Endocrine Function: C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225. However, she felt “perfectly fine at the time” and could not afford any more medications. Except for a number of “female infections,” she has felt fine until recently. Today, she presents to the Indian Hospital general practitioner complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone. Case Study Questions In which race and ethnic groups is DM more prevalent? Based on C.B. clinical manifestations, please compile the signs and symptoms that she is exhibiting that are compatible with the Diabetes Mellitus Type 2 diagnosis. If C.B. develop a bacterial pneumonia on her right lower lobe, how would you expect her Glycemia values to be? Explain and support your answer. What would be the best initial therapy non-pharmacologic and pharmacologic to be recommended to C.B?

In a 1-2 page paper, explain how you communicated with your preceptor and practicum site and summarize the practice gap or problem you have identified. INTRODUCTION Preparing for your practicum requires you to apply intraprofessional communication skills as you pursue the arrangement and develop working relationships. In addition, communication with your preceptor is an opportunity to define a practice gap for your project.

-Question: Employers are increasingly engaging in value-based purchasing activities. From a provider perspective, is this movement a good thing? What are some of the key advantages and disadvantages? ((Please support your answer with references from the academic and professional literature)) Requirements: 2-3-page written essay on the question (APA) Style. It should be supported with references from the academic and/or professional literature. References, ((Minimum of 5 references)). Reference from textbook must be included. Writing is focused. Clear and concise response to topic. Excellent word choice. Personal examples if possible (((I work as an administration manager at a Hospital)) Materials: Chapter 17 (Textbook is attached) Textbook: Nash, D.B., Joshi, M.S., Ransom, E.R., and Ransom, S. B. (Eds.) (2019) The healthcare quality book (4th ed.)