Saturday, May 23, 2020

Vignette. Audrey (Age 10) Has Lived With Her Foster Mother

Vignette: Audrey (age 10) has lived with her foster mother (Ms. Gomez) and four other non-kin foster children for one year. Due to neglect, she was removed from her mother’s care when she was eight years old. Audrey has weekly contact with her biological mother, but no contact with her biological father or siblings. She says that she feels welcomed and comfortable in Ms. Gomez’ home, but expects to live with her biological mother and siblings in the future. Audrey believes things would be different when she returns to live with her biological mother because her father will not be there to be mean to her and her mother. She also said, â€Å"I will never complain again about my daddy or anyone else, and then I won’t have to worry about the social†¦show more content†¦Audrey’s emotions must be handled with care, as the counselor guides her to understanding the situation and handling it properly. With this understanding it is evident that the most strategic me thod for helping Audrey is the Person-Centered Therapy utilizing the techniques the systematic-relational approach and the house, tree, person test. By using a mixture of the different techniques, it allows for a balance of flexibility and structure in Audrey’s progress. Person-Centered Therapy: The approach of the counselor should originate in the Person-Centered Therapy. The ultimate goal the person-centered therapy is to â€Å"provide the necessary and sufficient therapeutic conditions of congruence, unconditional positive regard, and empathetic understanding so that the client can freely grow to become more of a fully functioning person in a safe and supportive therapeutic environment† (Tan, 2011). Audrey has an innocent view toward her biological mother. She longs to be with her and often blames herself for the separation. Thus, it is vital that the counselor reinstates a healthy self-awareness to Audrey’s understanding of the situation. She needs to learn that the situation is not her fault and that she has done nothing wrong. This will help her to view herself positively and be more open with her counselor about the situation. It is vital that Audrey feel that her counselor is on her

Tuesday, May 19, 2020

The Eight Photos By John Thomson s Illustrations Of China...

Jiangnan Yao Prof. Franziska Seraphim TA: Lia Atanat HIST1006 Feb. 16th, 2016 The eight photos I chose were arranged in a particular order. The first four were selected from the Globetrotter’s Japan while the other four photographs were chosen from John Thomson’s Illustrations of China and Its People: A Series of Two Hundred Photographs. Moreover, the photos on the left side depicted the traditional Asian people and places, in contrast with those on the right side, which seemed to be more â€Å"modern† due to some western elements presented in the pictures. These eight photos well represented the themes that are recurring in the three albums: Asians in traditional dress doing menial labor without the presence of technology,†¦show more content†¦The two scenes were beautiful in a natural, traditional and exotic way, which was different from Yokohama’s beauty of modernity in picture 2 and 4. Yokohama was one of the seven treaty ports opened by the Kanagawa Treaty in 1854 and Harris Treaty in 1858. Under the i ntimidation of America’s steam-and-coal warships, Japan had no choice but ended its â€Å"close-country policy† and gave the U.S., later also Britain, the Netherlands, Russia, and France, the access to the seven treaty ports. After a decade, when the â€Å"globetrotter† tourists visited Japan and pressed the camera shutter, we can see how those treaty ports, especially Yokohama, were influenced by the West. Picture 2 depicted a main street of Yokohama. On the left side of the street was a printing office while on the right side of the street, there was a Cigar store. Cigar was clearly not a native product of Japan, but something introduced from the West. Another noteworthy detail was that the shop signs of the two stores were both written in English instead of Japanese. Picture 4 was a portrait of a railway station. Train was a symbol of technology development and signified Japan was stepping outside of the Biological Old Regime and start to use steam and fuel a s the source of energy. In addition, in the middle of the picture stood a lampstand. It indicated the use of electricity, and gave viewer a

Tuesday, May 12, 2020

Organizational Failure And Its Impact On Organizational...

There is great need to learn from failure and this cannot be overemphasized. Few organizations manage to do it well and the ones that manage to do it are few. In the past years, many corporations have failed with very few having attained success. Business and Management research has viewed organizational failure with no great regard to organizational success. Organizational failure is viewed with less significance or, as being complementary to research on the success of organizations. As reported by Ormerod (2005), a key feature to both human, social, and biological systems is failure. In her works, Amy (2011), found that many managers hold the belief that failing is not good. There is the belief that taking the lessons from failure is†¦show more content†¦As reported by (Farazmand et al, 1995) the chaos theory is a great tool used to gain deeper understanding of the complex interaction between small events that may occur outside the organization’s monitoring scope a nd how these interactions impact affect the organization. Seeger (2002) noted that organizations operate in a complex climate and are constantly in a state of near failure where any minor event has the potential to plunge the organization into great catastrophe. Incremental disruptions in the business climate which result in serious failures are likened to the butterfly effect where one minor change or shift happens which leads to another change/shift and in the end, you have this major challenge which will most certainly end up with some sort of failure (Steward’s,1989). Considering the above, certain failures are because of small event or chain of events, within the organization or climate where the organization works in. Due to the negligible nature of the small events managers rarely notice them because they are not easily seen and by chance if they did find them they would ordinarily push them aside or ignore them all together. This view implies, that management is mostl y unable to predict failure and are unable to deal with its causes. On the other hand, the sudden disruption process takes a sudden occurrence to causes theShow MoreRelatedThe Impact Of Globalization On The Business Environment1356 Words   |  6 Pagescompetitive advantage and creating customers value (Dyer, 2002). Strategic alliances are inter-organizational cooperative structures formed to accomplish strategic objectives of the partnering firms. A number of business literatures and management practitioners have acknowledged the positive outcomes for companies engaged in it, such as higher returns on equity, better returns on investment and higher success rates compared with integration through merger and acquisition (Booz-Allen Hamilton, 2009)Read MoreHow Does Leadership Impact The Success Of A Company?1181 Words   |  5 PagesHow does leadership impact the success of a company? Many leadership theories exists in today’s business world, even more theories are taught. How does leadership impact the success of a company? Reflecting on current trends we will discover if one person truly has the power to positively or negatively affect the success of a company through leadership. Truly effective leaders know the respect of people is not just commanded it is earned. Accomplishing this type of respect is displaying the knowledgeRead MoreOrganizational Culture And Human Behavior1323 Words   |  6 PagesA major factor of a project’s success is the behavior of the employees. Employee behavior is influenced by organizational culture and leadership. This paper will briefly explore the influence organizational culture and human behavior have on the success of projects, in particular projects plagued with conflict. First, this paper will discuss the influences organizational culture has on the success of projects. Secondly, the role project leadership plays in the success of projects and how project managersRead MoreHow Organizational Culture Affects The Success And Failure Of An Organization Essay1134 Words   |  5 Pageswith a golden circle† (Afshar, 2013). Sinek has brought an overview of an essential factor to all organization, which is organizational culture. It is the key to make a success of an organization, as well as the reflection of the company’s manager leadership. In this essay, the definition of organizational culture, how organizational culture can influence both the success and failure of an organization and what managers can do to create an encouraging and effective culture at workplace will be disc ussedRead MoreOrganizational Changes : Risk Management And Organizational Change1412 Words   |  6 PagesWeavetech Organizational Change Strategy Risk Management and Organizational Change: Risks There are many potential risks associated with acquisitions and mergers. According to Allen (2014) risks include â€Å" the miscalculations regarding the scale, scope and change management implications of the integration and the level of assimilation required† to make the transition a success. Another risk is would include the a lack of an adequate or strong communication strategy. Finally, a lack of identificationRead MoreRisk Management And Organizational Change Strategy1451 Words   |  6 PagesWeavetech Risk Management and Organizational Change Strategy Risks. There are many potential risks associated with acquisitions and mergers. According to Allen (2014) risks include â€Å" the miscalculations regarding the scale, scope and change management implications of the integration and the level of assimilation required† to make the transition a success. Another risk is would include the a lack of an adequate or strong communication strategy. Finally, a lack of identification or preparationRead MoreThe Omnipotent View of Management1331 Words   |  6 Pagesresponsible for the success or failure of an organization. This is a dominate view in management theory and society in general. The symbolic view of management takes the view much of an organization’s success or failure is due to external forces outside the manager’ control. The view of managers as omnipotent is consistent with the stereotypical picture of the take-charge executive who can overcome any obstacle in carrying out the organization’s objec tives. The  symbolic view  organizational results as beingRead MoreOrganizational Change and Healthcare Management Essay979 Words   |  4 Pagesefficient and address changes in the industry have altered their strategic business plans. Lee Alexander (1999) researched organizational change in hospitals and their survival, in this paper I hope to discuss their findings and add other examples to validate their conclusions. Core and Peripheral Changes with Regard to Hospital Re-organization Found in the organizational structure and studied in hospital re-organization is the core and periphery both are varied systems that relate to the identityRead MoreThe Demonstration Of Leadership By Craig Johnson Essay1469 Words   |  6 Pagescompany experienced a decline in productivity within a short period after the CEO entered the organization. Actually, Fiorina entered a largely successful firm and introduced significant changes within a short time duration, which had considerable impacts on the firm’s operations. The dramatic changes that were introduced within a short time culminated in the decline of the value of the company’s stock within five years and the eventual unceremonious removal of the CEO. This paper provides a responseRead MoreStrategic Strategy And Risk Assessment1366 Words   |  6 PagesThe business dictionary has defined success as the achievement of an objective or pre-determined goal. For this study, being successful will mean strategic a lliance partners achieving those objectives that necessitated their partnership. Uddin Akhter (2011) argued that strategic alliance success requires cooperative behaviour from all partners. They went further to state that alliance success depends on several factors such as active involvement in problem’s solution, being trustworthy; to create

Wednesday, May 6, 2020

Cohabitation Between Marriage And Marriage - 949 Words

There was once a time when an unmarried couple living together was seen was untraditional and even frowned upon. Only five percent of single women had lived with a man before getting married in the mid-1960s compared to seventy percent in the 1990s (â€Å"The Facts,† n.d.). Today, it almost seems as if cohabitation is the first step in a couple’s decision to get married or have kids or both. More and more couples are putting off marriage until perhaps they are better acquainted with their partners. Cohabitation can have both positive and negative influences on relationships ranging from marriage itself to child development. It appears cohabitation occurs much sooner in the United States than many other western countries as well as those in Europe. Along with marriage, Americans tend to cohabit at a much younger age. The typical age for an American woman entering cohabitation for the first time was around twenty-one years old (Cherlin, 2009). Since many cohabitating rela tionships eventually result in marriage, it could be assumed these American women are getting married at a young age as well. In fact, Cherlin (2009) stated half of all first marriages in the United States occurred by age twenty-five. This was compared to some European countries, which the age of first time marriage was found to be in the late 20s to early 30s (Cherlin, 2009). Continuing with the comparison to marriage, age shout not be considered the only difference. Although considered an alternative toShow MoreRelatedCohabitation Between Marriage And Marriage1303 Words   |  6 Pagesnormal and are expected. One of these previously taboo ideas is cohabitation. Cohabitation is the act of living together while in a romantic relationship, prior to marriage. (Steinberg, Bornstein, Vandell, and Rook, p. 450, 2011) More and more couples are cohabitating, according to some studies approximately two-thirds of couples live together before they get married. (Luscombe, 2014) Some coup les that lived together before marriage have a strong and healthy relationship, while others end in divorceRead MoreCohabitation Between Cohabitation And Marriage1559 Words   |  7 PagesIn today’s society cohabitation before marriage has become more prominent than it was in past decades. Cohabitation simply means two individuals are living together unmarried. There are several agreements that support and oppose this topic because of the individuals’ different religion, ethic, and morality. Growing up, I frequently heard living together before marriage often leads to higher risks of divorce later on. As society changes, I believe that people have a different opinion of this beliefRead MoreCohabitation Between Sex And Marriage1946 Words   |  8 Pagesthe idea of marriage is still one many cling to, cohabitation is becoming the idea of the new age, where you can have it all without the rings and the â€Å"I do†. While marriage has declined over the years a nd cohabitation has increased, cohabitation has quickly become the next step after dating, thus creating another foot step to take towards marriage and having a family. Since cohabitation involves a shared household between intimate partners, it has characteristics in common with marriage. SimilaritiesRead MoreRelationship Between Cohabitation And Divorce810 Words   |  4 PagesCohabitation is categorized as two people engaged in an intimate relationship residing in the same home permanently or for an extended amount of time. Research denotes a strong correlation between cohabitation and divorce. The research findings are significant for couples and counselors and can have impact on how counselors approach clients in couples counseling and pre-marital counseling. When evaluating cohabitation, various reasons contribute to the formation of couples deciding to reside togetherRead MoreShould Cohabitation Before Marriage Be Encouraged761 Words   |  4 PagesShould Cohabitation Be fore Marriage be Encouraged? In the 21 century, marriage is no longer considered as a life binding commitment to one person. A decrease in the number of marriages and an increase in cohabitation both have come in the wake of a large increase in divorce in the last thirty years (David G. Green, 2000). Cohabitation is more popular nowadays because the current generation would like to know whether they are compatible. They also can see the habit and character of their partnerRead MoreThe Role Of Cohabitation As A Form Of Relationship And The Reasons Why People Choose Co Habitation1250 Words   |  5 Pagesconcept of cohabitation as a form of relationship and the reasons why people prefer co-habitation relationship to formal marriage, including its social appeal. Furthermore, the paper attempts to proffer reasons why people choose co-habitation by examining the role agents of socialization-family, peer and education and mass media play in the decision making process of people who chose this type of relationship, including an explanation of the main differences between marriage and cohabitation. FinallyRead More Cohabitation and its Effect on Marital Stability in the US Essay1725 Words   |  7 PagesCohabitation and its Effect on Marital Stability in the US Unmarried heterosexual cohabitation has increased sharply in the recent years in the United States. It has in fact become so prevalent that the majority of marriages and remarriages now begin as cohabiting relationships, and most young men and women cohabit at some point in their lives. It has become quite clear that understanding and incorporating cohabitation into sociological analyses and thinking, is crucial for evaluating familyRead More`` Cleaning Up Their Act `` : Effects Of Marriage And Cohabitation On Licit And Illicit Drug Use961 Words   |  4 Pages Wilkerson and England (2006) were concerned with in the article, â€Å"Cleaning up their act: The effects of marriage and cohabitation on licit and illicit drug use†, is whether an individual’s frequency of engaging in health-risk behaviour is impacted by marriage and cohabitation. More precisely, the authors investigated the effect of young adults’ first experience with marriage and cohabitation on binge drinking, marijuana use and cigarette smoking. According to the Centres for Disease Control andRead MoreCurrent Issues Regarding Premarital Cohabitation Essay1144 Words   |  5 Pagesago it was not acceptable for a couple to have sex or live together before they were married. Today, it is common for couples to reside together, even before they are engaged. The rise of couples who cohabitate prior to marriage has altered the way our society perceives marriage and relationships and led to a reformulation of the dating process. Prior to the 1960’s it was seen as untoward for couples to have live together if they were not married. The Civil Rights Movement 1960’s and early 1970’sRead MoreThe Pros And Cons Of Cohabitation Before Marriage1563 Words   |  7 PagesCons of Cohabitation before Marriage Introduction Social scientists have defined cohabitation as a situation where two adults, male and female live together in a relationship that is intimate and non-marital. The two make living arrangements without legal bounds to stay together before getting married. In most of the countries and in this case in the United States, cohabitation is a common feature among the American family life (Stokes Raley, n.d). It has become a typical pathway to marriage hence

Social Media Is It Good or Bad Free Essays

Social Media: Is it Good or Bad? It is incredible that only fifteen years ago, people were still using the postal services as their primary source for communication. Although the United Postal Service has not gone out of business, people are switching over from the old fashion stamp and letter to e-mails, social media sites, and instant messaging as a more convenient way of exchanging information. In just a few years, the usage of social media sites, like Facebook and Twitter, has been increasing exponentially, and is becoming more and more active (Zuckerberg). We will write a custom essay sample on Social Media: Is It Good or Bad? or any similar topic only for you Order Now However, despite the conveniences, the popularity of social media has also gained averse viewpoints from a more traditionally conservative audience. Nevertheless, social media has beneficially changed society because of its educational benefits, public relation tools, and communicational conveniences. As the popularity of social media increases, so do the amount of educational benefits. Education is an important aspect in any sort of society because it mentally prepares a generation to lead future businesses, industries, and governments in the future. In some areas of the world, the availability of schools and teachers are scarce. Even in the United States, certain students are deprived of higher leveled learning because educators are not found in those specific areas. But with the resources we have through the internet, we can provide education to people all around the world, as long as they can access it. â€Å"84 percent of teenagers today† are currently using methods, such as instant messaging, as a means of educational communication (Blake 5). There are benefits that can be derived from learning in a virtual classroom, such as confidentiality; with the idea of being anonymous behind a computer screen, students are also less intimidated to engage in class discussions and ask questions (Blake 5). These new innovative techniques of learning can stimulate more advance levels of thinking. As technology and social media continue to grow, so will the availability of these online education programs. While the education receives benefits through social media, another area of society takes full advantage of the tools provided by online networking as well. In recent years, social media has become a very valued method of spreading information to a mass audience. Since many people use social media sites, groups like industries, businesses, and organizations utilize Facebook pages and twitter to post updates and information. Social media provides â€Å"communities of interest† for marketers to target specific audiences (Martin 220). It is much easier to track groups of people who are interested in a specific product by searching their ‘likes’ on Facebook or their comments on Youtube. This technique becomes much more efficient than sending advertisements in the mail to every house in a neighborhood after doing surveys. Even Barrack Obama was able to gain publicity through the power of social media; his â€Å"name [gained national] recognition in 2004† which eventually led to the title of the United States president (Martin 220). As long as his public relations officers were able to locate communities of interest, they were able to win over support through networks on social media sites. Even if you already have a stable access to education, and you do not seek any tools for public relations, social media can still serve as a valuable resource. Communication is the obvious reason for why we all use social media; beside using to advertising and education, we use social media to chat with our friends and communicate with our family. When families live very far away, people are able to reconnect with them through a network of social media. Even in jobs, people often use Facebook groups to create an online virtual community to build stronger bonds among the workers (Melwood). This is the same for people who use instant messaging to communicate with friends at school. Social media provides many benefits because it is just one of the many things that has been invented to make our lives easier. Social media has not always been this convenient but it has definitely come a long way; even up to this day, it is evolving and becoming even more convenient for the usage of others. The more people get involved in the virtual world of social media, the more benefits become available. Works Cited Blake, Robert J. Brave New Digital Classroom: Technology and Foreign Language Learning. Washington, D. C. : Georgetown UP, 2008. Print. Page 5 Martin, Dick. Secrets of the Marketing Masters: What the Best Marketers Do–and Why It Works. New York: American Management Association, 2009. Print. Melwood, Ronnelle. â€Å"3 Benefits of Creating a Facebook Group. †Ã‚  Benefits of a Facebook Group. SetUFreeVA, 13 June 2011. Web. 15 Oct. 2012. http://www. setufreeva. com/social-media-2/3-benefits-creating-facebook-group/. Zuckerberg, Mark. â€Å"One Billion People on Facebook. †Ã‚  One Billion People on Facebook. Facebook, 4 Oct. 2012. Web. 11 Oct. 2012. http://newsroom. fb. com/News/One-Billion-People-on-Facebook-1c9. aspx. How to cite Social Media: Is It Good or Bad?, Essay examples

Across Five Aprils free essay sample

A possibility of war brought tension on the Creighton’s family as well as in the community.   Ellen and Matt were the most worried. On the other hand, Eb and Tom were not worried at all even on the thought that the President was so hesitant to declare war. Shad, the schoolteacher and lover of Jenny, informed the family of the news that the Confederate army has fired on Fort Sumter.   With the unceasing news of war, Tom and Eb left home in late summer to fight in the war together with Bill even he seemed to be oblivion of the things around him.   Later on, Shad and John also left to fight leaving Jethro home. One day, Jethro was instructed to go to Newton which is a 15-mile away from their place to do some errand.   As he reached Newton, he went in to the general store where several men gathered around the fireplace and one of them was Guy Wortman who scornfully criticized Bill. We will write a custom essay sample on Across Five Aprils or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page After Wortman left, Ross Milton comforted Jethro and invited him to a dinner.   After the dinner, Milton warned Jethro of a possible danger on his way home. With this in mind, Jethro was terrified on his journey home but along the way Dave Burdow accompanied him.   When they reached the end of the bridge, a man suddenly leaped out and whipped the horse but they were able to manage to calm the horse and back on the road. As he reached home, the family learned the danger Jethro met along the way that caused a heart attack on Matt.   Due to this, Jethro was obliged to do the farm work and chores around the house. Since the news has not yet stopped, the people in the community were losing hope.   The news on the deserters also frightened the people the more and one of them was Eb.   One time, three men from Federal Registrars came to Creighton home and looked for Eb. Accidentally while Jethro was helping John in the field, he heard a strange sound and finally discovered Eb, who was so thin and hungry.   Distraught by what he saw, Jethro sent letter to the President for a pardon for Eb, and it happened. One day, the Creighton’s received a letter from Shad’s aunt, informing them that Shad was in a critical condition after a fight in the battle.   Jenny went to see Shad in Washington, and soon, he was in good health and married Jenny. Winter came, rumors spread on the end of the war.   The President declared a proclamation amnesty giving pardon to the army of the Confederate state.   In 1864, the President was reelected.   After sometime, the Creighton’s received a news through John that Bill was held captive. When war was nearing to end, the townspeople were happy but an assassination of the President caused a grief.   Jethro was depressed of the news.   Jenny and Shad went back to the town from Washington. Since the time is uncertain, and Jethro was growing much like Bill, Shad and Jenny decided to take him to the East to have a good education. 1.  Ã‚   Describe Shadrach Yales background and his relationship with the Creighton family, especially Jenny. Shadrach Yales was a physics college student from Philadelphia and worked in Jasper County to support himself.   He was a local schoolteacher fascinated with books.   Jethro considered Shad as a role model.   Shad has a special relationship with the Creighton family.   He was treated as part of the family.   He was in love with one of the Creighton’s, Jenny.   Though Matt did not give him the permission to marry Jenny before he left for war, still he respected the decision and later on they were married. 2.  Ã‚     Describe Jethro’s trip to Newton and what happened when he got there. One day, Jethro was instructed by Matt to go to Newton to do some errand.   Given with the task, Jethro felt responsible enough to accomplish what was required of him.   On his way, he met an old man who asked a favor from him of a newspaper on his return.   Before noon he reached Newton, bustling with people and shops.   He went into one of the stores and saw a lot of people around a fireplace. There a man named Wortman who was slightly drunk heard of him as one of the Creighton’s boys, scornfully ridicule Bill.   Jethro tried to defend Bill and the man became more angry that Milton defended him.   As soon as Wortman left the store, Milton comforted Jethro and invited him over to dinner.   During their dinner, Jethro received a warm acquaintance and a book, written by Milton himself. 3.  Ã‚     Describe how Mary Creighton died and the role of Travis Budrow in her death. It was winter of 1959, when Mary was killed in an accident.   Mary Creighton went to dancing with Rob Nelson at Hidalgo.   It was a night of rejoicing and clamor.   Unfortunately, on their way back home, they met along the way Travis Budrow who was drunk.   Travis suddenly fired a pistol over their horses.   The animals were frightened; the wagon was overturned and caused the death of Mary. Reference (2000-2006). Across Five Aprils. Retrieved September 05, 2008, from Bookrags Book Notes.  Ã‚  Ã‚   Web site http://www.bookrags.com/studyguide-across-five-aprils/plotsummary.html

Saturday, May 2, 2020

Diabetes Mellitus and Osteomyelitis

Question: Discuss about the Diabetes Mellitus and Osteomyelitis. Answer: Introduction: The case study under examination is about a 60-year-old woman. She is a known diabetic patient who presents to the hospital with complaints of painful and cold feet. Additionally, her toe of the left foot is swollen with blackened callus. This paper explains the management of the patient focusing on history taking, neurovascular assessments, diagnostic tests, treatment options, recognition of osteomyelitis and possible referral. History taking for this patient can consider the chief complaint, the history of presenting illness and the past medical and surgical history. Fawcett and Rhynas( 2012) ascertain that a comprehensive history can elicit crucial information that can help the nurse identify possible causative factors of the disease. For instance, in the case, the nurse identifies the cold red feet and attributes them to osteomyelitis. Without a proper history, the nurse could have diagnosed diabetic foot. Consequently, the three aspects of health history can elicit crucial information. This assessment can help the nurse to recognize the extent of neurovascular deterioration and determine its cause. For instance, on examination, the nurse notes a blackened callus on the toe. Additionally, the nurse identifies swelling and ulcers. Consequently, the nurse suspects osteomyelitis. According to Malhotra, Chan, and Nather (2014), one of the complications of diabetic foot ulcers is osteomyelitis. Malhotra et al. (2014) reiterate that swelling and pain are inevitable in osteomyelitis. Therefore, neurovascular assessment by looking at the feet and considering the available research evidence is crucial to determine the diagnosis. Diagnostic Tests Diagnostic tests are necessary in this case to determine if osteomyelitis is present. Chiappini, Mastrangelo, and Lazzeri (2016) argue that a blood test to can identify elevated leukocytes, which can indicate infection. Additionally, an ultrasound scan and X-ray are necessary for examining the bone image to determine deviations from normal. These are the most convenient tests that can allow the nurse to diagnose osteomyelitis. Treatment of this patient can involve antibiotics and surgery. Gomes, Pereira, and Bettencourt (2013) argue that antibiotics are effective in managing osteomyelitis in an acute stage. However, from the assessment, the patient has a necrotic tissue. X-ray and CT scan results can show necrosis of the bone. In a case where the bone is necrotized, the nurse can refer the patient for further management. Referral to the Podiatric Surgeon A podiatric surgeon is the most appropriate resource for the referral. According to Malhotra et al. (2014), the surgeon can combine antibiotics with surgical resection of the necrotic tissue. Since Staphylococcus aureus causes the conditions, administering penicillin drugs would be appropriate (Gomes et al., 2013). Eventually, these therapeutic measures can prevent residual disease of the foot. Osteomyelitis occurs when the bone becomes inflamed after an infection. Gomes et al. (2013) argue that it can lead to the destruction and necrosis of the bone. Moreover, Malhotra et al. (2014) explain that it can result from a diabetic ulcer. Some of the signs and symptoms include localized pain and swelling, fever, tenderness and limited range of motion in the affected body organ. The condition is classified into four stages. In early stages, stage one is restricted to the bone while stage two involves the cortical bone. Later, stage three progresses to the medullary bone while stage four involves the entire bone. The condition spreads fast if not managed quickly. Conclusion History taking and proper physical assessment of diabetic patients are crucial to identifying if they have complications. Osteomyelitis is one of the most common complications of diabetes mellitus. It often occurs in the foot. The patient can present with a necrotized foot that is painful and swollen. Nevertheless, with proper medical and surgical therapy with a podiatric surgeon, the patient can recover quickly. List of References Chiappini, E., Mastrangelo, G. Lazzeri, S., 2016. A case of acute osteomyelitis: An update on diagnosis and treatment. International Journal of Environmental Research and Public Health, 13(6), p.539. Available at: https://www.mdpi.com/1660-4601/13/6/539/htm [Accessed 21 January 2016]. Fawcett, T. Rhynas, S., 2012. Taking a patient history: the role of the nurse. Nursing Standard,26(4),pp.41-46.Available at:https://journals.rcni.com/doi/abs/10.7748/ns2012.02.26.24.41.c8946 [Accessed 21 January 2017]. Gomes, D., Pereira, M. Bettencourt, A.F., 2013. Osteomyelitis: an overview of antimicrobial therapy. Brazilian Journal of Pharmaceutical Sciences, 49(1), pp.13-27. Available at: https://www.scielo.br/pdf/bjps/v49n1/a03v49n1.pdf [Accessed 21 January 2017]. Malhotra, R., Chan, C.S.-Y. Nather, A., 2014. Osteomyelitis in the diabetic foot. Diabetic Foot Ankle, 5, Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4119293/ [Accessed 21 January 2017]. WHO, 2016. Media Center: Diabetes Factsheet. [Online] Available at: https://www.who.int/mediacentre/factsheets/fs312/en/ [Accessed 21 January 2017].