Sarah Smith is a 28 y/o African American female who presents to the office with c/o wound to her left foot for the past few days. States she had tripped and fell while barefoot scraping the top of her foot on the pavement. She denies any other injury from the incident. Over the past 24 hours the wound has had “smelly” drainage. Has been experiencing generalized achiness, but denies fever and chills. Did not seek medical attention at the time of injury. Has been using hydrogen peroxide to clean her wound. Is unclear of her last tetanus vaccination. Patient PMHx significant for DM II. States that she takes her medications when she remembers, and does not always check her blood sugar.
Asthma: no hospitalizations for exacerbation.
Former tobacco user: ceased smoking 2 years ago. Had smoked 1ppd x 5 years
Illicit drugs: denies
Significant for paternal DM, otherwise unremarkable
Metformin: 500mg BID po – did not take the last few days
Albuterol MDI: 2 puffs every 6 hours prn – last use just PTA
Singulair: 10mg po daily
Trinessa: 1 tab po daily – last taken this am
LNMP: 2 weeks ago.
General: denies any weight changes, fatigue or fever; body aches
Skin: denies any rashes; wound to left foot
HEENT: denies headache, head injury, dizziness, lightheadedness;
Denies any vision changes
Denies any hearing changes, tinnitus, vertigo, earache
Denies any nasal congestion, discharge, nose bleeds or sinus tenderness
Denies any sore throat, difficulty swallowing
Neck: denies any swollen glands, pain
Breasts: denies any pain, discharge
Respiratory: denies any dyspnea; positive cough and wheezing
CV: denies any chest pain, edema
GI: denies any nausea/vomiting/diarrhea/constipation; denies bloody stools
PV: denies claudication, swelling to LE
GU: denies frequency, urgency, burning;
Denies vaginal discharge, itching, sores
Denies penile discharge, itching or sores
MS: positive pain to left foot
Psych: denies nervousness, depression
Neuro: denies Headache, dizziness, vertigo, syncope, weakness; numbness to right LE
Heme: denies any easy bruising
Vital signs: 100.5 (tympanic), 162/88, 118, 22, O2 sat 95% on RA
Height: 5’5” Weight: 250 lbs.
Blood glucose: 230 (Fasting; states has not eaten yet today)
patient awake, alert, oriented x 4 in NAD
Skin: warm, dry, color WNL. 4 cm lesion noted to anterior left foot with crusting and purulent drng; surrounding erythema extending up 7 cm proximally
HEENT: head nontraumatic, normocephalic
Pupils PERRLA, EOMs intact; disc margins sharp, without hemorrhages, exudates; no AV nicking noted
Ears: bilateral TM with good cone of light and intact
Nose: mucosa pink, septum midline; no sinus tenderness appreciated
Mouth: mucosa pink, moist; tongue midline; tonsils 1 without exudate
Neck: supple; trachea midline; no LAD
Resp: regular and unlabored; lungs with end expiratory wheezing throughout
CV: RRR, S1 and S2 noted; no s3, s4 or murmur appreciated
Abdomen: soft, non-distended; Bs x 4; no tenderness with palpation; no CVA tenderness with percussion
Extremities: warm and without edema; calves supple, non-tender
PV: no LE edema
MS: swelling to left foot; tenderness of 2-4th left metatarsals; left pedal pulse; CMS intact; Cap refill < 2 sec.
Neuro: alert, cooperative; thought coherent; oriented x 4; cranial nerves II-XII intact
List your differentials for her current problems. Remember you should have at least three different differentials for each problem. Include rationale for each differential.
At this time what medical diagnoses are you most concerned about? Do they impact other diagnoses? If so, how?
What diagnostic images would you order? Provide your rationale. What are you trying to rule in or out?
What laboratory work would you order? What would you anticipate to be abnormal? Provide your rationale for each.
What is your comprehensive plan of care? Include your rationales
APA FORMAT 7 AT LEAST THREE REFERENCES
Seminar in Health Care Administration
Self Reflection Paper: “What I know about the Healthcare System in the United States”
As future healthcare administrators and managers, it is important to take a few moments to reflect on what you know (or don’t) about the healthcare system we have today. In a 4-5 page essay discuss what you know, believe, do not understand, what you would like to know about our current healthcare system. There is no right or wrong to this assignment, it is a way for you to take a moment to put your thoughts on “paper”. Below are some topics you should reflect upon in your writings, please feel free to use our text for ideas and sources.
Our healthcare system has many avenues of healthcare funding such as Medicare, Medicaid, Tricare, Third Party insurance (either self-funded or employer-provided), and Self Pay, most citizens know little of any of these. How about you?
Have you, or someone you know, ever had a good or bad healthcare experience, and has that influenced your feelings about our healthcare system?
As a consumer of the healthcare system today, what are your views on the Affordable Care Act (Obamacare)? Do you believe the Affordable Care Act has improved or hurt the healthcare (not system) of Americans?
As a healthcare administrator, what do you think of our healthcare system (not healthcare) in the United States?
read and answer
Religion and Theology Assignment Help WEEK 1 DQ1
This is the final course in the Master of Public Health program. Throughout this course, you will reflect on your interests and goals, reflect on your own skills, values, and strengths, and integrate public health knowledge and skills into a professional quality capstone project. Discuss two of your professional interests. Provide one short-term and one long-term goal related to your professional interests.
WEEK 1 DQ2
Review the Capstone Guides, located in the Class Resources, to review the options for your capstone. (POSTED BELOW)
Reflect on the interests and goals you stated in DQ 1 and choose a public health topic that relates to them. Explain how each of the four capstone options could address your chosen topic. Discuss which capstone option you are choosing and provide supporting details to explain how your chosen capstone option addresses your topic.
PUB-690 Capstone Guides
In this course, you will be completing a capstone project as a requirement of the Master of Public Health (MPH) program. The course provides learners with the opportunity to apply and synthesize public health skills and knowledge in a written format. As a learner, you will demonstrate competency through the development of a written, professionally prepared project that can be included as part of a professional portfolio. You will have an opportunity to tailor your project based on your professional interests and goals by selecting one of the following options for your capstone: grant proposal, policy analysis, secondary analysis, and program evaluation.
A Capstone Guide is provided for each of the four options, providing instructions and criteria for completing the capstone project for that option, a schedule for submission of project deliverables, and rubrics for grading each of the project deliverables. Be sure to review all of the Capstone Guides prior to deciding which one to employ for your capstone project to ensure the project option selected best suits the health issue and your professional interests and goals:
“PUB-690 Capstone Guide: Option 1 – Grant Proposal”
“PUB-690 Capstone Guide: Option 2 – Policy Analysis”
“PUB-690 Capstone Guide: Option 3 – Secondary Data Analysis”
“PUB-690 Capstone Guide: Option 4 – Program Evaluation Plan”
You will continue to refer to the Capstone Guide for your chosen option throughout the course.
PLEASE: read before starting
– PLEASE WRITE EACH DQ 1
Marketing Plan Proposal and concept
Marketing Plan Proposal and Concept: Innovation in healthcare can manifest anywhere. Think through your experiences of times when you faced a healthcare situation where something could have been improved with another solution. Create a realistic product(s) or service(s) that is healthcare-related that currently does not exist that can satisfy a problem(s). Make this solution into a for-profit business for which you will develop a marketing plan throughout the course. This will be what you will present for the final project. You may choose an existing product or service but must enhance or augment it so that the current marketing plan would not apply. This plan will include financials. Please submit your idea here for approval.
Suggested length is 1-2 pages, double spaced. APA 7th Edition Format