please attach files to complete paper Presentation of Case and Subjective Data Clearly and thoroughly presents GYN problem or OB case and subjective data. Objective Data Clearly and thoroughly presents objective data. All of the relevant systems addressed based on the CC and HPI. Assessment Correct differential and medical diagnosis. Plan Correct plan of care for each issue. Thoroughly addressed (diagnostic studies, meds, education social and personal responses, health promotion/screening by age, ethical and cultural considerations, follow up, referrals). All components addressed. Organization and Writing. SOAP note/plan of care was thoroughly organized and well-written. All ideas were stated clearly and logically. Writes relevant content. Project was thoroughly on topic and relevant. Formatting, spelling and grammar. All formatting guidelines followed and template was used. No spelling or grammatical errors. SOAP NOTE TEMPLATE Please include a heart exam and lung exam on all clients regardless of the reason for seeking care. So, if someone presented with vaginal discharge, you would examine the General appearance, Heart and Lungs, abdomen and pelvis for a focused/episodic exam. The pertinent positive and negative findings should be relevant to the chief complaint and health history data. This template is a great example of information documented in a real chart in clinical practice. The only section that will not be included in a real chart is differential diagnosis. The term “Rule Out…” cannot be used as a diagnosis. Subjective Data (20 pts.) Chief Complaint (CC): History of Present Illness (HPI): Last Menstrual Period (LMP) Allergies: Past Medical History: Family History: Surgery History: Obstetrical/GYN History: Social History (alcohol, drug, or tobacco use): Current medications: Review of Systems (Remember to inquire about body systems relevant to the chief complaint and HPI) Objective Data (25 pts.) Please remember to include an assessment of all relevant systems based on the CC and HPI. Vital Signs/ Height/Weight: General Appearance: Assessment (20 pts.) A: Differential Diagnosis Please rule out all differential diagnosis with subjective and objective data and/or lab-work. Provide references. 1. 2. 3. B: Medical Diagnosis Rule in diagnosis with subjective and objective data and lab-work. Please explain how you arrived at the diagnosis. Provide references. 1. PLAN (25 pts.) A: Orders 1.Prescriptions with dosage, route, duration, amount prescribed, and if refills are provided 2.Diagnostic testing needed 3.Problem oriented education 4.Interpersonal/Social support/communication 5.Age appropriate Health Promotion/Maintenance/Screening Needs 6.Referrals and follow up with rationales Cultural Diversity: What cultural considerations would you suggest for this patient? Patient/Family Education: If patient is currently on any medications, please address if you want them to discontinue or continue. You always want this to be clear at the end of the visit. B: Follow-Up Plans (When will you schedule a follow-up appointment and what will you address in the subsequent visit ---F/U in 2 weeks; Plan to check annual labs on RTC (return to clinic) with rationales APA Format (10 pts.) Include a title page and references with all of your papers. There should be at least four references from textbooks, journal articles, CDC or NIH that are not older than 5 years. Please do not use Wikipedia, WebMD, dictionaries, or any websites that are not evidence based.

PESTLE Analysis PowerPointOverviewAccess to care, the quality of care, and the cost of care are the top areas that hospitals are working to improve. The cost of health care and financing health care results in a national health care expenditure and sources of payment must be investigated. Health care costs are also inextricably bound to quality issues and, therefore, quality initiatives are linked to health care spending.National Health Expenditures (NHE) and trends are reported annually by the National Center for Health Statistics of the Centers for Disease Control and Prevention (CDC), the Office of the Actuary, the National Health Statistics Group, the U. S. Department of Health and Human Services (DHHS), and the Centers for Medicare & Medicaid Services (CMS). The expenditures are reported and tracked over time using a standard format that identifies both the private and public sources of funds as well as the objects of expense. Reports are issued annually, two years following the closure of the reporting period. See Table 8-1 in the textbook.In 2014, NHE totaled more than 3.0 trillion dollars, 17.5 percent of the Gross Domestic Product (GDP), and that equates to approximately 9,523 dollars per person (see Figure 8-1). There are a number of interrelated factors that contribute to health care expenditures. These include aging population; new drugs and medical and diagnostic technology; emphasis on speciality medicine; large numbers of uninsured and underinsured; volume-based reimbursement incentives; and labor intensity.ScenarioAs the Chief Operating Officer (COO) of We Care Hospital, you receive a call from the Chief Financial Officer (CFO), who requests that the two of you work together on a health care spending project. Your first task is to conduct a PESTLE analysis. Use Critical Thinking Skills and Metacognition to research current events in the macro environment. Then, prepare a Microsoft PowerPoint 10-slide narrative using a PESTLE analysis. A PESTLE Analysis identifies political, economic, social, technological, legal, and environmental factors.InstructionsYour 10-slide PESTLE PowerPoint should follow this format:Slide 1: Cover Page.Include the title of your presentation, your name, the course number and course title, your professor’s name, and the date.Slide 2: Background or Executive Summary.Describe the details of the situation. Use bullets with short sentences. The title of these slides should be Executive Summary.Slide 3: Thesis Statement.Identify the focus of your research. The title of this slide should be Thesis Statement.Slides 4–9: Support. Support your thesis statement following the SESC formula: State, Explain, Support, and Conclude. You should include at least three court cases and related peer-reviewed articles from within the past five years. Slide 10: References.