Internet Censorship Essay - 1329 Words

Internet Censorship Used Around The World Some people wonder who came up with the idea of internet censorship. Other people want to know which countries use it. Some ponder over the idea of what really is internet censorship. Internet censorship is controlling what can be viewed, and which sites can be used on the internet. Some things about internet censorship are countries that use it, and who started the idea of it. There are lots of countries that use internet censorship. A few of them are China, North Korea, and Russia. China is one of the leaders in using and censoring the internet. They have the biggest internet censorship system on the globe. Their system grew rapidly compared to most of the other countries censorship systems.†¦show more content†¦There is only one cyber cafe in North Korea, and it is in Pyongyang, North Koreas capital city. North Korea â€Å"built its own custom-built operating system†(Lee), which is named Red Star. It is used on the computers in Pyongyangs cyber cafe. One crazy rule in North Korea is every time Kim Jong Un’s name shows up anywhere on any page on the internet, it has to be programmed on every pages code to be slightly bigger than the rest of the text on that page, â€Å"just enough to make it stand out† (Lee). The people of North Korea are â€Å"intentionally starved† out of any information except government propaganda (Lee). If you want to buy a computer in North Korea, it will probably cost about â€Å"three months of your salary, so people rarely do. They only have one high-speed internet cable while other countries like the United Kingdom, and the United States of America have â€Å"dozens† of them, so if one of the links fail we will be able to maintain it. North Korea wont be able to. It is easier for North Korea to control though with only one cable. (Sparks) Other countries like Russia try to use other countries ideas. Russia is trying to â€Å"copy† what China is doing with their internet. At first Russia’s internet was mostly free of censorship, but after a large anti-corruption protest in russia that was created through the use of the internet, Vladimir Putin feels that Russia’s internet should be more like Chinas. InShow MoreRelated Censorship and the Internet Essay1213 Words   |  5 Pagesinformation available on the internet many people believe that som e of this information should be censored by the United States Government. Whos to say what should be accessible and what should not? Where does it start and stop? Does internet censorship make a nation a safer place to live? There are many countries that don’t allow the use of the internet at all and some countries only censor what they don’t want their citizens to know. Daniel Calingaert said â€Å"The internet has provided greater spaceRead More Internet Censorship Essay1605 Words   |  7 PagesEveryone has heard of the Internet and how it is going to help set the world free. The Internet is the fastest growing form of communication and is becoming more and more common in the home. Companies these days do big business over the Internet, and online shopping has grown tremendously in the last few years. For instance, the online auction site eBay sells millions of items every year online. Many companies are making even more plans to expand their business to the I nternet. Unfortunately, there haveRead More Internet Censorship Essay1726 Words   |  7 PagesInternet Censorship The freedom of speech that was possible on the Internet could now be subjected to governmental approvals. For example, China is attempting to restrict political expression, in the name of security and social stability. It requires users of the Internet and electronic mail (e-mail) to register, so that it may monitor their activities. In the United Kingdom, state secrets and personal attacks are off limits on the Internet. Laws are strict and the government is extremely interestedRead MoreInternet Censorship Essay example968 Words   |  4 PagesInternet is one of the most powerful means of communication in the history of humankind. It brings people together and has potential sources of information as well as entertainment. Besides, it has a lot of dangers and harms for the users (especially for children). In Australia, the idea of ‘internet censorship’ began since 2003 by the Australia’s prominent think tank when researched about online habit of Australian teena gers and the dangers related to internet. This essay will discuss about theRead More Internet Censorship Essay example1506 Words   |  7 PagesCensorship of the Internet   Ã‚  Ã‚  Ã‚  Ã‚  We should demand that all public schools and libraries install and configure Internet Filters. This statement shows how Jeffery Pollock, a candidate for the 3rd Congressional District seat in Oregon, views the Internet. Unfortunately for him, the one thing that he ranted and raved about was the one thing that gave him an unfair disadvantage in the in the upcoming elections. (Blind Ballots) Cyber Patrol, One of the leading Internet censoring companies and isRead More Internet Censorship Essay802 Words   |  4 PagesInternet Censorship Internet Censorship. What does this mean to us? What is restricted? Censorship is summarily defined as the suppression of objectionable material. That means that material such as pornography, militant information, offensive language, anti-religion, and racism would be restricted in use. Freedom would not only be restricted to material placed on the web, but also what you could access, and where you could explore. Should the right of Freedom of Speech be taken away fromRead MoreFailures of Internet Censorship Essay1890 Words   |  8 PagesInternet censorship is the use of filters or ‘blocks’ to control what is published, access and viewed across the internet. It is used by parents, organisations such as schools and corporations and governments to restrict what their citizen’s access and post online. Internet censorship has occurred since the early days of the public internet, where governments around the world have attempted to address the issue of illegal materi al, political propaganda, harmful material or content deemed unsuitableRead MoreInternet Censorship Essay886 Words   |  4 PagesInternet Censorship Presently, it seems that the Internet is playing a very important role in everyones daily life. This multipurpose network has many different functions useful for everyday work and entertainment. Due to the freedom of the Internet various debates and protests have come to disagree with its open form of communication. Because of the misuse of the internet many people believe that there should be some kind of internet censorship, while others are against internet censorshipRead More Internet Censorship Essay2216 Words   |  9 PagesInternet Censorship Max walks into the classroom five minutes late, his shirt untucked and hardly buttoned. He sits down a few desks away from Ben who had arrived five minutes early and was waiting patiently for class to start. Although the boys seemed completely opposite, Ben the more conservative and shy one, while Max, a little more rebellious and mischievous, they were best friends and did most everything together. A few weeks into their fifth grade year, the teacherRead More Internet Censorship Essays3790 Words   |  16 PagesInternet Censorship There is a growing debate about censoring the internet. Some people think that the internet is protected under the first ammendment and cannot be censored. Others think that some of the material that is on the net needs to be filtered and regulated. The word censorship is defined as examining any material and prohibiting what is objectionable, according to Webster’s II dictionary. Censoring the internet is a violation of the first ammendment rights of every citizen

Similarities And Differences Of Sexuality Among Major...

Similarities Differences towards sexuality among major religions Human sexuality is the expression of sexual sensation and related intimacy between human beings, Psychologically, sexuality is the means to express the fullness of love between a man and woman. Biologically, is it the means through which a child is conceived and the lineage is passed on to the next generation (new world encyclopedia). Sexuality has existed for as long as creation has been evolving, Egyptians in ancient times weren t so different than us but they had different views. For instance, Egypt was open and for the most part wasn t filled with guilt towards the act. Lets not forget that it was ancient times after all, adultery was unacceptable just like it is viewed now except that woman usually got the worst punishment. A man could be just be made to divorce but the woman would be beaten, killed and feed to the dogs. Although, that is merely one set of culture standards, in other parts woman were the ones in power because their ability for reproduction was viewed positively. The ability to give life to a child and procreate was seen as the ultimate gift from â€Å"God†. In early religions the procreating power is worshipped in god regarded as its embodiment. Virginity is sacrificed to gods in order to secure their favor. Virginity and continence are enforced either, again, as a sacrifice pleasing to the gods because indulgence in the pleasures of the flesh is regarded as the root of great moral evils.Show MoreRelatedAn Individual’S Sexual Curiosity In And Enticement To Other1095 Words   |  5 Pagesindividuals; having stimulating feelings and experiences, speak to human sexuality. Different from sexuality, biological sex is classified through genetics, anatomy, hormones and physiology; female or male. An individual s intelligence of their own gender refers to gender identity or sociocultural classification, which is also set apart from sexuality; however, it is constructed on biological sex and shapes sexual orientation. Sexuality is practiced and displayed in several ways that include opinionsRead MoreHistory 53 Judaism Essay1737 Words   |  7 Pagesall Western religions and explain why some people argue that Zoroastrianism provides the foundation for much of Judaism, Christianity and Islam. 4 Id- When and why was the Temple in Jerusalem destroyed for the last time? Explain the differences between Sadducees, Zealots and Essenes. What was the Maccabean Revolt? What festivity celebrates this event? In terms of the 6 Ways, how did Judaism change after the destruction of the temple? 5 Id-What are the similarities and differences between OrthodoxRead MoreChristianity, Judaism, and Islam Paper2281 Words   |  10 Pageswith the religions Judaism and Islam. There are few similarities between the three major religions. One similarity is that Abraham is viewed the same between all three religions. The only other similarity is that all 3 religions believe in a God, just in different ways. There are much more similar theological aspects of the religions when Christianity is compared to Islam itself and Judaism alone. Judaism is, of course, much older that Christianity but there are still many similarities. WhilstRead MoreIts Time for Legalization of Same Sex Adoption Around the Country1352 Words   |  6 Pagesthe lifestyle that same-sex patents present. In addition, the government has to realize that religion should not play a role in whether or not gays should be able to adopt as a couple. People always say they feel for children and wish they could help. Well here is that opportunity! These children need a loving home, and if a gay or lesbian couple can provide that, why not let them. I agree that religion plays an import part in everyday life, but that alone does not provide security for those in fosterRead MoreA Cultural Diversity Training Program1213 Words   |  5 PagesBy having a training program in place of cultural and diversity areas can help prevent the organization in getting sued or prevent a major lawsuit. That is why organizational leaders are charged with making sure they ar e in compliant with Federal and State laws. If an employee feels they have been treated differently, because of their culture, age, color, religion, or physical disabilities, this could lead to legal trouble for the organization (Kesee, 2010). One of the organizations that prohibitRead MoreAdoption to the Homosexuals Couples Essay1410 Words   |  6 Pagesexperience, the lifestyle that same-sex parents contribute. In addition, the government must consider that religion should not play a role in whether or not gays should be able to adopt as a couple. People always say they feel for children and wish they could help. Well here is that opportunity! These children need a loving home, and if a gay or lesbian couple can offer that, why not let them. Religion plays an import part in everyday life, but that alone does not give security for those in foster careRead MoreThe Importance Of Being Sexual : A History Of Sexuality Essay2012 Words   |  9 PagesThe Importance of Being Sexual: A History of Sexuality Sex is the force that drives the continuation of humanity, and sexuality is an integral part of human life. Next to survival, the most primitive primal human instinct is sex. Sexuality is something carnal and pervasive, something that is responsible for and touches the lives of everyone. Understanding its history, its relativity to culture and era, and its fluidity of meaning is vital to gaining and composing a full understanding of the behaviorsRead MoreAdolescence Is A Critical Time For A Human1405 Words   |  6 Pagesinto a perception of self. Adolescents are struggling to identify different areas in their life such as religious preferences, sexuality, future careers, and hobbies. According to Zastrow and Kirst-Ashman (2013): Arriving at answers to such questions is among the most important tasks people face in life. Without answers, a person will not be prepared to make such major decisions as to which career to select; deciding whether, when to whom to marry; deciding where to live; and deciding what toRead MoreTaking a Look at Gender Norms962 Words   |  4 Pagesintrinsic part of the societal social order and introduces divisions. These gender divisions become interwoven in the economy, family, arts, religion, politics and daily existence. Gender therefore interconnects with economic disparity, racial or ethnic hierarchy, caste supremacy and differences based on sexual orientation. Gender inadvertently becomes a major social status, a way of life for the individuals in these societies, in other words, gender norms arise. Gender norms refer to socially definedRead MoreWhy Should People Commit Crime And Labeling Theory From A Sociological Perspective1743 Words   |  7 Pageslabeling theory. In this essay, I am going to compare and contrast the two theories and explain how tattooing has become a stigma in today s society. I am going to discuss three similarity views; first they share ties with social strain in deviance, by the way, society is structured. Second, they both deal with crime among minority group as well as crime rates in the United States. Third, both anomie-strain and labeling theory focus on the deviant behavior regarding the individual social and cultural

A Secret Weapon for Short Essays

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Discharge Plan for Patient Who Underwent Total Hip Replacement free essay sample

This paper focuses on the discharge plan for patient who underwent the Total Hip Replacement (THR). The nurse, as a case manager, works with the multidisciplinary team to determine the appropriate discharge plan for the patient. The roles and responsibilities of each member are elaborated. The healthcare issues, the safety assessment are discussed. In this case study the patient lives alone during the recovery from the surgery, so the effects of social isolation and psychological factors on the recovery process are also explained. Assessment of the Situation: After the assessment of Mr. Trosack medical conditions, the three healthcare issues that present are identified as (1) high fall risk, (2)the insufficient family support, (3) the pain issues that are resulted from the hip fracture and the total hip replacement (THR), and (4) the impaired mobility. There are many factors that will put Mr. Trosack at risk for future falls. First, the physiological changes associated with ageing that affect mobility. These factors may include hearing loss, visual impairment, decreased muscle mass, decreased muscle strength; especially in lower extremities, as well as a decrease in endurance. These conditions make the older adults vulnerable and contributing falls. Second, some of the medications that are prescribed for Mr. Trosack such as Percocet, Glucophage, and Lopressor have adverse side effects that may increase the risk of future falls. Percocet was prescribed for his postoperative pain, Glucophage was prescribed as an anti diabetic agent, and Lopressor used to treat hypertension. Some of the side effects of Percocet associated with falls include orthostatic hypotension and sedation which can make him dizzy or drowsy. Hypoglycemia is a side effect of Glucophage and it is also risk factor for falls. Lopressor may cause fatigue, weakness, and hypotension and these symptoms could also easily increase the incidence of falls. In addition to the medications, other complications that develop after hip surgery are pain and impaired mobility which are also added risk factors of falls. Upon further assessment using the Morse fall scale it was found that Mr.Trosack scored 65. A patient who scores more than 25 is at high risk and should have fall prevention strategies in place (Mauk, 2010). Because of the several high risk fall factors that present Mr. Trosack ,it should be recommended that he not be discharged to his home where he has to mostly mange his own care and risk future injury. His family also refuses any outside nursing assistance and it will be extremely difficult for Mr. Trosack to perform the basic activities of daily living. Another healthcare issue is the insufficient family support Mr. Trosack receives. He currently lives alone in his own apartment on the second floor of a three story apartment building. He has a son, Peter who is 44 years old and married. Peter and his wife are very busy with their careers and both work about sixty hours a week. They are also trying to conceive their first child. Living this type of life and having their own family commitments will not allow them to offer much help to Mr. Trosack. It also has been shown that in the past Peter has had minimal contact with his father. The other family member that Mr. Trosack could look to is his brother, Karl. However, most of Karl’s time is occupied with working schedules at the family-owned bakery store. This limitation prevents him to assist with Mr. Trosack’s daily care. Furthermore, the results of the family interview show that the family members have inadequate knowledge about the needs of taking medications. They also do not believe that Mr. Trosack has Diabetes and assume that a modification to his diet is enough to cure the disease. Since it appears that family members cannot provide sufficient care along with their lack of knowledge about his illness and treatments, Mr. Trosack is not safe to be discharged to his home. The nurse must reevaluate and find placement where he can have adequate and effective care in a long-term care and rehabilitation facility. This will provide him the nursing care, wound care, physical therapy, ambulation assistance, dietary consultation to control Diabetes, teaching, and other services needed to facilitate his recovery and prepare him to care for himself at home. The third healthcare concern is the pain issues that can affect the recovery process and quality of life. The incision pain from the surgery may interfere with his mobility and activity of daily living. Mr. Trosack potentially needs help for some asic daily functions such as preparing meals, getting dressed, taking showers, and getting out of bed. Although he has been prescribed Percocet to manage his pain he has a history of medication non -compliance as evidenced by the many old prescriptions that fill his bathroom medicine cabinet. Therefore, it is believed that he may not take his medications as prescribed, so pain may continue to affect his mobility, self care, and daily functions. Pain may also cause sleep disturbance, such as sleep deprivation, which can lead to fatigue and decreased immune functions. This potentially will slow down the recovery process after the surgery. Keeping these indications in mind, the pain issues described here should be considered when planning for discharging the elderly patient. The fourth healthcare issue is impaired mobility. The mobility impairment affects patient both physical and psychological aspects. Due to the gait instability, poor balance, pain and, muscle weakness caused by the hip fracture and the surgery, Mr. Trosack has to use walker for ambulation. However, he lives in a small cluttered apartment, the bathroom is also small with no safety equipments installed, and there are many scatter rugs, this home environment highly put him at risk for falls. Using walker as an assistive device for ambulation and not being able to independently perform daily activities like before, these are the adjustments to the lifestyle changes which can lead a psychological problem as he states â€Å"he is being disabled†. Due to the fact that he is living alone, if the discharge destination is home, the feeling of being disabled and the isolated living conditions, may lead to a psychological disorder such as depression. Therefore, the interdisciplinary team will need to consider the impaired mobility issues when planning for the discharge placement. The interdisciplinary team works together to develop an appropriate discharge plan that meets patient’s goals, needs, and their medical conditions. The plan will also promote their independence in their activity of daily living as much as possible. Some of the healthcare professionals that make up the multidisciplinary team to establish the discharge plan for Mr. Trosack include the physician, nurse, physical therapist, and the registered dietitian. The members of the team have the specific roles and responsibilities. The physician assesses the patient’s medical conditions, summarizes the medications and the treatments. Next, the physician then writes the discharge order, discusses the discharge plan of care, and the follow up visits with Mr. Trosack and family members. The nurse’s role, as a case manager, is involved in all aspects of the discharge planning. The nurse will inform Mr. Trosack and his family about the discharge process. In this scenario, after the evaluation of the patient’s clinical conditions and psychosocial issues, the patient is likely to be placed in a skilled nursing facility. The nurse will coordinate with the chosen facility and make arrangements for the transfer to ensure a smooth transition and for the continuity of care. Teaching is an essential part of nursing care. Mr. Trosack and his family members will be taught how to manage the incision site, his pain, Diabetes, and hypertension. Teaching also involves dispensing medications along with the side effects, the appropriate diet to control blood sugar levels, diabetic foot care, prevention of fall risk, good nutrition to promote healing, signs and symptoms of hyperglycemia and hypoglycemia, and when to report to the healthcare provider. Another healthcare professional who will play an important role in the discharge plan is a Physical Therapist (PT). Mr. Trosack will be assessed and evaluated about his mobility status, balance, and gait patterns. PT will make recommendations about assistive devices for ambulation such as a walker and arrangements for gait and balance training. PT also provides teaching to patients and their family members about exercise programs such as strengthening exercises to improve muscle strength around the hip joint and legs. Other types of the exercise may include range of motion exercise which can prevent joint stiffness and maintains joint flexibility. Additional instruction includes the proper use of the devices, safe transferring, and positioning techniques. Other personnel who make up the interdisciplinary team is the registered dietitian (RD). An RD will work with the patient and perform an assessment using medical and social history, diet history and laboratory data to plan for the appropriate nutrition program. Individualized sample menus and meal plans based on patient conditions are provided to patient and family members. The RD also monitors the patient’s nutritional status and the response to the plan to improve the clinical outcomes. With his current medical illnesses, Mr. Trosack needs adequate calories, vitamin c, and zinc to promote wound healing and recovery from the Total Hip Replacement. The meal plan should also include a diabetic diet to control blood sugar levels and the proper nutrition to manage hypertension. As for the discharge placement for Mr. Trosack, the results of the safety assessment are important and will be used to determine the post discharge site of care. The data from the interview of the patient and family members reveal that the patient’s goal is to be discharged home. However, the assessment of the current living environment found that there were many factors not suitable for Mr. Trosack’s recovery at home. He lives in a three- story building, on a second floor, and there is no elevator, the post surgery conditions will make it difficult for him to take the stairs. Mr. Trosack also mentions in the interview that he cannot go to the basement. Furthermore, his apartment is small and cluttered, and there are many small rugs scatter throughout the apartment, this makes it difficult for him to get around and to manipulate the walker. Also, the bathroom is small and there are no safety tools, such as a raised toilet seat installed for patient who just underwent the hip surgery. The further assessment found many expired old prescriptions in the medicine cabinet; this reflects his noncompliance with medications in the past. Other factors that need to take into the considerations when the patient is discharged home are the transportations to the follow up visits, the support of the family, and the ability of the patient to manage the activity of daily living (ADLs). Mr. Trosack’s family members are too busy with work and unlikely to provide the adequate support. Therefore, Mr. Trosack will have a difficulty getting the medications, and going to the follow up visits. As for the capability to manage basic ADLs, the incision pain and the unsteady gait can interfere with the ability to perform some basic functions, for instance, getting dress, getting in and out of bed, and using the toilet. Based on the safety assessment and the interview data, Mr.Trosack should be discharged to the skilled nursing facility where he can receive the skilled nursing care and rehabilitation services, while working towards the goal to go home. If Mr. Trosack and the family members decided to be discharged home, the nurse will need to explain the plan of care and provide the extensive teaching to the patient and family members. This is to ensure that the patient will receive a safe and effective care at home. The teaching must be emphasized on the patient safety which includes home modification and fall preventions. The additional information includes diabetic care, medication and side effects, the ability of the family to provide supports on both physical and psychosocial needs. The nurse also may provide the necessary information about the community resources that helps to support the patient’s care. As for the safety measure, if possible, Mr. Trosack should move to the ground floor apartment. The living environment inside the apartment needs to be modified for an easy ambulation to decrease fall risks. The adequate lighting, removing the clutter and make the clean pathways are essential. He also needs some safety equipment installed in the bathroom. These may consist of the bath seat, high toilet seat, grab bars, a tub transfer bench, and the assistive devices to help with the low body dressing and bathing (http://www. texashealth. org/body. cfm? id=1619). During the recovery period, the family members have to consider the ability to manage their time in order provide Mr. Trosack the sufficient and effective care. Mr. Trosack will not be able to take the stairs, therefore he will need the assistance from the family to deliver meals or groceries, and remove the trash. The family members can also assist in removing the spoilage food in the refrigerator, and the old medications in the bathroom cabinet. The current prescribed medications, the walker, and the telephone should be located within reach. The family members may take turn to help patient with the dressing changes, bathing, dressing, and toileting. In addition, due to the medical diagnoses of Diabetes and hypertension, the family and Mr. Trosack also will receive the teaching on the diabetic care, the appropriate nutrition to control blood sugar and blood pressure. The diabetic care teaching involves the monitoring of the incision site for signs and symptoms of infections, any skin breakdown, and the daily inspections of the feet. Moreover, the nurse will also teach the patient the proper use of the glucometer, the signs and symptoms of hypoglycemia and hyperglycemia, and the proper response to these conditions. The nurse will also educate patient and the family members about weight reduction and the health benefits. Mr. Trosack weights 210 lbs; losing weight will help him improve the medical conditions of Diabetes and hypertension. Weight loss helps promote cell’s sensitivity to insulin. It also has a positive effect on lowering blood pressure. Teaching also includes medications and the side effects, and when to report to the healthcare provider. The nurse will explain the importance of taking medications to manage the current illnesses. The negatives effects of medication non compliance also should be addressed. Besides nursing care, PT also provide teaching about the proper use of walker, the safe positioning and transferring, and the exercise program to promote the joint movements and muscle strengths. Taking care of Mr. Trosack requires a great amount of time and commitment. Since Mr. Trosack has medical issues from the surgery, his brother, Karl has to manage the bakery business alone. Karl will struggle with work and managing time to adequately take care of his brother. Similarly, Mr. Trosack’s son, Peter and his wife also have high pressure from work. They both work in the average of sixty hours per week. Besides they plan to conceive a child. So their situations may not allow them to provide Mr. Trosack a competent care. Because the family declines the outside nursing care, the nurse can provide the community resource lists to assist the family in provide the adequate care. For instance, the local senior center offers the different services to serve the elderly in the community such as senior transportation program; this can help Mr. Trosack to go to the scheduled follow up visits. Some of the other services are the meals on wheels which delivers the nutritious meal to the patient’s home. Also the respite care, this helps the family to have a temporary relief from providing care to the patient. Besides the physical care, the older adults also need psychological supports to promote the recovery. Social isolation and psychological factors can impact patient’s recovery from the illness. The causes of social isolation may be due to the lack of supports from family and friends, the financial difficulty, the illnesses, cognitive impairment, and lack of transportations. Also, the physiological changes associated with ageing, for instance, the impaired sensory functions, such as poor vision and hearing loss, can decrease the ability of the elderly to interact with other people which can result in social isolation. Being isolated from the society, it can lead to the loneliness. The lonely patients tend to have no interest in self care and physical activity. They also usually don’t comply with medications and medical treatments; this may cause the negative clinical outcomes. Furthermore, the elderly who lives alone with no supports commonly has poor appetite. A good nutrition is needed for wound healing and the recovery from the surgery and diseases. In contrast, poor nutrition will slow down the healing and recovery process. In addition, dealing with the illnesses is a great challenge in life; the patients will experience the emotional difficulty and need some supports to get through the situation. Lastly, social isolation is usually associated with poor mental health. This may further cause psychological dysfunctions such as depression and suicide. Apart from social isolation, psychological factors such as personal’s beliefs, optimisms, and the ability to cope with stress and the challenges in life, also play important role in the recovery process. The elder patients, who are optimistic about their care, and the possibility of the recovery, normally have a better a capability to cope with stress and the illnesses better than the pessimistic patients. They believe in the healthcare providers and the positive outcomes of the treatments, therefore these patients are likely to corporate with the plan of care, the necessary life style changes to improve the medical conditions, and doctor appointments. The optimists generally maintain good social supports and participate in social activities. They are also mostly in a good emotional state and happy with their lives. The happiness is linked to better immune functions, which lead to positive recovery outcomes. Besides optimism, the ability to cope with stresses also an essential element in the recovery process. The older patients who are capable of applying the coping skills to reduce stress may have better clinical outcomes that those who lack of stress management skills. The high level of chronic stress affects the physiological functions of the body. In response to stress, our body releases the cortisol hormone. One of cortisol functions is to suppress immune system. When the immune system is weak, it decreases the ability of the body to recover from diseases and fight infections. Based on Mr. Trosack medical’s condition, the results of safety assessment, and the information from patient and the family’s interview, he should be discharged to the skilled nursing facility and work towards the goal to be discharged home. At the skilled nursing facility, he will receive the care needed for the recovery. Mr. Trosack will have nursing assistant to assist with some ADLs such as toileting and dressing. He will received nursing care to monitor the incision site, manage the incision pain, monitor blood sugar levels to prevent the complications of diabetes. Also he will be provided proper nutrition and pharmacological interventions to manage diabetes and hypertension. Furthermore, he will be monitored for future falls and injury. Besides nursing care, Mr. Trosack will receive physical therapy treatments and the exercise program to improve balance and muscle strengths. He will also learn about the proper positioning to prevent the dislocation of the hip joint. Moreover, he will receive the adequate supports from the medical professionals and the staff. Also, he will have the opportunity to participate in group activities which will give him a sense of social connectedness. This helps promote mental health and facilitate the recovery. In conclusion, the nurse as a case manager works with patient, family members, and the interdisciplinary team to plan for the appropriate discharge for the patient. The discharge destination is chosen based on patient’s goal and needs. The results of the safety assessment and the interview of the family and patient along with patient’ medical conditions are used to determine the discharge placement. If the patient’s goal is to be discharged home, the nurse must provide the family the information about the needs of home modifications, the safety equipments installation to prevent future falls. Also, the nurse will discuss with the family members regarding the supports patient will receive at home during the recovery period. The nurse will also explain the family about the effects of social isolation and the psychological factors in the recovery process.