The purpose of this paper is to understand the importance of accurate medical record documentation to record pertinent facts, findings, and observations about a patient’s health history including past and present illnesses, examinations, tests, treatments, and outcomes.

Directions:

Step 1:

Review and critique the comprehensive H&P and thoroughly answer the questions that follow in complete sentences and paragraphs using question and answer APA format.

Step 2:

Use current APA format to style your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas. Include a title page and a reference page listing the sources you used.

Step 3:

Keep in mind the requirements set forth in the 1997 Guidelines of Documentation for Evaluation and Management by CMS. Visit CMS.gov, and then search “1997 Guidelines of Documentation for Evaluation and Management” for information that should be included in a medical record.

Answer the following questions:

1. Does this document meet the CMS guidelines for documentation of a comprehensive history and physical? Why or why not? Be specific.

2. Critically analyze the H&P and list any errors. Identify the strengths of the H&P.

3. Did any questions come to mind that you are unable to answer after reading the H&P?

4. Are the conditions listed in the assessment section reasonably supported by the history? Why or why not? Explain your rationale.

5. Did you identify other differential diagnoses or conditions that should be included in the assessment? If so, list them.

6. List the ICD-10 code for each of the following (go to CMS.gov and search for the ICD-10 Codes):

Moderate persistent asthma with (acute) exacerbation: ______________

Pneumonia, unspecified organism: ______________

Essential (primary) hypertension: ______________

Hyperlipidemia, unspecified ______________

Obesity: ______________

7. Is it appropriate to include the ICD-10 code for pneumonia when billing for this visit? Why or why not?

8. Is the plan reasonable based on the assessments listed? Why or why not?

9. List 3 patient education strategies relevant to the case study including specific medication teaching. Include references.

10. List health promotion recommendations from AHRQ according to age/gender/conditions. Cite your references.

• Your paper should be 2-3 pages not including the title and reference pages. A minimum of 2 sources, not including your texts, must be incorporated into your paper.
• Use current APA format to style your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas. Include a title page and a reference page listing the sources you used.

Due: Sunday, 11:59 p.m. (Pacific time)

Points: 150

601B Comprehensive H&P guidelines.docx

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A comprehensive H&P for patient Anne Smith is shown. Ms. Smith is a new patient presenting to an internal medicine office-based practice. Carly Sanders, an experienced nurse practitioner, authored the H&P.

Patient Name: Anne Smith Age: 55

Date of Visit: 2-14-2016 Gender: Female

Information Source: Patient, reliable source, face-to-face office visit

Subjective:

Chief Complaint: Follow up after Emergency Department visit

History of Present Illness: Reports were seen in the Emergency Department approximately 2 weeks ago and was treated for bronchitis with an unknown antibiotic that she has now finished. Was prescribed a refill of an Albuterol MDI as well. Pt continues to report cough and shortness of breath with exertion. Cough and shortness of breath have not improved since last Emergency Room visit. Cough reported as dry and present day and night without provocation. Has been using Albuterol MDI 4–5 times per day with slight relief of shortness of breath symptoms. Pt reports multiple diagnoses of bronchitis last year and has been using Albuterol MDI multiple times daily for the past 6 months or more.

PMH: Hypertension. Bronchitis. Hyperlipidemia. Obesity.

Medications: HTCZ 25mg BID. Albuterol MDI q4h PRN. Simvastatin 20mg daily. OTC Aleve 1–2 tabs PRN headaches.

Allergies: Codeine. Shellfish.

Family History: Mother and Father with CV disease. Son with asthma. Daughter with hypertension. Denies family history of DM. Mother diagnosed with breast cancer at age 40, died at 44.

Social History: Retired from clerical work. Widowed. Lives with adult children and assists with watching grandchildren. Denies tobacco use, ETOH use, drug use.

Review of Systems:

GENERAL: Reports good sleep but decreased energy levels. Denies fever.

CV: (-) palpitations. (-) CP. (-) swelling.

PULM: (+) SOB with exertion. (+) wheezing. (+) dry cough. (-) hemoptysis.

ENT: (-) rhinorrhea. (-) sinus pain/pressure. (-) ear pain/pressure. (-) sore throat.

Objective:

CV: RRR, no murmur.

Pulm: Posterior inspiratory wheezes bilaterally in all lobes. No rales/rhonchi/crackles. No consolidation present with percussion. Equal rise and fall of chest. No accessory muscle use.

Ears: Bilat TM pearly white, canals clear, no discharge, no external ear tenderness.

Nose: Nasal mucosa pink, moist. No discharge present. No sinus pressure pain.

Throat/Neck: Oral mucosa pink/moist. Tonsils grade 1 without exudate. No lymphadenopathy.

General: Obese caucasian female. Affect appropriate. Appears very anxious. Appropriately dressed. No obvious deformity.

VS: Temp 97.8, Pulse 72 RR 22, BP 140/90, BMI 32

Assessment:

1. Moderate persistent asthma with (acute) exacerbation

2. Pneumonia, unspecified organism

3. Essential (primary) hypertension

4. Hyperlipidemia, unspecified

5. Obesity

Plan:

Dx Plan: None

Tx Plan: Rx: Qvar 40mcg/spray 2 puffs BID. Rx: Albuterol MDI 1-2puffs q4h PRN wheezing. Rx: Inhalation Spacer Device. Refill HTCZ 25mg PO BID #30 with 2 refills.

Refill Simvastatin 20mg PO QD #30 with 2 refills.

Alternate Project for the Live Concert Performance Report Instructions:

Due to the College closing during the current National CoronaVirus Pandemic, and the MDC conversion of all classes to the Online, fully Virtual format for the remainder of the Spring – 2020 semester (
2203
), the following is an alternate web-based project for attending an in-person
“-Live Concert Performance Report“. Please read, and follow all instructions carefully. You will be required to read and follow all instructions in order to receive alternate web-based Live Concert Performance Report credit. You will view and analyze all Three videos –– which are linked below (–
You can view the videos in any order you wish
). You will create a one–paragraph analysis for
each of the videos below (
––the
Assignment Essay will be a total of Three complete paragraphs employing
all the required selection characteristics as required below
). Although you will view the Three videos in any order you wish, after viewing all videos, ––you will then write a single paragraph based on any single movement or scene for each of the Three enclosed videos [WARNING: ––do NOT copy and paste any information from the Internet!]. The instructions and assignment requirements
are as follows

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Important Directions:
Please
review Part I course lessons to refresh the meaning of each of the above
Musical Term, and their applications to the listening process. Your
class E–Text includes descriptions and instrumental characteristics.
Please review and study Part I of the course readings on instrument
names, and apply them to this the performance analysis.
The submitted Essay should be in a formal essay format, –– but insure
that all requested questions below include an educated answer. Essays
must include all questions below and correct answers – to the best of
your abilities, or points will be deducted. If you cannot find some of
the requested questions and information above,
please provide an educated guess. Blanks or missing assignment
requirements will have points deducted. You will analyze Three (“3“) varying musical works; please remember to pick any single Movement or Scene from each composition.

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Assignment Part I: Please view and analyze the entire video Below (
view entire video below several times. This Composition has ten movements in total
):

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https://www.youtube.com/watch?v=GFaK4q0pxcQ

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(
Note: For this Jazz Recording,
you can access a Program describing the music program for the
composition, the list of each selection, – and general descriptors Here: “https://www.milesdavis.com/albums/miles-davis-gil-evans-the-complete-columbia-studio-recordings/“. However, as stated above, –– WARNING: ––do NOT copy and paste any information from the Internet!)

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Assignment Part II: Please view and analyze the entire video Below (
view entire video below several times
):

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https://www.youtube.com/watch?v=l8eQEz9TbvE&feature=youtu.be
(Amateur Performance due to copyright laws {4/5/20})

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(
Note: For this Musical Theater production, you can access a Program – list of scenes Here: “https://www.playbill.com/article/track-listing-for-les-miserables-film-soundtrack-revealed-new-material-included-com-200571“. Although the Musical Theater’s storyline is not needed, you can see a brief Musical Theater work synopsis here: “https://www.bard.org/study-guides/synopsis-les-miserables“: & “https://www.guidetomusicaltheatre.com/shows_m/miserables.htm“, & “https://www.allmusicals.com/lyrics/lesmiserables/synopsis.htm“. However, again, –– WARNING: ––do NOT copy and paste any information from the Internet!)

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Assignment Part III: Please analyze any single
video in the following Link. Please scroll through the various Tabs to
see all available video choices. View and analyze an entire video from
the choices available at the web link Below (
view entire video below several times
):

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http://www.afieldnegro.com/videos.html

(
Note: For this Popular Music, you will have to research the Program yourself. Although the Popular Music’s storyline is not needed, please do your own research based on chosen title. One more time, –– again, –– WARNING: ––do NOT copy and paste any information from the Internet!)

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As per the traditional
Live Concert Performance Report, you will include the following assignment requirements
for
each of
three music selections you have chosen from the above videos (
Note: since this is a performance analysis, no composer or musical work biographical information is needed).
After viewing and reviewing again each of the above videos in their
entirety, ––you will then write an essay that includes a single
paragraph analysis for a single movement/scene from
each of the works above, that is solely based on
any
single movement
for
each of the
three chosen above video performance (––
the above Compositions each have several movements or scenes). Please include the following for
each of the
three chosen movements from the above video performances
:

• Concert Performance Title – Name of Group or Individual {Example: the Miles Davis Quintet; see video for details [WARNING: ––do NOT
  copy and paste any information from the Internet!]. Or, Example: West
  Side Sory, Performed by the Original Cast Company. Or, Example: Santana
  Performs Tito Puente’s Music. Or, Example: The Falcon Brass Ensemble
  Recital Featuring Broadway Classics. Etc.–Etc.}. (Utilize proper
  English, including Capitals and “Quotes” for Song Titles, Etc.- See
  the“Gordon Rule” on Page12 of the class syllabi):
  
• Date the Concert was performed {Read the video information with detail. At the very-minimum, provide an educated guess}:
• Place of Concert {or Concert Venue. Read the video information with detail}:
• Type of Concert {Example: Symphony Orchestra. Or, Example: Opera. Or, Example: Ballet. Or, Example: Chamber Music Recital. Etc.–Etc.}.:
• Describe Concert Setting, Acoustics, Staging, Scenery and costumes {–– if applicable, such as in the Musical Theater performance, or a Jazz performance}, Lighting, Staging, and Environment, and provide general reactions to Concert Environment (This description must be made-up of at least Four complete sentences minimum). Was there any dancing, and or choreography? Note:
  avoid general statements, such as –– “The group did not wear any
  costumes”, or “There was not stage scenery”. Avoid statements that do
  not contribute to the Live Concert Performance Report effectiveness.
  Explain:
• Title of Musical Work:
• Composer and composition arranger {Read
  the video information with detail. At the very-minimum, provide an
  educated guess. You may need to do some research, –– however, do NOT copy and paste any information from the Internet!}:
• Medium
  {or Orchestration/ Instrumentation}. {Example: Jazz Quintet: Trumpet,
  Saxophone, Piano, Bass & Drums. Or, Example: Singer(s) and
  Orchestra. Or, Example: Jazz Big Band; 5-Saxophones, 4-Trumpets,
  4–Trombones, and Rhythm Section. Or, Example: Solo Voice, Gospel Choir,
  and Rhythm Section. You can also simply name all instruments used, ––
  Etc.–Etc.}.
• Movements (title of movement and or movement number):
• Form:
• Tempo (
  –– was the tempo danceable? Did the beat have a good Groove? Could you
  feel a strong Beat? Did you get lost? Was the beat(s), complex or simple
  Rhythms? Was it Fast, Slow, MediumTempo? What was the speed of the
  Rhythm, Tempo?):
• Style:
• Lyrics (–– only for sung selections. Do
  not include all the lyrics to the song. You can mention song lyrical
  themes, or if the song tells a story, underlying political message.
  Lyric characteristics and vocal style; was the song spoken, shouted,
  clear, easy to understand, dialect, soft, smooth, foreign language.):
• Historical Period (–– this
  composition was created during which Historical period? Please refer
  to the E–Text, or you may need to research the composition, but do NOT copy and paste any information from the Internet!):
• Composition Description (use
  accurate descriptive Music terminology learned in class text. This
  description must be made-up of at least Four complete sentences,
  minimum. Note: you may include terms included in this form and/or other analogousmusic terminology):
• Analysis of this Musical Performance (can be positive and/or negative; but describe. This description must be made-up of at least Four complete sentences, minimum). Describe
  selections employing clear and effective usage of the musical elements
  you have learned including the instrumentation, general style (for each
  composition), the types of beats (tempos), rhythm, melody, harmony,
  texture, form (–– music structure ), dynamics, inflections, timbre, etc.
  Do not simply mention the Musical terms, but apply terminology
  effectively. Style or period: which style of music (Jazz, Latin, Rock,
  Reggae, Country, Gospel, Etc.; with the style’s subcategory-if
  applicable such as Ex.: Be-Bop Jazz, Fusion Jazz, Etc.).:
• Improvisation in this Musical Performance (–– must be included for Jazz and or Popular Music video performances. This description must be made-up of at least Four complete sentences, minimum). Describe
  improvisation in a manner that will give the reader a clear
  understanding of the improvised solos’ qualities, structure, harmony,
  tone colors, patterns and any other solos’ shape, style, length,
  technicality, inflections, and the like. Describe the improvised solos
  using comprehensible and suitable music terminology. Which Instrument(s)
  Improvised? Sequentially describe each soloists Improvised solos. Did
  you recognize the form of any of the songs you heard? How many choruses
  and/or what type of Form was used in this musical selection:
• Overall Reaction to this One Work (this description must be made-up of at least Four complete sentences, minimum). Note:
  avoid general statements, such as “…there were no messages in the
  Group’s Lyrics”, or “There were no Political messages”. Avoid statements
  that do not contribute to the Live Concert Performance Report
  effectiveness. ––Did you like what you Heard? Why? Why Not? Explain.
  What contributed to this style of Music? (e.g.: –– social and/or
  political climate). How did their performance affect you? Did the
  artists have effective voices/instruments’ dominion? Explain:
• Please
  insert as screenshot of the Music Movement you are describing at the
  bottom of each Movement’s analysis (–– see below for instructions on
  taking a screenshot). The screenshot for credit must be included, –– DO
  NOT ASK FOR EXCEPTIONS!!
• The analysis should be a minimum of 700 words (–– but no more than 1,000 total words),
  double spaced, 12-font, using complete sentences and complete
  paragraphs as required of your average college-level English course.
  Please refer to the class syllabi Live Concert Performance Report
  requirements for additional information:

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Please submit your completed Live Concert Performance Report to the TurnItIn.Com Dropbox located inside the following course location for this Blackboard class: Course Lessons (MUL2380), > TurnItIn.Com course work Dropboxes (bottom of this page), > – Live Concert Performance Review (–located towards the top of this Page).

Important assignment details and reminders:

1. The Alternate – Live Concert Performance Report will be submitted inside of this Blackboard class.
2. Once you have chosen a movement or a scene for each Alternate – Live Concert Performance Report composition, watch the movement/scene several times so that you can make an educated and informed performance analysis.
3. This Alternate – Live Concert Performance Report will be due by “April 8th, 2020” at before “11p.m.” online.
4. The Alternate – Live Concert Performance Report requires very specific instructions; read and review all instructions CAREFULLY!
5. Again, as stated above, the Live Concert Performance Report –– TurnItIn.Com Dropbox is located at: Course Lessons (MUL2380), > TurnItIn.Com course work Dropboxes (bottom of this page), > – Live Concert Performance Review (–located towards the top of this Page).
6. Please insure that each of the chosen selections or Scenes you are analyzing includes a screenshot of the segment of the performance you are writing about (–see screenshot instructions below). The screenshots will be embedded Inside your submitted Alternate – Live Concert Performance Report essay. If you do not include a screenshot for each analyzed Movements/or Scene, you will lose Alternate – Live Concert Performance Report points; –– be very careful!

Last additional Important details:

1. Students will only have ONE Alternate – Live Concert Performance Report submission opportunity; –– be very careful when submitting your assignment!
2. Please view each video in its entirety for the – Alternate Live Concert Performance.
   Remember that I am also a Professional Musician with over twenty-five
   years of performing in professional concerts; –– I can tell if the
   student did in fact watch each entire video performance, and if the
   student really did read and follow this assignment requirement.
3. Pretend that you are actually attending a – Live Concert Performance, be creative, have fun with the assignment .
4. As clearly stated above, the – Alternate Live Concert Performance does not require composers’ biography, or composition historical details ( –– the Historical period is needed, see above assignment requirements ).
5. Please included an essay––embedded screenshot for each selection movement/scene analyzed!
6. Make sure that the Alternate – Live Concert Performance Report does NOT include any Plagiarism (–– WARNING: ––do NOT copy and paste any information from the Internet!). Plagiarism is Cheating, and students submitting Plagiarized writings will FAIL this class, –– in accordance with MDC academic Policies. Again, any phrases copied from a source for this essay will constitute Plagiarism, and Plagiarism will represent immediate failure for this class, see MDC Student handbook.
   

• Important information on how to take a screenshot using a Mac Computer Here: “https://www.youtube.com/watch?v=89GA6a4lAn4“, or a Windows Computer Here: “https://www.youtube.com/watch?v=uL3h5xns6DM“. To insert a screenshot in a Discussion Board, go Here: “https://www.youtube.com/watch?v=At9ToSRvW-8“.

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I am looking forward to Viewing Your submitted Alternate Live Concert Performance Report. Have a Great Week!

I’m working on a business discussion question and need an explanation to help me learn.

I am looking for 2 300 word replies to the two student papers that are
attached. Very simple and straight forward. (one reply per paper that is
attached). Please let me know if you need anymore guidance.

Reply Instructions:

Submit replies of at least 300 words each to at least 2 other students. Each
reply must demonstrate a substantive discussion that meets grading rubric
specification. Support your reply by citing at least 1 peer-reviewed journal
articles. References are to be no more than 5 years old.

Requirements: 300 words per reply

Step 3: Compare Federal and State Policies

In the previous step, you were provided with a video and reference materials that gave you an overview of the tabletop exercise and the sector assigned to you. Now, each team will need to prepare a brief, itemized list of cybersecurity policy issues as it applies to the team’s assigned sector. After completing the list, with the same industry-specific focus, each team will write four-page Federal and State Policy Comparison report that compares federal policies with individual state standards that might exist.

Step 4: Analyze the Interrelations in Cybersecurity

The swift pace of ELITE, which simulates the pace of cyberattacks, disaster response, and other events affecting cybersecurity in general, requires the rapid creation of a solid cyber defense strategy. Analyze the interrelations between cybersecurity technology decisions and the cyber policies submitted in the previous step. Incorporate aspects of security operations, in which your team will identify the policies and roles of players in the sector, and build the defense strategy to accomplish the mission and provide for sector-wide secure infrastructure.

As a team, create a two- to three-page brief on the expected relationships, especially regarding your sector. The first page should include an overview of your assigned sector. This analysis will be included in a team sector brief, submitted in a later step.

Security Operations

All organizations have some type of security requirements to protect their assets (e.g., information, facilities, personnel). In establishing these security operations, organizations must first identify the resources that need to be protected and then select the appropriate measures to eliminate the exploitation and destruction strategies of these resources. These measures, or controls, define the who, what, when, where, how, and why of access to organizational assets.

Both processes and procedures for auditing and monitoring these resources must be defined and mechanisms for identifying, reacting to, and documenting security events must be established. Whether it be an active, network-based strategy for enforcing policy and access control, as with an intrusion prevention system (IPS), or a passive one, such as an intrusion detection system (IDS), ensuring that access control monitoring and management mechanisms are in place is critical to an effective security operations plan.

And while planning to thwart attempts to attack organizational assets and identifying vulnerabilities may put organizations in a good security posture, they should never assume they are completely protected from attacks. To that end, organizations should prepare for disruptions that could affect their normal business operations and document procedures to be followed if any such scenarios should become a reality.

By creating both a business continuity plan (BCP) and a disaster recovery plan (DRP), organizations will be ready to resume operations if they experience major disasters or system outages. Both BCP and DRP involve the creation, testing, and revision of actions necessary if any of these events should occur. While the BCP identifies exposure to internal and external threats and protects against interruptions to critical business processes by defining the procedures to facilitate the recovery of business operations with minimal loss, the DRP outlines the procedures for emergency response, extended backup operation and postdisaster recovery, enabling the organization to handle applications while steps are completed to bring the systems back to normal operations as quickly as possible.

If organizations do experience an attack, investigative measures and techniques should be enlisted to determine if a crime has been committed or if someone has unlawfully accessed resources. The investigative process (i.e., identification, preservation, collection, examination, analysis, presentation, decision) must be followed in conjunction with the evidence life cycle (e.g., collect, analyze, present, return) and the rules of evidence. And if these security-related incidents do occur, ensuring that services to respond reactively and a prescribed incident management approach are in place will enable organizations to quickly recover.

Step 5: Analyze the Impact of Policy on Research and Development

Once again from the perspective of your assigned sector, write one to two pages on the impact of federal and state policies on research and development of cybersecurity solutions. This analysis will be included in the team sector brief submitted in a later step.