Category: Health & Medical

Chief Complaint: “I’m having irregular menstrual periods, weight gain, and unusual hair growth on my face.”
(copy and past the chief complaint)for the subjective section make sure to start the sentence with – ” patient report…, or patient denies fever, chills, reports weight gain for…, denies SOB, difficulty breathing)
in the ADDITIONAL DIAGNOSTIC TESTS section if you do any type of test, make sure to write the results of the tests
for patient education always include good vaginal hygiene

note: no plagiarism, no use of AI In addition to your text, this assignment WILL require you to conduct outside research. While there is not a specific page requirement, all data points must be addressed. All information is readily available through internet searches.
Your final research project has three parts:
In part one you will research and discuss the history (dates, people, legislation etc.), the targeted patient population, the sources of funding, and the importance to the healthcare institutions revenue stream (HINT: review mid-term essay) for the following:
Employer provided/self-pay healthcare insurance,
Medicare
Medicaid
Tricare
Chips
In part two you will research and discuss the four health care models found in industrialized nations around the world (The Beveridge model, The Bismarck model, National Health Insurance or Tommy Douglas model, and the out-of-pocket model).
In part three, you will align each of the American insurance types (part one) with one of the four models (part two) and explain why you made this selection.
Resources: https://www.pnhp.org/single_payer_resources/health…
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC35960… https://www.verawholehealth.com/blog/global-health…

Module 02 Written Assignment – Case Study: Pay and GenderFor this assignment, you are the new Compliance Representative in the HR Department. It is your primary goal to ensure the organization is compliant with laws and regulations in all areas including recruiting/hiring new people, employee safety, and fair labor practices for current employees. While you address compliance concerns in all departments, you report to the VP of Human Resources. Read the case study of Sarah Green and provide a two-part response to the VP of HR.
Part One: Read and analyze the scenario below. Write a report to the VP of HR summarizing the case and providing a clear argument that an EEOC act was violated. State which act applies to the case.
Part Two: Prepare an outline of a training session for hiring managers and for the pay and benefits specialists to prevent a repeat of the situation in the scenario.
Case StudySarah Green has been an accountant for 12 years. She worked in a small medical practice for two years after earning her BS in Accounting and then chose to work freelance for five years. For the past five years she worked at a large firm, Stokely and Associates, where she brought in more new clients than 92% of her colleagues and received a higher satisfaction score from clients than 90% of her coworkers.
Sarah had to move to a new city to care for her sick mother. This meant finding a new accounting position. She was excited to be hired at the large accounting firm, Parker and Mendez Accounting, LLC, right away. Unfortunately, she learned after 4 months that she was being paid less than her coworkers who had equal or less experience than she did. When she asked the hiring manager about the discrepancy, she was told that the organization’s policy is to pay in a range based on previous pay. The hiring manager did admit to being surprised that her previous salary was at the low end of the expected range given her successes and performance reviews, but the policy is there for a reason and making an exception defeats the purpose of the policy.
After researching her industry and old employer, Sarah learned that her previous employer regularly paid women less than men even when the women had more experience or brought in more clients. Her current pay was impacted by this discriminatory practice.
The report to the VP of HR should include two parts:
Part OneA summary of Sarah’s case.
Address which of the EEOC acts the previous organization violated.
An explanation of the ethical and legal obligations of the current organization.
A proposed solution for Sarah.
A proposed change in policy for determining starting pay at the current organization.
Part TwoAn outline of a training session for all hiring managers and benefits and payroll specialists. Each of these sections should be included and explained briefly but with enough detail that the decision-makers reading the report are fully informed and can approve the training.
Introduction: Provide an overview of the training. Example: Excellence in Interviewing is a two-week online training that introduces the best practices in interviewing.
Scope: State how broad or narrow the focus of the training will be.
Objectives: List what participants will be able to do using “To + verb” statements. Example: To roleplay an effective phone interview. To write three behavioral interview questions that assess given criteria.
Training Method: Explain the format of the training. Online, face-to-face, blended, asynchronous or in real time or both.
Evaluation using Kirkpatrick’s Levels: Address each level of Kirkpatrick’s in detail. Share specific strategy to evaluating the proposed training.
Use this template for composing your responses.

Essay – you can pick which question you prefer to answer. ( between Question 1 or Question 2)
Please see attached file for a more detailed instructions.

Learning Goal: I’m working on a health & medical writing question and need an explanation and answer to help me learn.
Please see attachment for details.
Requirements: As described in the instructions

Find a current (within the last two years) research publication (or publications) related to the class material. Use the article attached.
Write a news/magazine article that utilizes the publication/s as a resource. Your article (4-5 pages) must effectively communicate a message to a target audience. You can choose that message and that target audience.

Explain two challenges you foresee to behavior change for someone just diagnosed with diabetes. Discuss at least three realistic goals for a person newly diagnosed with diabetes. Consider the following:
Length of time for achievement
Socioeconomic status of patient
Current behaviors and motivation
Resources available to the patient This assignment should be 1–2 double-spaced pages in length and in APA (7th ed.) format. Be sure to cite your resources.

Goal
A resume is very important. Everyone should have a resume and you should always be updating your resume. You will be creating and uploading your resume this week.
Instructions
Step One
First, review the resume website and video presentation on our Career website:
Cuyamaca Resume Assistance Website
Here are some additional websites and reading materials to help you
Resume Genius Guide with Templates and Samples
Excellent Resume and Cover Letter Tips
JobStar (Resume and Cover Letter Samples and more.)
Job Hunters Bible (Lots of research and help on resumes and cover letters.)
Here are resume templates that you can use to start your resume
These templates below are only examples and you can use them to help guide you and re-type yours onto the “Word” documents. Your resume is your own resume and should reflect what you need and want as headings, experience, etc. Resume Template in Word
Combination-Resume-Template in Word
Resume-Template in Word -2
Step Two
After reviewing the resume workshop video, websites and templates, you are now ready to create your resume. I suggest you make an appointment with our job developer to help you with this assignment and to get a second set of eyes on this assignment. Resume Appointments
Make sure you PDF your final resume before uploading it it here to Canvas. For 10 points extra credit, you can also create and upload a Cover Letter.

For your signature assignment, compose a 3- to 4-page case analysis (in addition to a title page, abstract, and reference list page) written in APA Style citing at least 3 references with one non-Internet reference. The following should be covered in the paper:
Title Page: Case Title, Full Name, Section, Date, Instructor, and Campus
Abstract: Summarize the case o One non-indented paragraph on a separate page. This will be page 2.
Introduction: The physiological importance of the liver, pancreas, and kidneys for the proper functioning of the human body
Body: Response to the prompts: Organize your analysis with headings that thoroughly answer the prompts (e.g., “Abnormal Glucose Levels” for question 1).Explain each prompt in depth with physiological concepts and provide sufficient evidence from the literature for each prompt. o Include normal physiological ranges (if it applies).
Maintain the order of questions when answering.
Conclusion: Summarize the paper in a paragraph.
(NO AI PERMITTED) Support your opinions with evidence from your readings and research. Review the rubric for complete grading criteria.
Case: End-Stage Kidney Disease
Cynthia, a 53-year-old female presented to the emergency room due to feeling constantly tired, hungry, thirsty, and with frequent urination. Her past medical history is significant for cirrhosis and end-stage kidney disease. Physical examination had revealed yellowish discoloration to the skin, multiple bruises, bilateral edema, and weakness lasting more than three weeks. Laboratory tests were ordered (results provided below) after which she was prescribed metformin and informed to contact a doctor if she starts experiencing nausea, vomiting, fast breathing, and/or lethargy, as metformin has been known to cause metabolic acidosis.
Complete Blood Count (CBC)
Sodium126 mEq/L
Glucose220 mmol/L
Calcium7.1 mg/dl
Red blood cell count3.9 cells/ul
Iron40 mcg/dL
Albumin2.5 g/dl
Vitals
Blood pressure92/64 mmHg
Hormone Panel
ReninLow
ADHElevated
AldosteroneLow
Vitamins
Vit DLow
Vit KLow
Vit ELow
Vit ALow
Urine and Stool Sample
Stool colorGray
Stool contentIncrease fat content
Urine colorClear
Complete Blood Count (CBC)
GlucosePresent
Answer the following questions regarding Cynthia’s case:
What hormone is not functioning properly causing Cynthia’s glucose levels to be abnormal? Furthermore, explain in depth how this hormone regulates blood glucose levels.
What other hormone(s) are responsible for maintaining normal glucose levels? Explain in depth how they work.
Explain why Cynthia is presenting with excessive thirst (polydipsia), tiredness and hunger (polyphagia), and frequent urination (polyuria).
Explain why Cynthia is experiencing hypotension. How does the body and its various organ systems bring the blood pressure back towards homeostasis?
What do you expect Cynthia’s heart rate and end-diastolic volume (EDV) to be (elevated, normal, or low) and justify your expectation with cardiovascular formulas such as cardiac output (CO) and stroke volume (SV).
What is the importance of iron in the body and the consequence of it being 40 mcg/dL?
Explain in detail what gluconeogenesis is and where in the body it occurs? Knowing that gluconeogenesis helps maintain blood glucose level, what is the effect of metformin on the management of diabetes mellitus type 2?
Looking at Cynthia’s albumin levels, what effect does it have on her (a) blood osmolarity (b) glomerular filtration rate (GFR) and (c) urine volume?
Explain how glucose is normally reabsorbed by the kidneys? What is happening in Cynthia’s kidneys resulting in glucosuria and what effect does glucosuria have on her blood pressure?
If Cynthia ends up developing metabolic acidosis, what would the levels of her pH, CO2, and HCO3 be in the blood? Furthermore, how would the body compensate and address both renal and respiratory compensation (optional: show the compensation via a flow chart)? Rubric
PHYS 261 Signature Assignment Rubric
PHYS 261 Signature Assignment Rubric
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeContent/Information Prompt #1
5.6 to >4.76 ptsExceeds Expectations
Addresses the entire prompt correctly with great depth and details. Information is scientifically sound, thorough, necessary, and sufficient.
4.76 to >4.03 ptsMeets Expectations
Addresses the entire prompt correctly without depth or any details. Information is mostly scientifically sound, thorough, necessary, and sufficient.
4.03 to >3.3 ptsApproaches Expectations
Partially addresses the prompt correctly. Information is mostly insufficient and may not be scientifically sound.
3.3 to >0 ptsDoes Not Meet Expectations
Does not address any portion of the prompt correctly. Information is not scientifically sound, necessary, or sufficient.
5.6 pts
This criterion is linked to a Learning OutcomeContent/Information Prompt #2
5.6 to >4.76 ptsExceeds Expectations
Addresses the entire prompt correctly with great depth and details. Information is scientifically sound, thorough, necessary, and sufficient.
4.76 to >4.03 ptsMeets Expectations
Addresses the entire prompt correctly without depth or any details. Information is mostly scientifically sound, thorough, necessary and sufficient.
4.03 to >3.3 ptsApproaches Expectations
Partially addresses the prompt correctly. Information is mostly insufficient and may not be scientifically sound.
3.3 to >0 ptsDoes Not Meet Expectations
Does not address any portion of the prompt correctly. Information is not scientifically sound, necessary, or sufficient.
5.6 pts
This criterion is linked to a Learning OutcomeContent/Information Prompt #3
5.6 to >4.76 ptsExceeds Expectations
Addresses the entire prompt correctly with great depth and details. Information is scientifically sound, thorough, necessary, and sufficient.
4.76 to >4.03 ptsMeets Expectations
Addresses the entire prompt correctly without depth or any details. Information is mostly scientifically sound, thorough, necessary, and sufficient.
4.03 to >3.3 ptsApproaches Expectations
Partially addresses the prompt correctly. Information is mostly insufficient and may not be scientifically sound.
3.3 to >0 ptsDoes Not Meet Expectations
Does not address any portion of the prompt correctly. Information is not scientifically sound, necessary, or sufficient.
5.6 pts
This criterion is linked to a Learning OutcomeContent/Information Prompt #4
5.6 to >4.76 ptsExceeds Expectations
Addresses the entire prompt correctly with great depth and details.Information is scientifically sound, thorough, necessary, and sufficient.
4.76 to >4.03 ptsMeets Expectations
Addresses the entire prompt correctly without depth or any details.Information is mostly scientifically sound, thorough, necessary, and sufficient.
4.03 to >3.3 ptsApproaches Expectations
Partially addresses the prompt correctly. Information is mostly insufficient and may not be scientifically sound.
3.3 to >0 ptsDoes Not Meet Expectations
Does not address any portion of the prompt correctly.Information is not scientifically sound, necessary, or sufficient.
5.6 pts
This criterion is linked to a Learning OutcomeContent/Information Prompt #5
5.6 to >4.76 ptsExceeds Expectations
Addresses the entire prompt correctly with great depth and details.Information is scientifically sound, thorough, necessary, and sufficient.
4.76 to >4.03 ptsMeets Expectations
Addresses the entire prompt correctly without depth or any details.Information is mostly scientifically sound, thorough, necessary, and sufficient.
4.03 to >3.3 ptsApproaches Expectations
Partially addresses the prompt correctly. Information is mostly insufficient and may not be scientifically sound.
3.3 to >0 ptsDoes Not Meet Expectations
Does not address any portion of the prompt correctly.Information is not scientifically sound, necessary, or sufficient.
5.6 pts
This criterion is linked to a Learning OutcomeContent/Information Prompt #6
5.6 to >4.76 ptsAddresses the entire prompt correctly with great depth and details. Information is scientifically sound, thorough, necessary, and sufficient.
4.76 to >4.03 ptsAddresses the entire prompt correctly without depth or any details. Information is mostly scientifically sound, thorough, necessary, and sufficient.
4.03 to >3.3 ptsPartially addresses the prompt correctly. Information is mostly insufficient and may not be scientifically sound.
3.3 to >0 ptsDoes not address any portion of the prompt correctly. Information is not scientifically sound, necessary, or sufficient.
5.6 pts
This criterion is linked to a Learning OutcomeContent/Information Prompt #7
5.6 to >4.76 ptsAddresses the entire prompt correctly with great depth and details. Information is scientifically sound, thorough, necessary, and sufficient.
4.76 to >4.03 ptsAddresses the entire prompt correctly without depth or any details. Information is mostly scientifically sound, thorough, necessary, and sufficient.
4.03 to >3.3 ptsPartially addresses the prompt correctly. Information is mostly insufficient and may not be scientifically sound.
3.3 to >0 ptsDoes not address any portion of the prompt correctly. Information is not scientifically sound, necessary, or sufficient.
5.6 pts
This criterion is linked to a Learning OutcomeContent/Information Prompt #8
5.6 to >4.76 ptsAddresses the entire prompt correctly with great depth and details. Information is scientifically sound, thorough, necessary, and sufficient.
4.76 to >4.03 ptsAddresses the entire prompt correctly without depth or any details. Information is mostly scientifically sound, thorough, necessary, and sufficient.
4.03 to >3.3 ptsPartially addresses the prompt correctly. Information may not be scientifically sound, necessary, or sufficient.
3.3 to >0 ptsDoes not address any portion of the prompt correctly. Information is not scientifically sound, necessary, or sufficient.
5.6 pts
This criterion is linked to a Learning OutcomeContent/Information Prompt #9
5.6 to >4.76 ptsAddresses the entire prompt correctly with great depth and details. Information is scientifically sound, thorough, necessary and sufficient.
4.76 to >4.03 ptsAddresses the entire prompt correctly without depth or any details. Information is mostly scientifically sound, thorough, necessary and sufficient.
4.03 to >3.3 ptsPartially addresses the prompt correctly. Information is mostly insufficient and may not be scientifically sound.
3.3 to >0 ptsDoes not address any portion of the prompt correctly. Information is not scientifically sound, necessary or sufficient.
5.6 pts
This criterion is linked to a Learning OutcomeContent/Information Prompt #10
5.6 to >4.76 ptsAddresses the entire prompt correctly with great depth and details. Information is scientifically sound, thorough, necessary, and sufficient.
4.76 to >4.03 ptsAddresses the entire prompt correctly without depth or any details. Information is mostly scientifically sound, thorough, necessary, and sufficient.
4.03 to >3.3 ptsPartially addresses the prompt correctly. Information is mostly insufficient and may not be scientifically sound.
3.3 to >0 ptsDoes not address any portion of the prompt correctly. Information is not scientifically sound, necessary, or sufficient.
5.6 pts
This criterion is linked to a Learning OutcomeOrganization and Assignment Requirements
5.6 to >4.76 ptsDemonstrates a sophisticated understanding of the topic(s) and issue(s). Introduction, abstract, and conclusion serve to bring cohesion and clarity to the assignment topic. Presents coherently and logically organized ideas that are thoughtful and in-depth. Meets all length requirements and addresses all aspects of the assignment. Meets the required number of resources, and all sources meet the assignment specifications.
4.76 to >4.03 ptsDemonstrates an adequate understanding of the topic(s) and issue(s). Introduction, abstract, and conclusion generally serve to bring cohesion and clarity to the assignment topic, but there may be some redundancy or unnecessary information. Ideas are mostly coherent and organized. Meets all length requirements and addresses all aspects of the assignment. Meets the required number of resources, and all sources meet the assignment specifications.
4.03 to >3.3 ptsDemonstrates a vague or incorrect understanding of the topic(s) and issue(s). Introduction, abstract, and conclusion do not add cohesion and clarity to the assignment topic. Several ideas are incoherent and disorganized. Meets some length requirements and addresses some aspects of the assignment. Meets the required number of resources, and some meet the assignment specifications.
3.3 to >0 ptsDemonstrates little or no understanding of the topic(s) and issue(s). Introduction, abstract, and conclusion are missing or insufficient. Meets few, if any, assignment and reference criteria.
5.6 pts
This criterion is linked to a Learning OutcomeAPA and Mechanics
8.4 to >7.14 ptsThe assignment consistently follows current APA format and is free from errors in formatting, citation, and references. There are no grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly.
7.14 to >6.05 ptsThe assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are cited and referenced correctly.
6.05 to >4.96 ptsThe assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Many sources are cited and referenced incorrectly, or citations and references are missing where needed.
4.96 to >0 ptsNo attempt to follow APA format is indicated. Sources are not used and/or there is no reference page. Mechanical errors significantly interfere with the readability of the paper.
8.4 pts
Total Points: 70

see attached file to answer the question.
Make sure to write a soap note about this patient, and include 1 actual diagnosis and one potential diagnosis