Category: Health Care

You will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. Analyze each section of the SOAP and mention what’s missing and why do you need the missing to reach a diagnosis including labs, what’s appropriate for this case and 5 differentials including the primary diagnosis. You will not only mention the differentials you will also expand on the differentials. Everything needs literature justification APA, I mean everything
GENITALIA ASSESSMENT

CC: Increased frequency and pain with urination
HPI:
T.S. is a 32-year-old woman who reports that for the past two days, she has dysuria, frequency, and urgency. Has not tried anything to help with the discomfort. Has had this symptom years ago. She is sexually active and has a new partner for the past 3 months.
Medical History:
None
Surgical History:
Tonsillectomy in 2001
Appendectomy in 2020
Review of Systems:
General: Denies weight change, positive for sleeping difficulty because e the flank pain. Feels warm.
Abdominal: Denies nausea and vomiting. No appetite
Objective
VSS T = 37.3°C, P = 102/min, RR = 16/min, and BP = 116/74 mm Hg.
Pelvic Exam:
mild tenderness to palpation in the suprapubic area
bimanual pelvic examination reveals a normal-sized uterus and adnexal
no adnexal tenderness.
No vaginal discharge is noted.
The cervix appears normal.
Diagnostics: Urinalysis, STI testing, Pap-smear
Assessment:
UTI
STI
PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.
RUBRIC
1* Analyze the subjective portion of the note. List additional information that should be included in the documentation.
2* · Analyze the objective portion of the note. List additional information that should be included in the documentation.
3* Is the assessment supported by subjective and objective information? Why or why not?
4* · What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
5*Would you reject or accept the current diagnosis? Why or why not?· Identify three possible conditions that may be considered as a differenial diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

TWO Different discussion AT LEAST 400 WORDS “In 2010, the Affordable Care Act opens up the 45-year-old Medicare program to the biggest changes since its inception. Discuss the components of the Affordable Care Act that you think will have a positive effect on improving health care outcomes and decreasing costs.” Minimum of two scholarly references in APA format within the last five years published

7-8 slides PowerPoint about any current information technology and how the technology will improve healthcare access in KSA

GRAMMAR: I WOULD LIKE FOR REVISION ON THE publish. I UPLOAD A publish OF MY WORK. It is similar to the previous publish just added more to it.
OTHER: I WOULD LIKE TO MAKE SURE ALL MATERIALS ARE ADDRESS LOCATE DOWN BELOW.
You must also attach a one-page statement, in a Word Document or PDF format, addressing the following:
Describe why you have an interest in a career as a physician.
Describe an obstacle you’ve faced when working towards your academic, career, or personal goals and how you’ve worked to overcome it.
Describe the lessons you’ve learned through those experiences and how they will help you be successful in your career as a physician.
Comments from Customer
PREVIOUS PAPER INSTRUCTIONS (#334145061): https://nmhc.referrals.selectminds.com/jobs/2020-pre-med-undergraduate-intern-program-34584
(The website with the instruction for the internship Paper/Statement)
Below I attached some info about myself. You can use.
Paper need to be well written, articulate, shown how this internship is beneficial and I want it. If need to make up stuff. Just do It. COMMENTS FROM PREVIOUS ORDER: Discipline: Medicine/Myself

Please address the following:
1. The number and type of public health workers needed depends on such factors as the health priorities of the population, the availability of health care services, and the social and political allocation of responsibility between government and the private sector. 2. In one page, elaborate on how these factors change over time and, as a result, impact the public health workforce.
*Work must be supported and cited in APA*.

What you have posed is an EBP PICO type of statement … please review my video email and my announcement and repost a problem statement that identifies the gap in the literature . that gap will identify the variables you are interested in ex. follow up care and readmission. then please post a hypothesis about the relationship between those variables. there is no need to design a study at this point,, that will come later Proposed Research Problem Statement
To assess whether follow-up care from a hospital prevents readmission disparities compared to no-follow-up care in 30 days among Medicare advanced geriatric patients (65 years or older) (Anderson et al., 2018).
Hypothesis Tested
1. Whether follow-up care after discharge could reduce readmission risk
2. Whether follow-up care after discharge prevents readmission risk based on sociodemographic features (Figueroa et al., 2018).
Study Design
We would perform a retrospective cohort analysis with medicare beneficiaries for chronic diseases (Figueroa et al., 2018). The patients discharged from critical access care would be included in the study, and the participants would be divided into two parts: follow up-care after discharge (30 patients) to no-follow- care (30 patients) in 30 days. The study subjects would be monitored by the guidelines of HEDIS (Healthcare Effectiveness Data and Information Set) to assess office visits of the patients, telehealth, home visits of healthcare providers, and readmissions (Anderson et al., 2018).
Variables
The direct variables for the relevant hypothesis would include age (65 or older), chronic vulnerabilities (cardiac, renal, pulmonary, hepatic, gastrointestinal insufficiencies), and length of stay in the hospital (Carey & Lin, 2016). Various indirect variables would be sex, ethnicity, risk score, level of self-care, and socioeconomic preferences.
Ethical Considerations
We ensure to protect the confidential information of patients (name, age, sex, disease) and prevent discrimination based on these factors (Nastars et al., 2019).
Relation of Nursing Practice with the Proposed Study
Readmission is related to increased morbidities and fatalities, along with reduced patient satisfaction and outcome (Nastars et al., 2019). The proposed study focuses on decreasing admission rates with timely follow-up after discharge of the older population. Readmissions could be a penalty to the overall revenues and staff members, and lower rates are associated with positive nursing practice, a stress-free environment, low turnovers, high salaries and reimbursements, and less overload of work (Nastars et al., 2019).
References
Anderson, A., Mills, C.W., Willits, J., Lisk, C., Maksut, J.L., Khau, M.T., Scholle, S.H. (2018). Follow-up Post-discharge and Readmission Disparities Among Medicare Fee-for-Service Beneficiaries, J Gen Intern Med. 37(12):3020-3028. doi: 10.1007/s11606-022-07488-3. PMID: 35355202; PMCID: PMC8966846.
Carey, K., Lin, M.Y. (2016). Hospital Readmissions Reduction Program: safety-net hospitals show improvement, modifications to penalty formula still Needed. Health Aff. 35(10):1918–1923. doi: 10.1377/hlthaff.2016.0537. [PubMedLinks to an external site.] [CrossRefLinks to an external site.] [Google ScholarLinks to an external site.]
Figueroa, J.F., Zheng, J., Orav, E.J., Epstein, A.M., Jha, A.K. (2018). Medicare program associated with narrowing hospital readmission disparities between Black And White patients. Health Aff;37(4):654–661. doi: 10.1377/hlthaff.2017.1034. [PubMedLinks to an external site.] [CrossRefLinks to an external site.] [Google ScholarLinks to an external site.]
Nastars, D.R., Rojas, J.D., Ottenbacher, K.J., Graham, J. E. (2019). Race/ethnicity and 30-day readmission rates in Medicare beneficiaries with COPD. Respir Care. 64(8):931–936. doi: 10.4187/respcare.06475. [PubMedLinks to an external site.] [CrossRefLinks to an external site.] [Google ScholarLinks to an external site.]

Write a 175- to 350-word response to the following prompt. • Please state that it is a Family Medicine Doctor’s office in New York .
• In terms of traffic flow, describe your facility, o Describe and explain the intended patient traffic flow
o Describe and explain the intended staff traffic flow/ workflow
• Use and cite the Hayward textbook and at least one other credible scholarly reference, using proper APA formatting for citation and reference listing.
• Submit your written assignment as an APA paper, Power Point, or other format of your choice.
o Cite in text and append a reference list
o Use APA-compliant headings in a paper or titles in a slide presentation

Select a research article of interest to you. Read
the article to get a flavor of the main points as
you progress from section to section of the
scientific paper. Read with the intention of
identifying the clinical question, research
question, or clinical problem being addressed in
the study. Ask yourself what this study is about
and why it is of clinical relevance. Write a one-
page annotated bibliography explaining the
article (in your own words) and highlighting the
main points of each section. Be sure to include a
summary statement as to the clinical relevance
of the research question and the results. Please
follow the APA format.

10-1 Short Paper: Concentration Competency
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In this short paper, you will provide proof of how you met your chosen concentration competency and your understanding of this competency. This short paper activity offers you the opportunity to show how you have developed skills outside of the core courses and focused on your chosen concentration, as well as how it fits your profession interests.
To complete this assignment, review the Concentration Competencies PDF and Module Ten Short Paper Guidelines and Rubric PDF documents.

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Rubric Name: Module Ten Short Paper Guidelines and Rubric
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Criteria
Exemplary
Proficient
Needs Improvement
Not Evident
Criterion Score
Concentration Competency Choice
25 points
Entry supports why the concentration competency was chosen and describes the activities completed following a very detailed logical thought process
21.25 points
Entry supports why the concentration competency was chosen and describes the activities completed following a logical thought process
13.75 points
Entry supports why the concentration competency was chosen and describes the activities completed following a somewhat logical thought process
0 points
Entry does not support why the concentration competency was chosen and describes the activities completed following a logical thought process
Score of Concentration Competency Choice,/ 25
Competency Activities
25 points
Describes the activities completed in order to meet the chosen competency and create the artifact with great detail and precision
21.25 points
Describes the activities completed in order to meet the chosen competency and create the artifact
13.75 points
Describes the activities completed in order to meet the chosen competency and create the artifact, but lacks details to track how artifact was created
0 points
Does not describe the activities completed in order to meet the chosen competency and create the artifact
Score of Competency Activities,/ 25
Competency Met
25 points
Explains how chosen concentration competency is met and proof is strong
21.25 points
Explains how chosen concentration competency is met with adequate proof
13.75 points
Explains how chosen concentration competency, but lacks detail or proof
0 points
Does not explain how meeting chosen competency and proof is not provided
Score of Competency Met,/ 25
Writing
25 points
Entry is free of errors in organization and grammar
21.25 points
Entry is mostly free of errors of organization and grammar; errors are marginal and rarely interrupt the flow
13.75 points
Entry contains errors of organization and grammar, but errors are limited enough so that entry can be understood
0 points
Entry contains errors of organization and grammar, making the entry difficult to understand
Score of Writing,/ 25
Total
Score of Module Ten Short Paper Guidelines and Rubric,/ 100
Overall Score
Exemplary
86 points minimum
The overall submission earned 86 points or more. Final calculation of grades can be found in the gradebook.
Proficient
56 points minimum
The overall submission earned 56 points or more. Final calculation of grades can be found in the gradebook.
Needs Improvement
1 point minimum
The overall submission earned 1 points or more. Final calculation of grades can be found in the gradebook.
Not Evident
0 points minimum
The overall submission earned 0 points or more. Final calculation of grades can be found in the gradebook.

• Briefly, discuss and describe the financial and business arrangement that existed between Anthem (insurance company) and BonSecours (an IDS).
• Briefly describe the conflict between the two entities that has resulted in the litigation.
• Discuss three ways in which the change in the relationship between BonSecours and Anthem could have a negative impact on the delivery of healthcare to the patients for whom Anthem provides reimbursement for healthcare services