– Please reply to the following discussion with one reference. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates.  

Discussion:

Discuss the questions that would be important to include when interviewing a patient with this issue

Kayla is a 16-year old female who presents with complaints of pelvic pain and previously diagnosed with pelvic inflammatory disease. When interviewing an adolescent presenting with these symptoms, it is crucial to ask questions related to social history in privacy (Smorgick & As-Sanie, 2018). Such questions should cover the home situation, school and other activities and potentially sensitive domains of substance abuse, sexual activity, depression, eating behaviors, and safety. In particular, it would be important to ask whether she had experienced any sexual assault in school or at home and if any, whether she noticed any bleeding during the assault. Another important question to ask is whether she has noticed any discharge and the color of the discharge. A normal vaginal discharge is clear and usually odorless. However, changes in the color, amount, or smell of the vaginal discharge may indicate a problem. For example, a white discharge that is clumpy and looks similar to cottage cheese may be a sign of yeast infection, which may cause symptoms such as burning on urination or vaginal itching. Similarly, a yellow/green discharge can be a sign of STIs or bacterial infection, and which can cause pain in the pelvic (Stratton, 2019).

Describe the clinical findings that may be present in a patient with this issue

The most common symptom of pelvic inflammatory disease is pain or tenderness in the stomach or lower abdomen. Other symptoms include abnormal vaginal discharge, usually yellow or green with an unusual odor, fever, tiredness, pain and bleeding during sex, burning sensation upon urination, and pain in the upper abdomen. Other clinical findings include tenderness of fallopian tubes and ovaries and tenderness of the cervix.

Are there any diagnostic studies that should be ordered on this patient? Why?

There are several diagnostic studies that should be ordered on this patient. A pelvic exam should be ordered first to examine her reproductive organs and look for signs of infection. Vaginal culture can also be taken to check possible bacteria, while the urine test may help to rule out urinary tract infection, which causes similar pelvic pain. Also, the doctor could order for an ultrasound to get clearer images of the reproductive system or CT scans to help detect abnormal structures or growth. Another diagnostic study to be ordered is laparoscopy to view the pelvic organs and check for abnormal tissues or signs of infection.

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each

Primary diagnosis – Pelvic inflammatory disease – The patient is sexually active and admits to having multiple sexual partners without using a condom. Besides, she has admitted pain and tenderness in the lower abdomen.

Differential diagnoses

Urinary tract infection – Having multiple sexual partners and sometimes without a condom could have caused urinary tract infection.

Ovarian torsion – The patient has come with symptoms of severe pelvic pain that she rates as 10 out of 10.

Endometriosis – The patient admits abdominal cramping and pain in the lower abdomen and pelvis.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

The main goal in the management plan of this patient is to alleviate symptoms and improve her quality of life. The patient needs some pain relievers such as ibuprofen or acetaminophen to provide partial relief from her pelvic pain. The patient may also need some antibiotics to help in case of any infection. In addition, the patient may be prescribed antidepressants to help improve the pelvic pain. Also, the patient needs to be educated about the benefits of practicing safe sex, particularly using condoms every time she has sex and to limit the number of sexual partners (Sanfilippo et al., 2019). She should also be advised to make an appointment for regular screening of sexually transmitted diseases and request her partners to be also tested. Also, the patient can be referred to physical therapists to help her develop coping strategies for the pain. Such include stretching exercises, massage, and other relaxation techniques.

References

Stratton, P. (2019). Evaluation of acute pelvic pain in non-pregnant adult women. UpToDate. Updated May, 9.

Sanfilippo, J. S., Smith, J. P., & Solnik, M. J. (2019). Chronic pelvic pain and endometriosis. In Sanfilippo’s Textbook of Pediatric and Adolescent GynecologySecond Edition (pp. 214-228). CRC Press.

Smorgick, N., & As-Sanie, S. (2018, March). Pelvic pain in adolescents. In Seminars in reproductive medicine (Vol. 36, No. 02, pp. 116-122). Thieme Medical Publishers.

Johnny, a neighbor who is not a merchant under the Uniform Commercial Code, offers to buy a car from Mark for $30,000.   Mark asks Johnny for some time to think about it. Johnny says sure. He writes on a piece of paper that he will keep the offer open for two weeks.  
A week later Johnny sees another car he would rather buy. He purchases that, and then he tells Mark that he is revoking his offer. 
Two days after that Mark said: “I’m sorry Johnny you made an offer in writing to buy my car. I’m going to hold you to that.”   
Johnny replied: “Sorry I cannot do that.  But I will promise to pay you $10,000 for the help you gave me last year around the house.”   Somewhat mollified Mark accepts. 
A week later and Johnny decided to renege on that promise as well. 
Fed up, Mark sued Johnny for breach of contract on both the promise to buy the car and the promise for the $10,000.

• Discuss whether the elements of a contract are satisfied in this case.

The requirements below must be met for your paper to be accepted and graded:  

• Write between 500 – 750 words (approximately 2 – 3 pages) using Microsoft Word.
• Attempt APA style, see example below.
• Use font size 12 and 1” margins.
• Include cover page and reference page.
• At least 60% of your paper must be original content/writing.
• No more than 40% of your content/information may come from references.
• Use at least two references from outside the course material, preferably from EBSCOhost.  Text book, lectures, and other materials in the course may be used, but are not counted toward the two reference requirement.

Reference material (data, dates, graphs, quotes, paraphrased words, values, etc.) must be identified in the paper and listed on a reference page.Reference material (data, dates, graphs, quotes, paraphrased words, values, etc.) must come from sources such as, scholarly journals found in EBSCOhost, online newspapers such as The Wall Street Journal, government websites, etc.  Sources such as Wikis, Yahoo Answers, eHow, etc. are not acceptable. 

Week 6 Assignment 2 Submission

Click the link above to submit this assignment.

Students, please view the “Submit a Clickable Rubric Assignment” video in the Student Center. Instructors, training on how to grade is within the Instructor Center.

Assignment 2: The Healthcare Market

Due Week 6 and worth 240 points

Use the Internet or Strayer online database to research the current health care delivery structures—both private and public—within your state.

Write a 6-8 page paper in which you:

Analyze the current health care delivery structure in your state. Compare and contrast the major determinants of healthcare market power.

Analyze the main competitive forces in the your healthcare delivery system in your state, and compare the major factors that influence the fundamental manner in which these competitive forces determine prices, supply and demand, quality of care, consumerism, and providers’ compensation.

Evaluate the positive benefits and negative aspects, respectively, of HMO managed care from the provider’s point of view—i.e., a physician and a healthcare facility—and from a patient’s point of view. Provide a rationale for your response.

Assess the efficiency of the types of economic incentives available to providers in the delivery of healthcare services in your own state.

Propose who bears the financial risk of a capitation payment system: the provider, the patient, or the consumer-driven health plan itself.

Use at least five (5) current references. Three of these references must be from current peer-reviewed sources to support and substantiate your comments and perspectives. 

Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.

Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. 

The specific course learning outcomes associated with this assignment are:

Explain how selected economic principles apply to the health care market and the provision of health care services.

Analyze the factors that are influencing the demand and supply of health care services in the U.S.

Assess current economic trends that influence the cost, quality, and access to care.

Use technology and information resources to research issues in health economics.

Write clearly and concisely about health economics using proper writing mechanics.

Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills, using the following rubric.

 

Which of the following statements are true in regard to the relationship between accounting profits and economic profits?

In forming your response, note the definitions in this website https://corporatefinanceinstitute.com/resources/knowledge/accounting/accounting-profit-vs-economic-profit/#:~:text=Accounting%20Profit%20vs.%20Economic%20Profit%20Accounting%20profit%20is,flow%20that%E2%80%99s%20generated%20above%20all%20other%20opportunity%20costs

   

• A. Accounting profits can be positive while economic can be negative at the same time.
• B. Economic profits account for the required returns to investors, which accounting profits do not explicitly do so.
• C. Both a and b
• D. Neither a nor b

_________________________________________________________
 

Assume that positive economic profits exist within an industry. If that is happening, which of the following statements are true? Always choose the best answer, even if it strikes you as not a perfectly clear answer.

   

• A. There is incentive for additional firms and economic resources to enter into this industry.
• B. Companies in the industry are earning profits and returns on investment that are above the normal level.
• C. Both a and b
• D. Neither a nor b
   

Assume that output is occurring at a point where marginal revenue is equal to marginal cost, but below average total cost. Which of the following are true?

   

• A. Firms will be likely to exit the industry.
• B. Accounting profits could be positive or negative.
• C. Both a and b
• D. Neither a nor b.

An industry is currently producing output at a level where normal profits are being earned. Suddenly, as in some industries like food delivery during a pandemic, the industry experiences an increase in the demand for its products. Which one of the following is the most likely change?

   

• A. Prices will increase and additional economic resources will enter into the industry.
• B. Investor required returns will increase and profits will continue to be normal.
• C. Both a and b
• D. Neither a nor b.

What is meant by the term “mezzanine capital?”

  Introduction

Ask any IT manager about the challenges in conveying IT risks in terms of business risks, or about translating business goals into IT goals. It’s a common difficulty, as the worlds of business and IT do not inherently align. This lack of alignment was unresolved until ISACA developed a framework called COBIT, first released in 1996. ISACA is an IT professionals’ association centered on auditing and IT governance. This lab will focus on the COBIT framework. The lab covers two released versions: COBIT 4.1, which is currently the most implemented version, and COBIT 5, which was released in June 2012. A newer version, COBIT 2019, was released in 2019.

Because COBIT 4.1 is freely available, with registration, at the time of this writing, the lab uses this version to present the handling of risk management. COBIT presents this topic using a set of COBIT control objectives called P09. COBIT P09’s purpose is to guide the scope of risk management for an IT infrastructure. The COBIT P09 risk management controls help organize the identified risks, threats, and vulnerabilities, enabling you to manage and remediate them. This lab will also present how COBIT shifts from the term “control objectives” to a set of principles and enablers in later versions.

In this lab, you will define COBIT P09, you will describe COBIT P09’s six control objectives, you will explain how the threats and vulnerabilities align to the definition for the assessment and management of risks, and you will use COBIT P09 to determine the scope of risk management for an IT infrastructure.

1. Define what COBIT (Control Objectives for Information and related Technology) P09 risk management is for an IT infrastructure.
2. Describe COBIT P09’s six control objectives that are used as benchmarks for IT risk assessment and risk management.
3. Explain how threats and vulnerabilities align to the COBIT P09 risk management definition for the assessment and management of IT risks.
4. Use the COBIT P09 controls as a guide to define the scope of risk management for an IT infrastructure.
5. Apply the COBIT P09 controls to help organize the identified IT risks, threats, and vulnerabilities.

 Deliverables

Upon completion of this lab, you are required to provide the following deliverables to your instructor:

1. Lab Report file;
2. Lab Assessment (worksheet or quiz – see instructor for guidance).