Allied health professionals are confronted with different death and dying practices. An effective allied health professional recognizes the importance of understanding different cultural practices, and learns how to evaluate the death, dying, and spiritual beliefs and practices across the cultures.Read the two specified case histories and choose one for this assignment.Chapter 4, “Stories of Abby: An Ojibwa Journey” and Chapter 14, “Stories of Shanti: Culture and Karma,” by Gelfland, Raspa, and Sherylyn, from End-of-Life Stories: Crossing Disciplinary Boundaries (2005), from the GCU Library.Identify your role as a health care professional in supporting Abby’s or Shanti’s dying rituals, and in creating strategies for displaying respect while still providing quality care. Identify communication strategies necessary in caring for your select person. Integrate your strategies as you develop a care plan describing how you would approach the situation and care for the patient. Review the “Care Plan” template prior to beginning.Include the following in your care plan:Communication: family and patientTreatment options that align with the specific cultureEducation: family and patientFamily roles in the processSpiritual beliefsBarriersCultural responsesAny additional components that you feel would need to be addressed (from your perspective as a health care professional)Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to all of the initial postings from your peers in your discussion group on different days of the week.Peer 1Punnett square is a graphical representation of genotype odd resulting from the genetic crossing of a particular type.  The chart representation of possible offspring is essential in predicting traits, and this is achieved by analyzing the composition of the gene. According to R et al. (2018), Although the Punnett square is a convenient tool for genetic prediction, it has limitations in complex genetic inheritance. Significantly, the Punnett square is limited when predicting genotype in the scenario where two traits are inherited together or in the situation where two genes are linked (Lockhart, 2018). On the other hand, multiple genes can be used to determine a single trait, and therefore, the punnet square is limited in predicting offspring’s phenotype.  According to R et al. (2018), Hemophilia either occurs due to spontaneous mutation or inherited.  In the case given, the mother has a recessive allele(hemophilia) and a dominant allele.Odd of female offspring developing hemophiliaWhile mothers without hemophilia can transmit X chromosome with mutation, the female can receive a normal X chromosome from the father who is not affected by hemophilia.  That being the case, all the daughters will not have hemophilia although they inherit the X chromosome from the father.Odd of female offspring being hemophilia carrierJust like the mother, who is, in this case, a hemophilia carrier, there is a 50% chance that offspring will be a carrier.Odd of male offspring  developing hemophiliaIn this case, the male offspring inherit the Y chromosomes from his father and the mother’s X chromosomes.  That being the case, the son can inherit either mutate or normal chromosomes, and the probability of developing hemophilia is 50%.Odds of a male son being hemophilia carrierIn males, the mutated chromosome is enough for the development of hemophilia, meaning that the male cannot be a carrier of hemophilia in this case.Odd of offspring developing hemophilia.There is a 25% odd that the son will have hemophilia, a 25% chance that the daughter will be a hemophilia carrier, and a 50% probability that the two people will have mutated genes.The reason why some offspring developed the diseaseSignificantly, for hemophilia development, only the offspring that have mutated  X chromosome will develop the disease.  In the case of a daughter, it will be impossible for them to develop hemophilia, for they receive the gene from the father who is unaffected by hemophilia (R et al., 2018).  In the male case, the sons will be having a 50% chance of receiving their mother’s healthy gene; in this case, she is a carrier.ReferenceLockhart, J. (2018). Suspended animation: A transcriptional module triggers embryo formation in suspensor cells. The Plant Cell, 31(1), 5-6.https://doi.org/10.1105/tpc.18.00975R, V., P, N., & N, S. (2018). Survey on the genetic variation among the students. Insights in Biomedicine, 03(01).https://doi.org/10.21767/2572-5610.10041Peer 2Describe the Punnett Square and what it used to predict. What are the limitations of the Punnett Square?The Punnett Square is a diagram that shows the matting pattern of two individuals with an autosomal dominant gene. (McCance, 2019) The Punnett square was created by Reginald C. Punnett and was used to predict the traits of offspring based on the traits of their parents, this diagram is now the basis of most school teaching of genetics. (Adelman, 2017) The Punnett squares can be used in complicated situations but there are easier genetic squares that can be used when it come to a more complexed situation. (Taylor, 2019).Scenario: Mom is a carrier for hemophilia but does not have the disease.Dad does not have hemophilia..What is the probability a female offspring developing hemophilia?There is zero probability of the female offspring developing hemophilia.What is the probability of a female offspring being a carrier for hemophilia?There is a 25% percent probability that the female offspring will be a carrier of hemophiliaWhat is the probability of a male offspring developing hemophilia?There is a 25% chance that the male offspring will develop hemophilia and a zero percent chance that the male will be a carrier of hemophilia.What is the probability of a male offspring being a carrier developing hemophilia?There is zero chance that the male will be a carrier of hemophilia.What is the probability of any offspring developing hemophilia?If there are two children, the probability of any offspring developing hemophilia it would be a 25% chanceExplain why only some offspring would develop the disease?The reason why only some offspring would develop hemophilia is due Approximately 30% of cases of hemophilia are caused by a spontaneous mutation of the gene. In some cases, the mother is not a carrier of hemophilia, and the child is affected. This child may be the first in the family to have hemophilia and to carry the defective factor gene. In some cases, the genetic mutation occurs in the mother, and she finds out she is a carrier (through DNA testing) after she has a child with hemophilia. (www.hemophiliafed.org)Reference:Adelman, J. (2017, June 08). The Punnett Square: Predicting the traits of offspring based on the traits of their parents. Retrieved December 19, 2020, from https://www.irishtimes.com/news/science/the-punnett-square-predicting-the-traits-of-offspring-based-on-the-traits-of-their-parents-1.3102939McCance, K.L., Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children. St. Louis, MO: ElsevierTaylor, Courtney. (2020, August 26). Probability and Punnett Squares in Genetics. Retrieved from https://www.thoughtco.com/probability-and-punnett-squares-genetics-4053752https://www.hemophiliafed.org/understanding-bleeding-disorders/what-is-hemophilia/hemophilia-a/inheritance-pattern/

Select a patient that you examined during the last three weeks. With this patient in mind, address the following in a SOAP Note:Subjective: What details did the patient provide regarding her personal and medical history?Objective: What observations did you make during the physical assessment?Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.Reflection notes: What would you do differently in a similar patient evaluation?Patient Information:Chief Complaintvaginal discharge and odorHistory of Present Illness21 yo presents with c/o vaginal discharge. she did have positive chlamydia  on 1/5/17 and states that she and her partner were treated. She denies having intercourse since that time.. she has not had a TOC. describes discharge as being light and being present for 1 week. There is an odor but it is not a fishy odor.. She also wants to know if she is able to use represh products to prevent vaginal discharge. She denies any abdominal pain, feverReview of SystemsConstitutional: Denies fevers chillsGastrointestinal: Denies nausea vomiting diarrhea, abdominal painGenitourinary: NegativeGynecological: see HPINeurologic: NegativePsychiatric: Denies anxiety and depressionPhysical ExamVitals & MeasurementsHR: 77 (Peripheral)  BP: 116/71HT: 64.5 in  WT: 175.8 lb  BMI: 29.71Gen.: Alert and oriented, not acute distressAbdominal: Nontender nondistended, bowel sounds present, incisions clean dry and intactGenitourinary:Vagina: Scant white discharge in the posterior fornixCervix: Cervical mucus and Mirena IUD strings noted at the osNeurologic: Alert and orientedAssessment/Plan1. Acute Chlamydia trachomatis infection of genitourinary siteGCC obtained. encouraged condoms consistently. no signs of PID.****pt contacted and informed of positive Chlamydia results. pt informed that medication has been sent her pharmacy. pt informed that she was given 500mg dosage so this time she will take two pills PO at the same time. pt informed that her partner can go to the health department for treatment. pt informed that the third party needs to be treated as well. pt educated on the importance of all parties being treated to reduced exposure and reinfection. pt verbalized understanding, no further questions at this time.99214 office outpatient visit 25 minutes (Charge), Quantity: 1, Acute Chlamydia trachomatis infection of genitourinary site | Vaginal discharge2. Vaginal dischargeAffirm collected. treat per results.