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Pearl is a 64-year-old caucasian female cancer survivor. She lives outside of Chicago in a fixed income household. Because she has Medicare, she has to travel over an hour to see a primary care provider. Lately, she's been feeling exhausted and not like herself. Her healthcare team does a routine exam, checks her height and weight, but does not review her medical and medication history and past cancer treatment. The PCP suggests she takes melatonin, provides healthy diet recommendations, and asks that she returns in two weeks. Given Pearl's situation, describe the implications of not providing value-based care. List all cost considerations you think the doctor should have made before recommending melatonin and a two-week follow up. {Ans: By not reviewing her medical history, they cannot determine if her current symptoms are a sign of a larger problem. This will likely cause the underlying issue to become worse and increase her cost of care. This suggests follow-up visits and the addition of melatonin would increase out-of-pocket costs for the patient.}To support the overall functioning at Windsor Oncology, describe what a nurse can do to guarantee that issues, such as lack of side effects or other patient concerns, are recorded