Charles Dickens The Signalman :: charles Dickens signalman Essays

Charles Dickens' The Signalman Introduction I have studied pre-1900 short stories by different authors, which all follow a similar format and historical content of their time. In my essay I will discuss and describe what necessary ingredients are needed to make these murder mystery short stories effective and successful. Short stories became an extremely favoured form of fiction and entertainment during the nineteenth century... In the days before electrical advantages for entertainment, (e.g:-radio, television, films and videos) adventure was generally only discovered/only existed within the imagination of mystery and supernatural stories, and were especially popular in the Victorian age, where people would escape into the mystifying worlds the words described in the stories. (Perhaps these authors’ fulfilled the need for excitement in this relatively oppressed society...). It was during this era that many writers began to capture readers’ curiosity about death, vengeance, trickery, imprisonment, hanging, ghosts and fear... A first impression may affect/ determine the way the words will communicate with its reader throughout a story. So I feel it important that the begining of a mystery story must be (engaging, compelling, intriguing, appealing, capture the imagination/ attentions of the audience) immediately for it to be successful. Mystery= arcane, baffling, curious, enigmatic, incomprehesible, inexplicable, insoluable, magical, miraculous, mystifying, obscure, perplexing, puzzling, secret, strange, uncanny, unexplained, unfathomable, unknown, wierd, bizarre, puzzle, problem, riddle, abnormal, supernatural. Murderous= barbaric, bloodthirsty, brutal, cruel, dangerous, deadly, ferocious, fierce, homocidal, pitiless, ruthless, savage, vicious, violent, assassin. The overall effect of the above ingredients, if successfully combined, will ensure the reader is first drawn in, by capturing their imagination, and they are then compelled to keep reading until the end. Beginings In the begining of our first story The Adventure of the Engineers Thumb by Sir Arthur Conan Doyle (1892) (who is the creator of the famous characters Sherlock Holmes and Dr. Watson’s detective adventures) He tells this strange, dramatic story, which he believes, had been told more than once in the newspapers - to stress how significant this mysterious account was. The following quotation is the paragraph introducing the story:- ‘One morning, at a little before seven o’clock, I was awakened by the maid tapping at the door, to announce that two men had come from Paddington, and were waiting in the consulting room. I dressed hurriedly, for I knew by experience that railway cases were seldom trivial, and hastened downstairs. As I descended, my old ally, the guard, came out of the room, and closed the door tightly behind him. ‘I’ve got him here,’ he whispered, jerking his thumbs over his shoulder, ‘He’s all right.’ ‘What is it then?’ I asked, for his manner suggested that it was some strange creature which he had caged up in

Effects of alcohol in human body

Alcohol is the most abused drug in most countries. The consumption of alcohol is more intense than any other drug due to its availability, and the laws governing its consumption which does not prohibit its consumption unlike other drugs, for example, hard narcotic drugs such as Marijuana.Although the law of different countries restrict the drinking age, which is 18 years and 21 years in some states, there is increased consumption of alcohol among the young people below the recommended age.The effects of alcohol are numerous and vary with the amount of alcohol consumed as well as the personal characteristics such as body weight, nutrition status, age, period of consumption and gender among others. This paper aims at analyzing the various effects in a human body attributing from alcohol consumption.Alcohol leads to deposition of fatty plaques in the inner walls of the arteries hence they become narrowed, as a result blood supply becomes insufficient. The insufficiency of blood in the b rain leads to stroke while into the heart leads to heart attack.However, evidence in recent research has shown that alcohol may lower heart diseases’ risks. According to the research, the consumption of one to two standard drinks of alcohol per day in middle aged and above (35 years and over), offers some protection against heart disease. (Glen et al, 2005)BrainAlcohol causes damage to the brain cells which leads to memory loss; an individual becomes confused and suffers hallucinations. Alcohol is regarded as a downer due to its direct effects on the brain cells. The damage can be fatal or lead to insanity if alcohol is taken in large amounts or taken along with other hard drugs such as narcotics over a long period of time.Alcohol cuts the supply of oxygen to the brain, a situation which kills thousands of brain cells each time a person takes alcohol. This may lead to hyper alertness to normal situations such as perceiving sound to be louder than normal or light too bright th an in the real situation (that is augmentation).The drinker may develop alcohol influenced behavior (learned behavior syndrome) which   stops after the person quits drinking and it can only be re-learntThe central nervous system (CNS)The brain, spinal cord and nerves originating from it form the Central nervous system. The transmission of sensory impulses and motor impulses pass from the CNS. Alcohol affects the CNS leading to intoxication hence affecting emotional and sensory function, memory, judgment as well as decreased learning capabilities.The smell and tenses are impaired and the ability to withstand pain increases with increase in Blood Alcohol Level (BAL). The long term effects of consumption of alcohol on the CNS causes tolerance, dependency and brain irreversible damages. The functioning of the nervous system deteriorates in every drinking episode that leads to intellectual dysfunction; disturbances in the sensory and motor control follow. (Haven and Gerald, 1996 pp. 19 8-256)BloodAlcohol causes blood sludging, a situation whereby the red blood cells bunch together causing the small blood vessels to block up, starve the tissues of oxygen causing the death of cells. In the brain this death of cells is more severe and often goes unnoticed. Due to increased pressure, the capillaries break, leading to red eyes in the morning, or the red, blotchy skin which appears on the face of a heavy drinker.Hemorrhage or death may occur when Blood vessels break in the stomach and esophagus. Alcohol effects on the blood can also cause: anemia, sedation of the bone marrow (this reduces the white and red blood count, and weaken the bone structure lowering the body’s resistance to infection. (Raymond et al. 1996 pp. 43-213)

Social Medi Evolution Or A Step Back - 1697 Words

Social Media: Evolution or A Step Back In a century where we are living in the future, it can be easy to leave things in the past. Techniques of communication have been altered and now technology presents ways to talk to people around the world. People have access to unlimited resources and everyday society is advancing; or is it? Face-to-face communication is the foundation of our societies and what has brought people together since the beginning of time. Something that has been so crucial in the past is now taking the backseat as a new world emerges; a world of texting where we rely on electronics to communicate with one another. As technology has advanced, face to face communication has declined and it is having consequences on our†¦show more content†¦Because of these and other reasons, it causes 74% of all internet users to engage in some type of social media. Of the 74%, 84% of social media users are between the ages of eighteen and twenty nine (â€Å"Social Media User Demographics† 1). Obviously app ealing to the young adult crowd, social media can be seen as a fun outlet after a long day; however, overusing the internet is subsequently hurting the same crowd that uses it. The ability to hold conversations and create friendships is dwindling, especially in the new generation. Bullying now has a new image as people are hiding behind a screen while terrorizing other people. Also productivity in the workplace has been slowly decreasing as a result of social media and the laziness it brings with it. All of these, whether they are advantageous or not, complicate the perception of social media and raise the question; are we evolving or taking a step back? With the flash of social media, it makes face to face communication seem dull in comparison. On the contrary, as we move into the future it is having affects on our verbal and conversation skills. Scientific evidence along with general consensus shows that that level of conversation is declining as electronics play an increasing ro le in our lives. Experiments have proven that the overuse of technology can change neural pathways in our brains creating new ones(Face Time vs. Screen Time: The Technological Impact on

Jordan Mendoza. Professor Thornburg. English 1302. 28 March

Jordan Mendoza Professor Thornburg English 1302 28 March 2017 A Midsummer Night’s Dream: Puck and Bottom In A Midsummer Night’s Dream, one of the most renowned plays by William Shakespeare, Puck and Bottom have comparative roles for being two different people. They are both comic characters one way or another, and are both critical for the play, as Bottom’s lightheartedness intrigues the audience and Puck’s attitude manipulates the entire plot of the story. They both are an essential part that aided in achieving their goal which Oberon is a part of toward the end of the play. A fool shows up in Act ll scene I, named Puck. He has a notoriety amongst the fairies. He is one of the more critical characters all through the play. He is best†¦show more content†¦Puck is something beyond a reprobate sprite, he is steadfast and has sensitivity on a few events. This demonstrates Puck shows at least a bit of kindness; He genuinely feels feel sorry for Hermia, despite the fact that she is just a human. Puck has no sensitivity be that as it may, for feeble humans. Bottom is the principal simpleton to show up in the play. He s a part of the group known as mechanicals. His first appearance is in Act I, scene ii, when the mechanicals assemble. The mechanicals are essentially tradesmen who wanted to put on a play for the wedding of Duke Theseus. Bottom is as of now acting like a fool right when we meet him. He reveals to Quince that he could be every one of the characters in the play at the same time. Quince assigns him the part of Pyramus, and as he begins giving alternate parts out, Bottom begins to disclose to him that he could do it all. Quince effectively takes care of this issue by consoling that nobody else could do Bottom s part and he needs to do his best at it since he s the special case who could do it. Before the finish of the scene, plainly the mechanicals are miserably unequipped for putting on a decent play, and Bottom just convolutes the circumstance facilitate. Actually, he turns out to be so amped up for his acting ability that h e asks to fill in for each part in the play. In Act lll, scene II, Oberon found that Puck had utilized the potion on the wrong Athenian, Lysander. Puck could be viewed as more essential

Educating ADHD Students Essay - 2063 Words

Attention Deficit Hyperactivity (ADHD) is a neurobiological condition which exposes developmentally unsuitable levels of inattention, and/or hyperactivity, and/or impulsivity (Leroux Levitt-Periman, 2000). ADHD is thought to be caused by a dysfunction in the frontal lobes of the brain. Two percent to six percent of today’s learners are affected by ADHD, while three times as many boys as girls are affected with ADHD (Humphrey, 2009). It is important as educators that we know the signs of the ADHD learner as well as strategies to use to maximize their learning. Early detection of children with ADHD is important due to the prevention of secondary disorders. If the parent suspects ADHD, they should their child to their doctor who may†¦show more content†¦They may process information slower and less accurately than other children their age. These learners have difficulty in following instructions. On the other hand, these learners may exhibit hyperactivity. These are the learners that fiddle and wiggle in their desks, and talk continuously. They are the child that seems to be everywhere all at once. They rush around, touching or playing with everything in sight, therefore in motion at all times. These are the learners that have trouble staying on task or finishing a task which can cause low self-confidence and motivation. The other aspect of ADHD is impulsiveness. These children are very impatient. They blurt out during class, many times with unsuitable comments. They are quick to express their emotions, and act without resp ect to consequences. Many times ADHD learners may encounter social isolation, with fewer friends and greater peer rejection (Humphrey, 2009). Leroux Levitt-Periman (2000) believe that this rejection many times can cause sadness, depression, or anger leading to a cycle of misbehaviors and further peer rejections. The impulsiveness causes them to have problems waiting for their turn, and they may disturb conversations or activities of others. The characteristics of these symptoms present themselves in random ways and are unique to each child. They may or may not exhibit all three. Children with ADHD many times lack communication skills, motivation, and self-confidence. AlthoughShow MoreRelated Learning Disabilities: ADHD Essay1709 Words   |  7 PagesLearning Disabilities: ADHD Attention Deficit Hyperactive Disorder (ADHD) is a condition that can affect any person’s behavior and way of life. In their book, Special Education, J.Ysseldyke and B. Algozzine state that no area has experienced as much growth as learning disabilities. It is by far the largest of all special education categories. Enormous changes in the last century have changed the way society treats children with disabilities. Psychologist William Lee Heward affirms that in theRead MoreMotivating Motivation And Classroom Climate984 Words   |  4 Pagestask; however students with ADHD are impacted by their disorder, which causes academic and behavioral concerns. Nowacek and Mamlin (2007), discovered that educators offer a small number of modifications for students who exhibit ADHD. However, teachers understood the characteristics students with ADHD possessed (Nowacek Mamlin, 2007). Sapiro, Dupaul, and Bradley-Klug (1998), established when strategies, such as self-management, were presen ted to students with ADHD. These students were inclinedRead MoreTeaching Students with Adhd1433 Words   |  6 PagesTeaching Students with ADHD J. Palmer Capella University Abstract In recent history, the number of students diagnosed with Attention Deficit Hyperactivity Disorder has grown tremendously; causing teachers to face new challenges on how to instruct students with behavioral and learning difficulties. Students with ADHD have not only the privilege, but also the right to learn according to the Public Law 94-142 and the Americans with Disabilities Act. There is growing debate about methods that areRead MoreAttention Deficit / Hyperactivity Disorder957 Words   |  4 PagesAccording to Xin, Yu and Shaver (2014:205) â€Å"attention deficit/hyperactivity disorder, ADHD is a developmental neuropsychiatrie disorder with a variety of symptoms ranging from attentional impairments, impulsivity and motor overactivity.† ADHD is the most commonly diagnosed childhood disorders. (W Xin, J Yu and D Shaver, 2014) Dilawari and Tripathi (2013:365) from Indian Journal maintain that â€Å"his disorder has been described neither as a disease nor as an emotional disorder but a cluster of personalityRead MoreWorking with Students who have Learning Disabilities Essay examples1481 Words   |  6 PagesWorking with Students who have Learning Disabilities Over the past 10 years, there has been a dramatic increase in the number of students who have been diagnosed with learning disabilities. I need to be aware of how to help those students who have learning disabilities and teach to the best of my ability. I also need to be supportive and understand not every student learns in the same way which is why it is important for me to be flexible in my own style of instruction. I need to be knowledgeableRead MoreMonitoring the Credibility and Content of Web Pages Essay example901 Words   |  4 Pages A website is used by different people for different uses. Each website can be evaluated for its usefulness by the general public based on certain criteria as discussed in this article. A website discussing about particular disease like ADHD should be evaluated on the following criteria (Engle, 2014.), (â€Å"Evaluating Web Pages,†2012), (Tillman, 2003): 1. Context Coverage of the topic: The visitor to such a website will be interested in knowing more about the disease, its treatment, medicationsRead MoreAll Education Starts At Home. The Ways In Which We Are1371 Words   |  6 Pagesacademic life, students must be reminded of the impact they have on the natural world every day. Through simple discussions of what benefits and hurts the environment, teachers can encourage students from young ages to take actions individually both inside and outside of the school setting. They will help keep the environment clean and sustainable. Piaget argued that the process of learning progressed more through sociocultural interaction. This could suggest that educators could guide students to workRead MoreThe Educational Field For Various Reasons Essay1703 Words   |  7 Pagesmonetary or societal achievement. According to Bandura (1997) a teacher who has a strong belief in her or his teacher efficacy, the degree to which teachers feel that their own efforts determine the success of students, is more likely to put forth a greater effort and support towards student achievement. Second, if the student’s feel neglected or not supported then they will be more then likely to develop a learned helplessness or self-defeated outlook on life. Many times a school environment mayRead MoreThe Effects Of Sleep On Health And Quality Of Life Through Prevention And Treatment Of Disease Essay1589 Words   |  7 Pagesdifferent sleep interventions that have been used among one of the most sleep deprived generations, college students. An intervention is a way to improve health and quality of life through prevention and treatment of disease and other physical and mental health conditions. 7 out of every 10 college students say that they get fewer than the suggested amount of sleep each night. While many students aren’t sleeping enough either, 68% of those student’s state that they have trouble falling asleep at nightRead M oreThe Impact Of Technology On The Classroom1323 Words   |  6 Pageslimited. This scene is practically identical to every other classroom across the country. Although society has evolved to embrace technology, the American classroom has had little alteration to its scenery and little acceptance of technology in educating students. In contrast to the past, the classroom and the educational techniques used in the twenty-first century have evolved. Throughout the evolution of schooling, the introduction and the use of computers has altered the American classroom and education

First “Misleading” Impressions Free Essays

Cypress Ranch High School Ms. Piotrowsky 3rd Period English K/Dual First â€Å"Misleading† Impression In Jane Austen’s Pride and Prejudice the most common and concurrent theme is probably the theme of first impression. The entire novel, from beginning to end, travels around conclusions made from first impressions and how, in cases, they are wrong. We will write a custom essay sample on First â€Å"Misleading† Impressions or any similar topic only for you Order Now In fact, the first proposition for the title of the novel was First Impressions not Pride and Prejudice. As the theme of the novel progresses, characters realize that their conclusions made based on first impressions were flawed. As this happens, new relationships develop. Jane Austen even makes the reader believe or create its own first impressions only to later realize that they were wrong. During this time period, the idea of wealth and class was predominant among society; therefore, most first impressions were based on the amount of money a person had or on his/her ancestry. The main theme of first impressions goes around â€Å"Elizabeth, the heroine, and Darcy, her eventual husband, the chief obstacle resides in the book’s original title: First Impressions. (Sherry, Pride and Prejudice limits of society) At the ball, Mr. Bingley encourages Mr. Darcy to dance with Elizabeth but he refuses by stating, â€Å"she is tolerable, but not handsome enough to tempt him† (Austen 13); and Elizabeth’s first impression about Mr. Darcy is that â€Å" he is proud, above his company, and above being pleased† (Austen 17). The reader understands that physical appearance is not the only factor t hat drives Mr. Darcy towards that opinion, but her lack of wealth and her vast family are. Throughout the novel the reader experiences realizations and transformations of views. At first Austen makes the reader create false impressions, just as the characters in the novel, only to later realize that the opinions the reader had about the characters were flawed. Many critics agree that â€Å"†¦In this novel by Jane Austen, we don’t only see how first impressions affect relationships, but we also see how the characters in this story experience transformation through their experiences of first impressions, pride and prejudice. † (Stasio, An Evolutionary Approach to Jane Austen). Ironically enough, Elizabeth realizes â€Å"that they had entirely mistaken Mr. Darcy’s character† (Austen 219). What at first was a feeling of string repulsion towards one another slowly became a feeling of attraction. As the novel progresses, different events occur that come to the final transformation of Elizabeth’s first impressions. She learns through different sources that Mr. Darcy is not the man she believes him to be; and that most of the rumors she has heard (from Mr. Wickham) are twisted truths. At the end, as the final process of her realization, she says that â€Å"†¦Vanity, not love, has been my folly. Pleased with the preference of one, and offended by the neglect of the other, on the very beginning of our acquaintance, I have courted prepossession [pride] and ignorance, and driven reason away where either were concerned. Till this moment, I never knew myself. † Austen contrasts the theme of first impression with the relationship that develops at the beginning of the novel between Mr. Bingley and Jane. She develops a relationship based â€Å"in a vision of love in which women and men care about each other with a passionate tenderness. Jane and Bingley have a natural compatibility for one another. † (Bonaparte, Conjecturing Possibilities) In this relationship, there are no feelings of avarice or greed because â€Å"It was generally evident, whenever they met, that he did admire her; and to her it was equally evident that Jane was yielding to the preference which she had begun to entertain for him from the first, and was in a way to be very much in love. † (Austen 22). Neither of them was worried with wealth, class or family heritage. On the other hand, Mr. Bingley’s sister, Caroline, and his friend Mr. Darcy believe that Jane’s family was not high enough in the social ladder and therefore she did not deserve him. They even tried to intervene in their relationship by breaking them up, but at the end they end up marrying each other. There is no doubt that Jane Austen wanted to install a sense of realization regarding first and false impressions in the readers mind. Pride and Prejudice helps society understand how it behaves through real life examples developed by fictional characters such as Jane, Elizabeth, Mr. Darcy, etc. Pride and Prejudice is a sign of protest Austen uses to rebel against her society and its dependence on first impressions. She tries to make us understand that almost always first impressions are wrong. However, she is not implying that society should eliminate them from society, but rather undermine and challenge them because they are not entirely true. WORKS CITED Austen, Jane. Pride and Prejudice. 1813. New York: W. W. Norton, 2001 Bonaparte, Felicia. â€Å"CONJECTURING POSSIBILITIES: READING AND MISREADING TEXTS IN JANE AUSTEN’S PRIDE AND PREJUDICE. Pride and Prejudice. New York: W. W. Norton, 2001. Web. ;http://content. ebscohost. com/pdf10/pdf/2005/SNV/01Jun05/17682767. pdf? T=P;P=AN;K=17682767;S=R;D=a9h;EbscoContent=dGJyMNHr7ESep644v%2BbwOLCmr0mep7FSrqm4S7OWxWXS;ContentCustomer=dGJyMOzprk%2B2qLZNuePfgeyx44Dt6fIA;. Sherry, James. â€Å"Pride and Prejudice: Limits of Society. † Pride and Prejudice. New York: W. W. Norton, 2001. Web. ;http://content. ebscohost. com /pdf25_26/pdf/1979/SLT/01Sep79/4721658. pdf? T=P;P=AN;K=4721658;S=R;D=a9h;EbscoContent=dGJyMNHr7ESep644v%2BbwOLCmr0mep7FSrq64TbeWxWXS;ContentCustomer=dGJyMOzprk%2B2qLZNuePfgeyx44Dt6fIA;. Stasio, Michael J. â€Å"AN EVOLUTIONARY APPROACH TO JANE AUSTEN: PREHISTORIC PREFERENCES IN PRIDE AND PREJUDICE. † Pride and Prejudice. New York: W. W. Norton, 2001. Web. ;http://content. ebscohost. com/pdf19_22/pdf/2007/SNV/01Jun07/25902589. pdf? T=P;P=AN;K=25902589;S=R;D=a9h;EbscoContent=dGJyMNHr7ESep644v%2BbwOLCmr0mep7BSs6u4SbOWxWXS;ContentCustomer=dGJyMOzprk%2B2qLZNuePfgeyx44Dt6fIA;. How to cite First â€Å"Misleading† Impressions, Papers

Chronic disease managment free essay sample

What is self-management? Self-care management is defined as the behaviour employed by an individual in managing and implementing the treatment regimen within the individuals lifestyle routine and it recognizes an individuals central role in managing chronic diseases (Costantini et al. , 2008). In sum, self-management is to help individuals collaborate with health care professionals to help themselves, by using strategies and proper interventions, to bring self-care into daily routine to help managing chronic diseases and to promote quality of life. How will you promote self-efficacy and autonomy for your clients in your practice? Chronic kidney disease (CKD) affects almost every aspect of patients life, both physical and emotional. According to Mok (2011, p12), several strategies identified in helping patients with CKD to improve nutritional adherence. These strategies fall into three categories: patient education, behaviour modification and organizational changes. These strategies also applicable in other treatment in CKD. According to Barbra (2011,p183), when patients disease deteriorate or towards terminal states, strategies of ending self-management and back to medical or comfort care were also mentioned. We will write a custom essay sample on Chronic disease managment or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Nurses can apply these strategies by nursing interventions to help promote patients self-efficacy and autonomy. First, patient education strategies. Nurses should assess patients need and their knowledge and literacy level before providing education. These assessment should make sure patients are ready to accept the changes and the education received can be fully understood. Usually when patients are knowledgeable in their own condition, their self-efficacy and autonomy will be greatly improved. In addition, education should also be provided to caregivers because a lot of patients with CKD depend on caregivers in ADLs. During assessment and education process, nurses should be aware of using good communication skills, interviewing skills and make sure accurate information and related resources are provided to patients and caregivers. Second, behaviour modification strategies. According to Mok (2011, p12), several techniques can be used in behaviour modification such as reminders, self-monitoring, and positive reinforcement. Nurses can combine effective behavioral, psychosocial strategies such as periodical reminder by using telephone, email, regular appointment or face to face interaction. Nurses should advocate patients for regular follow up to make sure patients adherence to treatment. No patient is alone in chronic disease treatment, nurses should collaborate with patients family members and caregivers to help maintain compliance. In addition, nurses can assist patients in using self-monitoring techniques such as blood pressure monitoring, diaries, logs, personal health records to help track their health condition. Third, organizational changes. According to Mok (2011, p13), nurses can collaborate with other health care professionals such as dietitians and physicians to enhance compliance. Nurses can directly help patients in developing dietary plan and improve patients satisfactory, in turn, promote treatment adherence. Lastly, according to Barbra (2011, p183), when patient unable to perform self-care, giving up self-management and return to professional medical care should be acknowledged. Nurses should educate and assess patients and caregivers capability of performing self-management, making sure they are knowledgeable of serious symptoms and capable of seeking help when needed. What are indicators of successful self-management in patients with CKD? According to Mok (2011, p12), several factors may affect successful treatment such as lack of knowledge, hectic lifestyle, lack of decision making in own dietary outcomes and dissatisfactory of dietary prescription. First, knowledge deficit will make patients unable to choose proper food or make necessary adjustments, in turn, leads to failure in self-care management. Therefore, patients education, knowledge and ample resources provision are indicators of successful self-management. Second, hectic lifestyle such as fast-paced lifestyle or elderly depend on others are often unable to adherence to the prescribed regimen. Therefore, lifestyle modification, caregivers capability and support are also indicators of successful self-management. Third, lack of decision making of own dietary outcome due to depend on caregivers instead of patients might influence successful self-management. Fourth, dissatisfaction of prescribed renal diet will affect patients adherence. Therefore, patient readiness to change, communication skills, assessment tools and psychosocial support are also indicators of successful self-management. In sum, indicators of successful self-management involves every aspect of disease process and treatment. In nurses and patients perspective, nurses communication skills, interviewing skills, collaboration capability, staff training, patients readiness, patients emotional support, patients knowledge, problem solving techniques, etc are all indicators of successful self-management.