Thursday, September 26, 2019

Tax Memos Essay Example | Topics and Well Written Essays - 500 words

Tax Memos - Essay Example Under Section 1212, Anita will be entitled to carry forward this capital loss to succeeding years, provided there is a net loss including all other similar type of transactions involving capital transfer. Moreover, Anita can claim a deduction of $600 from taxable income, since it is well within the limits amounting $3000, under Section 1211 (Cornell University Law School, â€Å"Limitation on Capital Losses†). While analyzing this situation, Anita, being a taxpayer has to refer to Section 267 of US Code of taxation, if she wants to sell the stocks to her sister, Kathy (Cornell University Law School, â€Å"Losses, Expenses and Interest with respect to transactions between Related Tax Payers†). Under Section 267, Kathy would be considered as a related party in this type of transaction between the two, Anita and Kathy and hence the amount of deduction will not be available then. However, sale of the stocks to her friend, Marcia will not attract Section 267. Marcia and Dave, who are married to each other is planning for a divorce agreement. They have two children and will be in the custody of Marcia after their separation. In accordance with the divorce agreement Dave decides to keep the boat and give away the home to Marcia. Dave and Marcia will also have to decide upon whether Marcia will be receiving the stocks which were acquired at $100,000 and having a present market value of $150,000 or in the form of yearly payments to Marcia for 5 years, with an included yearly interest @ 8% p.a. On analyzing this situation, the first consideration would be the tax consequences as a result of the transfer and settlement of properties. The immediate tax implications will be nil because Under Section 1041, any transfer of property within 1 year of the divorce will not amount to any gain or loss. However, it can have an effect in future, after 1 year, when either the home or the boat is sold by any of them and it can attract capital

Wednesday, September 25, 2019

The Younger the Better in English learning practice Essay

The Younger the Better in English learning practice - Essay Example At the same time, parents believe that ‘the younger the better’ when learning a second language. They spend a great deal of money to send their children to English speaking countries to enhance language ability while the learners are still young. However, there have been many arguments about the appropriate language learning period. Unlike the general thoughts of many people, some researchers have suggested adults have a better advantage in language learning. In this paper, both views of language acquisition will be introduced. First, the paper will go through research cases and researchers’ suggestions supporting ‘the younger the better’. This will be followed by studies suggesting adults' second language acquisition is more advantageous than young learners. ... It is crucial for language learners to learn a language before puberty. Language acquisition which takes place after puberty is qualitatively different from the acquisition which takes place before puberty due to cerebral lateralization of function in the brain. In the 60s, there were not many studies done to prove the hypothesis. His claim was limited to the suggestion of the ‘critical period’ of first language acquisition. He left further research about second language acquisition to other researchers. Since Lenneberg’s (1967) study of the ‘critical period’, research concerning his work began to get much of the spotlight. Several researchers supported his study (Newport, 1990). One of the most notable works was from Curtiss(1977) about 13 year old girl named Genie. Genie was found by neighbour in Los Angeles when she was 13. She had been isolated from linguistic, social, environmental input until she was found at the age approximately at the end of the puberty. There existed no linguistic formal information when she was found, yet, she had the average intelligence of her age group. She started learning her first language at thirteen years of age. The research implications were incredible. Her performance was similar to that of average 13 year old child but she had a difficult time applying language to real life situations. Also, she needed more than five months to accomplish certain step of linguistic competence while other children of her linguistic age were able to complete the steps within 2 to 6 weeks. Even though she had five years of special training, Genie was able to speak on her own initiative and was able to understand certain degrees of complicated sentences, her

Tuesday, September 24, 2019

Mobile Computing and Social Networks Essay Example | Topics and Well Written Essays - 2500 words - 1

Mobile Computing and Social Networks - Essay Example Quite a few market research studies also forecast a new internet revolution on mobile phones. Some of the new smart phones are more powerful than computers and operate in the ‘intimate’ space, accompanying people throughout the day (Arora 2012: 1). The convenience and capability to access data or do certain tasks with the help of applications from homes or any other public place using mobile devices even without a desktop computer has ensured a considerable increase of convenience and efficiency for businesses and people on the move The smart phone technology research and development wing has become very active in recent years and is improving day by day. Mobile networks are also creating phones that are increasingly better and tougher to intrude into or hack thus correspondingly increasing the capability of mobile devices and its applications. Effectiveness and Efficiency of Mobile Applications: A simple way to describe geolocation is to say that it is a technology that requires data from a computer or mobile phone to pinpoint a person's actual physical position. A better and succinct definition that could be used is as follows: â€Å"A geolocation system is an information technology solution that ascertains the location of an object in the physical (geo-spatial) or virtual (Internet) environment. Most often, the object is a person who wants to utilize a service based on location, while maintaining his/her privacy† (ISACA 2011: 5). This has caught up among today’s youth and social networking sites which they commonly use by providing us the ability to track or let friends know where we are, to identify certain or specific joints frequented by them and book tickets in cinema halls. These types of applications can also be accessed on a desktop system but will not be the same as when available on a mobile device. Most individuals have invariably used Google Maps to get directions from one place to another but again the thrill of using s uch an application from a mobile is unique. Depending on your movement from one place to another, the data sent and received will also change. This is possible due to the GPS (Global Positioning System) chip found inside the device. This chip uses two methods to track your position. In the first method, the chip uses satellite data to calculate a person's exact location but if there are any snags like interference or unavailability of service, then the chip uses data from cell phone towers to calculate location. If the person is driving through rain, cloud cover or even a canopy of trees, there could be a loss of communication but on a clear day, there should not be any problem. Here we should also note that if the software is very sophisticated, the accuracy provided will also be of high quality. Light should also be shed on some concerns regarding this type of application. Sharing of location could lead to personal risk. Anti-social elements like stalkers or even robbers who know that you are out may take advantage of situations. Although all these exist, many application developers are finding ways to counter such disadvantages by providing privacy preferences. If one chooses wisely, the benefits from such an application far outweigh the negative effects though it necessitates a small amount of privacy sacrifice from our side.

Monday, September 23, 2019

UCAS application questionnaire - additional personal statement Essay

UCAS application questionnaire - additional personal statement - Essay Example Therefore, with the increasing human population, various issues arise like environmental degradation, overpopulation, poverty, and drought as well as human conflict, which need urgent attention as a way of preserving humanity and expediting it to keep in touch with the constant changes2. I also want to empower others after my training so that they can embrace education and knowledge. This degree will equip me with the necessary knowledge that is applicable in the outside world to solve real issues at the grass root level. This empowerment will pave way for innovativeness and knowledge that is a key factor in actualising the daily solution of problems that are recurrent and threatening to the existence of mankind. As the common saying goes, â€Å"Knowledge is power†, I am optimistic that by the time of completion of my course, I will have attained general and specific knowledge3. This automatically means that my whole perception of the world will have changed and hence my decision making will be rational. Apart from the knowledge acquisition, I will also improve my interrelation with others. Through the constant interaction with my classmates, who will be from diverse origins, I will be able to understand them more and empathise with them. This interaction will also foster inner understanding of others and in the long run lead to peaceful coexistence since all education and technological inventions will not be useful without peace. Technological improvements will revolutionise the whole concept of business. In the next decade, business activities will primarily be run through the internet since it bridges the gap between the producers and consumers4. Through the introduction of online buying and selling of goods and services, the world has become a better place as all the required business transactions that were initially manual will be fully computerised. Transport and communication will be swift and broadened in that many people will

Sunday, September 22, 2019

Topic related to child or adolescent development Term Paper

Topic related to child or adolescent development - Term Paper Example As such, they make poor decisions that may lead to life-threatening consequences, which include premature sexual intercourse, premature pregnancies, sexual molestation, transmission of STDs, and abortions. Peer pressure, media influence, lack of enough preparation and guidance on responsible sexual behavior, drug and substance abuse, and curiosity fosters sexual activities during adolescent sexual development. Statistics show that most adolescents in America are prone to sexual intercourse, STDs, unprotected sex, premature pregnancies, sexual molestations, and carryout abortions. Parents, educators, policy makers, and medical practitioners can help adolescents to make wise sexual decisions. The provision of accurate sex information, parental guidance, sex education, national programs, and relevant legislations can address this problem. Young people face numerous challenges from adolescent sexuality. Indeed, all adolescents are prone to sexuality issues at this stage. These challenges relate to adjusting to the new body appearance and dealing with the functionality of the sexually maturing body. Adolescents also face challenges in dealing with the emerging sexual desires, sexual attitudes, and values. Moreover, adolescent sexuality poses another challenge as adolescents develop new sexual behaviors, integrate sexual feelings, and seek to identify themselves in the new experience (Crocket et al, 2003). The challenge posed by adolescent sexual development emanates from the strange excitement of sexual arousal, the attention connected to being sexually attractive, and the new level of physical intimacy, and psychological vulnerability created by sexual encounters (Crocket et al, 2003). Notably, social and cultural background and environment determines how adolescents respond adolescent sexuality. The effects of adoles cent sexual development derive significant problems to the young people and the society. Ideally, the fact that

Saturday, September 21, 2019

Library System Essay Example for Free

Library System Essay ACKNOWLEDGEMENT This dissertation would not have been possible without the guidance and the help of several individuals who in one way or another contributed and extended their valuable assistance in the preparation and completion of this study. First and foremost, my utmost gratitude to Mr. Raquel V.desello the Brgy.Chairman of Street whose sincerity and encouragement I will never forget. Mr. Dominic Sales has been my inspiration as I hurdle all the obstacles in the completion this research work. My sincere thanks also goes Mrs. De Leon for offering me the summer internship opportunities in their groups and leading me working on diverse exciting projects. I thank my fellow comp.labmates in Trent Information First and other Group: Mr. Renz Paolo Cruz, Rochelle Dones for allow me to barrow her flash drive, and, for the stimulating discussions, for the rush hour we were working together before few minutes before defense, and for all the fun we have had in the last two years. Also I thank my friends in face book that gave me at least their effort to gave few sentence in my documentation Last but not the least, I would like to thank my family: my parents Mrs. Chanda Desello and Mr. Quemadge Desello, for giving birth to me at the first place and supporting me spiritually throughout my life. Same as my partner in case study Lienard Magno ABSTRACT This report describes our groups implementation of a library Management system. We used the Entity-Relationship model to design a database that will store and organize the librarys data. We have Created the database using vb6.0 and populated it with some sample Data. The system can keep track of library cards, customers, Librarians, library locations, books, videos, and the relationships Between them. Using vb6.0 and adodb, we have Created an Internet-based graphical user interface that allows Customers and librarians to access the system remotely A simple library management system that provides following facilities login, register, add category, add / remove book, search / issue book, return book. Language used is C# and vb is been used in code. One Admin user is already there once db is installed with user name admin and password admin. Admin user has extra functionalities like add category, add/remove books. These functionalities cannot be done by simple user that registers. Password encryption decryption has been used in project. It’s very simple project where in all the event of all forms has been handled in that acts as business and data access layer. All vB interactions are in this file only. CHAPTER I INTRODUCTION Now a day, in a highly technological society, human productivity is made more efficient through the development of electronic gadgets. Now, with the advent of such modernization in education, one way to globalize the process of research is to realize that technology is advancing at an incredibility fast place. Computers are not confined to being used for entertainment but its role in education is also vast. In School, reading materials are stored in libraries. Library is a place in which books and related materials are kept for use but not for sale. It is also organized for use and maintained by a public body, an institution or a private individual. In addition, it is a place in which we get information in any format and from many sources. The librarian has to keep the room neat so that it is conducive for learning. The librarian is also the person who is liable for monitoring all the books that are borrowed and returned by the borrowers. The proponents will propose the Library Books borrowing and Returning System for Taytay Elementary School located at Taytay, Rizal, he Head Librarian, Ms. De Leon stated that they are currently using the Dewey Decimal Library System. They are still utilizing a manual system. The library users and the librarian still use card catalogues in searching for reading materials and use index card for the records of borrowed and returned books. The proponent’s study was what is which encounter to the Library by the user, Librarian and how the Owner or the Administrator of the said school will provide a good service to their clients to have a good feedback. The study will focus on transaction which done inside the Library like borrowing, returning of books by students, faculties and staffs. In this area, the usage of computerized library system is needed because it is easier and obviously it saves paper compare to the manual library based. Other countries such as South America and Middle East. STATEMENT OF THE PROBLEMS library system in doing transactions with their clienteles. Specifically this study pourpost to answer the following questions: 1. How can the system helps the librarian? 2. What are the inputs needed in the system in order for the students/staff/visitors to be able to login/logout when entering and borrowing books? 3. What are the information and data needed to put up a computerized library system of (tes) Taytay Elementary School. SCOPE AND LIMITATIONS SCOPE The system is create for the library except for easy way for librarian to make her work easy this is also for their customer to barrow books easy and to return also for data for clearly using it.. Delimitation The other way,this study is limits for the proposed enhancement computerized library system of Taytay Elementary School. System proposed to only one authorized person.

Friday, September 20, 2019

Osteoarthritis Care and Management | Case Study

Osteoarthritis Care and Management | Case Study INTRODUCTION Osteoarthritis is a case of hip, spine and forearm fractures and injuries which is predominantly found in older people, unless otherwise. There is an increase in these fractures, injuries, morbidity and mortality rates in older people. In the 1990s, these numbered around 1.7 million worldwide and with rapid increases in the years that followed, it has been estimated around 8.2 million cases by 2050 (Cooper, 2006). Yaban (2006) made the staggering conclusion that 95% of hip fractures or injuries in old age people are caused by falls. Supporting these views, Arinzon (2007) went a little further by stating that post hip fracture disability among patients that initially survived hospitalisation is between 32-80% and that those in need of long term caring by skilled Nurses is 6-60%. MeeK et al (2002) and Abudu et al (2002) noted the series of complications that usually develop in patients after hip fracture or injury due to old age and that 10-35% of such patients died within the first year after an injury and 30% do suffer another fracture within a year. Mitigating these appalling problems, surgery is usually recommended for a total hip replacement (THR), especially in primary and secondary Osteoarthritis. Following surgery, many patients encountered problems, especially in their activities of daily life (ADL) as they are no longer able to climb chairs, lie down in bed, and get on and off transportation without the help of someone. As a result of this dependency, after discharge, total hip replacement patients need a proper arrangement of their home settings. The home setting is in conjunction with their new model of living (TML), which Roper in 1976 defined as those activities of living performed by individuals and care being provided throughout their lives. As Murphy et al (2002) admonished, the model did not only emphasis on individualism but also facilitates the planning of the care as a whole and the achievement of realistic and accessible goals in care. Holistic assessment of Ms Jane. On admission to the ward, Ms Sutcliffe is given a thorough assessment that involves the collection of her data regarding age, sex, chronic medical conditions, pre-fracture functional status, her type of fracture and operation, weight, pain perception and cognitive status. The assessment takes into account her psychological, physical and social preparation as all will play a major role in her recovery after surgery. The psychological assessment/preparation allows her to understand what she will experience during the acute phase of the surgery and during the process of recovery. This gives her ample time to prepare ahead and come to terms with whatever follows. Banduru (1997) made mentioned of self-efficacy beliefs, which are making exercises in order to achieve good outcome after surgery. There is also the provision of verbal and written information by Nurses to her before the surgery. Ayers et al (2004) regards physical preparation as a major life event and affects the outcome of the operation. This process underscores the point that patients that are more depressed before the surgery to have poorer pain relief after operation. On the other hand, Holman (2005)maintained patients with positive expectations before a hip operation have better physical outcomes and that those that work hard help the multidisciplinary team in achieving such outcomes. Social assessment looks at Ms Sutcliffe’s home circumstances and her ability to manage after the hip replacement operation. Chow (2001) refers to the patient’s home environment as very crucial in the recovery process and that there is no need for Jane to struggle in getting up from a chair, a bed, visiting the kitchen, going to toilet during the period her muscles are healing. There is a need for support in the areas of shopping, cleaning, cooking, laundry as there are no relatives or friends around her on daily basis. Escobar et al (2007) purported that the whole pathway of care from patients being listed for surgery, to the time of surgery and the recovery process are very complex and involves a lot of health professionals. Normally, before a patient is referred for hip replacement, should have some understanding of what the surgery entails. This gives them the chance to consider it or not. Some GPs do ensure that patients are physically fit before making a referral to an Orthopaedic Consultant. In the event the patient’s hip pain can no longer be managed, as in the case of Ms Jane, the Consultant can now refer to an Orthopaedic Surgeon. The preparation for surgery at the preoperative assessment clinic is considered to be long and should be undertaken earlier. That is, just when a patient’s name is added to the waiting list (Krouse, 2001). Normally, the process involves giving out a comprehensive booklet to Ms Jane to read at home to enable her understand what is required along the care pathway. In some instances, videos or DVDs containing details of the surgery provided for watching at home as well. The final stage of assessment is the preoperative assessment in the ward. It is a form of educational assessment, whereby the Nurse or any professional ensure earlier conditions do not change. They will screen for MRSA to check for infection and to see whether Ms Jane can cope with the surgery (Losina, 2008). According to Rowley (2001), Nurses in the unit/ward are to make sure that Jane is safely prepared for surgery through the help of a surgical safety checklist. A Medical condition With regards to the care the patient requires for Osteoarthritis, as the case with Ms Jane, is derived from the Integrated Care Pathways (ICP), which are structured multidisciplinary care plans that describe in detail each step in the care process. Zander (1998) looked at such care plans and concluded that they usually entail treatment protocols with the aim of standardising care. Inputs are not only from Nurses, but from paramedical and administrative staff as well. Parker et al (2002) maintained that in-hospital care for right hip replacement is a team effort, though Nurses are seen to be playing an all-embracing role throughout this period. In brief, Nurses are involved in assessment, emotional support, involvement of family members, technical and physical care, co-ordination and communication and therapy integration. This therefore made Kirkevold (1997) to conclude that the need for Nurses to work effectively within the multi-professional team is becoming increasingly vital, just as their contributions towards rehabilitation leading to the patients’ independence living. Post-operative care Thomas (2002) is of the view that the human body is always susceptible to physical, traumatic and medical situations that do adversely affect the breathing process. As a result of this, airway and breathing must be managed quickly and effectively to enable the continuous flow of oxygen, thereby preventing deaths. Airway management is the physical process which ensures the airway is open and clear to allow respiration to occur. Mastering or becoming proficient in the methods and tools for airway management by health professionals enhances the patient’s (Ms Sutcliffe) chances of survival after surgery. Nurses should observe for coughs, inspiratory crackles, and shallow respirations and decreased chest expansion. In addition, observe for pale mucous membrane as they are signs of pneumonia that usually create ineffective airway clearance. Breathing involves the process of air (oxygen) entering the body and then (carbon dioxide) expelled back into the environment. The conduit for such a process is through the airway. Such complex ways of managing airways by health professionals involves the opening, cleaning and delivering of supplementary oxygen for artificial ventilation-in cases of ineffective breathing by Jane after the surgery. Post-operative observation in relation to circulation normally looks at the main signs and symptoms of bleeding as soon as Ms Jane is brought to the ward after the surgery. There are tendencies for patients to be at risk after undergoing surgery. Problems such as hypovolenic shock as a result of loss of blood and fluids. Right hip replacement surgery requires bed rest post-operatively and normally places the patient at risk in relation to developing blood clots in the legs. When this occurs, the decreased volume within the circulating system cannot provide the much needed oxygen and nutrients to the tissues and can sometime results to death if not solved. As a care, the Nurses or health professionals should administer intravenous fluids to replace the lost volume and if blood is lost, packed red blood cells and platelets must be ordered for Ms Jane immediately. Pain Management Helme and Gibson (2001) asserted that pain and its consequence, especially functional limitations that interfere with individual daily activities and leading to poorer life, afflict about 25%-88% of elder people within communities worldwide. For pain management to be effective there must be accurate pain assessment. Many held the view that self-reporting of pain is an individual’s subjective perception and this may provide enough information for its management. With the elderly, their pain is usually undetected due to severe cognitive impairment. Sheppered et al (2010) argues that effective post-operative pain management relieves suffering and leads not only to shorter hospital stay but at the same time reduces hospital costs as well as earlier patient mobilisation. One goal many believe in the management of post-operative pain is to actually reduce the dose of medications in order to lessen side effects. Opioids are seen to be the first-line treatment for severe acute post-operative pain and the same scenario should apply to Ms Jane after undergoing the surgery. They are drugs use to lessen pain and use often to titrate against pain relief and to minimise unwanted effects to the patient. Other common methods use to manage post-operative pain include the taking of Codeine, Ibuprofen, intravenous narcotics like Morphine Sulphate, Paracetamol and even Opiate Fentanyl. According to Sheppered et al (2010), some of the side effects of Opiopds include vomiting, respiratory depression, constipation and itching which are mostly common. In such situations, healthcare professionals can reduce the effects by changing the dosing schedule of the patients, in this case Ms Jane, maintain constant blood levels through checking the manner in which drugs are given out and addition of other drugs to counteract any effects. Psychological Care Davidson et al (2008) are of the view that normally when psychological care is addressed in hospitals, entails what health professionals expect the patient to need rather than from the perspective of the individual and illness experience. Such a care should focus on assessments of Ms Jane’s understanding of her illness and the effect it will have on her life. Supporting this view, one is to draw his or her attention to the assertion that assessment of the patient’s illness beliefs as a daily practice can significantly increase his or her sense of wellbeing on discharge (Lau-Walker et al, 2008). After the surgery, hip replacement patient immediately start physical therapy as part of the psychological care. This is normally a minor exercise, involving sitting in a chair, the day after the surgery. What follows is stepping, walking, and climbing, with supportive devices like crutches. In this case, Ms Jane pain is being monitored during these exercises, as most often, there is some degree of discomfort. As Van den Akker-Scheek et al (2007) pointed out, psychological needs of hip replacement patients like acute pain after surgery can be addressed during the period of psychological care. At the pre-operative stage, the patient some time has already planned about such a pain and come to terms with it at this stage. Discharge details Discharge is a process and not an isolated thing and in this regard, must be planned for at the earliest opportunity. According to the Department of Health (2003), the above view is to ensure that patients and their carers understand and feel involved in the discharge arrangements. For any discharge to be detailed, the planning must involve communication, education, patient participation and collaboration and coordination. All such detailed planning must be instituted for Ms Jane. Olsen and Wagner (2000) maintained that effective communication is needed between Ms Jane, the patient, and the healthcare professionals for any meaningful discharge to take place. This kind of communication normally involves asking questions to her or relatives and getting answers. Through this process, inconsistencies are brought to light and clarified. At this stage of discharge planning, which may be verbal or written, information like the patient’s functional status, social support and environment status, are all addressed (Neuman, 2004). Bull and Roberts (2001) viewed communication as a complete circle as it involve community team in the arrangement of outpatient appointments, the GP and connecting again with the district Nurse. Education is all part of communication but Lin et al (2005) believed that the provision of instruction leaflets to the patient or the family sums the entire process. Garratt (2009) said of such leaflets to contain specific information of the patient’s needs and at the same time how to manage their ongoing care at home. Patients’ involvement and collaboration in their discharge is very essential and according to Pearson et al (2004) includes their practical arrangements for physically getting back to their homes, management at home and health professionals making them feel they are in control of their health. Such information is vital and discussing it jointly with Ms Jane makes the discharge planning very successful. All what has been discussed above will be meaningless without proper coordination. Therefore, Atwal (2002) purported that a key aspect of successful discharge planning is coordination and that without it, the entire process cannot be effective. For Atwal, there should be inter-professional working relationship between the Nurses and the Doctors for a successful discharge planning. Watts et al (2007) are of the view that there are normally disputes as to who does, and who should, carry out the discharge planning process. But where there is coordination, normally it is the bedside Nurse or primary Nurse that is responsible for coordinating discharge planning process (Gardner (2005). The issue of discharge is to be dealt with in the right manner just as Young et al (2005) warned, shorter hospital stays can result in older people experiencing right hip replacement being discharged in a state of incomplete recovery. They went on to suggest for a proper time table for such an activity and to be agreed upon by both the hospital authorities and the patient. Immediate care of the patient in the community. Contemporary health and social care policy across Europe and in the UK in particular, is focused on the provision of care in the community for older people with chronic illnesses and eventual surgery (DH, 2001). To this end, Themessl-Hubber et al (2007) suggested that awareness, expectations and perceptions of community services are steadily increasing in older people. According to Stoltz et al (2004), research has shown more responsibility for care provision is now placed on informal caregivers-unpaid family members, friends or neighbours. This is because older people perceived this informal segment as their best option as compared to formal support-services provided by health and social care in the community. However, Mahoney et al (2008) caution this claim as they pointed out that older people living alone and infrequently visited by family members are more likely to have poor outcomes following discharge. Relating this to Ms Jane, proper arrangement should be made for community c are so as to avoid the situation of having a poor outcome. One is to take not of the fact that she lives alone and not frequently visited by her children relatives and friends. Deniz et al (2005) warned that after hip replacement surgery, patients normally encounter problems such as climbing stairs, lie down in bed, walk and so on and thereby affecting their activities of daily living. As a result of these problems and many more, Bilik (2006) asserted that continuity of care is to be provided in their homes or communities. Such a community care emphasised on individualism so that Ms Jane can acquire independence in her activities of daily living. The Model of Living, according to Roper (1976), can be used to acquire this independence. In brief, the model focuses on eating and drinking, personal cleansing and dressing, mobilising, working and playing, breathing and control of body temperature. Where this model is properly used by those caring for her in the community, will not only allow her to live independently, assist in focusing on those problems she often experienced while recovering but complications can also be prevented. The removal of the sutures depends which ones are used in Ms Jane’s operation. If buried ones are used by the Surgeon, no need to be removed as they would dissolve in the body. The dressing also depends largely on whether the Surgeon uses stitches or staples. In any case, the wound needs to be kept covered and in the case of leakage from Ms Jane’s covered wound, the community worker should inform the appropriate authorities. Conclusion Post-operative care of elderly patients with hip fracture both in hospitals and in their communities can be carried out effectively when they are identified immediately at admission as high-risk patients. With this achieved, planning for their discharge to be done early and communicated well to all those involve in the care process. This is to allow them to move back confidently to their communities. Nurses’ role in the entire process of care appears to be extensive and always in a position to influence patient care. This is why it is expected of them to make a thorough assessment of patients, including their physical, mental and social conditions as soon as possible. Such a clinical history would help Nurses to transform care from defensive status to a more advanced care. However, even though assessment is a vital part of caring for hip replacement, majority have considered it to be of less importance wherein Nurses who carry it out do not inform their superiors in the care planning process. Moving away from the hospital environment, the importance of support provided by other family members and the community during post-hospitalisation, more so in the dispensation of medication should be considered highly. Notwithstanding the above, total hip replacement is becoming increasingly common. All that is required from those undertaking it is physical, psychological and social preparation.