please improve this job, correct mistakes and follow this instructions 

I have reviewed your Health History submission and would like to go over it with you so you may improve your assignment before the due date. You can edit your assignment and resubmit it before the due date. 
Under obstetrics, you want to ask your patient if they have children, how many, how were they delivered, if they suffered any miscarriages, when was their last menstrual period, are they in menopause, has she gotten a pap smear, what were the results of the pap smear. 
I noticed you were missing your genogram. Do not forget to include that. 
Under the Review of symptoms, you will use the same format as the guide provided but you would not just include “none” or only what she had. It should properly be written as ” Skin: Denies or reports rashes, lumps, sores, itching, dryness, color changes in hair or nails” if your patient suffered from something and not the other you can say ” Skin: reports rashes, lumps, sores, itching, dryness. Denies color changes in hair or nails”
According to APA, the bold titles such as “Review of systems” should be indented left and not in the middle. In your second page you should add a “Health History” (unbolded) in the center of the page and that is your title. 
Under Patterns of healthcare, you want to include if your patient actively participates in preventative care such as annuals or going to the dentist, etc. 
Remember to include identified risk factors and any health promotion activities. Also include what suggestions to made to their diet and what is their evaluation of their own diet (excellent, good, fair, poor). 
If you have any questions, please do not hesitate to contact me. 

The management of resources is one of the most critical, yet complex and time-consuming activities that nurse managers are challenged to execute in their role.  Budgets detail how time, money, supplies, and people should be acquired and used to support planned services.  The demand for patient safety, quality care, acceptable reimbursement, technological advancement, and adequate staffing ratios requires that managers budget and schedule staff as accurately and efficiently as possible.

You will learn about the budget process and staffing considerations.  Your discussion will link the decisions made when managing these resources to the cost, safety, and quality of services provided.

Upon successful completion of this discussion, you will be able to:

• Discuss the management of personnel and financial resources and its relevance to the quality, safety, and cost of healthcare.
• Correlate successful approaches for coaching, mentoring, and performance appraisals to optimal patient outcomes.

Resources

• Textbook: Leading and Managing in Nursing

Instructions

1. Review the rubric to make sure you understand the criteria for earning your grade.
2. In your textbook Leading and Managing in Nursing, read:
   
   1. Chapter 20, “Managing Costs and Budgets”
   2. Chapter 13, “Staffing and Scheduling”
   3. Chapter 21, “Selecting, Developing, and Evaluating Staff”
3. Prepare to discuss the following prompts:
   1. Describe specific ways that nurses impact an organizational budget.
   2. Describe the variables that managers consider when creating a staffing plan.
   3. Discuss realistic strategies to address inadequate staffing numbers on a patient care unit.
   4. Why is it important for nurses to receive effective feedback through methods such as proper coaching, staff development opportunities, and accurate performance evaluations?  What impact do these have on nurse satisfaction and patient outcomes?
4. Find at least two current scholarly sources to support your explanations and insights. OCLS resources are preferred sources and can be accessed through IWU Resources. Wikipedia is not permitted, as it is not a peer-reviewed, scholarly source.

The management of resources is one of the most critical, yet complex and time-consuming activities that nurse managers are challenged to execute in their role.  Budgets detail how time, money, supplies, and people should be acquired and used to support planned services.  The demand for patient safety, quality care, acceptable reimbursement, technological advancement, and adequate staffing ratios requires that managers budget and schedule staff as accurately and efficiently as possible.

You will learn about the budget process and staffing considerations.  Your discussion will link the decisions made when managing these resources to the cost, safety, and quality of services provided.

Upon successful completion of this discussion, you will be able to:

• Discuss the management of personnel and financial resources and its relevance to the quality, safety, and cost of healthcare.
• Correlate successful approaches for coaching, mentoring, and performance appraisals to optimal patient outcomes.

Resources

• Textbook: Leading and Managing in Nursing

Instructions

1. Review the rubric to make sure you understand the criteria for earning your grade.
2. In your textbook Leading and Managing in Nursing, read:
   
   1. Chapter 20, “Managing Costs and Budgets”
   2. Chapter 13, “Staffing and Scheduling”
   3. Chapter 21, “Selecting, Developing, and Evaluating Staff”
3. Prepare to discuss the following prompts:
   1. Describe specific ways that nurses impact an organizational budget.
   2. Describe the variables that managers consider when creating a staffing plan.
   3. Discuss realistic strategies to address inadequate staffing numbers on a patient care unit.
   4. Why is it important for nurses to receive effective feedback through methods such as proper coaching, staff development opportunities, and accurate performance evaluations?  What impact do these have on nurse satisfaction and patient outcomes?
4. Find at least two current scholarly sources to support your explanations and insights. OCLS resources are preferred sources and can be accessed through IWU Resources. Wikipedia is not permitted, as it is not a peer-reviewed, scholarly source.

Review the following power points  and complete the following guidelines:

Objective: The students will complete a Virtual Classroom Discussion Exercise that will Extend your knowledge beyond the core required materials for this class, Engage in collaborative learning with other students to improve the quality of the learning experience for all students and Apply the higher cognitive skills associated with critical thinking to your academic and professional work.

ASSIGNMENT GUIDELINES (10%):

Students will judgmentally amount the readings from Chapter assign on your textbook. This assignment is prearranged to help you to learning in all disciplines because it helps student’s process information rather than simply receive it.
You need to read the PowerPoint Presentation assigned for week 4 and develop a 2-3 page paper replicating your appreciative and competence to apply the readings to your ethics knowledge. Each paper must be typewritten with 12-point font and double-spaced with standard margins. Follow APA style 7th edition format when referring to the selected articles and include a reference page.

EACH PAPER SHOULD INCLUDE THE FOLLOWING:

1. Introduction (25%) Provide a brief synopsis of the meaning (not a description) of each Chapter and articles you read, in your own words that will apply to the case study presented. 

2. Discussion Challenge (65%)

Health care in the 21st century is governed by a confusing array of rules, regulations, laws and ethical standards. Issues that involve confidentiality, informed consent and patient relationships can appear out of nowhere, even when health care workers have the best of intentions. What’s legal today might not be considered ethical, and there is the ever-present threat of being sued for negligence and malpractice. There are unresolved issues around doctor assisted dying that have yet to be worked out, while medical procedures considered ethical for adults might not be seen as ethical for minors.

Here are the top five ethical issues that health care managers of today and tomorrow will be facing in the course of delivering responsible and compassionate patient care.

a. Patient Confidentiality

b. Patient Relationships

c. Malpractice and Negligence

d. Informed Consent

e. Issues Related To Physician Assisted Suicide (PAD).

STUDENT CHALLENGE:

1. Describe, mention and define the five ethical issues that health care managers of today and explain your point of view relate with the ethical implication.  

2. Designate and discussion how this five issues where affected by the COVID-19 pandemic?