Tuesday 10 October 2017

Self-Management Support - another misconception...

I recently heard this when telling a clinician that my interest was in self-management...

"The trouble is that there are those patients who do it all already anyway and then those patients who just never will..." 

I couldn't disagree with this statement in principle (there are people at both ends of the self-management spectrum), but when shared as an argument not to engage in supporting self-management (as it was used), it couldn't be more floored.

Lets break this down...



First of all, we can say this about many clinical interventions that we seem to carry on prescribing regardless. Some medications will never work for some people - even RCTs are honest about that. Some (short term) symptoms would have naturally resolved themselves without any medications. Yet we continue to prescribe these medications! That doesn't seem to be enough of a reason not to use traditional clinical interventions, so why should it limit self-management support as well?

Secondly, self-management support isn't black and white. From an asset-based approach, the people who 'never' self-management are actually already doing some things to self-manage. They might be tiny and clinically insignificant, but that doesn't mean that individual isn't making (wise or otherwise) decisions on a daily basis about their health.

Those people who are already doing it are probably doing so despite the system, and would probably still welcome some acknowledgement and support - I know I did and many people I work with do too. Just because they are doing it all already at the moment, doesn't mean they feel confident sustaining it all, or will encounter challenges in the future that they could prepare for.

And thirdly, if self-management is perceived as an all or nothing binary activity, that misses the spectrum of activities that is encompasses... medications, navigating services, managing symptoms, planning, goal setting, problem solving, social activities, peer support, information sourcing, emotional resilience, adapting hobbies, decisions re daily activities, communicating with friends, family and support networks....

I can't dispute that spectrum of people's knowledge, confidence and skills to self-manage (or the levels of patient activation as its often labelled) exists, but its a strong reason to support self-management because it means we can tailor our support. We don't need to put hours into support every patient, but can provide lighter touch specific support for some while focusing more with others. This is exactly what happens with clinical triage, and screening of referrals into acute services, so it's not unreasonable or unrecognisable for clinicians.

Whilst hearing these views is always a bit stomach-churning, it is so helpful to then check back how people are perceiving self-management and what further we need to do to support and embed the self-management agenda, or even establish understanding of what it is in the first place!


37 comments:

  1. Replies



    1. Just wanna say a big thank you cythia for introducing me to Dr Sayo the great HERBALIST that helped me prepare home remedies that cured my herpes simplex virus (HSV1&2)
      I was infected with herpes for the past two years and i was not happy all day so i was desperate to get a cure so that i can live normal and get healthy.One day i was less busy so i decided to make latest research on herpes  cure  and i found a site were everyone was talking about Dr Sayo and has ability to cure Herpes, HIV, HPV, Cancer, ALS, COPD, Anthrax, genital wart, cold sore, Arthritis skin tag and all manners of diseases and virus.So i discussed with cythia and she explained to me that its very easy working with Dr sayo  so i contacted Dr Sayo via email  dr.sayoherbalhealer@gmail.com and he helped me just as he has helped others now I am  now cured from herpes am very happy now.and i can also assure you that he can also help you. so if you need the service of Dr Sayo kindly contact him visit his websites website; http://sayoherbalhealer.website2.me/ Or check FB Page https://www.facebook.com/Sayo-Herbal-Healer-100145798345000/ check blog: https://sayoherbalhealer.blogspot.com/ 


























      Just wanna say a big thank you cythia for introducing me to Dr Sayo the great HERBALIST that helped me prepare home remedies that cured my herpes simplex virus (HSV1&2)
      I was infected with herpes for the past two years and i was not happy all day so i was desperate to get a cure so that i can live normal and get healthy.One day i was less busy so i decided to make latest research on herpes  cure  and i found a site were everyone was talking about Dr Sayo and has ability to cure Herpes, HIV, HPV, Cancer, ALS, COPD, Anthrax, genital wart, cold sore, Arthritis skin tag and all manners of diseases and virus.So i discussed with cythia and she explained to me that its very easy working with Dr sayo  so i contacted Dr Sayo via email  dr.sayoherbalhealer@gmail.com and he helped me just as he has helped others now I am  now cured from herpes am very happy now.and i can also assure you that he can also help you. so if you need the service of Dr Sayo kindly contact him visit his websites website; http://sayoherbalhealer.website2.me/ Or check FB Page https://www.facebook.com/Sayo-Herbal-Healer-100145798345000/ check blog: https://sayoherbalhealer.blogspot.com/ 






















      Just wanna say a big thank you cythia for introducing me to Dr Sayo the great HERBALIST that helped me prepare home remedies that cured my herpes simplex virus (HSV1&2)
      I was infected with herpes for the past two years and i was not happy all day so i was desperate to get a cure so that i can live normal and get healthy.One day i was less busy so i decided to make latest research on herpes  cure  and i found a site were everyone was talking about Dr Sayo and has ability to cure Herpes, HIV, HPV, Cancer, ALS, COPD, Anthrax, genital wart, cold sore, Arthritis skin tag and all manners of diseases and virus.So i discussed with cythia and she explained to me that its very easy working with Dr sayo  so i contacted Dr Sayo via email  dr.sayoherbalhealer@gmail.com and he helped me just as he has helped others now I am  now cured from herpes am very happy now.and i can also assure you that he can also help you. so if you need the service of Dr Sayo kindly contact him visit his websites website; http://sayoherbalhealer.website2.me/ Or check FB Page https://www.facebook.com/Sayo-Herbal-Healer-100145798345000/ check blog: https://sayoherbalhealer.blogspot.com/ 
















      Delete
  2. Just because they are doing it all already at the moment, doesn't mean they feel confident sustaining it all, or will encounter challenges in the future that they could prepare for. https://topacademictutors.com/

    ReplyDelete
  3. This comment has been removed by the author.

    ReplyDelete
  4. Nice article that you have posted.

    ReplyDelete
  5. Programmers - cellular telephone restores calls for the cellular phone to be unlocked. Now not all mobile phones may be opened with a simple cable.

    ReplyDelete
  6. Hiv disease for the last 3 years and had pain hard to eat and cough are nightmares,especially the first year At this stage, the immune system is severely weakened, and the risk of contracting opportunistic infections is much greater. However, not everyone with HIV will go on to develop AIDS. The earlier you receive treatment, the better your outcome will be.I started taking ARV to avoid early death but I had faith in God that i would be healed someday.As a Hiv patent we are advise to be taking antiretroviral treatments to reduce our chance of transmitting the virus to others , few weeks ago i came on search on the internet if i could get any information on Hiv treatment with herbal medicine, on my search i saw a testimony of someone who has been healed from Hiv her name was Achima Abelard and other Herpes Virus patent Tasha Moore also giving testimony about this same man,Called Dr Itua Herbal Center.I was moved by the testimony and i contacted him by his Email.drituaherbalcenter@gmail.com We chatted and he send me a bottle of herbal medicine I drank it as he instructed me to.After drinking it he ask me to go for a test that how i ended my suffering life of Hiv patent,I'm cured and free of Arv Pills.I'm forever grateful to him Drituaherbalcenter.Here his contact Number +2348149277967...He assure me he can cure the following disease..Hiv,Cancer,Herpes Virus,Lyme Disease,Epilepsy, ,Bladder Cancer,Colorectal Cancer,Breast Cancer,Kidney Cancer,Leukemia,Lung Cancer,Non Hodgkin Lymphoma,Skin Cancer,Lupus,Uterine Cancer,Prostate Cancer, fibromyalgia ,ALS,Hepatitis,Copd,Parkinson disease.Genetic disease,Fibrodysplasia disease,Fibrodysplasia Ossificans Progressiva,Fluoroquinolone Toxicity Syndrome,Liver/Kidney Inflammatory,Men/Woman infertility, bowel disease ,Huntington's disease ,Diabetes,Fibroid...

    ReplyDelete
  7. https://tnhboxes.com/
    https://www.paperslibrary.com/
    https://topacademictutors.com/
    https://liveassignmenthelp.com/
    http://rankhawks.com/
    http://www.quotehawks.com/
    https://cosmocarparts.com/
    http://aiwah.pk/

    ReplyDelete
  8. Most prostate cancers are adenocarcinomas, cancers that arise in glandular cells of the prostate’s epithelial tissue. Prostate cancers usually progress slowly and produce no symptoms in the initial stages. Eventually, the tumor may enlarge like mine use too, the prostate gland, pressing on the urethra and causing painful or frequent urination and blood in the urine. So I was so uncomfortable with this prostate cancer diseases then I decided to do online search on how to cure cancer because I well have read a lot about herbal medicine,I came across a lot of testimony how Dr Itua cure HIV/herpes then Cancer was listed below the comment.with courage I contacted Dr Itua and he sent me his herbal medicine through Courier service then I was asked to pick it up at my post office which i quickly did. I contacted Dr Itua that i have received my herbal medicine so he instructs me on how to drink it for three weeks and that is how Dr Itua Herbal Medicine cure my prostate Cancer, The treatment takes three weeks and I was cured completely. Dr Itua is a god sent and I thank him every day of my life. Contact him now On:Email:drituaherbalcenter@gmail.com/Whatsapp:+2348149277967.
    He listed to that he can as well cure the following diseases below.... Cerebral Amides. Lung Cancer, Alzheimer's disease, Adrenocortical carcinoma. Alma, Uterine Cancer, Breast Cancer, Allergic diseases. Kidney cancer, Love Spell, Colo rectal cancer, Lottery Spell, Bladder Cancer, Skin Cancer, HIV /Aids, Herpes, Non-Hodgkin lymphoma, Inflammatory bowel disease, Copd, Diabetes, Hepatitis

    ReplyDelete
  9. It was during my research on HIV/Herpes that I stumbled upon the Hiv/Herpes information; information which is quite easy to find when doing a search for STD on google. I was into conspiracy at the time thought of HIV/Herpes Cured' being a conspiracy was something Ignorance though,I found pretty interesting about herbal medicine. I asked questions about the Herbal cure's on official HIV/Herpes websites and I was banned for doing so by moderators who told me that I was parroting Hiv/Herpes propaganda. This reinforced my belief that there is a cure for Hiv/Herpes Then i found a lady from germany name Achima Abelard Dr Itua Cure her Hiv so I send him a mail about my situation then talk more about it and send me his herbal medicine I drank for two weeks.And today I'm Cured no Hiv/Herpes in my life,I searched for Hiv/Herpes groups to attempt to make contact with people in order to learn more about Hiv/Herpes Herbal Cure's I believed at this time that you with the same disease this information is helpful to you and I wanted to do the best I could to spread this information in the hopes of helping other people.That Dr Itua Herbal Medicine makes me believes there is a hope for people suffering from,Parkinson's,Alzheimer’s disease,Bechet’s disease,Crohn’s disease
    ,Cushing’s disease,Heart failure,Multiple Sclerosis,Hypertension,Colo_Rectal Cancer,Lyme Disease,Blood Cancer,Brain Cancer,Breast Cancer,Lung Cancer,Kidney Cancer,Love Spell,Lottery Spell,disease,Schizophrenia,Cancer,Scoliosis,Fibromyalgia,Fluoroquinolone Toxicity Syndrome Fibrodysplasia Ossificans Progressiva.Infertility, ,Epilepsy ,Diabetes ,Coeliac disease,,Arthritis,Amyotrophic Lateral Sclerosis,Alzheimer's disease,Adrenocortical carcinoma.Asthma,Allergic diseases.Parkinson's disease,Schizophrenia,Lung Cancer,Breast Cancer,Colo-Rectal Cancer,Blood Cancer,Prostate Cancer,siva.Fatal Familial Insomnia Factor V Leiden Mutation ,Epilepsy Dupuytren's disease,Desmoplastic small-round-cell tumor Diabetes ,Coeliac disease,Creutzfeldt–Jakob disease,Cerebral Amyloid Angiopathy, Ataxia,Arthritis,Amyotrophic Lateral Scoliosis,Fibromyalgia,Fluoroquinolone Toxicity
    Syndrome Fibrodysplasia Ossificans ProgresSclerosis,Seizures,Alzheimer's disease,Adrenocortical carcinoma.Asthma,Allergic diseases.Hiv_ Aids,Herpe ,Copd,Glaucoma., Cataracts,Macular degeneration,Cardiovascular disease,Lung disease.Enlarged prostate,Osteoporosis.
    Dementia.,Hiv_ Aids,Herpes,Inflammatory bowel disease ,Copd,Diabetes,Hepatitis,I read about him online how he cure Tasha and Tara,Conley,Mckinney and many more suffring from all kind of disease so i contacted him . He's a herbal doctor with a unique heart of God, Contact Emal..info@drituaherbalcenter.com / drituaherbalcenter@gmail.com Phone or whatsapp..+2348149277967.

    ReplyDelete
  10. Hi, after reading this informative piece of writing about patients' education, I am very excited to share this helpful blog with colleagues.

    Marvelous, what a blog it is! This webpage provides useful data to us, keep it up.

    Every person is sharing these kinds of know-how, so it’s nice to read this website, and I used to go to see these kinds of blogs daily.

    I actually love reading self-management or self-improvement blogs.

    I pay a visit each day a few websites and blogs to read content about patient's self-improvement. However, this web site offers feature based content.

    You know we also need to promote food that can support our health. In fact, in my opinion, food has a key role in making or breaking health.

    Organic food like Moringa oleifera is excellent to boost health and wellness.

    Anyhow, thank you for sharing and guiding people about self-improvement. Thumbs up for you, really you are doing a great job. Keep it up!

    I wish you loads of success and good health.

    ReplyDelete
  11. I'm 55-year-old from Korean, I was diagnosed with second-stage liver cancer following a scheduled examination to monitor liver cirrhosis. I had lost a lot of weight. A CT scan revealed three tumors; one in the center of my liver in damaged tissue and two in healthy portions of my liver. No chemotherapy or radiotherapy treatment was prescribed due to my age, the number of liver tumors. One month following my diagnosis I began taking 12 (350 point) Salvestrol supplements per day, commensurate with my body weight. This comprised six Salvestrol Shield (350 point) capsules and six Salvestrol Gold (350 point) capsules, spread through the day by taking two of each capsule after each main meal. This level of Salvestrol supplementation (4,000 points per day) was maintained for four months. In addition, I began a program of breathing exercises, chi exercises, meditation, stretching and stress avoidance. Due to the variety of conditions that I suffered from, I received ongoing medical examinations. Eleven months after commencing Salvestrol supplementation But all invalid so I keep searching for a herbal cure online that how I came across a testimony appreciating Dr Itua on how he cured her HIV/Herpes, I contacted him through email he listed above, Dr Itua sent me his herbal medicine for cancer to drink for two weeks to cure I paid him for the delivering then I received my herbal medicine and drank it for two weeks and I was cured until now I'm all clear of cancer, I will advise you to contact Dr Itua Herbal Center On Email...drituaherbalcenter@gmail.com. WhatsApps Number...+2348149277967. If you are suffering from Diseases listed below, Cancer, HIV/Aids, Herpes Virus,Bladder cancer,Brain cancer,Colon-Rectal Cancer,Breast Cancer,Prostate Cancer,
    ?Esophageal cancer,?Gallbladder cancer,Gestational trophoblastic disease,Head and neck cancer,?Hodgkin lymphoma
    ?Intestinal cancer,Kidney cancer,Leukemia,Liver cancer,Lung cancer,Melanoma,Mesothelioma,?Multiple myeloma,?Neuroendocrine tumors,Non-Hodgkin lymphoma,?Oral cancer,Ovarian cancer,?Sinus cancer,Skin cancer,Soft tissue sarcoma,Spinal cancer,Stomach cancer,Testicular cancer,Throat cancer,Thyroid Cancer,?Uterine cancer,Vaginal cancer,Als,Vulvar cancer,Hepatitis, Chronic Illness. Lupus,Fibromyalgia.

    ReplyDelete
  12. I love this one. Thanks for sharing such a good content. I would like to see more content like this. In mean time You may also visit the best website of graduation products to get the bestPad Holders, Legal Pad Holder, Leather Legal Pad Holder, Legal Pad Portfolio like stationery.

    ReplyDelete
  13. I have long felt a special connection with herbal medicine. First, it's natural, Charlie attended the same small college in Southern California - Claremont Men's College - although he dropped out of school to enroll in the Julliard School of Performing Arts in New York. York. Had he been to Claremont, he would have been senior the year I started there; I often thought that was the reason he was gone when he discovered that I had herpes. So, my life was lonely, all day, I could not stand the pain of the outbreak, and then Tasha introduced me to Dr. Itua who uses her herbal medicines to cure her two weeks of consumption. I place an order for him and he hands it to my post office, then I pick it up and use it for two weeks. All my wound is completely healed no more epidemic. I tell you honestly that this man is a great man, I trust him Herbal medicine so much that I share this to show my gratitude and also to let sick people know that there is hope with Dr. Itua. Herbal Center.Dr Itua Contact Email.drituaherbalcenter@gmail.com/Whatsapp ... +2348149277967
    He cures.
    Herpes,
    Prostate
    Breast Cancer
    Brain Cancer
    CEREBRAL VASCULAR ACCIDENT.
    ,Endomertil Cancer, cerebrovascular diseases
    Hepatitis,Glaucoma., Cataracts,Macular degeneration,Cardiovascular disease,Lung disease.Enlarged prostate,Osteoporosis.Alzheimer's disease,
    Dementia.Tach Disease,Shingles,
    Lung Cancer, Leukemia Lymphoma Cancer,
    Lung Mesothelioma Asbestos,
    Ovarian Cervical Uterine Cancer,
    Skin Cancer, Brain Tumor,
    H.P.V TYPE 1 TYPE 2 TYPE 3 AND TYPE 4. TYPE 5.
    HIV,Arthritis,Amyotrophic Lateral Scoliosis,Fibromyalgia,Fluoroquinolone Toxicity
    Cervical Cancer
    Colo-rectal Cancer
    Blood Cancer
    SYPHILIS.
    Diabetes
    Liver / Inflammatory kidney
    Epilepsy

    ReplyDelete
  14. I’m here to testify about what DR. ISIBOR did for me. I have been suffering from (GENITAL HERPES VIRUS) disease for the past 3 years and had constant pain and inching, especially in my private part. During the first year, I had faith in God that i would be cured someday.This disease started circulating all over my body and I have been taking treatment from my doctor, few weeks ago I came across a testimony of Rose Smith on the internet testifying about a Man called DR. ISIBOR on how he cured her from 7 years HSV 2. And she also gave the email address of this man, advise anybody to contact him for help on any kind of diseases that he would be of help, so I emailed him telling him about my (HSV 2) he told me not to worry that I was going to be cured!! Well, I never doubted him I have faith he can cure me too,, DR. ISIBOR prepared and sent me Healing Oil, Soap, roots and herbs which I took. In the first one week, I started experiencing changes all over me, after four weeks of using his Roots/ Herbs, Oil and Soap, I was totally cured. no more inching , pain on me anymore as DR. ISIBOR assured me. After some time I went to my doctor to do another test behold the result came out negative. So friends my advise is if you have such disease or know anyone who suffers from it or any other disease like HPV, HIV, ALS, CANCER etc. you can contact DR. ISIBOR for help via email} drisiborspellhome@gmail.com or call +2348107855231

    ReplyDelete
  15. I can't believe this. A great testimony l must share. A few months back l was diagnosed with herpes virus. I really thought my life was over. I had used different kinds of medication which didn't help. Then l browsed the internet and found a great doctor by the name Dr Odion who listened to my problems and sent me herbal medication via courier. I took the medication as instructed and within 2 weeks, the virus was gone.
    If you need any help you may contact Dr Odion on whatsApp at +234 9019421176
    HIV
    DIABETES
    CANCER
    KIDNEY PROBLEMS
    AND OTHER DISEASES

    ReplyDelete
  16. This is a very good tip particularly to those fresh to the blogosphere. Short but very accurate information… Thank you for sharing this one. A must read post!
    https://www.thehealthyzoom.com/low-calorie-brownies/

    ReplyDelete
  17. I am bold enough among many others to state that there is now a potent cure to this sickness but many are unaware of it. I discovered that I was infected with the virus 3 months ago, after a medical check-up. My doctor told me and I was shocked, confused and felt like my world has crumbled. I was dying slowly due to the announcement of my medical practitioner but he assured me that I could leave a normal life if I took my medications (as there was no medically known cure to Herpes). I went from churches to churches but soon found that my case needed urgent attention as I was growing lean due to fear of dying anytime soon. In a bid to look for a lasting solution to my predicament, I sought for solutions from the herbal world. I went online and searched for every powerful trado-medical practitioner that I could severe, cos I heard that the African Herbs had a cure to the Herpes syndrome. It was after a little time searching the web that I came across one Dr Afrid (A powerful African Herbal Doctor), who offered to help me at a monetary fee. I had to comply as this was my final bus-stop to receiving a perfect healing. My last resolve was to take my life by myself, should this plan fail. At last it worked out well. He gave me some steps to follow and I meticulously carried out all his instructions. Last month, to be precise, I went back to the hospital to conduct another test and to my amazement, the results showed that negative, Dr Afrid Can As Well Cure The Following Disease…Cancer,Hiv,Herpes, Hepatitis B,Liver Inflammatory,Diabetis,Fribroid, Dercum,fibromyalgia,Get Your Ex Back,Als,SYPHILLIS,Genetic disease, Parkinson's disease.Fibrodysplasia Ossificans Progressiva.You can free yourself of this Herpes virus by consulting this great African Herbal Doctor via this e-mail: drafridherbalhome@gmail.com or call and whatsapp him on +2349057260738 He will help you and his herb medication is sure. he has the cure on all disease...

    ReplyDelete
  18. Welcome to Emiran HealthCare Our services are aimed at ensuring that our clients can remain at home, receiving the highest care standard, yet without having distortion or disturbance in their comfort ability.

    Domiciliary Care
    Community Care
    HealthCare Provider
    Support living care
    Live in care


    Contact us:

    Call: 01908299170

    Email :info@emiranhealthcare.co.uk
    Website: https://emiranhealthcare.co.uk/

    ReplyDelete
  19. I GOT CURED FROM HERPES VIRUS I was diagnosed of HERPES virus and i have tried all I can to get cured but all to no avail,,until I saw a post in a health forum about a herbalist man who prepare herbal medications to cure all kind of diseases including #HERPES virus,at first I doubted if it was real but decided to give it a try,when I contacted this herbalist via his email and he prepared a #HERPES herbal cure and sent it to me via DHL delivery company service, when I received this herbal medicine, he gave me step by direction on how to apply it,after applying the way I was instructed,I was totally cured of this deadly disease called HERPES, all thanks to Dr OGODO Email this great herbal doctor via his email Ogodoherbalhomesolution@gmail.com
    You can also WhatsApp him on +2349044680467
    HE CAN ALSO CURE SICKNESS LIKE
    {1}HIV/AIDS
    {2}DIABETES
    {3}EPILEPSY
    {4} BLOOD CANCER
    {5} HPV
    {6} ALS
    {7} HEPATITIS
    {8}LOVE SPELL
    {9} SICKLE AND ANEMIA
    Only DR OGODO Can Help You I Love You Father.

    ReplyDelete

  20. i am very grateful sharing this great testimonies with you, The best thing that has ever happened in my life is how i win the lottery. I am a woman who believe that one day i will win the lottery.finally my dreams came through when i email Dr Padman . and tell him i need the lottery numbers. i have come a long way spending money on ticket just to make sure i win. But i never know that winning was so easy until the day i meant the spell caster online which so many people has talked about that he is very great in casting lottery spell, so i decide to give it a try.I contacted this man and he did a spell and he gave me the winning lottery numbers. But believe me when the draws were out i was among winners. i win 1.900.000 million Dollar. Dr Padman truly you are the best, with these man you can will millions of money through lottery. i am so very happy to meet these man, i will forever be grateful to you. Email him for your own winning lottery numbers padmanlovespell@yahoo.com. OR Whatsapp or WhatsApp +19492293867 Website: https://padmanspell.com

    ReplyDelete
  21. Trust me when I say, this is probably the most well-written post I have come across on the assignment writing concerns. A scholar should definitely try out the professional Essay Writing Services facility offered by the deft experts of the MyAssignmentHelpAU platform to observe a remarkable in his academic grade. The easy-to-understand outcomes will help you to develop a better insight into the topic and subject covered in the assignments.

    ReplyDelete
  22. I started on COPD Herbal treatment from Ultimate Life Clinic, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Life Clinic via their website www.ultimatelifeclinic.com . I can breath much better and It feels comfortable!

    ReplyDelete
  23. This is quite impressive way to write down information without committing plagiarism. Do you need more post written by online essay writing service? Sourceessay.com will be an ideal destination for you.

    ReplyDelete
  24. "The Masters Real Estate" is official sales partner of Lahore Smart City and 1st Smart City which is Capital Smart City . We are one of the most enticing options on the planet of real estate. Our prestigious forum provides the potential solution of all your ambiguities regarding the purchasing of shops, lands, and houses.

    We have engaged our teams in various cities of Pakistan as well as the online world to make our services accessible. The provision of reasonable price real estate properties by our company is attracting the residents and the foreigners. We have intended to provide luxurious construction projects and houses at affordable prices to our nation.

    Also Check Location at: Lahore Smart City Location

    For More Visit: The Masters Real Estate

    ReplyDelete
  25. Jó honlap : Biodata
    Jó honlap : Zonahobisaya
    Jó honlap : One Piece
    Jó honlap : Tertua
    Jó honlap : Zonahobisaya
    Jó honlap : Logo
    Jó honlap : Zonahobisaya
    Jó honlap : Zonahobisaya

    ReplyDelete
  26. Glad i was cured from herpes… Sure Treatment!! My heart is so filled with joy. this the best herbal remedy, thanks to [Robinsonbuckler11@]gmail .com.

    ReplyDelete
  27. I value the content you provide on your website because it's so pertinent and relevant is oou open and distance-learning admission  form out

    ReplyDelete
  28. Everyone who has visited this incredible website deserves kudos! Your blog post is packed with valuable information, and I appreciate you sharing it.
    The impact of social media on mental health

    ReplyDelete
  29. Writing an assignment often becomes overwhelming for the students doing higher education. It requires in-depth conceptual clarity, and practical implementation of the theoretical concepts. Sometimes, students also need to do time-consuming research to complete their assignments.
    In order to assist the students across the world, Global Assignment Help provides the best quality assignments on-time. The professional writers of the organization are highly qualified, and well-known for delivering plagiarism-free contents including correct and precise information. The affordable pricing, and the round-the-clock customer services makes them one of the best assignment help service providers in the world. Many students have gained benefit by choosing the firm, and scored high in their academics.

    ReplyDelete