SIGNATURE ASSIGNMENT Comprehensive Case Study on COPD, Heart Failure, Hypertension and Diabetes Mellitus M.K. is a 45 year old female; measuring 5’5” and weighs 225 lbs. M.K. has a history of smoking about 22 years along with a poor diet. She has a history of Type II diabetes mellitus along with primary hypertension. M.K. has recently been diagnosed with chronic bronchitis. Her current symptoms include chronic cough, more severe in the mornings with sputum, light-headedness, distended neck veins, excessive peripheral edema, and increase urination at night. Her current medications include Lotensin and Lasix for the hypertension along with Glucophage for the Type II diabetes mellitus. The following are lab findings that are pertinent to this case: Vitals:BP- 158/98 mm Hg CBC CBC: Hematocrit- 57% Glycosylated hemoglobin- (HbA1c) 7.3 % Arterial Blood Gas Assessment: - PaCO₂ 52 mm Hg - PaO₂ 48 mm Hg Lipid Panel: Cholesterol- 242 mg/dL HDL- 32 mg/dL LDL- 173 mg/dL Triglycerides- 184 mg/dL 1. What clinical findings correlate with M.K.’s chronic bronchitis? What type of treatment and recommendations would be appropriate for M.K.’s chronic bronchitis? 2. Which type of heart failure would you suspect with M.K.? Explain the pathogenesis of how this type of heart failure develops. 3. According to the B.P. value, what stage of hypertension is M. K. experiencing? Explain the rationale for her current medications for her hypertension. Also, discuss the impact of this disease in the U.S. population. 4. According to the lipid panel, what other condition is M.K. at risk for? According to this case study, what other medications should be given and why? What additional findings correlate for both hypertension and Type II diabetes mellitus? 5. Interpret the lab value for HbA1c and explain the rationale for this value in relation to normal/abnormal body function.

Goal:To develop a health maintenance plan for a selected populationYour paper should:1. Assess, develop, and recommend health maintenance plans for clients in all developmental stages of life within the primary care practice.2. Apply evidence-based guidelines to the identification and prevention of significant healthcare problems affecting populations at risk.Submission Instructions:The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.The paper should be formatted per current APA and 4-5 pages in length, excluding the title, abstract and references page.Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

InstructionsFrom the topics covered in Weeks 3-4, select one law related to financial management in health care organizations. We discussed such laws as False Claims Act, Stark Law etc. Include a cover page and a list of references at the end of the paper in APA Format. Paper will be double spaced and be 4-5 pages in 12 point New Times Roman font.The assignment is to be written in clear, concise narrative. All sections in the outline for Assignment #2 are required.Outline: Must use the headings from the outline below in your paper and the paper must be in narrative form not outline or bullet format. A penalty will be deducted from paper if underlined headings not used in your paper. 1. Name of the Law and or laws: State the official title of the federal and/or state law, the statute and section number. Must be either a federal statute or state statute and you must cite both if applicable. Thus if there is both a federal and state law that covers your subject picked then you must cite both. Do not assume that there is just a federal and or state law. In most cases there is both a federal and state law. You must use the laws cited in this section throughout the rest of the paper.2. Management’s Financial Responsibilities: What are the health care organization’s responsibilities under this financial management statute you stated above? Provide a comprehensive discussion of three (3) specific responsibilities under the financial management statute. State specifically after each responsibility where this responsibility is stated in the federal or state law. Describe the appropriate behavior and expectation. Include the citations and source of documents describing the organization’s responsibilities. Consequences for Ethical or Legal Breach:Discuss in general the civil and criminal consequences from the law. Then identify from the news, three (3) specific case examples of health care organizations or health care providers found guilty of a legal or ethical breach relative to the law you have cited in first part of paper. Identify the specific legal and/or ethical breach and the penalties assessed to the health service organizations and/or individuals found guilty of violating the law or ethics [provide citation of law]. At the end of each case, discuss in detail whether you agree or not with the decision and why. Bring in the facts of the case to support your comments. Students should use a minimum of three (3) documented specific examples retrieved from the print media. HCO Management’s remedial steps to reverse the non-compliance organizations:Describe in detail three (3) specific management actions or remedial steps you would take to ensure the financial management in the health care organization meets or exceeds the federal law or state law relative to the requirements of the law you cited above. Discuss specifically how each of the three management actions specifically meets or exceeds the specific federal or state law you cited. Note: These actions may include specific uses of technology, procedures, human resource training, and other management tools. However these action steps must be within the control of a manager. 5. Conclusion: Summary your findings aboveReference List [APA Format] The paper must be:Late penalties: See Course Syllabus.Be sure and use the underlined headings found in the outline below in your paper. Paper must be in narrative format not outline or bullets. Double spaced and be 4-5 pages in 12 point New Times Roman font.Include a cover page [not counted as a page] which should have student name and title of your paper [Provide a short name for the legal responsibility the specific health care organization has for one type of patient right in a specific setting ] A the end of the paper a list of references in APA Format [not counted as a page] Be prepared using word-processing software and saved with a .doc, .docx, or .rtf extension. No pdf.Be uploaded to your Assignments Folder by 11:59 p.m. EST on the due date. The paper is to be posted in Assignment #2 drop box.Must cite to the source for all your facts in the text of your paper in APA format.Example of an in text citation:(Ernst, & Young, 2000 p14).Example of source cited on Reference page:ReferencesHealthcare Financial Management Association (U.S.), Ernst, & Young. (2000). Health care system reform: A provider perspective : survey results. Westchester, Ill.: Healthcare Financial Management Association. Except where noted, the assignment is written in clear, concise narrative. All sections of Assignment #2 are required. Grading Rubric for written Assignment #2 is in Assignments area of the class.