Mental illness is not a rarity within the criminal justice system. Community corrections professionals do supervise mentally ill offenders. Explore the issue of mental illness and the challenges community corrections officers face in supervising mentally ill offenders. What are your thoughts on the various mental health treatments that are beneficial to those under supervision?

1.) Dr. Johnson (an internist) saw Ms. Bane. Dr. Johnson suspected a gynecological problem. Dr. Johnson called Dr. Thomas (an OB/GYN) and asked her to evaluate Ms. Bane. There was no written request sent to Dr. Thomas by Dr. Johnson. However, based on Dr. Johnson’s verbal request (which was documented by Dr. Thomas and Dr. Johnson in each of their medical records), Dr. Thomas saw Ms. Bane in the office. She took Ms. Bane’s history and performed an examination. She then wrote Dr. Johnson and provided him with her opinion regarding Ms. Bane, recommended a course of treatment (which was filed in Ms. Bane’s medical record) and thanked him for the referral. Should Dr. Thomas’s services in the office be coded as an office visit (99201-99215) or an office consultation (99241-99245)?

Same as above except Dr. Thomas also wrote a prescription for Ms. Bane and made a follow-up appointment for Ms. Bane to see her again in three days. Should Dr. Thomas’s initial services (not the follow-up visit) be coded as an office visit (99201-99215) or an office consultation (99241-99245)? Same as above. At the conclusion of the follow-up visit, Dr. Thomas wrote Dr. Johnson again providing him with an update on her opinion regarding Ms. Bane. Should Dr. Thomas’s follow-up services be coded as an office visit (99211-99215) or an office consultation (99241-99245)?

Same as above except a week later Dr. Johnson saw Ms. Bane again. He was concerned that her condition had not cleared up so he called Dr. Thomas and asked her to reevaluate Mrs. Bane and provide an updated opinion. Dr. Thomas documented Dr. Johnson’s verbal request and saw Ms. Bane in the office. She took Ms. Bane’s history and performed and examination. She then wrote Dr. Johnson and provided him with her updated opinion regarding Ms. Bane and recommended a revised course of treatment. Should Dr. Thomas’s services in the office be coded as an office visit (99201-99215) or an office consultation (99241-99425)?

Probation officers do not only supervise offenders. A community corrections officer plays many roles. These roles can lead to different conflicts. Appraise the different roles probation officers play. What are your thoughts on how these roles can result in ambiguity and conflict? Criminal justice positions can cause burnout. This is true of probation officers. Explore the different ways probation officers can experience stress and burnout. What are your thoughts on different measures that probation officers can implement to reduce burnout and stress?

Question #: 15
BACKGROUND: Seizure is a common complication after stroke (termed "post-stroke seizure," PSS). Although many studies have assessed outcomes and risk factors of PSS, no reliable predictors are currently available to determine PSS recurrence. We compared baseline clinical characteristics and post- stroke treatment regimens between recurrent and non-recurrent PSS patients to identify factors predictive of recurrence.
METHODS: Consecutive PSS patients admitted to our stroke center between January 2011 and July 2013 were monitored until February 2014 (median 357 days; IQR, 160-552) and retrospectively evaluated for baseline clinical characteristics and PSS recurrence. Cumulative recurrence rates at 90, 180, and 360 days post-stroke were estimated by Kaplan-Meier analysis. Independent predictors of recurrent PSS were identified by Cox proportional-hazards analysis.
RESULTS: A total of 104 patients (71 men; mean age, 72.1 ±11.2 years) were analyzed. PSS recurred in 31 patients (30%) during the follow-up. Factors significantly associated with PSS recurrence by log-rank analysis included previous PSS, valproic acid (VPA) monotherapy, polytherapy with antiepileptic drugs (AEDs), frontal cortical lesion, and higher modified Rankin Scale score at discharge (all p <0.05). Independent predictors of recurrent PSS were age <74 years (HR 2.38, 95% CI 1.02-5.90), VPA monotherapy (HR 3.86, 95% CI 1.30-12.62), and convulsions on admission (HR 3.87, 95% CI 1.35-12.76). CONCLUSIONS: Approximately one-third of PSS patients experienced seizure recurrence within one year. The predictors of recurrent PSS were younger age, presence of convulsions and VPA monotherapy. Our findings should be interpreted cautiously in countries where monotherapy with second-generation AEDs has been approved because this study was conducted while second-generation AEDs had not been officially approved for monotherapy in Japan.
Which of the following choices best represents the study design? (2 points)
A. Prospective Cohort Study
B. Retrospective Cohort Study
C. Case-Control Study
D. Case Report / Case Series
E. Cross-Sectional Study
F. Prospective, Randomized, Controlled Study

the patient with diabetes is at risk for _______________, either during anesthesia or postoperatively, from inadequate carbohydrates or excessive administration of insulin.

What does the Future of TelaDoc look like?

Playing the Social Security game, applying payroll tax to healthcare premiums solved 36% of the challenge. How does taxing healthcare help social security? And, what is the impact on Medicare?

People have talked about aging as critical factor for poor outcomes with Covid-19 exposure, identify 3 medical conditions that have been suggested to lead to poor outcomes.

1. A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

A. Notify the provider.

B. Check the tubing for kinks.

C. Adjust the rate of the bladder irrigant.

D. Irrigate the catheter.

2. A nurse is reviewing the laboratory results of a client who takes furosemide. Which of the following results should the nurse identify as the priority finding?

1. Potassium 2.9 mEq/L
2. Phosphorous 4.5 mEq/L
3. Sodium 145 mEq/L
4. Calcium 8.2 mg/dL

3. A nurse is prioritizing client care after receiving change-of-shift report. Which of the following clients should the nurse plan to see first?

1. A client who is scheduled for an abdominal x-ray and is awaiting transport
2. A client who has a prescription for discharge
3. A client who received oral pain medication 30 min ago

4. A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate analysis of the ABGs? pH   7.22 PaCO2 68 mm Hg PaO2 78 mm Hg Saturation    80%

1. Respiratory acidosis
2. Metabolic acidosis
3. Metabolic alkalosis
4. Respiratory alkalosis

1. A client who told an assistive personnel he is short of breath

In one paragraph, argue your stance to the question, "Is self plagiarism a form a cheating? Why or why not?" You can use personal examples or examples from the PDF "What is Plagiarism and Self Plagiarism" and the course information page. Finish your response by asking your peers a question that they can answer in their peer responses.

Week 1 Discussion Topics

• Distinguish between the levels of prevention.
• Provide two (2) examples of each type of prevention.
• Identify the circumstances and settings in which each level is indicated. Explain your answers.

write a summary on the evolution of nursing:

the history of nursing and nursing education, changes in nursing during the 20th century,significant changes,development of practical and vocational,factors that influenced practical and vocational nursing,licensure for practical and vocational,health care delivery systems,delivery of patient care,nursing care models and roles and responsibilities of vocational nursing education.

This week you have been introduced to the specific mechanisms (example: A-B toxin) that elicit the symptoms of disease in a host. Pick three of these mechanisms and describe each in a research paper. Please follow the expectations that are listed below.

• Introduction (list the three mechanisms that you have picked and provide a brief overview)

• Mechanism 1 (Describe the cellular source of the mechanism. Explain how this mechanism produces an effect inside the host. Provide an example pathogen that utilizes this mechanism).

• Mechanism 2 (Describe the cellular source of the mechanism. Explain how this mechanism produces an effect inside the host. Provide an example pathogen that utilizes this mechanism).

• Mechanism 3 (Describe the cellular source of the mechanism. Explain how this mechanism produces an effect inside the host. Provide an example pathogen that utilizes this mechanism).

How do you think the nurse-patient relationship and the researcher-participant relationship are alike. How are they different.

discuss the anticipatory guidance about managing the physiologic changes the nurse would expect to educate the couple on during each trimester of the prenancy