>Nursing homework help

Review the feedback on the change proposal professional presentation and make required adjustments to the presentation. Present your evidence-based intervention and change proposal to an interprofessional audience of leaders and stakeholders. Be prepared to answer questions and accept feedback.
After presenting your capstone project change proposal, write a 250-350 word summary of the presentation. Include a description of the changes that were suggested by your preceptor before your presentation and how you incorporated that feedback. Describe how this interprofessional collaboration improved the effectiveness of your presentation. Include a description of the feedback and questions from your audience after your presentation, and how this experience will affect your professional practice in the future.
https://www.homeworkmarket.com/questions/capstone-project-change-proposal-presentation-for-faculty-review-and-feedback-19898521
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
You are not required to submit this assignment to LopesWrite.
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COH 300 Ecology of Public Health Mid Term Exam Questions and Answers

COH 300 Ecology of Public Health Mid Term Exam Questions and Answers
Question 1
1 out of 1 points

 
Major eras in the history of the American public health system were chacterized by all of the following EXCEPT:
Correct Answer:.

Question 2
0 out of 1 points

 
The median salary for medical and health services managers working in government agencies in the US is closest to which of the following?
Correct Answer: 4.$90,000

Question 3
1 out of 1 points

  ORDER A PLAGIARISM-FREE PAPER OR ONLINE EXAM NOW
In terms of its ranking among the world’s nations for mortality rates, the U.S. generally ranks:
Correct Answer: 3.below (i.e., has a higher rate than) about 25 to 30 other countries

Question 4
1 out of 1 points

 
Which of the following statements characterizes an important difference between public health and most other professions?
Correct Answer:

Question 5
0 out of 1 points

 
Which of these entities has published competencies specifically for public health managers and administrators?  COH 300 Ecology of Public Health Mid Term Exam Questions and Answers.
Correct Answer: 1.ASPH

Question 6
0 out of 1 points

 
What percentage of US local health departments employs public health managers/administrators?
Correct Answer: 4.75% or more

Question 7
1 out of 1 points

 
Health care expenditures in the United States increased from $12.7 billion in 1950 to over $2.5 trillion in 2010. About what proportion of the gross national product was spent on health care in 2010? COH 300 Ecology of Public Health Mid Term Exam Questions and Answers
Correct Answer:t

Question 8
0 out of 1 points

 
Which of the following were the two over-arching goals of Healthy People 2010?
Correct Answer: 3.increase the quality and years of healthy life and reduce health disparities

Question 9
1 out of 1 points

 
Which of these important public health figures from the 19th century advanced the argument that the factors contributing to fatal diseases should be identified as the official causes of death?
Correct Answer:

Question 10
1 out of 1 points

 
The organizational unit in the federal government created in 1939 to bring together health, education, and welfare services.
Correct Answer: 1. 

Question 11
1 out of 1 points

 
Which of the following is not considered one of the 3 Ps or most important determinants of health worldwide? COH 300 Ecology of Public Health Mid Term Exam Questions and Answers
Correct Answer: 2. 

Question 12
0 out of 1 points

 
All of the following comparisons of the US and Canadian health care systems are true EXCEPT:
Correct Answer:

Question 13
1 out of 1 points

 
The term “Title XVIII” which was signed into law on July 30, 1965, is better known as:
Correct Answer:

Question 14
1 out of 1 points

 
As a result of legislation enacted by Congress, this agency was moved out of the US Treasury Department and placed in the Department of Health, Education, and Welfare (now the Department of Health and Human Services). It was first established as the Marine Hospital Service in 1789.
Correct Answer:

Question 15
0 out of 1 points

 
The total level of health expenditures for health and medical care services in the United States for 2010 is closest to which of these figures? COH 300 Ecology of Public Health Mid Term Exam Questions and Answers
Correct Answer:

Question 16
1 out of 1 points

 
A measure of health status that attempts to gauge the social impact of various diseases and conditions by adjusting for differences in the age of the population affected is:
Correct Answer:

Question 17
1 out of 1 points

 
In 1900, the leading cause of death in the United States was which of the following conditions?
Correct Answer:

Question 18
1 out of 1 points

 
Based on a quick examination of Internet web sites, which of these organizations is most closely affiliated with local public health agencies across the U.S.?
Correct Answer: 1.NACCHO

Question 19
0 out of 1 points

 
Which of the following essential public health services is least likely to be included in a public health manager’s practice profile?
Correct Answer:

Question 20
1 out of 1 points

 
Medical services (including clinical preventive services such as immunizations and screening tests) account for what share of the 30-year increased life expectancy achieved for Americans between 1900 and 2000?
Correct Answer: 2.5 years

Question 21
1 out of 1 points

 
Based on a quick examination of Internet web sites, which of these federal health agencies places the greatest emphasis on prevention?
Correct Answer: 4.Centers for Disease Control

Question 22
1 out of 1 points

 
In which form of justice are collective actions leading to the assumption of additional burdens often necessary in order to assure the fair distribution of societal benefits?
Correct Answer:

Question 23
1 out of 1 points

 
The Food and Drug Administration (FDA) is responsible for: COH 300 Ecology of Public Health Mid Term Exam Questions and Answers
Correct Answer:

Question 24
1 out of 1 points

 
Which one of these has the fundamental responsibility to determine the health status and the health needs of the people within its jurisdiction, determine to what extent these needs are being effectively met by effective measures currently available, and take steps to see that the unmet needs are satisfied?
Correct Answer:

Question 25
0 out of 1 points

 
The Institute of Medicine identified which level of government as the central force in public health, bearing primary public sector responsibility for the health of the people?
Correct Answer:

Question 26
0 out of 1 points

 
Which of these public health-related occupations is included in the US Bureau of Labor Statistics’ Standard Occupational Categories?
Correct Answer:

Question 27
1 out of 1 points

 
Which two lifestyle factors have been reported to be the most important causes of preventable mortality in the U.S.?
Correct Answer: 4.tobacco and diet/physical activity

Question 28
1 out of 1 points

 
All of the following are minimum functions of a state health department as defined by the American Public Health Association EXCEPT:
Correct Answer:

Question 29
0 out of 1 points

 
The total number of workers in the health sector of the U.S. economy is approximately:
Correct Answer: 3.15 million

Question 30
1 out of 1 points

 
What major public health intervention strategy has the purpose of eliminating or reducing exposure to harmful factors by modifying human behavior?
Correct Answer:

Question 31
0 out of 1 points

 
Between the years 1998 and 2008, the ratio of FTE workers for governmental health agencies has:
Correct Answer:

Question 32
1 out of 1 points. COH 300 Ecology of Public Health Mid Term Exam Questions and Answers

 
Key demographic trends that will impact public health and the future need for programs and services include all of the following except:
Correct Answer:

Question 33
0 out of 1 points

 
Which of these essential public health services is a component of the assessment core function?
Correct Answer: 1.diagnosing and investigating health problems and health hazards in the community

Question 34
1 out of 1 points

 
Compared with a country with a steady population, a country with a rapidly growing population is most likely to have which of the following characteristics:
Correct Answer: 1. 

Question 35
1 out of 1 points

 
As a society, we endorse the delegation of executive, legislative, and judicial authority to administrative agencies for many reasons, EXCEPT which of these?
Correct Answer:

Question 36
1 out of 1 points

 
The Centers for Disease Control (CDC) does which of the following?
Correct Answer: . 

Question 37
1 out of 1 points

 
More than three-fourths of all US local health departments are organized at this level of government?
Correct Answer:  

Question 38
1 out of 1 points

 
Which of these best describes the role and duties of a public health manager or administrator?
Correct Answer: 1.Plan, organize, direct, control, and coordinate health services, education, or policy

Question 39
1 out of 1 points. COH 300 Ecology of Public Health Mid Term Exam Questions and Answers

 
Appropriate considerations for implementation of a screening test include all the following EXCEPT:
Correct Answer:  

Question 40
1 out of 1 points

 
The State Health Officer is usually appointed by the
Correct Answer:

Question 41
0 out of 1 points

 
The concept that government is responsible to ensure that standards are met in every community developed with the 1979 revision of the Model Standards and is referred to as:
Correct Answer:

Question 42
0 out of 1 points

 
Which of these pairs were not included among the so-called “Basic 6” services of public health that characterize public health practice over the first half of the 20th century in the U.S.:
Correct Answer: . 

Question 43
1 out of 1 points

 
Which two occupational categories represent more than one-half of all public health trained personnel in the U.S. workforce?
Correct Answer: 3.Public health nurses and environmental health specialists

Question 44
1 out of 1 points. COH 300 Ecology of Public Health Mid Term Exam Questions and Answers

 
Which of these essential public health services is not a component of the policy development core function?
Correct Answer: . 

Question 45
1 out of 1 points

 
Which of these is NOT one of the six universal competency categories for public health professionals identified by a task force of public health practitioners and academics in the early 1990s?
Correct Answer:

Question 46
1 out of 1 points

 
The total number of FTE workers in health agencies at all levels of government is approximately:
Correct Answer:

Question 47
1 out of 1 points. COH 300 Ecology of Public Health Mid Term Exam Questions and Answers

 
Which level of government employs the highest percentage of all workers of governmental health agencies?
Correct Answer:

Question 48
1 out of 1 points

 
Which governmental level has the fewest FTE workers in health agencies?
Correct Answer: 3.Federal

Question 49
0 out of 1 points

 
The number of medical and health services managers working in government agencies in the US is closest to which of the following?
Correct Answer: 3.25,000

Question 50
0 out of 1 points

 
The median salary for medical and health services managers working in government agencies in the US is closest to which of the following?
Correct Answer: 4.$90,000

 
COH 300 Ecology of Public Health Mid Term Exam Questions and Answers

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THE PRACTICE OF HEALTH CARE PROVIDERS AT ALL LEVELS BRINGS YOU INTO CONTACT WITH PEOPLE FROM A VARIETY OF FAITHS.

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and acceptance of a diversity of faith expressions.The purpose of this paper is to complete a comparative analysis of two faith philosophies towards providing health care one being the Christian perspective. For the second faith choose a faith that is unfamiliar to you. Examples of faiths to choose from: Sikh Baha’i Buddhism Shintoism etc.In a minimum of 1 500-2 000 words provide a comparative analysis of the different belief systems reinforcing major themes with insights gained from your research.In your comparative analysis addressallof the worldview questions in detail for Christianity and your selected faith. Refer to chapter 2 of theCalled to Carefor the list of questions. Be sure to address the implications of these beliefs for health care.In addition answer the following questions that address the practical and healthcare implications based on the research:In your conclusion describe your own spiritual perspective on healing what you have learned from the research and how this learning can be applied to a health care provider.Support your position by referencing at least three academic resources (preferably from the GCU Library) in addition to the course readings the Bible and the textbooks for each religion. Each religion must have a primary source included. A total of six references are required according to the specifications listed above. Incorporate the research into your writing in an appropriate scholarly manner.Prepare this assignment according to the APA guidelines found in the APA Style Guide located in the Student Success Center. An abstract is required.

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WHAT ARE SOME STRATEGIES YOU COULD EMPLOY TO IMPROVE THE HEALTH LITERACY OF PATIENTS?

In order to effectively manage their own health, individuals need to have competencies in two areas—basic literacy and basic health literacy. What is the difference? Basic literacy refers to the ability to read, even simple language. Health literacy is defined as, “the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions” (National Coalition for Literacy, 2009). Unfortunately, according to a Department of Education report on health literacy, only 12% of adults aged 16 and older are considered to have a proficient level of health literacy (U.S. Department of Education, 2006). Acquiring health literacy skills has become more complicated with the explosion of online health information, some credible and some misleading.
In this Discussion, you focus on how to help individuals find credible information on the Internet and develop strategies nurses can use to increase the health literacy of their patients.
To prepare:

Think about the nurse’s role in improving the health literacy of patients.
Consider the many ways patients access health information, including blogs, social media, patient portals, websites, etc.
Reflect on experiences you have had with patients who self-diagnose using online medical sources.
Using the Internet, the Walden Library, or other trustworthy sources, identify a resource that you could introduce to patients to help them evaluate the credibility of health information found online.
What are some strategies you could employ to improve the health literacy of patients?

Post your assessment of the nurse’s role in improving the health literacy of patients. Then, identify the resource you would recommend to patients for evaluating online health information and why it would be beneficial. Describe additional strategies for assisting patients in becoming informed consumers of online health information.

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THIS A NURSING PATHOPHYSIOLOGY PAPER

THIS A NURSING PATHOPHYSIOLOGY PAPER

 NO COMMENTS
Details:
Write a paper (1,250-1,750 words) describing the approach to care of cancer. In addition, include the following in your paper:

  1. Describe the diagnosis and staging of cancer.
  2. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
  3. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment

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Case Study:Imagine that you are the privacy officer for a small town hospital. You receive a report that there is a breach of privacy. You are informed that a 15-year-old girl is received at the emergency with an emergency labor.

Remember: need 2 assignments 40 per each, plagiarism free, on time.

Final Paper

The final assignment for this course is a Final Paper. The purpose of the Final Paper is for you to culminate the learning achieved in the course by applying your knowledge in the field of health care ethics and medical law through the analysis of an actual case regarding an ethical dilemma.

Focus of the Final Paper

Review the three scenarios below. Choose one of them and address the questions asked within your selected scenario in the form of a written analysis.

Scenario No. 1: HIPAA Privacy Rule

Case Study:Imagine that you are the privacy officer for a small town hospital. You receive a report that there is a breach of privacy. You are informed that a 15-year-old girl is received at the emergency with an emergency labor. The baby is delivered in the emergency room as there is no time to move the patient to the obstetrics (OB) department. In addition to the emergency delivery, the baby is born with multiple medical problems. Once the mother and baby are moved to obstetrics and neonate, care is given to both.

The OB nurse who took care of the mother and baby completes her shift, and she goes home to her own daughter to have a talk with her. She sits her daughter down and pleads with the girl to tell her if she ever has any problems, especially when it comes to pregnancy. The nurse tells her daughter the story about the young patient who delivered that evening, and she accidentally mentions the patient’s name. The patient’s name is one of those odd names that immediately triggers the nurse’s daughter to relay that she knows the patient. The mother/nurse, realizing that she made a big mistake by mentioning the patient’s name, pleads with her daughter not to say anything. Needless to say, word shoots through the four high schools in the town the next day.

The nurse returns to work the following evening, and she contacts you to hand in her badge and keys, stating that she knows she made a mistake by breaching the young patient’s privacy and she knows she is going to be fired. In addition to the breach of the obstetrics nurse, you learn that the patient hid her pregnancy from her family, and to make matters worse, her aunt and mother are both nurses at the hospital. You know both of these nurses on a professional and personal level.

Scenario No. 1 HIPAA Privacy Rule Project Assignment:

Research the HIPAA Privacy Rule here:

  • U.S. Department of Health and Human Services. (2013).Health Information Privacy.Retrieved fromhttp://www.hhs.gov/hipaa/for-professionals/privacy/guidance/introduction/index.html

Then, perform additional research regarding the HIPAA Privacy Rule and prepare your Final Paper by analyzing the issues through these questions in regards to the above scenario:

  • Analyze the specific requirements needed to perform this investigation.
  • Identify whether this incident was an actual breach of privacy according to the HIPAA law.
  • Examine the differences and similarities between the hospital’s stance and HIPAA as to whether the nurse should be fired from her job.
  • Explain why you would fire or not fire the nurse immediately or whether you would put her on administrative leave awaiting the details of the investigation.

Scenario No. 2: DNR

Project Assignment:Review your State Government’s website and search for its official Do Not Resuscitate (DNR) Form. Along with the form will be information and instructions regarding the form. In addition, research three area hospitals to determine if they provide separate DNR forms. Then, perform additional research regarding DNR and prepare your Final Paper by analyzing the issues through these steps:

  • Analyze the requirements of your State Government’s DNR.
  • Identify the requirements of the three hospital’s DNRs.
  • Examine the differences and similarities between the state’s and the three hospital’s DNR requirements, and address the following questions:
  • What are they?
  • Which one should you follow?
  • Explain how a DNR is applied if a patient is under hospice care and EMTs are called.

Scenario No. 3: Institutional Code of Ethics

Project Assignment:Codes of ethics are standards that outline how individuals or groups of people are to act. The healthcare/medical community has its own code of ethics, which is outlined in the American Medical Association’s Code of Medical Ethics. Review the following:

  • AMA’s Code of Medical Ethics here:
  • American Medical Association. (2013).AMA’s code of medical ethics.Retrieved fromhttp://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics.page.
  • Three local or regional hospitals’ codes of ethics.
  • Various scholarly research on healthcare codes of ethics (at least seven additional sources).

Then, prepare your Final Paper by analyzing the issues through these steps:

  • Analyze the specific requirements of a code of ethics.
  • Identify three critical elements of the AMA’s code that you believe are most important.
  • Examine the differences and similarities between the AMA’s Code of Medical Ethics requirements and the code requirements of the three hospitals that you researched.
  • Explain why certain individuals and/or groups (please name these) should follow a hospital’s code of ethics.

Writing the Final Paper

The Final Paper:

  • Must be eight to ten double-spaced pages in length, excluding title and reference pates, and formatted according to APA style as outlined in the Ashford Writing Center.
  • Must include a title page with the following:

· Title of paper

· Student’s name

· Course name and number

· Instructor’s name

· Date submitted

  • Must begin with an introductory paragraph that has a succinct thesis statement.
  • Must address the topic of the paper with critical thought.
  • Must end with a conclusion that reaffirms your thesis.
  • Must use at least eight scholarly sources that were published within the past five years, including a minimum of four from academic journals found in the Ashford University Library.
  • Must document all sources in APA style, as outlined in the Ashford Writing Center.
  • Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writin
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Case Study on Biomedical Ethics in the Christian Narrative

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart

This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

APA style is not required, but solid academic writing is expected

Applying the Four Principles: Case Study

Part 1: Chart (60 points)

Based on the “Healing and Autonomy” case study, fill out all the relevant boxes below. Provide the information by means of bullet points or a well-structured paragraph in the box. Gather as much data as possible.

Medical IndicationsBeneficence and NonmaleficencePatient PreferencesAutonomy
Quality of LifeBeneficence, Nonmaleficence, AutonomyContextual FeaturesJustice and Fairness

©2019. Grand Canyon University. All Rights Reserved.

Part 2: Evaluation

Answer each of the following questions about how principlism would be applied:

1. In 200-250 words answer the following: According to the Christian worldview, which of the four principles is most pressing in this case? Explain why. (45 points)

2. In 200-250 words answer the following: According to the Christian worldview, how might a Christian rank the priority of the four principles? Explain why. (45 points)

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Explain how dynamic assessment is consistent with Vygotsky’s zone of proximal development and with scaffolding

 Psychology homework help
 
· Respond to the REVIEW question under the “Ask Yourself” section in Chapter 9. Make sure your response is thorough.
Revel – Section 9.6, Individual Differences in Mental Development – “Explaining Individual and Group Differences in IQ” – Journal 9.4
Since there is actually no “review” question, let’s do the “Connect” question:
“Explain how dynamic assessment is consistent with Vygotsky’s zone of proximal development and with scaffolding (you will need to refer back to the Vygotsky discussion in chapter seven)
· Respond to the APPLY question under the “Ask Yourself” section  in Chapter 9
Revel – Section 9.8, Learning in School – “How Well-Educated Are U.S. Children?” – Journal 9.6
“Sandy wonders why her daughter Mira’s teacher often has students work on assignments in small, cooperative groups. Explain the benefits of this approach to Sandy.”
· Respond to the APPLY question under the “Ask Yourself” section in Chapter 10
Revel – Section 10.2, Self-Understanding – “Influences on Self-Esteem” –
Journal 10.1
“Should parents try to promote children’s self-esteem by telling them they’re “smart” or “wonderful”? Are children harmed if they do not feel good about everything they do? Explain”
****PLEASE RESPOND IN QUESTION/ANSWER FORMAT and ONLY CITE FROM THE BOOK… Chapter 9 & 10    Berk, L. E. (2014). Exploring Lifespan Development (3rd ed.). Boston: Pearson Education, Inc. ISBN-13: 978-0-134-41266-5
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Substance abuse

Students must post one interesting case that he/she has seen in the clinical setting via Discussion Board in the online part of this course. The case should be an unusual diagnosis, or a complex case that required in-depth evaluation on the student’s part. The case should be posted in the SOAP format, with references for the patient diagnosis, differential diagnoses (there should be at least 3), and the treatment plan. Notes will be graded as “pass/fail”. In order to receive grade points for SOAP notes, the notes must be approved by the deadlines specified on the course assignments page. The student will lose the opportunity for points on any SOAP notes not approved by the specified deadlines. The posting does not have to be written in APA format, but should be written with correct spelling and grammar. References should be in APA format. The selected references should reflect current evidence – dated within the past 5 years.
__________________________________________________________________________________________
Sample of a SOAP note below:
HPI:
Patient is a 78-year-old man who live insist that use sunblock he walks a lot outdoors and has a very significant and on his arms with a dryness and arms also.
He presented with cough. chest. The symptom started few days ago. It is described as intermittent. Frequency is daily. The complaint is ongoing. Smoking status: Never smoker
Alcohol consumption: Never consumed
Substance abuse: Never consumed
Active Medications:
Atenolol (25.00000 – mg), take 1.00 tablet by mouth once a day
Lovastatin (40.00000 – mg), take 1.00 tablet by mouth once a day
Pantoprazole sodium (40.00000 – mg), for 90 days,
Tramadol hcl (50.00000 – mg), take 1.00 tablet by mouth twice a day
Allergies: He has no active known allergies.
Review of History:
Past surgical:
Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance, Last performed on 10/02/2013.
Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or ct) including arthrography when performed. Colonoscopy, flexible; with biopsy, single or multiple Last performed on 10/20/2010.
Complex uroflowmetry (eg, calibrated electronic equipment), Last recorded on 08/26/2010.
Voiding pressure studies (vp); bladder voiding pressure, any technique. Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging, Last recorded on 08/26/2010.
Cystourethroscopy (separate procedure), Last performed on 08/03/2017.
Biopsy, prostate; needle or punch, single or multiple, Last recorded on 07/02/2014.
Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve; lumbar or sacral, single level.
Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve; lumbar or sacral, each additional level (list separately in addition to code for primary procedure).
Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification).
Reviewed the following past medical:
Essential (primary) hypertension.
Constipation, unspecified.
Gastro-esophageal reflux disease without esophagitis.
Benign prostatic hyperplasia without lower urinary tract symptoms. Barrett’s esophagus without dysplasia.
Hematuria, unspecified.
Elevated prostate specific antigen [psa].
Benign prostatic hyperplasia with lower urinary tract symptoms.
Ventral hernia without obstruction or gangrene.
Social History:
He is married, never smoker, has never consumed alcohol, is a current every day consumer of coffee or tea, is not a substance abuser, has a Dairy Free diet, follows a balanced diet, has sufficient rest or recreation, does not have a risky sexual behavior, does not have disabilities, does not have family stress, does not have job stress, does not do physical exercise,has living arrangements: Private Residence with Family.
Family History: His family presents the following diseases: his Mother has Heart disease (high blood pressure), his Father has Heart disease (heart).
ROS:
Eyes: The patient denied change in vision, eye pain, redness, discharge.
Ears, Nose, Mouth, Throat (ENT): The patient denied loss hearing, congestion, sinus pain, change in hearing, ringing in ears (tinnitus), frequent nose bleeds (epistaxi), sore throat, hoarseness, ear pain, pain in throat.
Respiratory: The patient complained of cough, but denied wheezing, hemoptysis, phlegm.
Cardiovascular: The patient denied chest pain, palpitations, dyspnea, orthopnea, shortness of breath, hypertension.
Gastrointestinal: The patient denied acidity, gastritis, flatulence, hiccups, abdominal pain, difficulty swallowing(solids vs liquids), bloating, nausea, diarrhea, constipation, bright red blood per rectum (BRBPR,hematochezia), vomiting_, change in bowel habits, hemorrhoids. GU/Gyne/0B: The patient denied dysuria, hematuria, incontinence, pain with urination, cloudy urine, rectal discomfort.
Musculoskeletal: The patient complained of pain. Left Hip Pain, but denied wound, swelling (edema), tenderness, weakness, areas of numbness. Neurological: The patient denied dizziness, faints, headache, numbness, limb weakness, tremor, memory loss.
Psychiatric: The patient denied depression, anxiety, insomnia, suicidal thoughts.
Endocrine: The patient denied – diabetes mellitus, hair loss, heat or cold intolerance, change in facial or body hair, cf\ange in weight. lnteg.urnentary (skin and/or breast): The patient denied itching, change in moles, dry skin, ecchymosis, onychomycosis, lesion, abscess, rash. Hematologic/Lymphatic: The patient denied anemia, easy bruising, tender or palpable lymph nodes.
Allergic/Immunologic: The patient denied other reactions, sneezing, runny nose, post nasal drip.
Constitutional: The patient denied fever, weight loss, weight gain, night sweats, fatigue/malaise/lethargy.
 
Vital Signs: Weight: 176 lb O oz. Height: 5 ft 8 in.
Pulse: 64 bpm. Pulse: Normal, interpretation: Normal
Blood Pressure: 140/70 mmHg. Location: Left Arm. Position: Sitting. Temperature: 97.6 degrees F. BMI: 26.8 kg/m2. Respiratory rate: 16 bpm.
PE: Constitutional: Overall: Alert, cooperative.in no distress.appears stated age. Development: well developed. Nourishment: well nourished. Eyes: Eye: Conjunctivae and sclerae are clear without icterus.Pupils are reactive and equal..
Ears, Nose, Mouth, Throat (ENT}: Head: Normocephalic, without obvious abnormality,atraumatic .. Ears: Normal external ear canals, both ears .. Nose: mucosa normal no drainage.bleeding .. Throat: Lips mucosa , and tongue normal; teeth and gums normal. Neck: Supple,Symmetrical,trachea midline,no adenopathy,no carotid bruit or JVD. Thyroid gland: normal. Mouth: Lips mucosa , and tongue normal; teeth and gums normal. Cardiovascular: Pulse: regular. Blood pressure: normal. Auscultation: murmur. I/VI SEM.
Respiratory: Chest and Lungs: Clear to ascultation bilaterally, respiration unlabored,no wheezing, rales or crackles ..
Gastrointestinal: Abdomen: hernia. Huge midline hernia Stable. Rectal: deferred. GU/Gyne/OB: Genitalia: deferred.
Musculoskeletal: Hip: pain. Left Hip pain in scale 1 -10 reports 7. Upper extremities: normal atraumatic, no cyanosis or edema. Lower extremities: normal atraumatic, no cyanosis or edema.
lntegumentary (skin and/or breast): Skin: Skin color,texture,turgor normal.no rashes,or lesions .. Nails: normal.
Neurological: Cranial nerves: Cranial Nerves II-XII appears intact. Motor: normal. Coordination and Gait: Alert,Oriented. Reflexes: Strength normal. Sensory: Alert.Oriented,
Psychiatric: Orientation to time, place and person: normal. Recent and remote memory: normal. Mood and affect: No distress,mood looks normal,no agitation,no hallucinations.
Hematologic/Lymphatic: Groin: normal. Other: Cervical, supraclavicular and axillary nodes normal.
Chest / Breast: Breasts: normal.
Assessments:
Essential (primary) hypertension.
Cough.
Body mass index (bmi) 26.0-26.9, adult.
Plan:
Follow up on 1 month
Kenalog 40 mg IM,
Zithromax Z Pack
Cholesterol diet – deeply colored fruits and vegetables, fiber rich grain products, fat-free products, 1 percent and low fat milk products, lean meats and poultry without skin, fatty fish, nuts, seeds, an legumes(dried beans or peas), and unsaturated vegetable oils ..
Patient Education: She received verbal educational instructions for All the questions was answered and understood, breast self exam, Call or Return if Symptoms worsen or persist, Depression Screening Performed today, Discussed Bowel and Bladder Control, Fall precautions and Accident prevention, I Discussed all treatment options with the patient, Reviewed all Current Medications, seat belt, Skin protection, stress
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