolihlahla Mandela. He is a true inspiration to those who hear his story. Starting out as nothing more than a black man and ending as a person whose name is heard and recognized all over the world is something that just briefly explains Nelson Mandela’s life. As a true anti-apartheid Nelson Mandela did wonders for equality with much power even when imprisoned for nearly three decades (Smolowe 62). Nelson Mandela was a man admired by the world forRead MoreNelson Mandel A True Inspiration For All Of Humanity1748 Words   |  7 PagesNelson Mandela: From Vision to Transformation A true inspiration for all of humanity, Nelson Mandela broke down barriers of social injustice, committing his life to the vision of a free and democratic society. His dedication and inspiration to those considered underprivileged or subjugated within their own governmental or political constraints serve as testaments to the power of leading with compassion and humility. Through his leadership and years of self-sacrifice, Nelson Mandela became SouthRead More History Of Aparthied as It Refers To Cry the Beloved Country1029 Words   |  5 PagesThis is why Mandela is considered such a great leader. Nelson Mandela’s message through his speeches was one of hope, which is the only thing the people of Ndotshemi have to thrive on (Chokshi). Alan Paton, the author of Cry the Beloved Country, also believed in hope bringing together the land of South Africa. There are many similarities between the novel and the real life occurrences of the South African Apartheid. In the book or in t he real life Apartheid, someone came into the scene that was willingRead MoreThe Death of Nelson Mandela and the Asian Tsunami Essay1517 Words   |  7 Pagesthrough analysis of fact findings and drawing conclusions thereof. The media houses I will be discussing include CNN, The Telegraph, Counterpunch, and BBC. Page 1 Local media spectacle I have chosen the media spectacle of Nelson Mandelas death as it was a huge topic for discussion both locally and globally. With regards to local vs global, Mandela was the anti-apartheid icon of the world and locally was a father to modern South Africa. The day he died brought the whole world

Memo Australia

Question: Mr. Dewey, a Senior Partner of the CPA firm Dewey, Cheatem, Howe, after noting that many positivist-accounting theorists and rightwing economists recommend that general purpose financial statements (GPFS) be deregulated and let market forces control the quality of GPFS, has suggested that the role (and revenues) of independent external audit firms will be dramatically enhanced. Required: Give insight on this issue in a to 1 page Memo that is addressed to Mr. Tu Dewie and resolves his concerns. Answer: Context: Mr Dewie has requested that us get to the benefit improving open doors made by such revaluation of non-current resources. Action: The general effect of revaluation of non-current resources would not be on benefit and misfortune account. The same would be collected as Revaluation Reserve under Equity. Mr. Howe, AASB 1041, on Revaluation of Non-Current Assets and AASB 116, on Property, Plant and Equipment manages the issues of revaluation of non-current resources. According to the prerequisites of the benchmarks the non-current resources of the organization may be perceived at the reasonable estimation of such resource. However there is a necessity of steady revaluation of the advantage, so the convey measure of the benefit does not vary with the reasonable esteem really. Currently revaluation there may be either an increment in the estimation of the benefit or a lessening in the quality. The standard accommodates the bookkeeping technique under both the circumstances. On the off chance that the reasonable business sector estimation of the advantage is more than the book estimation of the benefit, then the advantage must be re-esteemed upwards. Currently upward revaluation of advantage the organization would procure benefits. However these benefits would be specifically credited to the Revaluation Reserve which structures a piece of the Equity and would be aggregated there. The firm would not be allowed to perceive the income emerging there from in the benefit and misfortune. Consequently if a class of benefits are re-esteemed upwards the ensuing increase would gather in the Reserves of the worry. In the meantime, there may be a circumstance when the reasonable business sector estimation of the benefit is short of what the book estimation of the advantage. Under those circumstances the firm would need to debase the advantage, and remember it at lower than the convey sum which would come about into a misfortune to the worry. This misfortune would be perceived in the benefit and misfortune instantly as a thing of cost. The general misfortune on the advantage would be charged off to the benefit and loss of the organization and would show up as a thing of costs in the year of descending revaluation. The standard requires for revaluation at normal interims to guarantee that there are no significant contrasts between the worth reported, and the real reasonable estimation of the advantage. Consequently there may be a circumstance that an advantage has been depreciated in one monetary year and the same meets all requirements for upward revaluation in any resulting year. Under these circumstances, the benefit emerging on the revaluation of such resource, may be perceived in the benefit and misfortune as a thing of income just to the degree of misfortune perceived in the benefit and misfortune in any past monetary year. Any sum in overabundance of such misfortune would be collected as Revaluation Reserve under Equity. Subsequently on the general audit of the bookkeeping procedure, there can be no circumstance when the revaluation of the advantage can have any benefit improving open door. The main probability for distinguishment of income because of revaluation would emerge when a relating measure of costs has been perceived in any prior budgetary year, consequently squaring off the general misfortune. There is no benefit upgrading open doors accessible for a firm as a consequence of revaluation. Rather then again there may be a decrease of benefit because of the distinguishment of misfortune on descending revaluation of advantage. In these grounds Mr. Howe, we reason that there are no probability for upgrading the benefit because of the revaluation of non-current resources. Reference: AASB Standards