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    see attachment – 2 years ago **files (3)** – ## worldculturereadingmodule2.docx – ## worldculturelecturemodule2.docx – worldcultureassignmentmodule2.docx **## worldculturereadingmodule2.docx** Readings PBS. (2006). Early christians _. The Roman Empire in the first century._ Devillier Donegan Enterpr…

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    – 2 years ago

    **files (3)**

    – ## worldculturereadingmodule2.docx

    – ## worldculturelecturemodule2.docx

    – worldcultureassignmentmodule2.docx

    **## worldculturereadingmodule2.docx**

    Readings

    PBS. (2006). Early christians
    _. The Roman Empire in the first century._ Devillier Donegan Enterprises.
    [https://www.pbs.org/empires/romans/empire/christians.html#:~:text=In%20313%20AD%2C%20the%20Emperor,religion%20of%20the%20Roman%20EmpireLinks to an external site.](https://www.pbs.org/empires/romans/empire/christians.html)

    Smith, H. (2020, December 08).
    _Gothic cathedrals: Architecture & divine light_. World History Encyclopedia.
    [https://www.worldhistory.org/article/1649/gothic-cathedrals-architecture–divine-light/Links to an external site.](https://www.worldhistory.org/article/1649/gothic-cathedrals-architecture–divine-light/)

    Multimedia

    BBC Worldwide Learning. (2010).
    _Republic of virtue: Ancient worlds_[Video]. Films On Demand.
    [https://fod-infobase-com.librarylogin.uagm.edu/p_ViewVideo.aspx?xtid=55138&tScript=0](https://fod-infobase-com.librarylogin.uagm.edu/p_ViewVideo.aspx?xtid=55138&tScript=0)

    Flash Point History. (2020, June 9).
    _History of the black death – full documentary_ [Video]. YouTube.  https://www.youtube.com/watch?v=HYNB4sAxemk.

    Frontline PBS | Official. (2020, December 22). From
    _Jesus to Christ: The first christians, part one (full documentary) | FRONTLINE_ [Video]. YouTube. https://www.youtube.com/watch?v=JN8FM1NCOSk

    Frontline PBS | Official. (2020, December 22). From
    _Jesus to Christ: The first christians, part two (full documentary) | FRONTLINE_ [Video]. YouTube. https://www.youtube.com/watch?v=GXqFvfCaFwY

    NBC News Learn. (May 1, 2020).
    _The black death_ [Video]. YouTube. https://www.youtube.com/watch?v=4c-ZGeeCErs.

    Smarthistory. (May 19, 2012).
    _Birth of the Gothic: Abbot Suger and the ambulatory at St. Denis_ [Video]. YouTube.  https://www.youtube.com/watch?v=2EciWH-1ya4.

    Smarthistory. (2013, July 14).
    _The Pantheon_[Video]. YouTube. https://www.youtube.com/watch?v=KaY8zqYfQI0

    Supplemental Resources

    Heather, P. (2005).
    _The fall of the roman empire: A new history of Rome and the barbarians_. Oxford University Press.
    [https://go.exlibris.link/zpHCY9s9Links to an external site.](https://go.exlibris.link/zpHCY9s9)

    Shotter, D. (2005).
    _The fall of the roman republic_ (2nd ed.). Routledge.
    [https://go.exlibris.link/2LszlGWF](https://go.exlibris.link/2LszlGWF)

    **## worldculturelecturemodule2.docx**

    _Rome: From Empire to Christian Empire_

    Introduction

    With the assassination of Julius Caesar, civil war erupted in Rome. Caesar has left almost all his inheritance of power to his great-grandnephew Octavian (63 BCE-14CE). This caused a lot of confusion for many, since Octavian was not necessarily a leader. Marc Antony, the second in command while Caesar was in charge, would have been the expected choice for most people. But it seems that Caesar had other plans. Octavian was much of a surprise. He eventually came to be the leader the empire required. This is the Octavian that eventually passed to history as Augustus Caesar.

    On the other hand, this empire that for years persecuted Christians, a new group of followers of a man from Nazareth who had been crucified by the Romans around the year 30 will turn into the faith that it had condemned for so long. The empire becomes Christian.

    Battle of Actium

    Leo2004. (2008).
    [https://commons.wikimedia.org/wiki/File:Battle_of_Actium-hu.svg#/media/File:Battle_of_Actium-en.svgLinks to an external site.](https://commons.wikimedia.org/wiki/File:Battle_of_Actium-hu.svg)

    In the Battle of Actium on 31 BCE, the forces of the new Roman leader and successor to Julius Caesar, Octavian, proclaimed victory against Marc Anthony and Cleopatra’s armies. If we look back at the events, we need to remember that Julius Caesar and Cleopatra had been lovers and they had one child together. After Caesar was assassinated, the only son he had was with Cleopatra. But he was the son of a non-Roman woman. Romans would not accept him as a leader. Cleopatra tried to stay away from Roman business. However, Caesar’s second in command, Marc Anthony, had moved to Egypt and started a relationship with Cleopatra. They also had children together. Back in Rome, Marc Anthony’s wife, a “real Roman woman”, and the sister of Octavian, had been dishonored by this relationship between Marc Anthony and Cleopatra. Octavian put together a very effective campaign against the couple in Egypt and declared war on them. In battle, Marc Anthony and Cleopatra didn’t stand a chance. They both fled to Egypt where Octavian followed them. By the time he arrived, Marc Anthony had committed suicide and Cleopatra followed later while being a prisoner in her own country. Caesar’s children with Cleopatra and Marc Anthony were killed, and Octavian claimed Egypt as his own private possession. There starts the path toward total empire by Rome, the city that was once a small village in the center of the country we now know as Italy.

    Sculpture

    Zucker, S. (2020).
    [https://www.flickr.com/photos/82032880@N00/49763750177Links to an external site.](https://www.flickr.com/photos/82032880@N00/49763750177)

    When Octavian took the power in his hands, he knew how things worked in the new Roman Empire. The people, not so much the senate, were the ones who kept you in power. He knew he had to develop and create an image through, among other things, art. When we look at the Augustus of Primaporta we see a noble, perfect face. This straight looking man is pointing toward the horizon. Many copies were made of this statue and spread through the empire to share the message of the greatness of the emperor. Even after Augustus was already old, this is the image everyone through the empire saw of him. It looked as if he did not age. The bigger the empire grew, the more important it became for all the empire to have a belief on the perfection and eternity of the emperor back in Rome.

    Architecture

    At the center of Rome was the Forum. The people met at the Forum and legal issues, news about the empire and everything else was discussed there. This is the type of activity that made Rome what it was originally, a republic. Now Octavian Augustus was in power, but he was a conservative. He was interested in restoring the traditional customs that made Rome what it was, at least according to him. Octavian was careful to control the whole government system very closely. But on the outside, he seemed almost as if he did not want power. He asked the people not to call him emperor or to give him any honors. He wanted to be called princeps, which meant, the first among the people. He made sure that this image was kept alive all the time. Now the Romans met at the Forum, but their concerns were already settled by the one in charge, Octavian.

    The Pantheon is the house of all the gods, pan – all, theon – gods. This is where Romans show their skill building with concrete. They were not the only ones or even maybe the first ones, but the Romans wanted to challenge space and gravity. Its rotunda is 19 foot-thick, and it domes consists of 5000 tons of concrete, in the center it has a 30-foot-wide oculus or eye that admits light and air (Fiero, 2021).

    The aqueducts provided water to the cities. It was an extreme luxury to have running water in the cities that might have been too far from rivers. The Romans did not stop at anything to show off their power and ingenuity. Sometimes it is hard to believe that these structures were built to just bring water from the rivers to the cities. But it was not so much the water that was obviously an important element to have a great city, but the people had to be impressed by what their empire was able to provide. The aqueducts were built using the very simple but effective and solid technique of the arch that was a Roman signature in all their architecture.

    An empire needs to keep its people entertained. Again, the Romans built big and took the challenge to heart. The Colosseum provided intense and bloody entertainment for all Romans. There were crucifixions, feeding prisoners to animals like lions and tigers, there were gladiator fights, some of them being very popular with the crowds that came to specially see them slay other men. All social classes could attend the Colosseum. Their seating arrangements showed to what social class they belong. The emperor had a special place, and the events of the Colosseum provided an opportunity for the people of Rome to feel that they shared a moment with their leader. Low or high class, they all enjoyed the violence featured at the Colosseum.

    Christianity

    Between the years 7 and 4 BCE, Jesus of Nazareth was born. It is not certain where exactly he was born. Although the accounts in the New Testament say he was born in Bethlehem because his family travelled there for a census being done by the Roman government, scholars have not found evidence of that census, and the question still stands in the sense that there was not any need for Jesus' family to travel for a census since people, like today, were counted where they lived and not where they were from.

    This man was a Hebrew and the son of a carpenter who at an early age started to preach to his people about new ways of interpreting the almost two-thousand-year-old scriptures of the Hebrew Bible. During this time, his native Israel was a province of Rome. Jesus’ suggestions on new interpretations of tradition caused the priests and the status quo to be shaken, and eventually the leadership of the Hebrews with the cooperation of the Romans got him arrested and condemned to death. Jesus' followers, the apostles, continued to preach his message and grew proportionately. The followers of Jesus could take advantage of the political structure set up by the Roman Empire to be able to travel anywhere within it to spread their message. By this time, anyone was born in any province of the empire was considered a citizen. That meant that citizens could travel from Egypt all the way to Spain.

    On the year 313 C.E., emperor Constantine, who had moved the seat of the empire from Rome to Byzantium in the east, issued the Edict of Milan which allowed the empire to tolerate new religions. The empire was pagan, but now it was willing to try religious tolerance without persecuting any religious beliefs. Constantine himself declared that he was inspired by the sign of the Christian god in battle. Although he was not baptized until he was in his deathbed, he is famous for opening the door for Christianity to become an official religion that eventually became the official religion of the Roman Empire around the year 325 C.E.

    Medieval Times / The “Dark Ages”?

    What we today call the Middle Ages are the years between the fall of the Roman Empire and the beginning of the Renaissance. The name “Middle” means just that, they are in the middle, or in between two historical epochs considered more productive and valuable than the Middle Ages. One of the reasons for this is our perspective when we study the events that marked the cultures of what we call the “West”. Usually, our view is centered in Rome. Before the Middle Ages, we had Greece and Rome, two cultures that excelled in their development of culture, government, philosophy, art, and architecture. After the Middle Ages, we get the Renaissance, which is a moment of advance and discovery to higher levels.

    The Middle Ages are known as the almost thousand years, roughly between the year 450 and around 1300. During these years, the followers of Jesus had developed a network of churches around the empire, and they have taken over. The followers of Jesus had created what today we call the Christian religion. The word Christ derives from Greek. The New Testament was almost entirely written in Greek. The first book used by the followers of Jesus of Nazareth was the Septuagint which was a translation of the Hebrew Bible that was put together in Alexandria around 200 before Christ. During the Middle Ages, most of the art and culture in general that was produced carried the message of the Christian religion. Knowledge was limited to priests and other members of the church. This is the time when universities were born out of the need for the elite who wanted to educate their children and the only ones could do it were the monks and religious officials, who knew how to read and write. The development of the Cathedral happened also during the Middle Ages, since all the efforts when building big had to be related to the Christian religion.

    **worldcultureassignmentmodule2.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/worldcultureassignmentmodule2-docx)

    **worldcultureassignmentmodule2.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/worldcultureassignmentmodule2-docx)

    **## worldculturereadingmodule2.docx**

    Readings

    PBS. (2006). Early christians
    _. The Roman Empire in the first century._ Devillier Donegan Enterprises.
    [https://www.pbs.org/empires/romans/empire/christians.html#:~:text=In%20313%20AD%2C%20the%20Emperor,religion%20of%20the%20Roman%20EmpireLinks to an external site.](https://www.pbs.org/empires/romans/empire/christians.html)

    Smith, H. (2020, December 08).
    _Gothic cathedrals: Architecture & divine light_. World History Encyclopedia.
    [https://www.worldhistory.org/article/1649/gothic-cathedrals-architecture–divine-light/Links to an external site.](https://www.worldhistory.org/article/1649/gothic-cathedrals-architecture–divine-light/)

    Multimedia

    BBC Worldwide Learning. (2010).
    _Republic of virtue: Ancient worlds_[Video]. Films On Demand.
    [https://fod-infobase-com.librarylogin.uagm.edu/p_ViewVideo.aspx?xtid=55138&tScript=0](https://fod-infobase-com.librarylogin.uagm.edu/p_ViewVideo.aspx?xtid=55138&tScript=0)

    Flash Point History. (2020, June 9).
    _History of the black death – full documentary_ [Video]. YouTube.  https://www.youtube.com/watch?v=HYNB4sAxemk.

    Frontline PBS | Official. (2020, December 22). From
    _Jesus to Christ: The first christians, part one (full documentary) | FRONTLINE_ [Video]. YouTube. https://www.youtube.com/watch?v=JN8FM1NCOSk

    Frontline PBS | Official. (2020, December 22). From
    _Jesus to Christ: The first christians, part two (full documentary) | FRONTLINE_ [Video]. YouTube. https://www.youtube.com/watch?v=GXqFvfCaFwY

    NBC News Learn. (May 1, 2020).
    _The black death_ [Video]. YouTube. https://www.youtube.com/watch?v=4c-ZGeeCErs.

    Smarthistory. (May 19, 2012).
    _Birth of the Gothic: Abbot Suger and the ambulatory at St. Denis_ [Video]. YouTube.  https://www.youtube.com/watch?v=2EciWH-1ya4.

    Smarthistory. (2013, July 14).
    _The Pantheon_[Video]. YouTube. https://www.youtube.com/watch?v=KaY8zqYfQI0

    Supplemental Resources

    Heather, P. (2005).
    _The fall of the roman empire: A new history of Rome and the barbarians_. Oxford University Press.
    [https://go.exlibris.link/zpHCY9s9Links to an external site.](https://go.exlibris.link/zpHCY9s9)

    Shotter, D. (2005).
    _The fall of the roman republic_ (2nd ed.). Routledge.
    [https://go.exlibris.link/2LszlGWF](https://go.exlibris.link/2LszlGWF)

    **## worldculturelecturemodule2.docx**

    _Rome: From Empire to Christian Empire_

    Introduction

    With the assassination of Julius Caesar, civil war erupted in Rome. Caesar has left almost all his inheritance of power to his great-grandnephew Octavian (63 BCE-14CE). This caused a lot of confusion for many, since Octavian was not necessarily a leader. Marc Antony, the second in command while Caesar was in charge, would have been the expected choice for most people. But it seems that Caesar had other plans. Octavian was much of a surprise. He eventually came to be the leader the empire required. This is the Octavian that eventually passed to history as Augustus Caesar.

    On the other hand, this empire that for years persecuted Christians, a new group of followers of a man from Nazareth who had been crucified by the Romans around the year 30 will turn into the faith that it had condemned for so long. The empire becomes Christian.

    Battle of Actium

    Leo2004. (2008).
    [https://commons.wikimedia.org/wiki/File:Battle_of_Actium-hu.svg#/media/File:Battle_of_Actium-en.svgLinks to an external site.](https://commons.wikimedia.org/wiki/File:Battle_of_Actium-hu.svg)

    In the Battle of Actium on 31 BCE, the forces of the new Roman leader and successor to Julius Caesar, Octavian, proclaimed victory against Marc Anthony and Cleopatra’s armies. If we look back at the events, we need to remember that Julius Caesar and Cleopatra had been lovers and they had one child together. After Caesar was assassinated, the only son he had was with Cleopatra. But he was the son of a non-Roman woman. Romans would not accept him as a leader. Cleopatra tried to stay away from Roman business. However, Caesar’s second in command, Marc Anthony, had moved to Egypt and started a relationship with Cleopatra. They also had children together. Back in Rome, Marc Anthony’s wife, a “real Roman woman”, and the sister of Octavian, had been dishonored by this relationship between Marc Anthony and Cleopatra. Octavian put together a very effective campaign against the couple in Egypt and declared war on them. In battle, Marc Anthony and Cleopatra didn’t stand a chance. They both fled to Egypt where Octavian followed them. By the time he arrived, Marc Anthony had committed suicide and Cleopatra followed later while being a prisoner in her own country. Caesar’s children with Cleopatra and Marc Anthony were killed, and Octavian claimed Egypt as his own private possession. There starts the path toward total empire by Rome, the city that was once a small village in the center of the country we now know as Italy.

    Sculpture

    Zucker, S. (2020).
    [https://www.flickr.com/photos/82032880@N00/49763750177Links to an external site.](https://www.flickr.com/photos/82032880@N00/49763750177)

    When Octavian took the power in his hands, he knew how things worked in the new Roman Empire. The people, not so much the senate, were the ones who kept you in power. He knew he had to develop and create an image through, among other things, art. When we look at the Augustus of Primaporta we see a noble, perfect face. This straight looking man is pointing toward the horizon. Many copies were made of this statue and spread through the empire to share the message of the greatness of the emperor. Even after Augustus was already old, this is the image everyone through the empire saw of him. It looked as if he did not age. The bigger the empire grew, the more important it became for all the empire to have a belief on the perfection and eternity of the emperor back in Rome.

    Architecture

    At the center of Rome was the Forum. The people met at the Forum and legal issues, news about the empire and everything else was discussed there. This is the type of activity that made Rome what it was originally, a republic. Now Octavian Augustus was in power, but he was a conservative. He was interested in restoring the traditional customs that made Rome what it was, at least according to him. Octavian was careful to control the whole government system very closely. But on the outside, he seemed almost as if he did not want power. He asked the people not to call him emperor or to give him any honors. He wanted to be called princeps, which meant, the first among the people. He made sure that this image was kept alive all the time. Now the Romans met at the Forum, but their concerns were already settled by the one in charge, Octavian.

    The Pantheon is the house of all the gods, pan – all, theon – gods. This is where Romans show their skill building with concrete. They were not the only ones or even maybe the first ones, but the Romans wanted to challenge space and gravity. Its rotunda is 19 foot-thick, and it domes consists of 5000 tons of concrete, in the center it has a 30-foot-wide oculus or eye that admits light and air (Fiero, 2021).

    The aqueducts provided water to the cities. It was an extreme luxury to have running water in the cities that might have been too far from rivers. The Romans did not stop at anything to show off their power and ingenuity. Sometimes it is hard to believe that these structures were built to just bring water from the rivers to the cities. But it was not so much the water that was obviously an important element to have a great city, but the people had to be impressed by what their empire was able to provide. The aqueducts were built using the very simple but effective and solid technique of the arch that was a Roman signature in all their architecture.

    An empire needs to keep its people entertained. Again, the Romans built big and took the challenge to heart. The Colosseum provided intense and bloody entertainment for all Romans. There were crucifixions, feeding prisoners to animals like lions and tigers, there were gladiator fights, some of them being very popular with the crowds that came to specially see them slay other men. All social classes could attend the Colosseum. Their seating arrangements showed to what social class they belong. The emperor had a special place, and the events of the Colosseum provided an opportunity for the people of Rome to feel that they shared a moment with their leader. Low or high class, they all enjoyed the violence featured at the Colosseum.

    Christianity

    Between the years 7 and 4 BCE, Jesus of Nazareth was born. It is not certain where exactly he was born. Although the accounts in the New Testament say he was born in Bethlehem because his family travelled there for a census being done by the Roman government, scholars have not found evidence of that census, and the question still stands in the sense that there was not any need for Jesus' family to travel for a census since people, like today, were counted where they lived and not where they were from.

    This man was a Hebrew and the son of a carpenter who at an early age started to preach to his people about new ways of interpreting the almost two-thousand-year-old scriptures of the Hebrew Bible. During this time, his native Israel was a province of Rome. Jesus’ suggestions on new interpretations of tradition caused the priests and the status quo to be shaken, and eventually the leadership of the Hebrews with the cooperation of the Romans got him arrested and condemned to death. Jesus' followers, the apostles, continued to preach his message and grew proportionately. The followers of Jesus could take advantage of the political structure set up by the Roman Empire to be able to travel anywhere within it to spread their message. By this time, anyone was born in any province of the empire was considered a citizen. That meant that citizens could travel from Egypt all the way to Spain.

    On the year 313 C.E., emperor Constantine, who had moved the seat of the empire from Rome to Byzantium in the east, issued the Edict of Milan which allowed the empire to tolerate new religions. The empire was pagan, but now it was willing to try religious tolerance without persecuting any religious beliefs. Constantine himself declared that he was inspired by the sign of the Christian god in battle. Although he was not baptized until he was in his deathbed, he is famous for opening the door for Christianity to become an official religion that eventually became the official religion of the Roman Empire around the year 325 C.E.

    Medieval Times / The “Dark Ages”?

    What we today call the Middle Ages are the years between the fall of the Roman Empire and the beginning of the Renaissance. The name “Middle” means just that, they are in the middle, or in between two historical epochs considered more productive and valuable than the Middle Ages. One of the reasons for this is our perspective when we study the events that marked the cultures of what we call the “West”. Usually, our view is centered in Rome. Before the Middle Ages, we had Greece and Rome, two cultures that excelled in their development of culture, government, philosophy, art, and architecture. After the Middle Ages, we get the Renaissance, which is a moment of advance and discovery to higher levels.

    The Middle Ages are known as the almost thousand years, roughly between the year 450 and around 1300. During these years, the followers of Jesus had developed a network of churches around the empire, and they have taken over. The followers of Jesus had created what today we call the Christian religion. The word Christ derives from Greek. The New Testament was almost entirely written in Greek. The first book used by the followers of Jesus of Nazareth was the Septuagint which was a translation of the Hebrew Bible that was put together in Alexandria around 200 before Christ. During the Middle Ages, most of the art and culture in general that was produced carried the message of the Christian religion. Knowledge was limited to priests and other members of the church. This is the time when universities were born out of the need for the elite who wanted to educate their children and the only ones could do it were the monks and religious officials, who knew how to read and write. The development of the Cathedral happened also during the Middle Ages, since all the efforts when building big had to be related to the Christian religion.

    **worldcultureassignmentmodule2.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/worldcultureassignmentmodule2-docx)

    **## worldculturereadingmodule2.docx**

    Readings

    PBS. (2006). Early christians
    _. The Roman Empire in the first century._ Devillier Donegan Enterprises.
    [https://www.pbs.org/empires/romans/empire/christians.html#:~:text=In%20313%20AD%2C%20the%20Emperor,religion%20of%20the%20Roman%20EmpireLinks to an external site.](https://www.pbs.org/empires/romans/empire/christians.html)

    Smith, H. (2020, December 08).
    _Gothic cathedrals: Architecture & divine light_. World History Encyclopedia.
    [https://www.worldhistory.org/article/1649/gothic-cathedrals-architecture–divine-light/Links to an external site.](https://www.worldhistory.org/article/1649/gothic-cathedrals-architecture–divine-light/)

    Multimedia

    BBC Worldwide Learning. (2010).
    _Republic of virtue: Ancient worlds_[Video]. Films On Demand.
    [https://fod-infobase-com.librarylogin.uagm.edu/p_ViewVideo.aspx?xtid=55138&tScript=0](https://fod-infobase-com.librarylogin.uagm.edu/p_ViewVideo.aspx?xtid=55138&tScript=0)

    Flash Point History. (2020, June 9).
    _History of the black death – full documentary_ [Video]. YouTube.  https://www.youtube.com/watch?v=HYNB4sAxemk.

    Frontline PBS | Official. (2020, December 22). From
    _Jesus to Christ: The first christians, part one (full documentary) | FRONTLINE_ [Video]. YouTube. https://www.youtube.com/watch?v=JN8FM1NCOSk

    Frontline PBS | Official. (2020, December 22). From
    _Jesus to Christ: The first christians, part two (full documentary) | FRONTLINE_ [Video]. YouTube. https://www.youtube.com/watch?v=GXqFvfCaFwY

    NBC News Learn. (May 1, 2020).
    _The black death_ [Video]. YouTube. https://www.youtube.com/watch?v=4c-ZGeeCErs.

    Smarthistory. (May 19, 2012).
    _Birth of the Gothic: Abbot Suger and the ambulatory at St. Denis_ [Video]. YouTube.  https://www.youtube.com/watch?v=2EciWH-1ya4.

    Smarthistory. (2013, July 14).
    _The Pantheon_[Video]. YouTube. https://www.youtube.com/watch?v=KaY8zqYfQI0

    Supplemental Resources

    Heather, P. (2005).
    _The fall of the roman empire: A new history of Rome and the barbarians_. Oxford University Press.
    [https://go.exlibris.link/zpHCY9s9Links to an external site.](https://go.exlibris.link/zpHCY9s9)

    Shotter, D. (2005).
    _The fall of the roman republic_ (2nd ed.). Routledge.
    [https://go.exlibris.link/2LszlGWF](https://go.exlibris.link/2LszlGWF)

    **## worldculturelecturemodule2.docx**

    _Rome: From Empire to Christian Empire_

    Introduction

    With the assassination of Julius Caesar, civil war erupted in Rome. Caesar has left almost all his inheritance of power to his great-grandnephew Octavian (63 BCE-14CE). This caused a lot of confusion for many, since Octavian was not necessarily a leader. Marc Antony, the second in command while Caesar was in charge, would have been the expected choice for most people. But it seems that Caesar had other plans. Octavian was much of a surprise. He eventually came to be the leader the empire required. This is the Octavian that eventually passed to history as Augustus Caesar.

    On the other hand, this empire that for years persecuted Christians, a new group of followers of a man from Nazareth who had been crucified by the Romans around the year 30 will turn into the faith that it had condemned for so long. The empire becomes Christian.

    Battle of Actium

    Leo2004. (2008).
    [https://commons.wikimedia.org/wiki/File:Battle_of_Actium-hu.svg#/media/File:Battle_of_Actium-en.svgLinks to an external site.](https://commons.wikimedia.org/wiki/File:Battle_of_Actium-hu.svg)

    In the Battle of Actium on 31 BCE, the forces of the new Roman leader and successor to Julius Caesar, Octavian, proclaimed victory against Marc Anthony and Cleopatra’s armies. If we look back at the events, we need to remember that Julius Caesar and Cleopatra had been lovers and they had one child together. After Caesar was assassinated, the only son he had was with Cleopatra. But he was the son of a non-Roman woman. Romans would not accept him as a leader. Cleopatra tried to stay away from Roman business. However, Caesar’s second in command, Marc Anthony, had moved to Egypt and started a relationship with Cleopatra. They also had children together. Back in Rome, Marc Anthony’s wife, a “real Roman woman”, and the sister of Octavian, had been dishonored by this relationship between Marc Anthony and Cleopatra. Octavian put together a very effective campaign against the couple in Egypt and declared war on them. In battle, Marc Anthony and Cleopatra didn’t stand a chance. They both fled to Egypt where Octavian followed them. By the time he arrived, Marc Anthony had committed suicide and Cleopatra followed later while being a prisoner in her own country. Caesar’s children with Cleopatra and Marc Anthony were killed, and Octavian claimed Egypt as his own private possession. There starts the path toward total empire by Rome, the city that was once a small village in the center of the country we now know as Italy.

    Sculpture

    Zucker, S. (2020).
    [https://www.flickr.com/photos/82032880@N00/49763750177Links to an external site.](https://www.flickr.com/photos/82032880@N00/49763750177)

    When Octavian took the power in his hands, he knew how things worked in the new Roman Empire. The people, not so much the senate, were the ones who kept you in power. He knew he had to develop and create an image through, among other things, art. When we look at the Augustus of Primaporta we see a noble, perfect face. This straight looking man is pointing toward the horizon. Many copies were made of this statue and spread through the empire to share the message of the greatness of the emperor. Even after Augustus was already old, this is the image everyone through the empire saw of him. It looked as if he did not age. The bigger the empire grew, the more important it became for all the empire to have a belief on the perfection and eternity of the emperor back in Rome.

    Architecture

    At the center of Rome was the Forum. The people met at the Forum and legal issues, news about the empire and everything else was discussed there. This is the type of activity that made Rome what it was originally, a republic. Now Octavian Augustus was in power, but he was a conservative. He was interested in restoring the traditional customs that made Rome what it was, at least according to him. Octavian was careful to control the whole government system very closely. But on the outside, he seemed almost as if he did not want power. He asked the people not to call him emperor or to give him any honors. He wanted to be called princeps, which meant, the first among the people. He made sure that this image was kept alive all the time. Now the Romans met at the Forum, but their concerns were already settled by the one in charge, Octavian.

    The Pantheon is the house of all the gods, pan – all, theon – gods. This is where Romans show their skill building with concrete. They were not the only ones or even maybe the first ones, but the Romans wanted to challenge space and gravity. Its rotunda is 19 foot-thick, and it domes consists of 5000 tons of concrete, in the center it has a 30-foot-wide oculus or eye that admits light and air (Fiero, 2021).

    The aqueducts provided water to the cities. It was an extreme luxury to have running water in the cities that might have been too far from rivers. The Romans did not stop at anything to show off their power and ingenuity. Sometimes it is hard to believe that these structures were built to just bring water from the rivers to the cities. But it was not so much the water that was obviously an important element to have a great city, but the people had to be impressed by what their empire was able to provide. The aqueducts were built using the very simple but effective and solid technique of the arch that was a Roman signature in all their architecture.

    An empire needs to keep its people entertained. Again, the Romans built big and took the challenge to heart. The Colosseum provided intense and bloody entertainment for all Romans. There were crucifixions, feeding prisoners to animals like lions and tigers, there were gladiator fights, some of them being very popular with the crowds that came to specially see them slay other men. All social classes could attend the Colosseum. Their seating arrangements showed to what social class they belong. The emperor had a special place, and the events of the Colosseum provided an opportunity for the people of Rome to feel that they shared a moment with their leader. Low or high class, they all enjoyed the violence featured at the Colosseum.

    Christianity

    Between the years 7 and 4 BCE, Jesus of Nazareth was born. It is not certain where exactly he was born. Although the accounts in the New Testament say he was born in Bethlehem because his family travelled there for a census being done by the Roman government, scholars have not found evidence of that census, and the question still stands in the sense that there was not any need for Jesus' family to travel for a census since people, like today, were counted where they lived and not where they were from.

    This man was a Hebrew and the son of a carpenter who at an early age started to preach to his people about new ways of interpreting the almost two-thousand-year-old scriptures of the Hebrew Bible. During this time, his native Israel was a province of Rome. Jesus’ suggestions on new interpretations of tradition caused the priests and the status quo to be shaken, and eventually the leadership of the Hebrews with the cooperation of the Romans got him arrested and condemned to death. Jesus' followers, the apostles, continued to preach his message and grew proportionately. The followers of Jesus could take advantage of the political structure set up by the Roman Empire to be able to travel anywhere within it to spread their message. By this time, anyone was born in any province of the empire was considered a citizen. That meant that citizens could travel from Egypt all the way to Spain.

    On the year 313 C.E., emperor Constantine, who had moved the seat of the empire from Rome to Byzantium in the east, issued the Edict of Milan which allowed the empire to tolerate new religions. The empire was pagan, but now it was willing to try religious tolerance without persecuting any religious beliefs. Constantine himself declared that he was inspired by the sign of the Christian god in battle. Although he was not baptized until he was in his deathbed, he is famous for opening the door for Christianity to become an official religion that eventually became the official religion of the Roman Empire around the year 325 C.E.

    Medieval Times / The “Dark Ages”?

    What we today call the Middle Ages are the years between the fall of the Roman Empire and the beginning of the Renaissance. The name “Middle” means just that, they are in the middle, or in between two historical epochs considered more productive and valuable than the Middle Ages. One of the reasons for this is our perspective when we study the events that marked the cultures of what we call the “West”. Usually, our view is centered in Rome. Before the Middle Ages, we had Greece and Rome, two cultures that excelled in their development of culture, government, philosophy, art, and architecture. After the Middle Ages, we get the Renaissance, which is a moment of advance and discovery to higher levels.

    The Middle Ages are known as the almost thousand years, roughly between the year 450 and around 1300. During these years, the followers of Jesus had developed a network of churches around the empire, and they have taken over. The followers of Jesus had created what today we call the Christian religion. The word Christ derives from Greek. The New Testament was almost entirely written in Greek. The first book used by the followers of Jesus of Nazareth was the Septuagint which was a translation of the Hebrew Bible that was put together in Alexandria around 200 before Christ. During the Middle Ages, most of the art and culture in general that was produced carried the message of the Christian religion. Knowledge was limited to priests and other members of the church. This is the time when universities were born out of the need for the elite who wanted to educate their children and the only ones could do it were the monks and religious officials, who knew how to read and write. The development of the Cathedral happened also during the Middle Ages, since all the efforts when building big had to be related to the Christian religion.

    **worldcultureassignmentmodule2.docx**

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  • [Solved] Nuring

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    – 2 years ago **files (2)** – ## SOAPnote4.docx – ## SOAPTemplateandRubric_Updated.docx **## SOAPnote4.docx** **Please follow APA format, add citations and references. Document will be verified for plagiarism and AI use. Thank you!** **Directions:** Read over the SOAP note and formulate a primary d…

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    – 2 years ago

    **files (2)**

    – ## SOAPnote4.docx

    – ## SOAPTemplateandRubric_Updated.docx

    **## SOAPnote4.docx**

    **Please follow APA format, add citations and references. Document will be verified for plagiarism and AI use. Thank you!**

    **Directions:** Read over the SOAP note and formulate a primary diagnosis.  Based on the diagnosis complete the SOAP note with the details that would be expected for the diagnosis. Use UptoDate and/or Dyna MedPlus to find out what is expected from the history and physical, diagnostic workup and management for the diagnosis. Include other peer review resources and and journal articles to support the development of your SOAP note. Complete and attach the evaluation & management score sheet to show how you coded the note for billing in each section.

    · Upload a copy of your completed SOAP note.

    · Upload a copy of the evaluation & management score sheet.

    **Case Study:** A 45-year-old white man presents to your office complaining of left knee pain that started last night. He says that the pain started suddenly after dinner and was severe within a span of 3 hours. He denies any trauma, fever, systemic symptoms, or prior similar episodes. He has a history of hypertension for which he takes hydrochlorothiazide (HCTZ). He admits to consuming a great amount of wine last night with dinner .On examination, his temperature is 98°F, his pulse is 90 beats/min, his respirations are 22 breaths/min, and his blood pressure is 129/88 mm Hg. Heart and lung examinations are unremarkable. The patient is reluctant to flex the left knee, wincing in pain at touch, and has passive range of motion. The knee is edematous, hot to touch, and has erythema of the overlying skin. No crepitation or deformity is apparent. No other joints are involved. Inguinal lymph nodes are not enlarged. Complete blood count (CBC) reveals a white blood cell count of 10,900 cells/mm3 and is otherwise normal.

    **## SOAPTemplateandRubric_Updated.docx**

    **SOAP NOTE GRADING RUBRIC**

    **Guidelines:**

    ## 1-Use the case study in the description to complete the assignment. Fill in the missing details for each required section that would be expected for the diagnosis.

    ## | | | | — | — | | | | | **SUBJECTIVE Analysis (0.2 POINT)** | **Score received** | | 1-Subjective section should include:<br>a-Chief complaint (CC)<br>b-History of present illness (HPI)- All 7 attributes (location, quality, quantity or severity, timing including onset, frequency, and duration, setting in which it occurs, aggravating or relieving factors, and associated symptoms)<br>c-Past history (Medical, Surgical, Obstetric/Gynecology, Psychiatric)<br>d-family history (3 generation pedigree of first-degree relatives, i.e. parents, siblings, children)<br>e. Personal and social history (i.e. sexual history 5p’s)<br>f. Review of systems (ROS, pertinent positives and/or negatives)<br>g. Developmentally appropriate-i.e. developmental history if peds, functional assessment and/or dementia screen if elderly<br>a-Identified and collected the necessary data <br>b-Categorized and organized data using the appropriate format<br>c-Incorporated all pertinent data/facts<br>d- Used proper documentation and proper billing code<br>e- PATIENT’S CULTURE MUST BE NOTED | | | **OBJECTIVE (0.2POINT)** | **Score received** | | 1-Objective section should include:<br>a. General survey<br>b. Vital Signs (including BMI and growth chart if applicable)<br>c. All other necessary body systems<br>d. Diagnostic test if available<br>a. Identified and collected the necessary data <br>b. Categorized and organized data using the appropriate format <br>c.Incorporated all pertinent data/facts <br>d. Used proper documentation and billing code | | | **ASSESSMENT (0.2 POINT)** | **Score received** | | 1- Identified correct diagnosis, ICD-10 code, and correct differential diagnosis<br>a-Filtered relevant data from irrelevant data <br>b.-Interpreted relationships/patterns among data <br>(e.g., noted trends)<br>c.Integrated information to arrive at diagnosis<br>d.Identified risk factors<br>d. Used proper documentation | | | **PLAN Analysis (0.2 POINT)** | **Score received** | | a-Recommended an appropriate plan for each problem<br>b-Included recommendations for non-drug and drug therapy<br>c-Included recommendations for monitoring <br>d- Included health education<br>e- Included followup & referrals <br>f- include cultural considerations of patient care<br>Incorporate the patient's culture on the demographic section on SOAP notes. | | | **FORMAT (0.2 POINT)** | **Score received** | | 1- APA<br>2- References Current (at least two references, one of which needs to be up to date and the other a clinical practice guideline from a peer reviewed journal article or national organization such as AAFP, ACOG, USPSTF)<br>3- Writing clear, concise | | | **TOTAL: /1** | | **SOAP FORMAT & RUBRIC** **Initials of Patient:** **Patient Age:** **Patient Ethnicity:** **Initials of Provider:** **Clinical Setting:** **Patient Status: ____New ____Established** **SUBJECTIVE DATA; GRADE RECEIVED: _____** **Overall Instructions:** 1. **Identified and collected the necessary data** 2. **Categorized and organized data using the appropriate format** 3. **Incorporated all pertinent data/facts** 4. **Used proper documentation** 5. **LIST at the end of your subjective section the billing level : Problem Focused, Expanded problem focused, detailed, comprehensive (use guidelines for new vs. established patient** 6. **Identify cultural influences on care** **FORMAT** **Chief Complaint:** **History of Present Illness:** **Location** **Quality** **Quantity or Severity** **Timing (Onset, Duration, Frequency)** **Setting** **Aggravating and relieving Factors** **Associated Symptoms** · **Pertinent Positives and Negatives if it relates to the differential diagnosis of the chief compliant** **Past history (include dates):** **PMH** · **(Chronic illness (date of onset), hospitalizations (dates), number and gender of sexual partners, risky sexual practices)** · **Medications: Dose, route, frequency** · **Allergies: Medications, Foods, Other Allergens** **PSH** · **(Dates, indications, and types of operations)** **Past Psychiatric Hx** · **(Illness and timeframe, diagnosis, hospitalizations and treatments)** **Obstetrical/Gynecological (obstetric history, menstrual history,** **Contraceptive history, and sexual history)** **Obstetrical History** · **(Gravida-Para-TPAL)** **Menstrual History** · **(Menarche, LMP, PMP, regular/irregular, frequency, duration, quality of flow, Menopause, Post-menopausal bleeding, HRT)** **Contraceptive History** · **The types of contraceptive being used, the dates of unprotected sex)** **Sexual History** · **(Five P’s: Partners, Practices, Prevention of Pregnancy, Protection from STI’s, and history of STI’s)** **Pregnancy and Birth History** · **Maternal health: Gestational or chronic illness (i.e., gestational diabetes, preeclampsia) complications during pregnancy, infections, drugs, alcohol, illicit drug use, and medications.** · **Gestational age at delivery** · **Labor and delivery length: Length of labor, fetal distress, type of delivery (vaginal or cesarean)** · **Neonatal period: Apgar scores, need for intensive care, jaundice, birth injuries, length of stay, birth weight.** **Developmental History** · **Age at which milestones were achieved and developmental abilities** · **School- present grade, specific problems, interaction with peers** · **Behavior – enuresis, temper tantrums, thumb sucking, pica, nightmares** **Feeding History** · **Breast or bottle fed, types of formula, frequency and amount, reasons for any changes in formula** · **Solids – when introduced, problems created by specific types** · **Fluoride use** **Health Promotion/Maintenance** · **Immunizations, Eye exams, dental exams, lead screening, lipid,** **Hemoglobin. Colonoscopy, Annual Physical, Mammography,** **PAP, Functional Status: ADLs and IADLs** **Family History: Alive, Deceased, Age, Diseases, Health Conditions that place patient at risk (ages)** **Grandparents** **Parents** **Siblings** **Children** **Social History:** **Cultural Background** **Spiritual History/Religious Affiliation and Practices** **Complementary/Alternative Care Practices:** **Activities of Daily Living/Hobbies/Interests** **Type of Family (Nuclear, Extended etc.)** **Occupation of parents** **Work History** **Financial History** **Diet** **Exercise** **Use of alcohol, smoking, or recreational drugs** **Living Arrangements and conditions- school/daycare** **Travel History** **Social Support** **Review of Systems:** **Constitutional:** **Head/face:** **Eyes:** **Ears:** **Nose:** **Mouth/Throat/ Neck:** **Respiratory:** **Cardiac:** **Breast:** **GI:** **GU:** **GYN (female):** **Reproductive (Male):** **Musculoskeletal:** **Skin/Integument:** **Psychiatric:** **Neuro:** **Endocrine:** **Hematologic/Lymphatic:** **Allergic/Immunologic:** **Determine Which LEVEL of HISTORY (Choose one):** **Focused HPI (1-3 findings); ROS N.A; PFSH N.A** **Expanded HPI (1-3 Findings); ROS 1 or more; PFSH N.A.** **Detailed HPI (4 or more findings); ROS 2-9 systems; PFSH one** **Comprehensive HPI (4 or more findings or status of 3 or more chronic stable conditions; ROS 10-14; PFSH 2-3 areas** **OBJECTIVE DATA; Grade received_____** **Overall Instructions:** 1. **Identified and collected the necessary data** 2. **Categorized and organized data using the appropriate format** 3. **Incorporated all pertinent data/facts** 4. **Used proper documentation** 5. **LIST at the end of your subjective section the billing level : Problem Focused, Expanded problem focused, detailed, comprehensive (use guidelines for new vs. established patient** **FORMAT:** **Vital Signs:** **Oxygen Saturation:** **Ht and percentile on growth chart:** **Wt and percentile on growth chart:** **BMI (if applicable):** **Constitutional:** **General:** **Physical Examination:** **Head/face:** **Eyes:** **Ears:** **Nose:** **Mouth/Throat/ Neck:** **Respiratory:** **Cardiac:** **Breast:** **GI:** **GU:** **GYN (female):** **Reproductive (Male):** **Musculoskeletal:** **Skin/Integument:** **Psychiatric:** **Neuro:** **Hematologic/Lymphatic/Immunologic:** **Determine Billing LEVEL OF PHYSICAL OBJECTIVE EXAM (choose one):** **Focused: 1 body area or organ system (1-5 elements);** **Expanded problem focused (2-4 body are or organ system (6-11 elements);** **Detailed (5-7 see notes);** **Comprehensive (8 organ systems see notes);** **Laboratory Data Already Ordered and Available for Review (If not done will go in plan):** **Diagnostic Procedures/Data Already Ordered and Available for Review (If not done will go in plan):** **ASSESSMENT; GRADE RECEIVED____** 1) **Main Diagnosis/Problem:** 2) **Additional Health Problem/Dx:** 3) **Differential Diagnoses for top diagnoses** 4) **Identify Risk Factors** **PLAN; GRADE RECEIVED________** **For Each Diagnosis or Health Problem Identified as Appropriate:** **Additional Laboratory Tests or Diagnostic Data Needed** **Pharmacologic Management:** **Drug, dose, route, frequency, Disp amount** **SIG (write like a prescription)** **Non-Pharmacologic Management: i.e. hot packs, ice, position changes, TENS unit etc.** **Complementary Therapies:** **Anticipatory Guidance:** **Health Education:** **Referrals:** **Follow-up Appointment:** **For the Encounter Final Level of Decision Making: (give rationale for level which is based on Hx, physical, Decision making); Choose one** **Straightforward:** **Low Complexity:** **Moderate Complexity:** **High Complexity:** **Billing Level: Give the reason for the Billing by E and M Evaluation Coding as per Number of Systems Reviewed and Level of Physical Exam.** Patient Status: New or established Level of history Level of physical (exam) Level of Medical decision making For new pick the lowest of the 3 levels For established: drop the lowest level then pick 2nd lowest level **ANALYSIS** Write 1-2 paragraph summary listing the subjective and objective data that supports your main diagnosis. Write 1-2 paragraph summary discussing the plan for the main diagnosis. **GENERAL FORMAT REQUIREMENTS:** **References:** 1. **Analysis must have support from the literature with references within the last 5 years and/or use of clinical evidence-based guidelines. There should be sufficient number of references which are up to date preferably primary sources, research, clinical guidelines etc.** 2. **Use of APA style of references in reference list** **Writing Style:** 1. **Writing should be clear and concise with appropriate use of medical terminology.** 2. **Sections identifying subjective data, objective data, assessment, and plan are written in brief short phrases; not full sentences. No need to use the word “patient.”** 3. **Demonstrate** **your clinical judgment and decision making and the evidence you are using to support your identification of the diagnoses, health problem, or differential diagnoses and management plan.**

    **## SOAPTemplateandRubric_Updated.docx**

    **SOAP NOTE GRADING RUBRIC**

    **Guidelines:**

    ## 1-Use the case study in the description to complete the assignment. Fill in the missing details for each required section that would be expected for the diagnosis.

    ## | | | | — | — | | | | | **SUBJECTIVE Analysis (0.2 POINT)** | **Score received** | | 1-Subjective section should include:<br>a-Chief complaint (CC)<br>b-History of present illness (HPI)- All 7 attributes (location, quality, quantity or severity, timing including onset, frequency, and duration, setting in which it occurs, aggravating or relieving factors, and associated symptoms)<br>c-Past history (Medical, Surgical, Obstetric/Gynecology, Psychiatric)<br>d-family history (3 generation pedigree of first-degree relatives, i.e. parents, siblings, children)<br>e. Personal and social history (i.e. sexual history 5p’s)<br>f. Review of systems (ROS, pertinent positives and/or negatives)<br>g. Developmentally appropriate-i.e. developmental history if peds, functional assessment and/or dementia screen if elderly<br>a-Identified and collected the necessary data <br>b-Categorized and organized data using the appropriate format<br>c-Incorporated all pertinent data/facts<br>d- Used proper documentation and proper billing code<br>e- PATIENT’S CULTURE MUST BE NOTED | | | **OBJECTIVE (0.2POINT)** | **Score received** | | 1-Objective section should include:<br>a. General survey<br>b. Vital Signs (including BMI and growth chart if applicable)<br>c. All other necessary body systems<br>d. Diagnostic test if available<br>a. Identified and collected the necessary data <br>b. Categorized and organized data using the appropriate format <br>c.Incorporated all pertinent data/facts <br>d. Used proper documentation and billing code | | | **ASSESSMENT (0.2 POINT)** | **Score received** | | 1- Identified correct diagnosis, ICD-10 code, and correct differential diagnosis<br>a-Filtered relevant data from irrelevant data <br>b.-Interpreted relationships/patterns among data <br>(e.g., noted trends)<br>c.Integrated information to arrive at diagnosis<br>d.Identified risk factors<br>d. Used proper documentation | | | **PLAN Analysis (0.2 POINT)** | **Score received** | | a-Recommended an appropriate plan for each problem<br>b-Included recommendations for non-drug and drug therapy<br>c-Included recommendations for monitoring <br>d- Included health education<br>e- Included followup & referrals <br>f- include cultural considerations of patient care<br>Incorporate the patient's culture on the demographic section on SOAP notes. | | | **FORMAT (0.2 POINT)** | **Score received** | | 1- APA<br>2- References Current (at least two references, one of which needs to be up to date and the other a clinical practice guideline from a peer reviewed journal article or national organization such as AAFP, ACOG, USPSTF)<br>3- Writing clear, concise | | | **TOTAL: /1** | | **SOAP FORMAT & RUBRIC** **Initials of Patient:** **Patient Age:** **Patient Ethnicity:** **Initials of Provider:** **Clinical Setting:** **Patient Status: ____New ____Established** **SUBJECTIVE DATA; GRADE RECEIVED: _____** **Overall Instructions:** 1. **Identified and collected the necessary data** 2. **Categorized and organized data using the appropriate format** 3. **Incorporated all pertinent data/facts** 4. **Used proper documentation** 5. **LIST at the end of your subjective section the billing level : Problem Focused, Expanded problem focused, detailed, comprehensive (use guidelines for new vs. established patient** 6. **Identify cultural influences on care** **FORMAT** **Chief Complaint:** **History of Present Illness:** **Location** **Quality** **Quantity or Severity** **Timing (Onset, Duration, Frequency)** **Setting** **Aggravating and relieving Factors** **Associated Symptoms** · **Pertinent Positives and Negatives if it relates to the differential diagnosis of the chief compliant** **Past history (include dates):** **PMH** · **(Chronic illness (date of onset), hospitalizations (dates), number and gender of sexual partners, risky sexual practices)** · **Medications: Dose, route, frequency** · **Allergies: Medications, Foods, Other Allergens** **PSH** · **(Dates, indications, and types of operations)** **Past Psychiatric Hx** · **(Illness and timeframe, diagnosis, hospitalizations and treatments)** **Obstetrical/Gynecological (obstetric history, menstrual history,** **Contraceptive history, and sexual history)** **Obstetrical History** · **(Gravida-Para-TPAL)** **Menstrual History** · **(Menarche, LMP, PMP, regular/irregular, frequency, duration, quality of flow, Menopause, Post-menopausal bleeding, HRT)** **Contraceptive History** · **The types of contraceptive being used, the dates of unprotected sex)** **Sexual History** · **(Five P’s: Partners, Practices, Prevention of Pregnancy, Protection from STI’s, and history of STI’s)** **Pregnancy and Birth History** · **Maternal health: Gestational or chronic illness (i.e., gestational diabetes, preeclampsia) complications during pregnancy, infections, drugs, alcohol, illicit drug use, and medications.** · **Gestational age at delivery** · **Labor and delivery length: Length of labor, fetal distress, type of delivery (vaginal or cesarean)** · **Neonatal period: Apgar scores, need for intensive care, jaundice, birth injuries, length of stay, birth weight.** **Developmental History** · **Age at which milestones were achieved and developmental abilities** · **School- present grade, specific problems, interaction with peers** · **Behavior – enuresis, temper tantrums, thumb sucking, pica, nightmares** **Feeding History** · **Breast or bottle fed, types of formula, frequency and amount, reasons for any changes in formula** · **Solids – when introduced, problems created by specific types** · **Fluoride use** **Health Promotion/Maintenance** · **Immunizations, Eye exams, dental exams, lead screening, lipid,** **Hemoglobin. Colonoscopy, Annual Physical, Mammography,** **PAP, Functional Status: ADLs and IADLs** **Family History: Alive, Deceased, Age, Diseases, Health Conditions that place patient at risk (ages)** **Grandparents** **Parents** **Siblings** **Children** **Social History:** **Cultural Background** **Spiritual History/Religious Affiliation and Practices** **Complementary/Alternative Care Practices:** **Activities of Daily Living/Hobbies/Interests** **Type of Family (Nuclear, Extended etc.)** **Occupation of parents** **Work History** **Financial History** **Diet** **Exercise** **Use of alcohol, smoking, or recreational drugs** **Living Arrangements and conditions- school/daycare** **Travel History** **Social Support** **Review of Systems:** **Constitutional:** **Head/face:** **Eyes:** **Ears:** **Nose:** **Mouth/Throat/ Neck:** **Respiratory:** **Cardiac:** **Breast:** **GI:** **GU:** **GYN (female):** **Reproductive (Male):** **Musculoskeletal:** **Skin/Integument:** **Psychiatric:** **Neuro:** **Endocrine:** **Hematologic/Lymphatic:** **Allergic/Immunologic:** **Determine Which LEVEL of HISTORY (Choose one):** **Focused HPI (1-3 findings); ROS N.A; PFSH N.A** **Expanded HPI (1-3 Findings); ROS 1 or more; PFSH N.A.** **Detailed HPI (4 or more findings); ROS 2-9 systems; PFSH one** **Comprehensive HPI (4 or more findings or status of 3 or more chronic stable conditions; ROS 10-14; PFSH 2-3 areas** **OBJECTIVE DATA; Grade received_____** **Overall Instructions:** 1. **Identified and collected the necessary data** 2. **Categorized and organized data using the appropriate format** 3. **Incorporated all pertinent data/facts** 4. **Used proper documentation** 5. **LIST at the end of your subjective section the billing level : Problem Focused, Expanded problem focused, detailed, comprehensive (use guidelines for new vs. established patient** **FORMAT:** **Vital Signs:** **Oxygen Saturation:** **Ht and percentile on growth chart:** **Wt and percentile on growth chart:** **BMI (if applicable):** **Constitutional:** **General:** **Physical Examination:** **Head/face:** **Eyes:** **Ears:** **Nose:** **Mouth/Throat/ Neck:** **Respiratory:** **Cardiac:** **Breast:** **GI:** **GU:** **GYN (female):** **Reproductive (Male):** **Musculoskeletal:** **Skin/Integument:** **Psychiatric:** **Neuro:** **Hematologic/Lymphatic/Immunologic:** **Determine Billing LEVEL OF PHYSICAL OBJECTIVE EXAM (choose one):** **Focused: 1 body area or organ system (1-5 elements);** **Expanded problem focused (2-4 body are or organ system (6-11 elements);** **Detailed (5-7 see notes);** **Comprehensive (8 organ systems see notes);** **Laboratory Data Already Ordered and Available for Review (If not done will go in plan):** **Diagnostic Procedures/Data Already Ordered and Available for Review (If not done will go in plan):** **ASSESSMENT; GRADE RECEIVED____** 1) **Main Diagnosis/Problem:** 2) **Additional Health Problem/Dx:** 3) **Differential Diagnoses for top diagnoses** 4) **Identify Risk Factors** **PLAN; GRADE RECEIVED________** **For Each Diagnosis or Health Problem Identified as Appropriate:** **Additional Laboratory Tests or Diagnostic Data Needed** **Pharmacologic Management:** **Drug, dose, route, frequency, Disp amount** **SIG (write like a prescription)** **Non-Pharmacologic Management: i.e. hot packs, ice, position changes, TENS unit etc.** **Complementary Therapies:** **Anticipatory Guidance:** **Health Education:** **Referrals:** **Follow-up Appointment:** **For the Encounter Final Level of Decision Making: (give rationale for level which is based on Hx, physical, Decision making); Choose one** **Straightforward:** **Low Complexity:** **Moderate Complexity:** **High Complexity:** **Billing Level: Give the reason for the Billing by E and M Evaluation Coding as per Number of Systems Reviewed and Level of Physical Exam.** Patient Status: New or established Level of history Level of physical (exam) Level of Medical decision making For new pick the lowest of the 3 levels For established: drop the lowest level then pick 2nd lowest level **ANALYSIS** Write 1-2 paragraph summary listing the subjective and objective data that supports your main diagnosis. Write 1-2 paragraph summary discussing the plan for the main diagnosis. **GENERAL FORMAT REQUIREMENTS:** **References:** 1. **Analysis must have support from the literature with references within the last 5 years and/or use of clinical evidence-based guidelines. There should be sufficient number of references which are up to date preferably primary sources, research, clinical guidelines etc.** 2. **Use of APA style of references in reference list** **Writing Style:** 1. **Writing should be clear and concise with appropriate use of medical terminology.** 2. **Sections identifying subjective data, objective data, assessment, and plan are written in brief short phrases; not full sentences. No need to use the word “patient.”** 3. **Demonstrate** **your clinical judgment and decision making and the evidence you are using to support your identification of the diagnoses, health problem, or differential diagnoses and management plan.**

    **## SOAPnote4.docx**

    **Please follow APA format, add citations and references. Document will be verified for plagiarism and AI use. Thank you!**

    **Directions:** Read over the SOAP note and formulate a primary diagnosis.  Based on the diagnosis complete the SOAP note with the details that would be expected for the diagnosis. Use UptoDate and/or Dyna MedPlus to find out what is expected from the history and physical, diagnostic workup and management for the diagnosis. Include other peer review resources and and journal articles to support the development of your SOAP note. Complete and attach the evaluation & management score sheet to show how you coded the note for billing in each section.

    · Upload a copy of your completed SOAP note.

    · Upload a copy of the evaluation & management score sheet.

    **Case Study:** A 45-year-old white man presents to your office complaining of left knee pain that started last night. He says that the pain started suddenly after dinner and was severe within a span of 3 hours. He denies any trauma, fever, systemic symptoms, or prior similar episodes. He has a history of hypertension for which he takes hydrochlorothiazide (HCTZ). He admits to consuming a great amount of wine last night with dinner .On examination, his temperature is 98°F, his pulse is 90 beats/min, his respirations are 22 breaths/min, and his blood pressure is 129/88 mm Hg. Heart and lung examinations are unremarkable. The patient is reluctant to flex the left knee, wincing in pain at touch, and has passive range of motion. The knee is edematous, hot to touch, and has erythema of the overlying skin. No crepitation or deformity is apparent. No other joints are involved. Inguinal lymph nodes are not enlarged. Complete blood count (CBC) reveals a white blood cell count of 10,900 cells/mm3 and is otherwise normal.

    **## SOAPTemplateandRubric_Updated.docx**

    **SOAP NOTE GRADING RUBRIC**

    **Guidelines:**

    ## 1-Use the case study in the description to complete the assignment. Fill in the missing details for each required section that would be expected for the diagnosis.

    ## | | | | — | — | | | | | **SUBJECTIVE Analysis (0.2 POINT)** | **Score received** | | 1-Subjective section should include:<br>a-Chief complaint (CC)<br>b-History of present illness (HPI)- All 7 attributes (location, quality, quantity or severity, timing including onset, frequency, and duration, setting in which it occurs, aggravating or relieving factors, and associated symptoms)<br>c-Past history (Medical, Surgical, Obstetric/Gynecology, Psychiatric)<br>d-family history (3 generation pedigree of first-degree relatives, i.e. parents, siblings, children)<br>e. Personal and social history (i.e. sexual history 5p’s)<br>f. Review of systems (ROS, pertinent positives and/or negatives)<br>g. Developmentally appropriate-i.e. developmental history if peds, functional assessment and/or dementia screen if elderly<br>a-Identified and collected the necessary data <br>b-Categorized and organized data using the appropriate format<br>c-Incorporated all pertinent data/facts<br>d- Used proper documentation and proper billing code<br>e- PATIENT’S CULTURE MUST BE NOTED | | | **OBJECTIVE (0.2POINT)** | **Score received** | | 1-Objective section should include:<br>a. General survey<br>b. Vital Signs (including BMI and growth chart if applicable)<br>c. All other necessary body systems<br>d. Diagnostic test if available<br>a. Identified and collected the necessary data <br>b. Categorized and organized data using the appropriate format <br>c.Incorporated all pertinent data/facts <br>d. Used proper documentation and billing code | | | **ASSESSMENT (0.2 POINT)** | **Score received** | | 1- Identified correct diagnosis, ICD-10 code, and correct differential diagnosis<br>a-Filtered relevant data from irrelevant data <br>b.-Interpreted relationships/patterns among data <br>(e.g., noted trends)<br>c.Integrated information to arrive at diagnosis<br>d.Identified risk factors<br>d. Used proper documentation | | | **PLAN Analysis (0.2 POINT)** | **Score received** | | a-Recommended an appropriate plan for each problem<br>b-Included recommendations for non-drug and drug therapy<br>c-Included recommendations for monitoring <br>d- Included health education<br>e- Included followup & referrals <br>f- include cultural considerations of patient care<br>Incorporate the patient's culture on the demographic section on SOAP notes. | | | **FORMAT (0.2 POINT)** | **Score received** | | 1- APA<br>2- References Current (at least two references, one of which needs to be up to date and the other a clinical practice guideline from a peer reviewed journal article or national organization such as AAFP, ACOG, USPSTF)<br>3- Writing clear, concise | | | **TOTAL: /1** | | **SOAP FORMAT & RUBRIC** **Initials of Patient:** **Patient Age:** **Patient Ethnicity:** **Initials of Provider:** **Clinical Setting:** **Patient Status: ____New ____Established** **SUBJECTIVE DATA; GRADE RECEIVED: _____** **Overall Instructions:** 1. **Identified and collected the necessary data** 2. **Categorized and organized data using the appropriate format** 3. **Incorporated all pertinent data/facts** 4. **Used proper documentation** 5. **LIST at the end of your subjective section the billing level : Problem Focused, Expanded problem focused, detailed, comprehensive (use guidelines for new vs. established patient** 6. **Identify cultural influences on care** **FORMAT** **Chief Complaint:** **History of Present Illness:** **Location** **Quality** **Quantity or Severity** **Timing (Onset, Duration, Frequency)** **Setting** **Aggravating and relieving Factors** **Associated Symptoms** · **Pertinent Positives and Negatives if it relates to the differential diagnosis of the chief compliant** **Past history (include dates):** **PMH** · **(Chronic illness (date of onset), hospitalizations (dates), number and gender of sexual partners, risky sexual practices)** · **Medications: Dose, route, frequency** · **Allergies: Medications, Foods, Other Allergens** **PSH** · **(Dates, indications, and types of operations)** **Past Psychiatric Hx** · **(Illness and timeframe, diagnosis, hospitalizations and treatments)** **Obstetrical/Gynecological (obstetric history, menstrual history,** **Contraceptive history, and sexual history)** **Obstetrical History** · **(Gravida-Para-TPAL)** **Menstrual History** · **(Menarche, LMP, PMP, regular/irregular, frequency, duration, quality of flow, Menopause, Post-menopausal bleeding, HRT)** **Contraceptive History** · **The types of contraceptive being used, the dates of unprotected sex)** **Sexual History** · **(Five P’s: Partners, Practices, Prevention of Pregnancy, Protection from STI’s, and history of STI’s)** **Pregnancy and Birth History** · **Maternal health: Gestational or chronic illness (i.e., gestational diabetes, preeclampsia) complications during pregnancy, infections, drugs, alcohol, illicit drug use, and medications.** · **Gestational age at delivery** · **Labor and delivery length: Length of labor, fetal distress, type of delivery (vaginal or cesarean)** · **Neonatal period: Apgar scores, need for intensive care, jaundice, birth injuries, length of stay, birth weight.** **Developmental History** · **Age at which milestones were achieved and developmental abilities** · **School- present grade, specific problems, interaction with peers** · **Behavior – enuresis, temper tantrums, thumb sucking, pica, nightmares** **Feeding History** · **Breast or bottle fed, types of formula, frequency and amount, reasons for any changes in formula** · **Solids – when introduced, problems created by specific types** · **Fluoride use** **Health Promotion/Maintenance** · **Immunizations, Eye exams, dental exams, lead screening, lipid,** **Hemoglobin. Colonoscopy, Annual Physical, Mammography,** **PAP, Functional Status: ADLs and IADLs** **Family History: Alive, Deceased, Age, Diseases, Health Conditions that place patient at risk (ages)** **Grandparents** **Parents** **Siblings** **Children** **Social History:** **Cultural Background** **Spiritual History/Religious Affiliation and Practices** **Complementary/Alternative Care Practices:** **Activities of Daily Living/Hobbies/Interests** **Type of Family (Nuclear, Extended etc.)** **Occupation of parents** **Work History** **Financial History** **Diet** **Exercise** **Use of alcohol, smoking, or recreational drugs** **Living Arrangements and conditions- school/daycare** **Travel History** **Social Support** **Review of Systems:** **Constitutional:** **Head/face:** **Eyes:** **Ears:** **Nose:** **Mouth/Throat/ Neck:** **Respiratory:** **Cardiac:** **Breast:** **GI:** **GU:** **GYN (female):** **Reproductive (Male):** **Musculoskeletal:** **Skin/Integument:** **Psychiatric:** **Neuro:** **Endocrine:** **Hematologic/Lymphatic:** **Allergic/Immunologic:** **Determine Which LEVEL of HISTORY (Choose one):** **Focused HPI (1-3 findings); ROS N.A; PFSH N.A** **Expanded HPI (1-3 Findings); ROS 1 or more; PFSH N.A.** **Detailed HPI (4 or more findings); ROS 2-9 systems; PFSH one** **Comprehensive HPI (4 or more findings or status of 3 or more chronic stable conditions; ROS 10-14; PFSH 2-3 areas** **OBJECTIVE DATA; Grade received_____** **Overall Instructions:** 1. **Identified and collected the necessary data** 2. **Categorized and organized data using the appropriate format** 3. **Incorporated all pertinent data/facts** 4. **Used proper documentation** 5. **LIST at the end of your subjective section the billing level : Problem Focused, Expanded problem focused, detailed, comprehensive (use guidelines for new vs. established patient** **FORMAT:** **Vital Signs:** **Oxygen Saturation:** **Ht and percentile on growth chart:** **Wt and percentile on growth chart:** **BMI (if applicable):** **Constitutional:** **General:** **Physical Examination:** **Head/face:** **Eyes:** **Ears:** **Nose:** **Mouth/Throat/ Neck:** **Respiratory:** **Cardiac:** **Breast:** **GI:** **GU:** **GYN (female):** **Reproductive (Male):** **Musculoskeletal:** **Skin/Integument:** **Psychiatric:** **Neuro:** **Hematologic/Lymphatic/Immunologic:** **Determine Billing LEVEL OF PHYSICAL OBJECTIVE EXAM (choose one):** **Focused: 1 body area or organ system (1-5 elements);** **Expanded problem focused (2-4 body are or organ system (6-11 elements);** **Detailed (5-7 see notes);** **Comprehensive (8 organ systems see notes);** **Laboratory Data Already Ordered and Available for Review (If not done will go in plan):** **Diagnostic Procedures/Data Already Ordered and Available for Review (If not done will go in plan):** **ASSESSMENT; GRADE RECEIVED____** 1) **Main Diagnosis/Problem:** 2) **Additional Health Problem/Dx:** 3) **Differential Diagnoses for top diagnoses** 4) **Identify Risk Factors** **PLAN; GRADE RECEIVED________** **For Each Diagnosis or Health Problem Identified as Appropriate:** **Additional Laboratory Tests or Diagnostic Data Needed** **Pharmacologic Management:** **Drug, dose, route, frequency, Disp amount** **SIG (write like a prescription)** **Non-Pharmacologic Management: i.e. hot packs, ice, position changes, TENS unit etc.** **Complementary Therapies:** **Anticipatory Guidance:** **Health Education:** **Referrals:** **Follow-up Appointment:** **For the Encounter Final Level of Decision Making: (give rationale for level which is based on Hx, physical, Decision making); Choose one** **Straightforward:** **Low Complexity:** **Moderate Complexity:** **High Complexity:** **Billing Level: Give the reason for the Billing by E and M Evaluation Coding as per Number of Systems Reviewed and Level of Physical Exam.** Patient Status: New or established Level of history Level of physical (exam) Level of Medical decision making For new pick the lowest of the 3 levels For established: drop the lowest level then pick 2nd lowest level **ANALYSIS** Write 1-2 paragraph summary listing the subjective and objective data that supports your main diagnosis. Write 1-2 paragraph summary discussing the plan for the main diagnosis. **GENERAL FORMAT REQUIREMENTS:** **References:** 1. **Analysis must have support from the literature with references within the last 5 years and/or use of clinical evidence-based guidelines. There should be sufficient number of references which are up to date preferably primary sources, research, clinical guidelines etc.** 2. **Use of APA style of references in reference list** **Writing Style:** 1. **Writing should be clear and concise with appropriate use of medical terminology.** 2. **Sections identifying subjective data, objective data, assessment, and plan are written in brief short phrases; not full sentences. No need to use the word “patient.”** 3. **Demonstrate** **your clinical judgment and decision making and the evidence you are using to support your identification of the diagnoses, health problem, or differential diagnoses and management plan.**

    **## SOAPnote4.docx**

    **Please follow APA format, add citations and references. Document will be verified for plagiarism and AI use. Thank you!**

    **Directions:** Read over the SOAP note and formulate a primary diagnosis.  Based on the diagnosis complete the SOAP note with the details that would be expected for the diagnosis. Use UptoDate and/or Dyna MedPlus to find out what is expected from the history and physical, diagnostic workup and management for the diagnosis. Include other peer review resources and and journal articles to support the development of your SOAP note. Complete and attach the evaluation & management score sheet to show how you coded the note for billing in each section.

    · Upload a copy of your completed SOAP note.

    · Upload a copy of the evaluation & management score sheet.

    **Case Study:** A 45-year-old white man presents to your office complaining of left knee pain that started last night. He says that the pain started suddenly after dinner and was severe within a span of 3 hours. He denies any trauma, fever, systemic symptoms, or prior similar episodes. He has a history of hypertension for which he takes hydrochlorothiazide (HCTZ). He admits to consuming a great amount of wine last night with dinner .On examination, his temperature is 98°F, his pulse is 90 beats/min, his respirations are 22 breaths/min, and his blood pressure is 129/88 mm Hg. Heart and lung examinations are unremarkable. The patient is reluctant to flex the left knee, wincing in pain at touch, and has passive range of motion. The knee is edematous, hot to touch, and has erythema of the overlying skin. No crepitation or deformity is apparent. No other joints are involved. Inguinal lymph nodes are not enlarged. Complete blood count (CBC) reveals a white blood cell count of 10,900 cells/mm3 and is otherwise normal.

    **## SOAPTemplateandRubric_Updated.docx**

    **SOAP NOTE GRADING RUBRIC**

    **Guidelines:**

    ## 1-Use the case study in the description to complete the assignment. Fill in the missing details for each required section that would be expected for the diagnosis.

    ## | | | | — | — | | | | | **SUBJECTIVE Analysis (0.2 POINT)** | **Score received** | | 1-Subjective section should include:<br>a-Chief complaint (CC)<br>b-History of present illness (HPI)- All 7 attributes (location, quality, quantity or severity, timing including onset, frequency, and duration, setting in which it occurs, aggravating or relieving factors, and associated symptoms)<br>c-Past history (Medical, Surgical, Obstetric/Gynecology, Psychiatric)<br>d-family history (3 generation pedigree of first-degree relatives, i.e. parents, siblings, children)<br>e. Personal and social history (i.e. sexual history 5p’s)<br>f. Review of systems (ROS, pertinent positives and/or negatives)<br>g. Developmentally appropriate-i.e. developmental history if peds, functional assessment and/or dementia screen if elderly<br>a-Identified and collected the necessary data <br>b-Categorized and organized data using the appropriate format<br>c-Incorporated all pertinent data/facts<br>d- Used proper documentation and proper billing code<br>e- PATIENT’S CULTURE MUST BE NOTED | | | **OBJECTIVE (0.2POINT)** | **Score received** | | 1-Objective section should include:<br>a. General survey<br>b. Vital Signs (including BMI and growth chart if applicable)<br>c. All other necessary body systems<br>d. Diagnostic test if available<br>a. Identified and collected the necessary data <br>b. Categorized and organized data using the appropriate format <br>c.Incorporated all pertinent data/facts <br>d. Used proper documentation and billing code | | | **ASSESSMENT (0.2 POINT)** | **Score received** | | 1- Identified correct diagnosis, ICD-10 code, and correct differential diagnosis<br>a-Filtered relevant data from irrelevant data <br>b.-Interpreted relationships/patterns among data <br>(e.g., noted trends)<br>c.Integrated information to arrive at diagnosis<br>d.Identified risk factors<br>d. Used proper documentation | | | **PLAN Analysis (0.2 POINT)** | **Score received** | | a-Recommended an appropriate plan for each problem<br>b-Included recommendations for non-drug and drug therapy<br>c-Included recommendations for monitoring <br>d- Included health education<br>e- Included followup & referrals <br>f- include cultural considerations of patient care<br>Incorporate the patient's culture on the demographic section on SOAP notes. | | | **FORMAT (0.2 POINT)** | **Score received** | | 1- APA<br>2- References Current (at least two references, one of which needs to be up to date and the other a clinical practice guideline from a peer reviewed journal article or national organization such as AAFP, ACOG, USPSTF)<br>3- Writing clear, concise | | | **TOTAL: /1** | | **SOAP FORMAT & RUBRIC** **Initials of Patient:** **Patient Age:** **Patient Ethnicity:** **Initials of Provider:** **Clinical Setting:** **Patient Status: ____New ____Established** **SUBJECTIVE DATA; GRADE RECEIVED: _____** **Overall Instructions:** 1. **Identified and collected the necessary data** 2. **Categorized and organized data using the appropriate format** 3. **Incorporated all pertinent data/facts** 4. **Used proper documentation** 5. **LIST at the end of your subjective section the billing level : Problem Focused, Expanded problem focused, detailed, comprehensive (use guidelines for new vs. established patient** 6. **Identify cultural influences on care** **FORMAT** **Chief Complaint:** **History of Present Illness:** **Location** **Quality** **Quantity or Severity** **Timing (Onset, Duration, Frequency)** **Setting** **Aggravating and relieving Factors** **Associated Symptoms** · **Pertinent Positives and Negatives if it relates to the differential diagnosis of the chief compliant** **Past history (include dates):** **PMH** · **(Chronic illness (date of onset), hospitalizations (dates), number and gender of sexual partners, risky sexual practices)** · **Medications: Dose, route, frequency** · **Allergies: Medications, Foods, Other Allergens** **PSH** · **(Dates, indications, and types of operations)** **Past Psychiatric Hx** · **(Illness and timeframe, diagnosis, hospitalizations and treatments)** **Obstetrical/Gynecological (obstetric history, menstrual history,** **Contraceptive history, and sexual history)** **Obstetrical History** · **(Gravida-Para-TPAL)** **Menstrual History** · **(Menarche, LMP, PMP, regular/irregular, frequency, duration, quality of flow, Menopause, Post-menopausal bleeding, HRT)** **Contraceptive History** · **The types of contraceptive being used, the dates of unprotected sex)** **Sexual History** · **(Five P’s: Partners, Practices, Prevention of Pregnancy, Protection from STI’s, and history of STI’s)** **Pregnancy and Birth History** · **Maternal health: Gestational or chronic illness (i.e., gestational diabetes, preeclampsia) complications during pregnancy, infections, drugs, alcohol, illicit drug use, and medications.** · **Gestational age at delivery** · **Labor and delivery length: Length of labor, fetal distress, type of delivery (vaginal or cesarean)** · **Neonatal period: Apgar scores, need for intensive care, jaundice, birth injuries, length of stay, birth weight.** **Developmental History** · **Age at which milestones were achieved and developmental abilities** · **School- present grade, specific problems, interaction with peers** · **Behavior – enuresis, temper tantrums, thumb sucking, pica, nightmares** **Feeding History** · **Breast or bottle fed, types of formula, frequency and amount, reasons for any changes in formula** · **Solids – when introduced, problems created by specific types** · **Fluoride use** **Health Promotion/Maintenance** · **Immunizations, Eye exams, dental exams, lead screening, lipid,** **Hemoglobin. Colonoscopy, Annual Physical, Mammography,** **PAP, Functional Status: ADLs and IADLs** **Family History: Alive, Deceased, Age, Diseases, Health Conditions that place patient at risk (ages)** **Grandparents** **Parents** **Siblings** **Children** **Social History:** **Cultural Background** **Spiritual History/Religious Affiliation and Practices** **Complementary/Alternative Care Practices:** **Activities of Daily Living/Hobbies/Interests** **Type of Family (Nuclear, Extended etc.)** **Occupation of parents** **Work History** **Financial History** **Diet** **Exercise** **Use of alcohol, smoking, or recreational drugs** **Living Arrangements and conditions- school/daycare** **Travel History** **Social Support** **Review of Systems:** **Constitutional:** **Head/face:** **Eyes:** **Ears:** **Nose:** **Mouth/Throat/ Neck:** **Respiratory:** **Cardiac:** **Breast:** **GI:** **GU:** **GYN (female):** **Reproductive (Male):** **Musculoskeletal:** **Skin/Integument:** **Psychiatric:** **Neuro:** **Endocrine:** **Hematologic/Lymphatic:** **Allergic/Immunologic:** **Determine Which LEVEL of HISTORY (Choose one):** **Focused HPI (1-3 findings); ROS N.A; PFSH N.A** **Expanded HPI (1-3 Findings); ROS 1 or more; PFSH N.A.** **Detailed HPI (4 or more findings); ROS 2-9 systems; PFSH one** **Comprehensive HPI (4 or more findings or status of 3 or more chronic stable conditions; ROS 10-14; PFSH 2-3 areas** **OBJECTIVE DATA; Grade received_____** **Overall Instructions:** 1. **Identified and collected the necessary data** 2. **Categorized and organized data using the appropriate format** 3. **Incorporated all pertinent data/facts** 4. **Used proper documentation** 5. **LIST at the end of your subjective section the billing level : Problem Focused, Expanded problem focused, detailed, comprehensive (use guidelines for new vs. established patient** **FORMAT:** **Vital Signs:** **Oxygen Saturation:** **Ht and percentile on growth chart:** **Wt and percentile on growth chart:** **BMI (if applicable):** **Constitutional:** **General:** **Physical Examination:** **Head/face:** **Eyes:** **Ears:** **Nose:** **Mouth/Throat/ Neck:** **Respiratory:** **Cardiac:** **Breast:** **GI:** **GU:** **GYN (female):** **Reproductive (Male):** **Musculoskeletal:** **Skin/Integument:** **Psychiatric:** **Neuro:** **Hematologic/Lymphatic/Immunologic:** **Determine Billing LEVEL OF PHYSICAL OBJECTIVE EXAM (choose one):** **Focused: 1 body area or organ system (1-5 elements);** **Expanded problem focused (2-4 body are or organ system (6-11 elements);** **Detailed (5-7 see notes);** **Comprehensive (8 organ systems see notes);** **Laboratory Data Already Ordered and Available for Review (If not done will go in plan):** **Diagnostic Procedures/Data Already Ordered and Available for Review (If not done will go in plan):** **ASSESSMENT; GRADE RECEIVED____** 1) **Main Diagnosis/Problem:** 2) **Additional Health Problem/Dx:** 3) **Differential Diagnoses for top diagnoses** 4) **Identify Risk Factors** **PLAN; GRADE RECEIVED________** **For Each Diagnosis or Health Problem Identified as Appropriate:** **Additional Laboratory Tests or Diagnostic Data Needed** **Pharmacologic Management:** **Drug, dose, route, frequency, Disp amount** **SIG (write like a prescription)** **Non-Pharmacologic Management: i.e. hot packs, ice, position changes, TENS unit etc.** **Complementary Therapies:** **Anticipatory Guidance:** **Health Education:** **Referrals:** **Follow-up Appointment:** **For the Encounter Final Level of Decision Making: (give rationale for level which is based on Hx, physical, Decision making); Choose one** **Straightforward:** **Low Complexity:** **Moderate Complexity:** **High Complexity:** **Billing Level: Give the reason for the Billing by E and M Evaluation Coding as per Number of Systems Reviewed and Level of Physical Exam.** Patient Status: New or established Level of history Level of physical (exam) Level of Medical decision making For new pick the lowest of the 3 levels For established: drop the lowest level then pick 2nd lowest level **ANALYSIS** Write 1-2 paragraph summary listing the subjective and objective data that supports your main diagnosis. Write 1-2 paragraph summary discussing the plan for the main diagnosis. **GENERAL FORMAT REQUIREMENTS:** **References:** 1. **Analysis must have support from the literature with references within the last 5 years and/or use of clinical evidence-based guidelines. There should be sufficient number of references which are up to date preferably primary sources, research, clinical guidelines etc.** 2. **Use of APA style of references in reference list** **Writing Style:** 1. **Writing should be clear and concise with appropriate use of medical terminology.** 2. **Sections identifying subjective data, objective data, assessment, and plan are written in brief short phrases; not full sentences. No need to use the word “patient.”** 3. **Demonstrate** **your clinical judgment and decision making and the evidence you are using to support your identification of the diagnoses, health problem, or differential diagnoses and management plan.**

  • [Solved] Create a Discussion using APA 7 format, and scholarly references no older than 5 years.

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    **Please ensure that the Discussion includes more than 400 words with scholarly articles, and the plagiarism level must remain below 20%.** **Case Study 2: Antibiotic Stewardship in a Pediatric Patient with Pneumonia** **Objective: Explore appropriate antibiotic selection, dosing, and resistance con…

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    **Please ensure that the Discussion includes more than 400 words with scholarly articles, and the plagiarism level must remain below 20%.**

    **Case Study 2: Antibiotic Stewardship in a Pediatric Patient with Pneumonia**

    **Objective: Explore appropriate antibiotic selection, dosing, and resistance concerns in pediatric care.**

    **Patient Profile**:

    – Age: 6
    – Gender: Female
    – Weight: 44 lbs (20 kg)
    – Medical History: Recurrent ear infections, no known drug allergies
    – Current Medications: None
    – Diagnosis: Community-Acquired Pneumonia (CAP)

    **Instructions for Students**:

    1. **Identify** the most likely pathogens causing pneumonia in this age group and discuss antibiotic options.
    2. **Select** an appropriate antibiotic regimen, including dosing, route, and frequency, based on guidelines for pediatric CAP.
    3. **Evaluate** the risk of antibiotic resistance and the importance of antibiotic stewardship in this case.
    4. **Monitor**: Define what clinical signs/symptoms and laboratory findings should be monitored to ensure the therapy is effective.
    5. **Adjust**: Outline any considerations if the patient fails to respond to first-line therapy or develops adverse effects.
    6. **Counsel**: Provide key teaching points for parents on the correct use of antibiotics, potential side effects, and the importance of completing the prescribed course.

    – 2 years ago

  • [Solved] week 1 Journal

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    Using Assessments with Young Children As you have learned this week, assessment is an integral part of the teaching and learning process. In this academic journal you will explore, from the teacher’s perspective, how educators who are knowledgeable about assessment can better support their students'…

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    Using Assessments with Young Children

    As you have learned this week, assessment is an integral part of the teaching and learning process. In this academic journal you will explore, from the teacher’s perspective, how educators who are knowledgeable about assessment can better support their students' educational development, make informed instructional decisions, support families, and contribute to the overall effectiveness of the educational system.

    #### Prepare

    To prepare for this journal,

    – Read Chapters 1-3 of the course text.
    – Review the two-minute video: [_The difference you can make: One mom’s story_Links to an external site.](https://www.youtube.com/watch?v=3jUTGSVTRJQ).
    – Use the [_Using Assessments with Young Children_](https://uagc.instructure.com/courses/144088/files/22985140?wrap=1) [Download Using Assessments with Young Children](https://uagc.instructure.com/courses/144088/files/22985140/download?download_frd=1) template.

    #### In Your Journal

    In your journal,

    – Discuss what you learned this week about the purpose of using assessment in early childhood to support diverse learners.
    – Explain how the information you learned prepares you to use assessment results when designing your instructional plans.
    – Describe how administrators and leaders can use classroom assessment information to inform school/program educational goals.
    – Explain three strategies professionals may use to maintain relationships with families and share assessment information to support children’s development.
    – Share one question you still have about assessment that you hope will get answered throughout this course.

    – [\
    \
    UsingAssessmentswithYoungChildren.docx](https://www.sweetstudy.com/files/usingassessmentswithyoungchildren-docx "UsingAssessmentswithYoungChildren.docx")

    – 2 years ago

  • [Solved] Writing

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    Speech – [\ \ IMG_1218.jpeg](https://www.sweetstudy.com/files/img-1218-jpeg "IMG_1218.jpeg") – [\ \ IMG_1219.mov](https://www.sweetstudy.com/files/img-1219-mov "IMG_1219.mov") – [\ \ IMG_1220.mov](https://www.sweetstudy.com/files/img-1220-mov "IMG_1220.mov") – 2 years ago

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    Assignment Prompt & Instructions

    Speech

    – [\
    \
    IMG_1218.jpeg](https://www.sweetstudy.com/files/img-1218-jpeg "IMG_1218.jpeg")
    – [\
    \
    IMG_1219.mov](https://www.sweetstudy.com/files/img-1219-mov "IMG_1219.mov")
    – [\
    \
    IMG_1220.mov](https://www.sweetstudy.com/files/img-1220-mov "IMG_1220.mov")

    – 2 years ago

  • [Solved] Create a Discussion using APA 7 format, and scholarly references no older than 5 years.

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    **Please ensure that the Discussion includes more than 400 words with scholarly articles, and the plagiarism level must remain below 20%.** The use of spirituality in nursing practice is not new. However, it is more studied and utilized in a more structured format in nursing. Identify and discuss to…

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    Assignment Prompt & Instructions

    **Please ensure that the Discussion includes more than 400 words with scholarly articles, and the plagiarism level must remain below 20%.**

    The use of spirituality in nursing practice is not new.  However, it is more studied and utilized in a more structured format in nursing.  Identify and discuss tools used to evaluate spirituality.

    – 2 years ago

  • [Solved] Pediatric Primary Care Foundation

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    You see a child whose family believes in natural therapy for illnesses (e.g., diet therapy, massage, heat treatments). How will you incorporate the family’s beliefs into the treatment of a child with an acute upper respiratory infection? With leukemia? **Submission Instructions:** – Your initial pos…

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    Assignment Prompt & Instructions

    You see a child whose family believes in natural therapy for illnesses (e.g., diet therapy, massage, heat treatments).

    How will you incorporate the family’s beliefs into the treatment of a child with an acute upper respiratory infection? With leukemia?

    **Submission Instructions:**

    – Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources within 5 yeaes 2020-2025

    – 2 years ago

  • [Solved] Marketing

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    [>Marketing homework help](https://www.sweetstudy.com/fields/business-finance-marketing) Marketing is defined in terms of satisfying customer needs and wants critics, maintain that marketing does much more than satisfied customers needs and wants in fact creates needs and wants that did not exist be…

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    Assignment Prompt & Instructions

    [>Marketing homework help](https://www.sweetstudy.com/fields/business-finance-marketing)

    Marketing is defined in terms of satisfying customer needs and wants critics, maintain that marketing does much more than satisfied customers needs and wants in fact creates needs and wants that did not exist before according to these critics marketers encourage consumers to spend more money than they should on goods and services that they really do not need what is your opinion on this ongoing debate take a stance and defend your position using an example examples of companies that you perceive to have created or satisfied consumer needs write a

    250 word response

    please no ai usage no plagiarism

    – 2 years ago

  • [Solved] discussion

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    J.C is an 82-year-old white man who was evaluated by GI specialist due to abdominal discomfort, loss of appetite, weight lost, weakness and occasional nausea. **Past Medical History (PMH):** Patient is Diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hyper…

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    Assignment Prompt & Instructions

    J.C is an 82-year-old white man who was evaluated by GI specialist due to abdominal discomfort, loss of appetite, weight lost, weakness and occasional nausea.

    **Past Medical History (PMH):**

    Patient is Diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hypertensive, controlled with Olmesartan 20 mg by mouth once a day. Atrial Fibrillation, controlled with Rivaroxaban 15 mg by mouth once a day and bisoprolol 10 mg by mouth once a day.

    **Labs:**

    Hb 12.7 g/dl; Hct 38.8% WBC 8.2; Glycemia 74mg/dl; Creatinine 0.8 mg/dl; BUN 9.8 mg/dl; AST 21 U/L ALT 17 U/L; Bil T 1.90 mg/dl; Ind 0.69 mg/dl; Dir 1.21 mg/dl.

    **Diagnostic test:**

    Endoscopic Ultrasound of the Pancreas. Solid mass in the head of pancreas 4 cms, infiltrating Wirsung duct. The solid mass impress to infiltrate the superior mesenteric vein. Perilesional node is detected, 1.5 cms, metastatic aspect. Fine needle aspiration (FNA) biopsy: Ductal adenocarcinoma.

    **Case study questions:**

    1. Please name the potential most common sites for metastasis on J.C and why?
    2. What are tumor cell markers and why tumor cell markers are ordered for a patient with pancreatic cancer?
    3. Based on the case study described, proceed to classify the tumor based on the TNM Stage classification. Why this classification important?
    4. Discussed characteristic of malignant tumors regarding it cells, growth and ability to spread.
    5. Describe the carcinogenesis phase when a tumor metastasizes.
    6. Choose the tissue level that is affected on the patient discussed above: Epithelial, Connective, Muscle or Neural. Support your answer.

    **Submission Instructions:**

    – Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
    – You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
    – All replies must be constructive and use literature where possible.
    – Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
    – You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

    – 2 years ago