I have already written the paper. It’s three section that need to be rewritten. I will provide the rubric and highlight those sections that need to be rewritten. also please provide scholarly sources with retrieval information. Please HIGHLIGHT the changes you make to the paper as it will make it easier to find!! Here is specific feedback from my instructor to follow: A3a. For the disparities section, you must compare medical management of the condition (obesity, heart failure, etc.) in the U.S. (national) to international practices.  Management includes how the disease is prevented, diagnosed, managed with non-pharmacologic strategies and pharm agents. What I usually recommend is finding a country with better and worse mortality rates compared to the United States, and describe the management strategies of each, and then contrast the two countries to the U.S. Keep in mind, disparities mean “differences”.  It doesn’t have anything to do with race or ethnic differences.  The rubric in simpler terms is looking for the differences in management nationally versus internationally.    o   Here is an example I wrote for the topic of diabetes:  Diabetes is a worldwide issue. It is not a disease process specific to the United States alone. In Australia, the mortality rate of diabetes is 18%, compared to 26% in the United States (citation, year). In Afghanistan, the reliability of tracking statistics related to diabetes is inconsistent however the World Health Organization (2016) estimates a mortality rate of 39% in those who are known to have diabetes at time of death. What are these countries doing differently in terms of managing this common disease process?   In Australia, the healthcare structure is very different from United States. Health insurance is not just something achieved through employment, it is something that every citizen has by right. This leads to improved health maintenance exams and interval health care visit needs (citation, year). As a result, more patients are screened for diabetes and the diagnosis is promptly found. With earlier diagnosis, treatment can be initiated, and health outcomes are subsequently improved. The prevalence of diabetes is 32% in Australia compared to 28% in the United States (citation, year). This difference in prevalence is likely caused by increased screening for the disease process. Meaning, in the United States there are likely many who are not yet diagnosed because they have not sought medical care or been appropriately screened according to guidelines practiced in Australia. Once diagnosed, healthcare providers follow similar guidelines in managing the disease process through use of nutritional modification (e.g. carbohydrate and protein modifications), and pharmacologic management including injectable insulin (citation, year). Another factor leading to better control of diabetes and Australia is related to the costs associated with medical equipment. These costs are covered 100% by the Australian government health insurance plan (citation, year). This prevents patients from limiting supplies or medication secondary to income.  As previously mentioned, statistics around diabetes in Afghanistan are not reliable, therefore it is difficult to understand the true disparity. In areas where medical facilities exist, patients will seek care with illness or health concerns. It is common that patients who are not yet diagnosed with diabetes often seek medical care when their disease is severe and more life-threatening (patient, year). This is likely the reason for a higher mortality rate. In areas of the country where primary care type facilities exist, screening practices are performed and management including injectable insulin is prescribed (citation, year).  The population that this serve is likely those who have health insurance or a means to pay for healthcare. However, most of the population is not getting routinely screened for this disease process and there are many who are not diagnosed appropriately and therefore health outcomes are grim (citation, year). Once diabetes is diagnosed, insulin is the medication of choice used for these patients. Depending on the provider, they will prescribe various practices around checking glucose levels and assigning insulin unit dosing (citation, year). Without specific guidelines regarding management, there is great variability across Afghanistan which leads to numerous different patient health outcomes.  Using these 2 countries as a representation of international practices comparing to national practices of the United States, it is evident that routine screening for diabetes is a predictor of mortality. In countries where screening is routine, the diagnosis of diabetes is punctual and management strategies can be initiated. In countries where routine screening for the disease does not occur, treatment is delayed leading to worse health outcomes and death. It is also evident that consistent adherence to management guidelines are also a predictor of mortality and comorbidities associated with diabetes. In Afghanistan for example, each provider has their own way of managing the disease process that may or may not lead to desirable health outcomes for their patients. If there were a guideline we could follow, patient health outcomes would be easier to track and adjustments to the guidelines be made. In countries like the United States and Australia, specific guidelines are published by reliable evidence-based resources which allows patients to receive care immersed in best practices.      B1: I have attached a great resource for this section. In this section make sure that you have 3 separate paragraphs for patients, families, and community. You want to describe HOW obesity effects each of these categories.   ·        -What is the burden on Patient, families, and community?   C: In this section you need to identify the practice that deviates from best practice recommendations (aka Standard of Practice) in your area or hospital that you work at. Then identify your approach for addressing the deviation. Here is an example regarding diabetes:   ·        Within the medical surgical unit at my hospital many patients admitted for complications of diabetes such as skin integrity impairment, diabetic ketoacidosis, hypertension or kidney abnormalities. When these patients are admitted to the hospital the acute health issue is managed, however the underlying issue being diabetes is rarely addressed. The American Association of Endocrinologists (2017) recommends diabetic assessment with every healthcare visit in patients who have type I or type II diabetes. This represents a clear contradiction occurring within my organization that I will address using recommendations from the Standard of Practice. The goal would be to improve assessment of diabetic management of patients admitted to the medical surgical unit within my organization.  Place your interventions and evaluation methods accordingly in the two headings below.  ·        Plan Implementation  ·        Plan Evaluation  o   You want to first identify 3 things that you want to improve (3 separate paragraphs). Then explain HOW these changes would change your community and make things better for obese patients   o   What evidence-based recommendations (cited) or resources will guide your plan to address the problem that you want to improve.  o   Identify the problem factually, not by using your opinion.  For example, is your state highly ranked with prevalence of obesity, or the comorbidities associated with obesity?  Describe the influence for your plan (which guidelines and how they would fit with your identified problem).     o   Resources:  Use the standard of practice you described throughout this paper to determine what might be a deviation in practice within your organization or area.    ·