History of Present Problem: Minnie Taylor is a 62-year-old African-American female with a history of diabetes mellitus type II, hypertension, and peripheral arterial disease who had a left below the knee amputation (LBKA) three days ago. She had two small loose, watery stools last night and a third large watery brown stool this afternoon that had a distinct foul odor. Minnie is now complaining of generalized lower abdominal cramping that she rates 3/10. She does not have an appetite and does not feel like drinking fluids. Minnie was awake and alert after lunch, but later that afternoon just before supper you note that Minnie is sleepy and once aroused, falls right back to sleep. Personal/Social History: Minnie is a retired teacher who never married and has no close friends. She lives alone in her own apartment. What data from the histories are RELEVANT and must be interpreted as clinically significant by the nurse? (Reduction of Risk Potential) RELEVANT Data from Present Problem: Clinical Significance:

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The Criminal Justice and Implications for Human Services

Choose one of the following questions to discuss. You should not discuss both questions, but should respond to peers for both.

Legalizing marijuana is a controversial topic in human services, criminal justice, political arenas, and health arenas. From a human service policy perspective, analyze what you believe would be the positive and/or negative consequences of legalizing marijuana. Discuss the implications for human services providers. If you agree or disagree with the stance of your peers, then explain specifically why and provide substantial evidence in your peer responses.

OR

Sexually violent predators are among the most feared and the most ridiculed individuals in our society. Some states have enacted legislation to allow civil commitment of sexually violent predators once they have been released from prison. Discuss the pros and cons of this legislation. Include in your discussion the implications for human services providers.

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The term evidence-based practice began appearing in literature in the 1990s when it was defined as the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individuals, by Sackett and colleagues Nursing Management (Springhouse) September 2019. In the 2000’s Evidence-based Practice was high on political and professional agendas, and nursing literature was abuzz with the term, it eventually was embraced from a system perspective, partly due to requirements from regulatory agencies such as the joint commission and the American Nurses Credential Centers Magnet Recognition Program. In the 21st century, one of the major challenges in healthcare is for practitioners to feel that they can say without a doubt that they use research in their practice and if not, why, according to some studies some nurses claimed the lack of time as a barrier to EBP.

Discussion Board #6 Political Considerations

Last year, the Biden Administration issued two new policies regarding Covid -19 Vaccines.

Via the Department of Health and Human Services (HMS) and the Center for Medicare and Medicaid (CMS), all healthcare facilities must require that their workers are fully vaccinated. Since most healthcare facilities receive payment from CMS and to continue to receive these payments, they must comply.

Several states are challenging the constitutionality of the policy, but the policy was upheld by the Supreme Court which means that healthcare mangers must plan and comply.

• Some people have extraordinarily strong feelings regarding these policies. As a future health care manager, consider and address the following from the management perspective:
• Identify two specific reasons that will provide positive benefits for your facility and the management of the facility, by instituting and following the policies described above.

Identify two specific reasons that will present a management challenge for your facility and the management of the facility if the Biden Policy should be rescinded.

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A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle. She was playing soccer over the weekend and heard a “pop.” She is able to bear weight, but it is uncomfortable. In determining the cause of the ankle pain, based on your knowledge of anatomy, what foot structures are likely involved? What other symptoms need to be explored? What are your differential diagnoses for ankle pain? What physical examination will you perform? What special maneuvers will you perform? Should you apply the Ottawa ankle rules to determine if you need additional testing?

Perform an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.