Discussion 12

Discussion 12

Mr. JD is a 24-year-old who presents to Urgent Care with a 2-week history of cough and congestion. He says it started out as a “normal cold” and it will not go away. He has a productive cough for green mucous and has green nasal discharge. He says he has had a low-grade temperature for the past 2 days. John reports an intermittent frontal headache with this cold. He is otherwise healthy, with no known allergies.  In his assessment it is found that his vital signs are stable, temperature is 99.9 degrees F, tympanic membranes (TMs) are clear bilaterally, pharynx is erythematous with no exudate; there is greenish postnasal drainage; turbinates are swollen and red; frontal sinus tenderness; no cervical adenopathy, and lungs are clear bilaterally.

Is there any additional subjective or objective information you need for this client? Explain. Additional subjective information I would collect includes whether there is facial pain while bending over, headache, halitosis, or toothache which are characteristics of acute bacterial sinus infection in combination with the previously reported symptoms (Caspersen, Walter, Walsh, Rosenfeld, & Piccirillo, 2015). I would also inquire information regarding occupational/environmental exposures and whether he has ever had these symptoms before.

Would you treat Mr. JDs cold? Why or why not? I would opt for “watchful waiting” for 7 days, and not prescribe antibiotics immediately. Acute bacterial sinus infections typically can resolve on their own (Rosenfeld, 2016), and reduces the likelihood of antibiotic resistance and/or side effects of the medication.

What would you prescribe and for how many days? Include the class of the medication, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings. Would this treatment vary if Mr. JD was a 10 year-old 78 lb child? Amoxicillin clavulanate 500/125 mg orally every 8 hours or 875/125 mg orally every 12 hours should be initiated as a first-line therapy for 5 to 7 days (Chow, Benninger, Brook, Brozek, Goldstein, Hicks, Pankey…File, 2012). Amoxicillin is penicillin-like class of antibiotic, that works by stopping the growth of bacteria.  Clavulanic acid is a beta-lactamase inhibitor that prevents bacteria from destroying amoxicillin (MedlinePlus, 2019). Amoxicillin clavulanate (Augmentin) is administered orally by tablet, chewable tablets, or by suspension (MedlinePlus, 2019). More than half of the amoxicillin and approximately 25% to 40% of the clavulanic acid are excreted unchanged in urine (U.S. National Library of Medicine, 2019).  Half-lives of amoxicillin and clavulanic acid are roughly 1.3 hours and 1 hour, respectively in otherwise healthy adults that have normal renal function (U.S. National Library of Medicine, 2019). Contraindications for Augmentin include history of hypersensitivity to amoxicillin, clavulanate or to beta-lactam drugs such as penicillin, and/or in patients with a history of cholestatic jaundice/hepatic dysfunction that is associated with Augmentin (U.S. National Library of Medicine, 2019). The dosage for Augmentin would change for a pediatric patient. The dosage for a child weighing 40 kg or more is up to 1750mg/day of amoxicillin and up to 4000 mg/day of the XR tablets (U.S. National Library of Medicine, 2019).

What health maintenance or preventive education is important for this client based on your choice medication/treatment? There are several health maintenance topics and preventative education points to address with the patient. The patient should be educated on symptoms that patient should promptly report such as allergic reaction, headache with stiff neck or difficulty turning head (Mayo Clinic, 2019). Additionally, the patient should be instructed on side effects of medication which include nausea, diarrhea, tooth discoloration, and indigestion (Mayo Clinic, 2019). Finally, the patient should be educated on prevention which include good hand hygiene, avoiding ill contacts, using a humidifier, and avoiding air pollution.

Discussion #2

Mr. JD is a 24-year-old who presents to Urgent Care with a 2-week history of cough and congestion. He says it started out as a “normal cold” and it will not go away. He has a productive cough for green mucous and has green nasal discharge. He says he has had a low-grade temperature for the past 2 days. John reports an intermittent frontal headache with this cold. He is otherwise healthy, with no known allergies.

In his assessment it is found that his vital signs are stable, temperature is 99.9 degrees F, tympanic membranes (TMs) are clear bilaterally, pharynx is erythematous with no exudate; there is greenish postnasal drainage; turbinates are swollen and red; frontal sinus tenderness; no cervical adenopathy, and lungs are clear bilaterally.

 

1. Is there any additional subjective or objective information you need for this client? Explain. The additional subjective information should include, his past and present medical history. This should be comprehensive. Such as, any history of asthma, emphysema, chronic or acute bronchitis and cardiac issues to name a few. His history of current medications should be discussed. Also has JD had any wheezing, SOB or chest pain associated with his “normal cold”?  It’s important to determine if he has taking any medications to help with symptoms. A current set of vital signs should be obtained.

2. Would you treat Mr. JD’s cold? Why or why not? Yes I would treat Mr. JD. Cold symptoms typically peak after three to five days and then improve over the next week. A sinus infection can stick around longer. A runny nose, stuffy nose or sinus pressure that lasts for more than 10 days, suspect an infection. Yellow or green mucous is indicative of a sinus infection (Woodard, 2016, p. 1).

 

3. What would you prescribe and for how many days? Include the class of the medication, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings. According to research, Amoxicillin 500 mg q8h for 10–14 days or until 7 days after symptom-free (may need 21 day of treatment) is the first choice for non-penicillin allergic patients (Woo & Robinson, 2016, p. 1257).  Amoxicillin has similar bactericidal action as penicillin. It acts on susceptible bacteria during multiplication stage by inhibiting cell wall mucopeptide biosynthesis. The superior bioavailability and stability to gastric acid and has broader spectrum of activity than penicillin. This medication is metabolize in the liver and excreted through urine. The half-life of Amoxicillin in adults is 0.7-1.4 hr (“Medscape,” 2019, p. 1). Black box warnings consist of, anaphylactic/hypersensitivity and super infection from prolonged use. Such as, fungal or bacterial infections and C. difficile-associated diarrhea to name a few (“UpToDate,” 2019, p. 15).

4. Would this treatment vary if Mr. JD was a 10 year-old 78 lb child? Include the class of the medication, mechanism of action, dosing, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings Children and infants older than 3 months of age weighing less than 40 kg, dosing is based on body weight. The usual dose is 20 to 40 milligrams per kilogram (kg) of body weight per day, divided and given every 8 hours, or 25 to 45 mg per kg of body weight per day, divided and given every 12 hours (“Medscape,” 2019, p. 5). The class of drug is penicillin (Amoxicillin) is the first choice for non-penicillin allergic patients including children. Amoxicillin similar bactericidal action as penicillin. It acts on susceptible bacteria during multiplication stage by inhibiting cell wall mucopeptide biosynthesis. The superior bioavailability and stability to gastric acid and has broader spectrum of activity than penicillin. This medication is metabolize in the liver and excreted through urine. The half-life of Amoxicillin in children is 61.3 mins. The black warnings consist of Amoxicillin rash occurs in 5% to 10% of children receiving amoxicillin. Infectious mononucleosis, acute lymphocytic leukemia, or cytomegalovirus infection increases risk for amoxicillin-induced maculopapular rash. Amoxicillin-class antibiotics are not recommended in these patients (“UpToDate,” 2019, p. 15).

5. What health maintenance or preventive education is important for this client based on your choice medication/treatment? Nonprescription management includes decongestants, either topical or systemic, to improve nasal obstruction. Mr. JD should be warned against long-term use of topical decongestants, but they can be very helpful in providing symptomatic relief during the few days it takes to respond to antibiotics. Saline nasal spray or wash prevents crusting of secretions in the nasal cavity, facilitating removal of secretions. Increase fluid intake to help liquefy secretions. The facial pain and headache associated with sinusitis can be severe, and the patient should be encouraged to take acetaminophen or ibuprofen for pain. A warm pack to the frontal and maxillary sinuses often provides pain relief, humidifier air at night, can alleviate the dry mouth caused by mouth breathing during sleep. Breathing in hot steam often helps clear nasal passages, but caution patients about burns (Woo & Robinson, 2016, p. 1258).

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Discussion 12

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BW Medi Term

BW Medi Term

Topic 1  What information in the story indicates that Randi might be a candidate for heart disease? Explain why these items lead to CVD.

Topic 2  Discuss why Randi thought this was not a heart attack.

Topic 3  What can Melanie do immediately to try to save Randi’s life?

Topic 4  Assuming that Randi is suffering a myocardial infarction, discuss why it is important that she receive appropriate treatment quickly.

DIS 6

Read the Critical Thinking story on page 197 of your textbook. Submit 1 entry in response to the Topics listed. You may answer a topic or reply to another student’s answer to a topic.

Topic 1  Do you think Hernani should reveal his HIV status to South Hills Middle School? If so, why? If not, why not?

Topic 2  Do you think South Hills Middle School would hire Hernani for a coaching job if they knew he was HIV positive? Why or why not? Would the possibility of a team or coaching injury, and the bloodborne transmission of HIV, affect their decision?

Topic 3  If South Hills Middle School decided that Hernani was not suitable for a coaching job, would they still consider him for the teaching position?

Topic 4  How would you feel if your child were in a class Hernani was teaching or on one of the teams he was coaching? Why?

DIS 7

Read the Critical Thinking story on page 230 of your textbook. Submit 1 entry in response to the Topics listed. You may answer a topic or reply to another student’s answer to a topic.

Topic 1  Discuss which environmental factors might cause an asthma attack.

Topic 2  Discuss what Sylvia might do to find out if her building has an air quality problem.

Topic 3  What factors did Sylvia and Kelly consider as possible triggers for Sylvia’s frequent attacks?

Topic 4  If Sylvia’s inhaler does not control her attack and her condition worsens, what steps should be taken promptly? Why?

DIS 8

Read the Critical Thinking story on page 267 of your textbook. Submit 1 entry in response to the Topics listed. You may answer a topic or reply to another student’s answer to a topic.

Topic 1  Gabby is concerned about her emotional eating. What reasons besides hunger might cause people to eat?

Topic 2  If her weight wasn’t causing any health problems, should she consider having the surgery if she thought it would make her look more attractive?

Topic 3  Why is there a very strict diet that patients must follow after bariatric surgery, and why is it sometimes difficult to follow this regime?

Topic 4  What are some of the dangers associated with any type of surgery?

DIS 9

Read the Critical Thinking story on page 297 of your textbook. Submit 1 entry in response to the Topics listed. You may answer a topic or reply to another student’s answer to a topic.

Topic 1  Discuss the long-term repercussions of being a living organ donor?

Topic 2  Imagine that you are Josie’s mom or dad and one of your children has the opportunity to save the life of another one of your children. Would you encourage him or her to donate an organ?

Topic 3  If Josie decides to donate her kidney and then later chooses to continue playing hockey, what advice should her parents give her?

Topic 4  What options might be open to Josie’s brother other than having his sister donate a kidney?

DIS 10

Read the Critical Thinking story on page 335 of your textbook. Submit 1 entry in response to the Topics listed. You may answer a topic or reply to another student’s answer to a topic.

Topic 1  Which symptoms of Calle’s condition might affect her job? She has been working with the youngest children. Should she consider resigning, or could she ask for a different assignment?

Topic 2  Calle and Gabe decide to go ahead with the wedding. If they have children, is there a risk that Calle will transmit this condition? If Calle cannot have children, what other options would enable them to have the family they both want?

Topic 3  After their marriage, Calle will be covered by her husband’s health insurance. Calle is ethical in completing her application for this coverage and mentions the MS diagnosis. But she has questions. Where could Calle get information as to whether or not the insurance company will ever cover her for this disease? Will her coverage begin immediately?

Topic 4  Calle is an excellent teacher and the children love her. In the past, her coworkers have commented, “I wish I could learn to be as good at this as you are.” Even with multiple sclerosis, could Calle have a future in training other teachers? What other positive steps might she contemplate taking?

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BW Medi Term

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SLP Assignment 2 Homework

SLP Assignment 2 Homework

HOMEWORK SLP 2 ASSIGNMENT

OPERATING REVENUE, REIMBURSEMENT, COST-VOLUME-PROFIT, AND BREAK-EVEN

After completing the required background readings, please complete the following:

**Please see attachment

Imagine you are the Practice Manager of a multi-physician primary care center in Pennsylvania. The four physician-owners have asked you to make a presentation to them on how their group’s profitability could be improved, without having to raise their charges/rates for services. Using Exhibit 8.5 and 8.6 in Dr. Nowicki’s textbook (see required background reading), as well as some research in peer-reviewed sources of your own, create a professional-looking PowerPoint presentation of 6-8 slides which clearly summarizes the information the physicians are requesting. Include thorough speaker’s notes to further expand upon and explain your points.

SLP Assignment Expectations

  1. Conduct additional research to gather sufficient information to support your presentation.
  2. Provide 6-8 quality powerpoint slides of bulleted-point information content (with speaker’s notes), not including title page and reference slides. Don’t forget to use in-text citations.
  3. Support your presentation with peer-reviewed articles and reliable sources. Use at least two peer-reviewed sources. For additional information on how to recognize peer-reviewed journals, see http://www.angelo.edu/services/library/handouts/peerrev.php and for evaluating internet sources:
    /orders/www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content
  4. You may use the following source to assist in your formatting your references and in-text citations for your slides: /orders/owl.english.purdue.edu/owl/resource/560/01/. Paraphrase all source information into your own words carefully and use in-text citations.

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    /

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SLP Assignment 2 Homework

SLP Assignment 2 Homework

HOMEWORK SLP 2 ASSIGNMENT

OPERATING REVENUE, REIMBURSEMENT, COST-VOLUME-PROFIT, AND BREAK-EVEN

After completing the required background readings, please complete the following:

Imagine you are the Practice Manager of a multi-physician primary care center in Pennsylvania. The four physician-owners have asked you to make a presentation to them on how their group’s profitability could be improved, without having to raise their charges/rates for services. Using Exhibit 8.5 and 8.6 in Dr. Nowicki’s textbook (see required background reading), as well as some research in peer-reviewed sources of your own, create a professional-looking PowerPoint presentation of 6-8 slides which clearly summarizes the information the physicians are requesting. Include thorough speaker’s notes to further expand upon and explain your points.

SLP Assignment Expectations
Conduct additional research to gather sufficient information to support your presentation.
Provide 6-8 quality powerpoint slides of bulleted-point information content (with speaker’s notes), not including title page and reference slides. Don’t forget to use in-text citations.
Support your presentation with peer-reviewed articles and reliable sources. Use at least two peer-reviewed sources. For additional information on how to recognize peer-reviewed journals, see http://www.angelo.edu/services/library/handouts/peerrev.php and for evaluating internet sources:
/orders/www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content
You may use the following source to assist in your formatting your references and in-text citations for your slides: /orders/owl.english.purdue.edu/owl/resource/560/01/. Paraphrase all source information into your own words carefully and use in-text citations.

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Evidence Based Practice

Evidence Based Practice

Evidence Based Practice

Two articles chosen are:

 A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners (Quantitative)

Is self-esteem actually the protective factor of nursing burnout? (Qualitative)

Attached are directions, grading rubric as well as an example of a submission by another student.

EBP and Applied Nursing Research Insert your name here Western Governors University C361 TASK 1

EBP and Applied Nursing Research

A. Evaluate a primary, quantitative research, peer-reviewed journal article

The primary, quantitative research, peer-reviewed journal article that I chose to evaluate is:

(put the reference for your article here)

A1. Describe how the researcher addresses the following four areas in the article:

a1a. Background or introduction.

1 paragraph here, citing your article

a1b. Review of the literature

1 paragraph here, citing your article

a1c. Data Analysis

1 paragraph here, citing your article

a1d. Methodology

1 paragraph here, citing your article

A2. Evaluate whether the evidence presented in each of the four areas supports the outcome of the study and implications for future research.

a2a. Background or introduction supports the outcome of the study

1 paragraph here, citing your article

a2b. Review of the literature supports the outcome of the study

1 paragraph here, citing your article

a2c. Data Analysis supports the outcome of the study

This was 2 sentences, citing your article

a2d. Methodology supports the outcome of the study

This was 3 sentences, citing your article

A3. Explain how the protection of human subjects and cultural considerations were addressed by the researcher, using specific information from the chosen journal article.

This was 3 sentences, citing your article

A4. Describe one strength and one limitation of the study.

This was 2 paragraphs (one for strength and one limitation), citing your article on each

A5. Describe how the evidence from the article informs current nursing practices.

1 paragraph here, citing your article

B. Evaluate a primary, qualitative research, peer-reviewed journal article

The primary, quantitative research, peer-reviewed journal article that I chose to evaluate is:

(put the reference for your article here)

B1. Describe how the researcher addresses the following four areas in the article:

b1a. Background or introduction.

1 paragraph here, citing your article

b1b. Review of the literature

1 paragraph here, citing your article

b1c. Data Analysis

1 paragraph here, citing your article

b1d. Methodology

1 paragraph here, citing your article

B2. Evaluate whether the evidence presented in each of the four areas supports the outcome of the study and implications for future research.

b2a. Background or introduction supports the outcome of the study

1 paragraph here, citing your article

b2b. Review of the literature supports the outcome of the study

1 paragraph here, citing your article

b2c. Data Analysis supports the outcome of the study

1 paragraph here, citing your article

b2d. Methodology supports the outcome of the study

1 paragraph here, citing your article

B3. Explain how the protection of human subjects and cultural considerations were addressed by the researcher, using specific information from the chosen journal article.

1 paragraph here, citing your article

B4. Describe one strength and one limitation of the study.

This was 2 paragraphs (one for strength and one limitation), citing your article on each

B5. Describe how the evidence from the article informs current nursing practices.

1 paragraph here, citing your article

Running Head: EVIDENCE BASED PRACTICE

EVIDENCE BASED PRACTICE

Evidence Based Practice and Applied Nursing Research

Task 1 -XAP1

Adrianna Thorstad

November 20, 2019

Western Governors University

A: Quantitative Article: Song, I.-K., Park, Y.-H., Lee, J.-H., Kim, J.-T., Choi, I. H., & Kim, H.-S. (2016). Randomized controlled trial on preemptive analgesia for acute postoperative pain management in children. Pediatric Anesthesia, 438–443. doi: 10.1111/pan.12864

Background or Introduction

This study was aimed to assess the use of intravenous preemptive analgesia in the treatment of acute pain from surgical corrective osteotomies, preformed in children over two years.

Review of the Literature

The researchers of this study cited a total of 25 different articles that were used to support the study conducted. Some of these topics include the recommended use of morphine in children, the effects of early pain experience in adolescents, emergence delirium and preemptive analgesia.

Data Analysis

The data gathered during the research was analyzed using four different types of tests. These included the T-test, Fishers Exact test, Mann-Whitney U, and x^2 test.

Discussion of Methodology

The method the researcher’s used was a quantitative randomized controlled trial. 51 patients were chosen because of their similar ages and intended surgical procedures. The group was split and randomly assigned to a control group and a test group. The test group received preemptive analgesia five minutes before the first surgical incision was made, the control group was given routine analgesia five minutes after the surgery began.

Quantitative: Conclusions

The introduction of the study was very well thought out and offered factors that contributed to inadequate pain relief and the potential negative future adverse events that adolescents could undergo if their postoperative pain is not managed appropriately. The literature used by the researchers to support their study was intentional and included several uses of preemptive analgesia in different types of surgeries. The literature also accounted for the ages of the children and their ethnicity, which was Asian in this case. The data analysis used was statistical and objective which led to exact results with no gray areas. The methodology used was appropriate for maintaining the integrity of the study, including the use of an independent outcome assessor who was also blind to the randomization results. An implication for further research could be done as the test and control group only had a ten-minute difference in the delivery of the analgesic for pain management.

Quantitative: Protection and Considerations

The researchers protected the participants of the study by obtaining approval from the Seoul National University Hospital Institutional Review Board before research began. The researchers also obtains written informed consents from the parents and legal guardians for each child involved. Children with histories of drug allergies, who had experienced side effects from opioids, or had developmental delays were excluded for their safety.

Quantitative: Strengths and Limitations

A strength of the study was the researchers drive to keep the study as randomized as they could, first by using an online software to randomize the groups and secondly by having a blind independent outcome assessor. A limitation of the study was the small sample size of the resulted data. The study began with 51 patients but the data was only collected on 41 due to surgery changes and loss of data on the patient controlled analgesia pumps.

Quantitative: Evidence Applications

The conclusion of this study informs nursing practice by potentially changing the way nurses manage postoperative pain. The researchers state in the study that there was only a ten-minute time gap in between control and test group. This may have not been sufficient allotted time for the pain medication to work and truly make a difference in the children’s pain. If this is investigated further and preemptive analgesics are given even earlier in pre-surgical stages, it could lead to results that state preemptive analgesia is helpful and does make a difference in postoperative pain. Nurses may find themselves never having the encounter things such as breakthrough pain or even moderate/severe pain that many experience post-surgery. On the other hand, if no difference is found using preemptive analgesia, maybe there will be more research into multimodal approaches to pain management. This would also affect nursing practice because nurses in post-surgical situations would find themselves needing to be up to date and informed of best practices for pain management.

B: Qualitative Article: Harvey, K. A., & Kovalesky, A. (2018). Post-Operative Pain and Comfort in Children After Heart Surgery: A Comparison of Nurses and Families Pre-operative Expectations. Journal of Pediatric Nursing43, 9–15. doi: 10.1016/j.pedn.2018.07.014

Background or Introduction

The purpose of the study was to gain insight into the expectations of the parents and nurses about pain control and comfort in children after heart surgery in hopes of contributing to evidence-based family-centered interventions.

Review of the Literature

The researchers cited 42 articles to support their study throughout the article. A couple of the topics that the researchers discussed to support their study included: parent stress levels during children’s hospital recovery, holistic comfort, coping, parent education, and post-operative pain management.

Data Analysis

The data was collected during semi-structured interviews to obtain qualitative data. The interviews were audio recorded and transcribed verbatim. The interviews were then analyzed for themes in the narratives that represented perceptions and expectations around comfort for the hospitalized child.

Discussion of Methodology

The method the researchers used was qualitative. 20 nurses and 23 parents or legal guardians were interviewed about their perceptions of pain management in the hospitalized child post heart surgery.

Qualitative: Conclusions

The articles introduction does a great job in painting the picture of why this study was carried out. It explains how many children each year are born with heart defects requiring surgery, how peri-operative times for families and parents of children with CHD can be very stressful and reinforces a family centered care approach to maximize comfort in the hospitalized child. The review of the literature is extensive and very intentional with articles specific to the necessity of parental involvement in pain management for adolescents. The data analysis was thorough and appropriate, using recorded interviews with open ended questions and content analysis to find themes. The methodology used was applicable to a qualitative research article, using interested parents and nurses who were interviewed over a six-month period. This research article offers an insight into the perceptions and expectations of parents and nurses taking care of post-surgical children in pain. With these themes, research can be done to find and implement better practices in the preparation of nurses and families regarding post-surgical pain in children. Qualitative: Protection and Considerations

The researchers protected the study participants by obtaining ethics committee approval at the study site, a tertiary pediatric center in the Pacific Northwest. The participants both nurses and family members signed written informed consents before their interviews were given.

Qualitative: Strengths and Limitations

A strength of the study was the interviews that were given to the participants. The principle investigator conducting the interviews asked open-ended questions that resulting in narratives from which themes were gathered. A limitation of the study was that almost all of the participating family members were mothers of the children undergoing surgery. This means that perceptions of pain management for the child from the father or other family members was not recorded and addressed.

Qualitative: Evidence Application

The conclusion of this study informs nursing practice that the nurse-parent relationship and collaboration surrounding adolescent post-surgical pain management needs to be improved. Although education pre-operatively regarding pain management is handled by other staff excluding nurses, re-education for families in these situations by nurses may need to be necessary. This conversation may help to build a stronger rapport for the family and nurse assigned to their child. This may also include the implementation of goals for pain levels and care plans for the post-surgical adolescent decided on by the nurse and families. Lack of staff, level of acuity or other things negatively impacting the nurse-parent relationships will need to be addressed so that parent’s feel their child is being prioritized and handled with the highest quality of care. Education, goal setting and more time spent with families to discuss their child’s pain management will aid in the stronger satisfaction, better outcomes, and less stress on the families in these situations.

References

Harvey, K. A., & Kovalesky, A. (2018). Post-Operative Pain and Comfort in Children After Heart Surgery: A Comparison of Nurses and Families Pre-operative Expectations. Journal of Pediatric Nursing43, 9–15. doi: 10.1016/j.pedn.2018.07.014

Song, I.-K., Park, Y.-H., Lee, J.-H., Kim, J.-T., Choi, I. H., & Kim, H.-S. (2016). Randomized controlled trial on preemptive analgesia for acute postoperative pain management in children. Pediatric Anesthesia, 438–443. doi: 10.1111/pan.12864

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  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

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Decision Tree For Neurological And Musculoskeletal

Decision Tree For Neurological And Musculoskeletal Disorders

For your Assignment, your Instructor will assign you one of the decision tree interactive media pieces provided in the Resources. As you examine the patient case studies in this module’s Resources, consider how you might assess and treat patients presenting symptoms of neurological and musculoskeletal disorders.

To Prepare

· Review the interactive media piece assigned by your Instructor.

· Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece.

· Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned.

· You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment.

Write a 2-page summary paper that addresses the following:

· Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.

· Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources. What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.

· Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.

Use and cite at least 4 sources for the assignment.

Please discuss each medication option listed in Decision Point 1. Why did you not choose the alternative options? What is the mechanism of action for each medication? What are first line FDA approved medications for the disease state?

Case study assigned: YOU PICK

Under Required Media, feel free to go through both interactive scenarios as many times as you would like. Pick ONE to write your paper on and discuss the points above.

Assignment: Decision Tree for Neurological and Musculoskeletal Disorders

For your Assignment, your Instructor will assign you one of the decision tree interactive media pieces provided in the Resources. As you examine the patient case studies in this module’s Resources, consider how you might assess and treat patients presenting symptoms of neurological and musculoskeletal disorders.

To Prepare

· Review the interactive media piece assigned by your Instructor.

· Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece.

· Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned.

· You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment.

By Day 7 of Week 8

Write a 3-page summary paper that addresses the following:

· Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.

· Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.

· What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.

· Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.

BACKGROUND

Mr. Akkad is a 76 year old Iranian male who is brought to your office by his eldest son for “strange behavior.” Mr. Akkad was seen by his family physician who ruled out any organic basis for Mr. Akkad’s behavior. All laboratory and diagnostic imaging tests (including CT-scan of the head) were normal.

According to his son, he has been demonstrating some strange thoughts and behaviors for the past two years, but things seem to be getting worse. Per the client’s son, the family noticed that Mr. Akkad’s personality began to change a few years ago. He began to lose interest in religious activities with the family and became more “critical” of everyone. They also noticed that things he used to take seriously had become a source of “amusement” and “ridicule.”

Over the course of the past two years, the family has noticed that Mr. Akkad has been forgetting things. His son also reports that sometimes he has difficult “finding the right words” in a conversation and then will shift to an entirely different line of conversation.

SUBJECTIVE

During the clinical interview, Mr. Akkad is pleasant, cooperative and seems to enjoy speaking with you. You notice some confabulation during various aspects of memory testing, so you perform a Mini-Mental State Exam. Mr. Akkad scores 18 out of 30 with primary deficits in orientation, registration, attention & calculation, and recall. The score suggests moderate dementia.

MENTAL STATUS EXAM

Mr. Akkad is 76 year old Iranian male who is cooperative with today’s clinical interview. His eye contact is poor. Speech is clear, coherent, but tangential at times. He makes no unusual motor movements and demonstrates no tic. Self-reported mood is euthymic. Affect however is restricted. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. He is alert and oriented to person, partially oriented to place, but is disoriented to time and event [he reports that he thought he was coming to lunch but “wound up here”- referring to your office, at which point he begins to laugh]. Insight and judgment are impaired. Impulse control is also impaired as evidenced by Mr. Akkad’s standing up during the clinical interview and walking towards the door. When you asked where he was going, he stated that he did not know. Mr. Akkad denies suicidal or homicidal ideation.

Diagnosis: Major neurocognitive disorder due to Alzheimer’s disease (presumptive)

RESOURCES

§ Folstein, M. F., Folstein, S. E., & McHugh, P. R. (2002). Mini-Mental State Examination (MMSE). Lutz, FL: Psychological Assessment Resources.

Decision Point On

(1)

http://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_10/img/pill-red.pngBegin Exelon (rivastigmine) 1.5 mg orally BID with an increase to 3 mg orally BID in 2 weeks

RESULTS OF DECISION POINT ONE

· Client returns to clinic in four weeks

· The client is accompanied by his son who reports that his father is “no better” from this medication. He reports that his father is still disinterested in attending religious services/activities, and continues to exhibit disinhibited behaviors

· You continue to note confabulation and decide to administer the MMSE again. Mr. Akkad again scores 18 out of 30 with primary deficits in orientation, registration, attention & calculation, and recall

Decision Point Two

http://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_10/img/pill-red.png Increase Exelon to 4.5 mg orally BID

RESULTS OF DECISION POINT TWO

· Client returns to clinic in four weeks

· Client’s son reports that the client is tolerating the medication well, but is still concerned that his father is no better

· He states that his father is attending religious services with the family, which the son and the rest of the family is happy about. He reports that his father is still easily amused by things he once found serious

Decision Point Three

http://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_10/img/pill-red.png Increase Exelon to 6 mg orally BID

Guidance to Student

At this point, the client is reporting no side effects and is participating in an important part of family life (religious services). This could speak to the fact that the medication may have improved some symptoms. you needs to counsel the client’s son on the trajectory of presumptive Alzheimer’s disease in that it is irreversible, and while cholinesterase inhibitors can stabilize symptoms, this process can take months. Also, these medications are incapable of reversing the degenerative process. Some improvements in problematic behaviors (such as disinhibition) may be seen, but not in all clients.

At this point, you could maintain the current dose until the next visit in 4 weeks, or you could increase it to 6 mg orally BID and see how the client is doing in 4 more weeks. Augmentation with Namenda is another possibility, but you should maximize the dose of the cholinesterase inhibitor before adding augmenting agents. However, some experts argue that combination therapy should be used from the onset of treatment.

Finally, it is important to note that changes in the MMSE should be evaluated over the course of months, not weeks. The absence of change in the MMSE after 4 weeks of treatment should not be a source of concern.

Decision Point One

(2)

http://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_10/img/pill-blue.png: Begin Aricept (donepezil) 5 mg orally at BEDTIME

RESULTS OF DECISION POINT ONE

· Client returns to clinic in four weeks

· The client is accompanied by his son who reports that his father is “no better” from this medication

· He reports that his father is still disinterested in attending religious services/activities, and continues to exhibit disinhibited behaviors

· You continue to note confabulation and decide to administer the MMSE again. Mr. Akkad again scores 18 out of 30 with primary deficits in orientation, registration, attention & calculation, and recall

Decision Point Two

http://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_10/img/pill-red.png Increase Aricept to 10 mg orally at BEDTIME

RESULTS OF DECISION POINT TWO

· Client returns to clinic in four weeks

· Client’s son reports that the client is tolerating the medication well, but is still concerned that his father is no better

· He states that his father is attending religious services with the family, which the son and the rest of the family is happy about. He reports that his father is still easily amused by things he once found serious

Decision Point Three

http://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_10/img/pill-red.png Continue Aricept 10 mg orally at BEDTIME

Guidance to Student

At this point, it would be prudent to continue Aricept at 10 mg orally at bedtime. Recall that this medication can take several months before stabilization of deterioration is noted. At this point, the client is attending religious services with the family, which has made the family happy. Disinhibition may improve in a few weeks, or it may not improve at all. This is a counseling point that you should review with the son.

There is no evidence that Aricept given at doses greater than 10 mg per day has any therapeutic benefit. It can, however, cause side effects. Increasing to 15 and 20 mg per day would not be appropriate.

There is nothing in the clinical presentation to suggest that the Aricept should be discontinued. Whereas it may be appropriate to add Namenda to the current drug profile, there is no need to discontinue Aricept. In fact, NMDA receptor antagonist therapy is often used with cholinesterase inhibitors in combination therapy to treat Alzheimer’s disease. The key to using both medications is slow titration upward toward therapeutic doses to minimize negative side effects.

Finally, it is important to note that changes in the MMSE should be evaluated over the course of months, not weeks. The absence of change in the MMSE after 4 weeks of treatment should not be a source of concern.

(3)

Decision Point One

http://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_10/img/pill-yellow.pngBegin Razadyne (galantamine) 4 mg orally BID

RESULTS OF DECISION POINT ONE

· Client returns to clinic in four weeks

· The client is accompanied by his son who reports that his father is “no better” from this medication

· He reports that his father is still disinterested in attending religious services/activities, and continues to exhibit disinhibited behaviors

· You continue to note confabulation and decide to administer the MMSE again. Mr. Akkad again scores 18 out of 30 with primary deficits in orientation, registration, attention & calculation, and recall

Decision Point Two

http://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_10/img/pill-red.png Increase Razadyne to 24 mg extended release daily

RESULTS OF DECISION POINT TWO

· Client returns to clinic in four weeks

· The client’s son accompanies the client to his appointment today. The client is in a wheelchair and is somewhat agitated

· You are informed by the son that his father has not taken his medication since he got out of the hospital. Apparently, about 7 days after starting the Galantamine extended release, the client began having seizures which resulted in a fall and fractured hip. The son reports that his father is agitated with everyone and is asking for help in treating his agitation

Decision Point Three

http://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_10/img/pill-red.png Restart Razadyne extended release 24 mg

Guidance to Student

Razadyne extended release 24 mg is a “target” dose—not a starting dose. Side effects of Razadyne include GI side effects as well as dizziness. Rare side effects include seizures. If no other medications were added to the client’s medication regimen and no other physical issues were present (e.g., metabolic derangements), then the high dose of Razadyne in this client would most likely be responsible for his seizures, which resulted in the fall and the hip fracture. This would represent malpractice. If you were to consider restarting Razadyne, it should be restarted at a proper starting dose, as side effects are often dose dependent.

Risperdal would not be appropriate to treat agitation in this client as the FDA has issued a black box warning against the treatment of agitation in dementia with antipsychotic medications. Although they can still be used despite black box warnings, you should conduct a comprehensive assessment of this client to see if a physical issue is causing the agitation. A hip fracture is often associated with pain, and untreated pain may be the cause of the client’s agitation. Therefore, assessment for pain would be the correct choice in this scenario.

Never use psychotropic drugs to treat behaviors until physical causes of the behavior have been ruled out (e.g., pain, infection, constipation).

Finally, it is important to note that changes in the MMSE should be evaluated over the course of months, not weeks. The absence of change in the MMSE after 4 weeks of treatment should not be a source of concern.

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Decision Tree For Neurological And Musculoskeletal Disorders

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Who We Are 

We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

Do you handle any type of coursework?

Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

Is it hard to Place an Order?

  • 1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
  • 2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
  • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • 4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • 5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – 

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

  • Guarantee

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  • On-time delivery
  • A-Grade Papers
  • Free Revision
  • 24/7 Support
  • 100% Confidentiality
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How to THINK Like a Nurse by Recognizing Clinical RELATIONSHIPS

How to THINK Like a Nurse by Recognizing Clinical RELATIONSHIPS Six Essential Clinical Relationships:

1. RELATIONSHIP of the past medical history and current medications 2. RELATIONSHIP between RELEVANT present problem data and the primary medical problem 3. RELATIONSHIP between RELEVANT clinical data and the primary problem 4. RELATIONSHIP between the primary medical problem and nursing priority 5. RELATIONSHIP between the primary care provider’s orders and primary problem 6. RELATIONSHIP between diseases in PMH that may have contributed to the development of the current problem

History of Current Problem: John Gates is a 59-year-old male with a history of diabetes type II and hypertension who was at work when he had sudden

onset of right-sided weakness, right facial droop, and difficulty speaking. He was transported to the emergency

department (ED) where these symptoms continue to persist. It has been one hour from the onset of his neurologic

symptoms when he presents to the ED. You are the nurse responsible for his care.

1. What is the RELATIONSHIP of the past medical history and current medications? (Which medication treats which condition? Draw lines to connect)

Past Medical History Home Meds:

Diabetes mellitus type II-poorly controlled

Hypertension

Hyperlipidemia

Gouty arthritis

Smokes 1 ppd x 40 years

Lisinopril

Indomethacin

Aspirin

Metformin

Simvastatin

Patient Care Begins:

Current VS: P-Q-R-S-T Pain Assessment: T: 99.2 F/37.3 C (oral) Provoking/Palliative: Unable

P: 118 (irregular) Quality:

R: 20 (regular) Region/Radiation:

BP: 198/94 Severity:

O2 sat: 99% room air Timing:

Current Assessment:

GENERAL

APPEARANCE:

Appears anxious–he is aware and appears to be concerned about changes in neuro status.

RESP: Breath sounds clear with equal aeration bilaterally, non-labored respiratory effort

CARDIAC: Pink, warm & dry, no edema, heart sounds irregular–S1S2, telemetry rhythm is atrial

fibrillation, pulses strong, equal with palpation at radial/pedal/post-tibial landmarks

NEURO: Is anxious, restless, and agitated, speech is currently slurred and difficult to understand, facial droop present on right side, pupils equal and reactive to light (PEARL), both right

upper extremity (RUE) and right lower extremity (RLE) notably weak (3/5) in comparison to

left, which is strong (5/5), right pronator drift present, unable to hold right arm up, right

visual deficit cut present

GI: Abdomen soft/non-tender, bowel sounds audible per auscultation in all 4 quadrants

Able to swallow saliva

GU: Voiding without difficulty, 700 mL urine clear/yellow,

SKIN: Skin integrity appears intact, right foot not assessed at this time

© 2016 Keith Rischer/www.KeithRN.com

Lab/diagnostic Results: What diagnostic results are RELEVANT and must be interpreted as clinically significant by the nurse?

RELEVANT Results: Clinical Significance: No abnormalities noted,

no mass, no bleed, no

shift present

Make a clinical JUDGMENT. Is a PROBLEM present? Based on your identification and TRENDING of RELEVANT clinical data, is a problem present?

If a problem is present, what is it?

What is the underlying cause/pathophysiology of this primary problem?

THINK Like a Nurse by Recognizing Clinical RELATIONSHIPS 2. What is the RELATIONSHIP between RELEVANT current problem data and the primary medical

problem?

Complete Blood Count (CBC) Current High/Low/WNL? Previous:

WBC (4.5-11.0 mm 3) 6.8 7.9

Hgb (12-16 g/dL) 14.8 16.1

Platelets(150-450x 103/µl) 228 201

Neutrophil % (42-72) 71 79

Basic Metabolic Panel (BMP) Current High/Low/WNL? Previous:

Sodium (135-145 mEq/L) 133 139

Potassium (3.5-5.0 mEq/L) 4.1 4.5

Glucose (70-110 mg/dL) 222 128

Creatinine (0.6-1.2 mg/dL) 1.5 1.1

Coag

PT/INR (0.9-1.1 nmol/L) 1.1 n/a

RELEVANT Current Problem Data: How Does it Relate to Primary Medical Problem?

© 2016 Keith Rischer/www.KeithRN.com

3. What is the RELATIONSHIP between RELEVANT clinical data and the primary problem? RELEVANT VS Data: How Does it Relate to Primary Problem?

RELEVANT Assessment Data: How Does it Relate to Primary Problem?

RELEVANT Lab Data: How Does it Relate to Primary Problem?

4. What is the RELATIONSHIP between the primary medical problem and nursing priority(ies)?

Nursing Priority(ies): How Nursing Priority will help Resolve Primary Medical Problem:

© 2016 Keith Rischer/www.KeithRN.com

5. What is the RELATIONSHIP between the primary care provider’s orders and primary problem? Care Provider Orders: How it Will Resolve Primary Problem:

Establish peripheral IV

12 lead EKG stat

Labetalol 10-20 mg IV prn every 15

minutes to keep SBP 160-180

CT head stat

Cardiac monitor continuous

NPO

Alteplase IV dose per pharmacy

(if CT negative for bleed)

6. Is there a RELATIONSHIP between diseases in the patient’s past medical history that may have contributed to the development of the current problem?

(Which disease likely developed FIRST, then started a “domino effect”?)

Past Medical History What Came FIRST:

Diabetes mellitus type II-poorly

controlled

Hypertension

Hyperlipidemia

Gouty arthritis

Smokes 1 ppd x 40 years

What Then Followed:

  1. Lisinopril Indomethacin Aspirin Metformin Simvastatin:
  2. Current VS:
  3. PQRST Pain Assessment:
  4. P 118 irregular:
  5. UnableQuality:
  6. R 20 regular:
  7. UnableRegionRadiation:
  8. BP 19894:
  9. UnableSeverity:
  10. UnableTiming:
  11. Current Assessment:
  12. Appears anxioushe is aware and appears to be concerned about changes in neuro status:
  13. RESP:
  14. CARDIAC:
  15. NEURO:
  16. GI:
  17. GU:
  18. Voiding without difficulty 700 mL urine clearyellow:
  19. SKIN:
  20. Clinical SignificanceNo abnormalities noted no mass no bleed no shift present:
  21. Current:
  22. Previous:
  23. WBC 45110 mm 3:
  24. HighLowWNL68:
  25. 79:
  26. Hgb 1216 gdL:
  27. HighLowWNL148:
  28. 161:
  29. HighLowWNL228:
  30. 201:
  31. Neutrophil 4272:
  32. HighLowWNL71:
  33. 79_2:
  34. Current_2:
  35. Previous_2:
  36. HighLowWNL133:
  37. 139:
  38. HighLowWNL41:
  39. 45:
  40. Glucose 70110 mgdL:
  41. HighLowWNL222:
  42. 128:
  43. HighLowWNL15:
  44. 15Coag:
  45. HighLowWNLCoag:
  46. 11Coag:
  47. HighLowWNL11:
  48. na:
  49. RELEVANT Current Problem DataRow1:
  50. How Does it Relate to Primary Medical ProblemRow1:
  51. RELEVANT VS DataRow1:
  52. How Does it Relate to Primary ProblemRow1:
  53. RELEVANT Assessment DataRow1:
  54. How Does it Relate to Primary ProblemRow1_2:
  55. RELEVANT Lab DataRow1:
  56. How Does it Relate to Primary ProblemRow1_3:
  57. Nursing PriorityiesRow1:
  58. How Nursing Priority will help Resolve Primary Medical ProblemRow1:
  59. How it Will Resolve Primary ProblemEstablish peripheral IV 12 lead EKG stat Labetalol 1020 mg IV prn every 15 minutes to keep SBP 160180 CT head stat Cardiac monitor continuous NPO Alteplase IV dose per pharmacy if CT negative for bleed:
  60. What Then Followed:
  61. Answer1:
  62. Answer2:
  63. Answer3:

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Week 7 Discussion: What Do I Value?

Week 7 Discussion: What Do I Value?

Required Resources Read/review the following resources for this activity:

Introduction At the very end of Chapter 13, there is a Group Exercise that asks: What ideals would you go to war to defend? We are not going to ask you to go to war, but we are going to ask you to think about what ideals or values you believe would be worth defending – even to the point of risking your life in their defense.

When Nazi Germany overtook Europe in the early 20 Century, resistance movements sprung up in the occupied countries, and many civilians risked – and lost – their lives against Nazisim. Today, in Saudi Arabia, women who protested restrictions on the rights of women imposed by that country have been jailed, and remain jailed, even after some of the rights they asked for have been granted.

Initial Post Instructions For the initial post, address the following:

This is not a group exercise – post your thoughts, considering the scenarios proposed in the text or any others you find important. Be sure to give your reasons for your answer.

Notice that this exercise requires deductive reasoning. You are stating a position and supporting it with “top down” reasoning. Be sure to review Three Features of Ideological Reasoning. Apply these concepts as you create your own arguments and evaluate those of your peers.

Remember that you are using ideological reasoning here. Is your post structured like an ideological argument, beginning with a general idea (opinion, belief, or principle) and moving down from these abstractions to their specific applications?

The text warns us that ideological arguments often fail the test of Truthfulness of the Premises. Have you tested the truth of your premises?

Textbook: Chapter 13 Lesson Minimum of 1 scholarly source (in addition to the textbook)

What core values would you risk your life and freedom to defend? Could a nation going to war be appropriate in certain circumstances – or is war never an appropriate response?

th

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Note

You will be writing here about what you value highly. Others may not share your values. Indeed, you may find that someone will write something that is entirely opposed to your values. As critical thinkers and reasoners, we do not take offense because someone disagrees with us. Critical thinkers examine their own argument, and the arguments of others, objectively, rationally, and logically. Critical thinkers and reasoners do not find the opinions of others “right” or “wrong” – they find them well-supported or not well-supported.

Respect the opinion of your classmates. If you feel the need to disagree, do so respectfully and acknowledge the valid points in your classmate’s argument.

Do not write anything that sounds angry or sarcastic even as a joke, because without hearing your tone of voice, your peers might not realize you are joking.

The real objective here is discovering what values and beliefs are important to you and whether or not you have a sound basis for those beliefs.

Follow-Up Post Instructions Respond to at least two peers or one peer and the instructor. Further the dialogue by providing more information and clarification.

Writing Requirements

Grading This activity will be graded using the Discussion Grading Rubric. Please review the following link:

Course Outcomes (CO): 3, 4, 6

Due Date for Initial Post: By 11:59 p.m. MT on Wednesday Due Date for Follow-Up Posts: By 11:59 p.m. MT on Sunday

Do you agree with their answers? Would you join them in going to war for the reasons they advance, or do you disagree with their reasons? Explain why.

Minimum of 3 posts (1 initial & 2 follow-up) Minimum of 2 sources cited (assigned readings/online lessons and an outside source) APA format for in-text citations and list of references

Link (webpage): Discussion Guidelines

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(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Jun 22, 2020

Edited by Sonja Sheffield (/orders/chamberlain.instructure.com/courses/65138/users/97891) on Jun 22 at 12:41pm

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Greetings Students:

You are only required to post an initial answer post and ONE follow-up post in each required discussion, each week.

Please make your TWO posts each week between Monday and Sunday. Your posts must occur on different days with the first post occurring by Wednesday. If there are extenuating circumstances, please communicate with your professor.

A critical judgment is a (usually written) opinion or conclusion. A good example is the written opinion of a property Assessor used in the buying and selling of Real Estate. While such an opinion is subjective, it is usually accompanied by supporting evidence and rationale.

A value judgment is simply a decision about the value of something. It often involves a subjective assessment of the importance, worth, or utility of something. The judgment that “being prepared is of great value” is a good example.

What is a Value Principle?

In simple terms, a value principle is the value position behind a particular fact and has two distinguishing characteristics. It is stated as a generalization. That is, the values principle relates a particular factual claim to a broader class of related ideas. The second characteristic is the inclusion of an evaluative term such as a prescriptive term (i.e., should, ought, or must) or descriptive/evaluative term (i.e., such as beautiful/ugly, important/unimportant, good/bad, relevant/irrelevant and so on). This characteristic parallels the use of an evaluative term in the overall claim or question.

Consider the following example:

Overall Value Claim: Persons should use scarce resources wisely. Supporting Factual Claim: Food conservation allows more people to be well nourished. Value Principle: Practices that promote health and well-being should be encouraged.

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Melissa Shetto (/orders/chamberlain.instructure.com/courses/65138/users/152005) Wednesday

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Hello everyone,

What core values would you risk your life and freedom to defend?

The main core values that I would definitely risk my life or freedom to defend would be freedom (liberty) and equal treatment to all regardless of one’s gender, social or ethnic background. According to Hanway (2020, p. 32), many would put freedom as a major core value and it not so much about doing entirely as we please, where others are adversely affected, but it is about being able to develop our interests and talents, so that all may benefit.

According to how I see it freedom encompasses liberty which translates to being able to freely express myself, to choose the quality of life that suits me, being free to practice the religious faith of my own choosing, being able to decide my orientation, I am able to make my own choices regarding anything that affects my life and openly express my political views so long as it respects the freedom and safety of others. Therefore, I would risk my life and freedom to defend my own right to liberty and that of my fellow countrymen, I would do so because when liberty is only a reality for a few people then in truth it does not exist. When a certain group of people or community is denied the right to practice their faith, live as they wish or even to express themselves because of their social or ethnic background, that kind of oppression affects all of us.

Let’s think about freedom, perhaps the most central and prized of our American values. We know that there is a difference between “freedom from” and “freedom for,” the former being the removal of restraints or responsibilities as citizens, while the latter “freedom for” implies that we have a purpose and a value beyond lack of constraints upon our behavior. In that light, let us probe a little more into our American value of freedom. Let us ask questions such as the following: “Whose freedom? Who benefits? And who pays the cost?” (Hanway, 2020).

Second, I would risk my freedom to defend equality and my right and that of others to have access to equal opportunities ranging from education, healthcare services, employment to mention a few, regardless of my gender, social or ethnic/ racial background. Discrimination can hinder the progress of an entire nation because a part of its community is not included in opportunities that cause that group to fall behind in terms of development therefore, I would stand up and defend the right to equal treatment and inclusivity of every individual.

Could a nation going to war be appropriate in certain circumstances – or is war never an

8/23/20, 4:45 PM Page 4 of 49

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appropriate response?

According to how I see it war is never an appropriate course of action no matter the cause or circumstances. I say this because no matter how justified the cause for a country to go to war maybe, the cost of war in most cases out-weighs it. The consequences of war on the general population of the nations involved has long-term negative effects including but not limited to economic or social stagnation or decline, decrease in population caused by death, disabilities and psychological and emotional trauma.

According to Kausar and Guangxin (2019) war not only causes the issue of people being displaced but also the mental health problem is a major issue facing the children, men and women during warfare. Moreover, it leads to extreme violence, aggression, destruction, and mortality of many innocents.

Furthermore, as mentioned in an article from a medical journal; the effects of war include long- term physical and psychological harm to children and adults, as well as reduction in material and human capital (Murthy & Lakshminarayana, 2006).

Therefore, I believe that war should be avoided at all cost unless it is absolutely the last course and only solution to a problem such as defending a country against invasion or enemy attacks.

References

Hanway, D., G. (2020). Finding Common Ground: Means, Ends, and Core Values in America Today. Torch Magazine. 9, 33, pp. 29-33.

http://www.ncsociology.org/torchmagazine/v933/Hanway.pdf (http://www.ncsociology.org/torchmagazine/v933/Hanway.pdf)

Kausar, S. and Guangxin, W. (2019). “Overview on Psychological and Social Consequences of War”. Malaysian Journal of Social Sciences and Humanities (MJSSH). 4(8), pp. 11 – 19. /orders/msocialsciences.com/index.php/mjssh/article/view/317 (/orders/msocialsciences.com/index.php/mjssh/article/view/317)

Murthy, R. S., & Lakshminarayana, R. (2006). Mental health consequences of war: a brief review of research findings. World psychiatry: official journal of the World Psychiatric Association (WPA), 5(1), 25–30. /orders/www.ncbi.nlm.nih.gov/pmc/articles/PMC1472271/ (/orders/www.ncbi.nlm.nih.gov/pmc/articles/PMC1472271/)

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Monica Hernandez (/orders/chamberlain.instructure.com/courses/65138/users/118358) Tuesday

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Hello Professor,

Core values to risk one’s life and freedom would depend on the individual person(Facione, pg 59). It is important to receive an education to ensure people are successful throughout their life. Education helps people learn, grow, and have a better life. People need to be educated in different areas to have a better understanding of life, people, and society as a whole. Often, poor/lower class people aren’t given the same opportunities and have a harder time furthering their education because they may be unable to pay for continual education. School (/orders/image-seeker.com/s/?q=School) /education should be free across the globe so people can have the same opportunities. There is a possibility the nation will go to war to fight for a better or free education. Education empowers a person and helps them become successful people. In my experience, people often want to further their education; however one might not be able to do so for various reasons such as not enough money, afraid of traveling, family problems, and many other reasons depending. on the individual. Life and freedom are important. People need fo “go to college (/orders/image-seeker.com/s/?q=college) /get an education” otherwise he/she might not able to get a decent job in this modern society. Opportunities arise when people take/make the right choice in their life. Core values to risk one’s life and freedom often vary from person to person. As mentioned, people all have their wants and desires. Values are essentially the most important things in our lives.

Explanation:

This answer could vary depending on the person/topic. For the topic of “education” people could potentially go to war to fight for better education, or to fight for free education. Education is essential to help one live and succeed in their life. Other examples include different cultures, racial problems, different laws, and many others. People will often fight for the things they stand for. Opinions and beliefs will also change from person to person. One person may be for something, however, another person could be “against” it. Different things in life are of more value than others such as freedom, family, health (/orders/image-seeker.com/s/?q=health) , happiness, education, wealth, and many others. As mentioned earlier, there are many views and opinions because people are all unique individuals. We may not agree with one another, however, we all have our own oughts, ideas, and beliefs in which we want to express.

References:

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Facione, P. A., & Gittens, C. A. (2016). Think critically (3rd ed.). Boston: Pearson.

American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). /orders/doi.org/10.1037/0000165-000 (/orders/doi.org/10.1037/0000165-000)

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Tuesday

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!

Monica, I appreciate your response for this week; however, the response needs to be about “what you think” as it relates to the following:

What core values would you risk your life and freedom to defend? Could a nation going to war be appropriate in certain circumstances – or is war never an appropriate response?

(/orders/chamberlain.instructure.com/courses/65138/users/143371)

Chloe Williams (/orders/chamberlain.instructure.com/courses/65138/users/143371) Tuesday

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Chloe Williams

Week 7 Discussion

What core values would you risk your life and freedom to defend?

One core value that I would risk my life and freedom for is for the freedom for the African American community. Basically behind the same issues that we are currently facing today. Any African American wrongfully convicted or an African American that face more critical consequences behind the same thing another race did who did not receive the same consequences, if any…I will defend until the death

8/23/20, 4:45 PM Page 7 of 49

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of me and risk my freedom if needed. Racism is at an all time high and it has to stop. We are all human.

Would you join them in going to war for the reasons they advance, or do you disagree with their reasons? Explain why.

Going to war is never a good thing. But when it’s because of the same issue that has been going on for years, what more can you do? War becomes an only option if that’s what it takes for African Americans to genuinely receive the freedom we truly deserve. I believe that everyone should be treated equally no matter the race. I believe that no race is better than the other or smarter than the other. I also believe that no one is born with hate in their hearts, so teaching hate is an awful thing and it has to stop. So yeah, I would join any nation that goes to war for the freedom of African Americans.

References

Facione, P. & Gittens, C. A. (2016). Thinking critically (3 Edition). Pearson Education, Inc.rd

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Chloe Williams (/orders/chamberlain.instructure.com/courses/65138/users/143371) Tuesday

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!

2 Minimum Scholarly Cites

Core values are the fundamental beliefs of a person or organization (Your Dictionary, 2020). Throughout history people have gone to war. On many occasions, religious ideologies, political ideologies, or economic ideologies have been at the root of those conflicts (Facione, 2016).

References

Facione, P. & Gittens, C. A. (2016). Thinking critically (3 Edition). Pearson Education, Inc.

Examples of Core Values. 2020. Your Dictionary. Retrieved from /orders/examples.yourdictionary.com/examples-of-core-values.html (/orders/examples.yourdictionary.com/examples-of-core-values.html)

rd

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) !

8/23/20, 4:45 PM Page 8 of 49

Wednesday

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Chloe, thank you for your post for this week.

So are you purporting or advocating that African-Americans need to start a war and that war is the only option for African-Americans to take at this point? What would that look like to you? And finally do you believe that a nation would go to war for the freedom of African-Americans? I look forward to your response.

(/orders/chamberlain.instructure.com/courses/65138/users/154614)

Jasmine Burgess (/orders/chamberlain.instructure.com/courses/65138/users/154614) 11:29am

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Hi Chloe,

I enjoyed reading your post and knowing that you feel so strongly about freedom for the African American race. I agree with you that freedom is something that is a major topic in the African American community but I just wanted to add that equality is also a huge issue that African Americans face. Because of what has been going on today between African Americans and law enforcement, equality, freedom, and justice for the African American race is something that we all should come together and fight for. I believe that war in this case is appropriate because these issues towards African Americans has transpired for centuries and it seems that nothing is being done. If war is something that will help bring awareness to the issue and possibly evoke change, then I feel that it is appropriate.

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Amanda Torres (/orders/chamberlain.instructure.com/courses/65138/users/145531) Tuesday

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What core values would you risk your life and freedom to defend? Hello guys,

8/23/20, 4:45 PM Page 9 of 49

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For me personally, one core value I would risk my life and freedom to defend would be equality for women’s rights. This idea of feminism is so much more than just women wanting to be equal, it is about being intersectional. Intersectional feminism has to do with inclusivity for women of all economic backgrounds, religion, race and orientation. To explain it a little bit more I found this quote from an article in a women’s and gender studies educational website: “white feminism ignores intersectionality and neglects to recognize the discriminations experienced by women who are not white…“White feminism” depicts the way white women face gender inequality as the way all women experience gender inequality, which just isn’t correct.” (Hawk, 2016)To me this is the only type of feminism we can get behind. It’s not just about white women standing up for their rights, but all woman of all backgrounds, standing up for all women. It is 2020 and women are still being denied for things based on being a woman or a girl. One statistic I found was this “white women earn 80% of what white men do, while black women earn 66% and Hispanic women earn 58%, a pay gap of 42%.” (Sheth, 2020) Women in powerful work positions are still considered bossy, while men would be described as being a “boss.” We are human, so women’s rights is human rights. We deserve fair or equal wages, reproductive rights, to be free from sexual violence, the right to education and so much more without barriers because of our gender.

Could a nation going to war be appropriate in certain circumstances – or is war never an appropriate response?

I am not somebody who condones violence, but I do believe that war as a last resort can be the solution for many issues. When a marginalized group of people continue to be neglected for an issue that has been taking place for years, how else can someone react? You cannot be expected to be complacent when our country was built on us literally getting up and breaking free from another country who’s beliefs we didn’t agree with. In the case of women’s rights do I think there needs to be a war, currently, no i do not. However, if women continue to be told how and what to do with their body, they deserve to respond however they see fit for freedom of autonomy. Right now we take a stand by marches, or protests or speaking up, but if it continues in to be a problem with no resolution I think it’s fair to want to bring change.

References:

Hawk, T. (2016, July 26). What is “Intersectional Feminism”?: Article. Retrieved August 19, 2020, from /orders/denison.edu/academics/womens-gender-studies/feature/67969

Sheth, S., GAl, S., & Hoff, M. (2020, March 31). 7 charts that show the glaring gap between men’s and women’s salaries in the US. Retrieved August 19, 2020, from /orders/www.businessinsider.com/gender- wage-pay-gap-charts-2017-3

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Wednesday

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Amanda, thank you for your post for this week.

Being a female myself I understand the points that you have made. And although you indicate that you don’t think that there should be a war currently in the case of women’s rights, but as you said if the problem continues that a war should follow? On what level would that war be: for example states among themselves having ammunition or the nation as a whole? I look forward to your response.

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Caitlyn Pienkowski (/orders/chamberlain.instructure.com/courses/65138/users/102153) Wednesday

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Hello!

My core values that I would risk my life and freedom to defend would be essentially what is morally right for a human being to have. Equality, for example, is one. This can mean equality for women’s rights, LGBTQ+ rights, etc. Speaking for myself, I treat everyone as my equal, I don’t believe anyone is above or below me no matter of age or professional position. If I am treated with respect, I will give my respect as well. When I see a group of community being treated unfairly, I believe it is in my duty to stand up for what’s right to help raise awareness and respect for those in need.

War wouldn’t have to be an option if a nation would listen to what the people are saying is morally right. I think going to war within your own nation is something that is unnecessary for the reason that everyone should have their rights and respect and if you have to fight for that, then you are living in a nation where you’re rights and respect are not valued. Gitten states, “It takes courage to challenge powerful people who are using their ideological stance to cause harm” (2015). As this risk can be a target to you and your surroundings, it is something to ask if you’d want somebody to stand up for you and your rights for your freedom.

What core values would you risk your life and freedom to defend?

Could a nation going to war be appropriate in certain circumstances – or is war never an appropriate response?

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References

Gittens, P.F.C. A. (2015). THINK Critically. [VitalSource Bookshelf]. Retrieved from /orders/online.vitalsource.com/#/books/9780133914351/ (/orders/online.vitalsource.com/#/books/9780133914351/)

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Wednesday

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Caitlyn, thank you for posting this week’s discussion.

You have some very interesting points but if I may, let me add some clarification. What does going to war with in one’s own nation look like? In other words who would they be fighting and who would be the ones doing the fighting? And finally when I think of war I think about ammunition what are your thoughts about that – using ammunition?

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Caitlyn Pienkowski (/orders/chamberlain.instructure.com/courses/65138/users/102153) 11:27am

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Hi Professor,

When I think of going to war within one’s own nation I think kind of what’s happening in today’s world. All of the protests and riots, fighting to raise awareness for what’s right. Although I do not believe violence should become a thing, at the end of the day I believe I would grow tired and frustrated if my values were not being respected. As I would not use ammunition, I can see why people result to that.

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Wei Wen Chiang

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(/orders/chamberlain.instructure.com/courses/65138/users/99157) Yesterday

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Hi Caitlyn,

I agree that everyone should treat and should be treated equally. It’s crazy to think that 100 years ago, women and people with color could not vote. That blows my mind. But I disagree that going to war within my own nation is unnecessary. If a person or a group of people have been showing that they are not being treated equally for a long period of time but the superior power keeps ignore or even justify their own action, what should the minority group do to let everyone hear their voice? I do not think war is the best choice, but when you do not have choice or when the choices are running out…I think war becomes the last choice!

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Caitlyn Pienkowski (/orders/chamberlain.instructure.com/courses/65138/users/102153) 11:01am

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Hi Wei Wen,

To clarify, I generally meant we do not have to go to war within our own nation if our superior (the president) would listen to their people about their values. We as citizens should have our rights and values respected and we wouldn’t have to go to war IF we had that. Of course going to war is an option if we have yet to gain that respect we deserve. Hope that clarifies what i meant!

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Juliana Shahly (/orders/chamberlain.instructure.com/courses/65138/users/154119) 3:17am

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Hello Caitlyn,

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I agree with your post. I too would go to war for equality. I choose to go to war for equality in regard to medical treatments. I believe that everyone should be treated fairly when it comes to medical treatments, procedures, and medications. I think it is unfair that some people are judged based on their backgrounds especially people who are of the minority population. Also, I would definitely go to war for women’s rights and LGBTQ+ rights. I think it is important to speak one’s mind to make a change. I enjoyed reading your post. Good job!

-Juliana Shahly

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Elijah Wiggin (/orders/chamberlain.instructure.com/courses/65138/users/147419) Wednesday

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Hello class,

“Ideological reasoning is the process of thinking that begins with abstractions or generalizations that express one’s core beliefs, concepts, values, or principles and proceeds to reason top down to applications.” (Facione, 2016)

For someone to say they would risk their freedom and life to defend it, it has to be something very important to the person. For me that thing id my religion and what I believe in. Christianity is something that is very important in my life and is something that I hold very important to me. I would defend what I believe if I felt that it was threatened and die for it if it came to that point.

I think that war can be a solution but should not be the first solution tried. I do not believe that a war would begin because of religion. There are religions like Islam where there are extremist that will do acts of terrorism and that can start wars. I do not think that it has to come to that with defending religion but if it does come to that point I will join in fighting for what I believe.

Facione, P. & Gittens, C. A. (2016). Thinking critically (3 Edition). Pearson Education, Inc.rd

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) !

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Wednesday

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Elijah, thank you for your post this week.

So I glean from your post that although you are seemingly a peaceful individual, but you would actually engage and defend a war to fight for what you believe in, i.e., Christianity and your beliefs?

As an aside, what you think a religious war would look like specifically?

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Caitlyn Pienkowski (/orders/chamberlain.instructure.com/courses/65138/users/102153) 11:34am

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Hi Elijah,

I respect your choice in what you believe in and what you’d fight for. In addition for myself, I would fight for my family if they were threatened and the innocents of wildlife animals. We all need someone to fight for someone or something that cannot defend themselves. I also agree war should not be first choice, but if it has to come down to it that we would join to fight what is right. Great post!

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Wei Wen Chiang (/orders/chamberlain.instructure.com/courses/65138/users/99157) Wednesday

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Hello everyone,

I would risk my life and freedom to defend democracy and equality. A lot of people may not know Taiwan, a tiny country that’s next to China. Taiwan and China both speak Mandarin and we both look alike when it comes to looks, but one thing that is different between the two is democracy. We are proud of our democracy. But recently, Chinese government has frequent military practices toward

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Taiwan; the action is to threaten Taiwan to not become independent from China. In China’s mind, we are part of China. Throughout 2018, China stepped up pressure on international companies forcing them to list Taiwan as a part of China on their websites and threatening to block them for doing business in China if they failed to comply (BBC New, 2019).

War is never an appropriate response, because it would involve innocent civilians and possible thousands of lives. But in this case, Chinese government may be too eager to expand the country wanting to take over Taiwan and war becomes unpreventable. In recent news, Chinese government arrested Hong Kong pro-democracy media tycoon because of his media company is writing something that is against with China’s wishes (CNBC, 2020). There are a lot of people randomly disappeared in Hong Kong because they openly protest for their democracy and freedom. I think in another way, Hong Kong citizen is in war fighting for their democracy and freedom right now.

BBC News. (2019, January 02). What’s behind the China-Taiwan divide? Retrieved August 19, 2020, from /orders/www.bbc.com/news/world-asia-34729538 (/orders/www.bbc.com/news/world-asia- 34729538)

CBNC. (2020, August 10). Hong Kong media tycoon Jimmy Lai arrested, newsroom searched. Retrieved August 19, 2020, from /orders/www.cnbc.com/2020/08/10/hong-kong-media-tycoon- jimmy-lai-arrested-under-security-law.html (/orders/www.cnbc.com/2020/08/10/hong-kong-media- tycoon-jimmy-lai-arrested-under-security-law.html)

Facione, P. & Gittens, C. A. (2016). Thinking critically (3 Edition). Pearson Education, Inc.rd

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Wednesday

Edited by Sonja Sheffield (/orders/chamberlain.instructure.com/courses/65138/users/97891) on Aug 19 at 12:09pm

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Ann, thank you for your post for this week.

I know Taiwan and I also know both countries speak Mandarin (smile). So based on the information that you provided about China stepping up pressure on international companies and forcing them to list Taiwan as part of China, how do you see you risking your life and freedom to defend democracy and equality as it relates to that?

And how would you see the war manifesting itself for the Hong Kong citizens who are fighting for their democracy and freedom right now?

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Wei Wen Chiang (/orders/chamberlain.instructure.com/courses/65138/users/99157) Yesterday

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Hello Professor,

I used Hong Kong as an example that when people trying to voice for freedom and equality, the voice got “cancelled”. Knowing that the possibility of being “cancelled” or “disappeared” I would still choose to voice my concern and support for democracy and freedom. I think in that case, I will post on social media or get someone internationally to pay attention to this case because I do not think a lot of Western countries really know what is going on.

I think the war in Hong Kong serves at a catalyst in this case. Because of the media attention from Hong Kong, people will start to pay more attention about the Taiwan/China issue.

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) 10:12am

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Ann, thank you for your response.

I understand now. I think that is so sad that people’s voices and concerns cannot be heard, and more horribly that their voice is “silenced” by those who just do not want to hear or don’t care about others and their concerns. I, for one, don’t really really know what’s going or at least I did not until you wrote in this discussion. This is so sad.

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Ashley White (/orders/chamberlain.instructure.com/courses/65138/users/148682) Wednesday

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Hi Professor and Class!

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Core values tell a lot about a person. They can dictate behavior and help people understand the difference between right and wrong. Life can be much easier when you acknowledge your values – and when you make plans and decisions that honor them(Manktelow, 2020). One issue that I would risk my life for to defend would be for the kids that are sold into sex trafficking. Being a mother to a young daughter, this issue terrifies me. Its become such a huge concern and could be going on right down the street.

Could a nation going to war be appropriate in certain circumstances – or is war never an appropriate response?

This issue would be appropriate for war. Children are absolutely defenseless. The people involved seem to be higher ups and believe that they are untouchable. It seems the number of children involved are growing in Atlanta due to the fact we have one of the largest airports. The 3,600 children that could fill the seats, they were told, equaled the number of children sold for sex in Georgia each year(Ellis, 2020). 3,600 children could fill up 72 buses, which represents the number of children sold for sex last year. It is going to take something major happening to stop sex trafficking.

References:

Ellis, N. (2020, February 17). 3,600 kids become victims of sex trafficking in Georgia each year. The first lady is trying to stop it. Retrieved August 19, 2020, from /orders/www.usatoday.com/story/news/2020/02/08/georgia-marty-kemp-working-stop-child-sex-human- trafficking/4589791002/

Facione, P. A., & Gittens, C. A. (2016). Think critically (3rd ed.). Boston: Pearson.

Manktelow, J. (2020). What Are Your Values?: – Deciding What’s Most Important in Life. Retrieved August 19, 2020, from /orders/www.mindtools.com/pages/article/newTED_85.htm

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Thursday

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Ashley, good post for this week and thank you. Very worthy example you have provided.

One of the purposes of this week’s discussion centers on arguments. Think of how frequently our discussions focus on whether we should or should not do something. Should we ban smoking in public places? Should guns be more tightly restricted? There are more questions of this nature. And these are typical of the issues discussed in newspaper editorials and public forums. Conversations among individuals focus more on personal issues, but even then, the question is often what someone should do.

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If you look back at your post you will see that you have presented an argument, have you not?

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Ashley White (/orders/chamberlain.instructure.com/courses/65138/users/148682) Friday

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Hi Professor Sheffield!

Yes, after looking back at my post I do see that I presented an argument. To answer your questions, I do feel smoking should be banned in public places. Second hand smoke can be just as harmful and you never know what kind of health problems others have that might be standing beside you breathing it in. As far as gun control I think as long as people meet the criteria to own a gun, like not being a felon, they should have the right too. Thank you for your feedback on my post!

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Friday

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Thanks Ashley, for responding to my inquiry. Although I was not specifically asking a question, just providing information on how we have conversations and they are in fact, arguments; thanks for your response anyway.

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Britney Parkerton (/orders/chamberlain.instructure.com/courses/65138/users/138709) Friday

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Hey Ashley,

I also chose child trafficking as the core value that I would defend. I can relate to you because I

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am also a mother of young children, and the thought that people can abuse such innocent souls crushes me. I believe that our nation and the world needs to step up and do more to end child sex trafficking. It is so scary to see that 3,600 children were sold for sex last year in Georgia. The National Conference of State Legislatives (2017) stated in their article, ” current estimates for the number of American youth who are commercially sexually exploited range from 1,400 to 2 million according to the Institute of Medicine and National Research Council” (Williams, pg. 2). I know that thinking of my children growing up in a world where child sex trafficking is so prominent is terrifying. I am sure that you feel the same way! I agree with you that we need to go to war for these children. The people need to stand up against all of these people in power that think they can get away with this, and fight to show them that they cannot. Innocent children’s lives are at stake.

Reference

Williams, R. (2017). Safe Harbor: State Efforts to Combat Child Trafficking. National Conference of State Legislatives. Retrieved from /orders/www.ncsl.org/Portals/1/Documents/cj/SafeHarbor_v06.pdf (/orders/www.ncsl.org/Portals/1/Documents/cj/SafeHarbor_v06.pdf)

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Christine Mercado (/orders/chamberlain.instructure.com/courses/65138/users/140314) Yesterday

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Hi Ashley,

I chose Human trafficking as a core value that I would defend. I do not have any children of my own, but I do have little cousins, and I have worked as a nanny before. According to the U.S. Department of State, estimates that 14,500 to 17,500 people are trafficked into the United States each year. The majority of victims about 80% of human trafficking victims are women and children. I do believe that going to war on this is appropriate. Although there are several global organizations that have made progress towards the fight against human trafficking, this is still an increasing problem that needs to be stopped.

Reference

Human Trafficking: Modern Enslavement of Immigrant Women in the United States. (2020.). Retrieved August 22, 2020, from /orders/www.aclu.org/other/human-trafficking-modern-

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enslavement-immigrant-women-united-states

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Amanda Torres (/orders/chamberlain.instructure.com/courses/65138/users/145531) 5:35am

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Hi Ashley,

I am not a mother, so I can’t even begin to imagine the type of fear children being sold into sex slavery takes on you. That being said, I myself am an older sister and like to think of myself as her second mother. I agree that children are the most innocent souls we have on this earth, and that their rights are worth standing up for. I believe that the best route of action that everyone can participate in would be learning how to identify children involved in sex trafficking. To know the warning signs and how to report them. My job requires everyone to complete an annual competency in how to look for signs or how to ask children about this topic specifically, and I think the more people who are open and honest about this conversation, the more it will better our chances or stopping it.

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Ashlyn Nichols (/orders/chamberlain.instructure.com/courses/65138/users/145323) Wednesday

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Hello Everyone,

(1) What core values would you risk your life and freedom to defend?

One core value that I would risk my life and freedom for is for the freedom and equality of women’s rights. Women’s rights have been a touchy subject in todays world. Decades ago women were looked at as undereducated and less fortunate. They were assigned house chores and duties that pertained to daily cooking and cleaning. Now a day the rights that were established for woman are

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“right to live free from violence, slavery, and discrimination; to be educated; to own property; to vote; and to earn a fair and equal wage” (Women’s Human Rights and Gender Equality, 2020). Ensuring that every women and girls sees the true value to their life. Standing up for these values will promote that every women is valued just a men are. Although the rights established aren’t set in stone, and inequality within woman still remains. But, it has made huge strides from where we use to be. The main goal is to achieve “equal pay and land ownership rights to sexual rights, freedom from violence, access to education, and maternal health right, etc.” (Women’s Human Rights and Gender Equality, 2020). If we continue to push these values and rights the world will continue to grow to these rules.

(2) Could a nation going to war be appropriate in certain circumstances – or is war never an appropriate response?

Honestly, I feel like this issue has been brought up in the world multiple times. It’s been a growing issue for many decades. I personally don’t feel like war would be appropriate because who would we be fighting against? People that view women less as an individual as men? I feel that if the community continues to promote equality within the different genders than these issues will slowly go away. War doesn’t fix issues that deal with quality, communication and determination will end inequality of women’s human rights.

References:

Facione, P. A., & Gittens, C. A. (2016). Think critically (3rd ed.). Boston: Pearson.

Women’s Human Rights and Gender Equality. (2020, August 04). Retrieved August 19, 2020, from /orders/www.globalfundforwomen.org/womens-human-rights/

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Thursday

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Ashlyn, thank you for your post for this week on women’s rights and sharing your thoughts.

Because you have provided a response and taking a position on your core values and what you would risk your life and freedom to defend, is pretty much an argument.

Criticize the following argument.

Football should be discouraged, for the reason that football makes people aggressive, and any activity that makes people aggressive should be discouraged.

Reference:

Cederblom, J., & Paulsen, D. W. (2006). Critical reasoning: Understanding and criticizing arguments and theories. Thompson Wadsworth:Belmont, VA.

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Adilene Alvarez (/orders/chamberlain.instructure.com/courses/65138/users/127931) Wednesday

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What core values would you risk your life and freedom to defend? One core value I would risk my life and freedom to defend would be racial equality. Everyone should have the benefit to live in a world were the color of their skin or racial physical traits are ignored. Everyone should have equal opportunities to succeed in life. But achieving actual equality has been difficult, the unemployment and poverty rates for African Americans, Latinos, and Asians are higher than the rates for white Americans (Laudauro,2004).

Would you join them in going to war for the reasons they advance, or do you disagree with their reasons? Explain why. War should never be an answer to a problem. That will increase the problem instead of solving it. If everyone works together an encourage racial equality the change will happen. We should learn to listen to everyone’s opinion and work for a solution.

Reference: Landauro V. Racial Equality. Junior Scholastic. 2004 Apr 26;106(17):10-1.

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Thursday

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Adilene, thank you for your post for this week and sharing your thoughts on your core values.

Because you have provided a response and taking a position on your core values and what you would risk your life and freedom to defend, is pretty much an argument.

Criticize the following argument.

The United States is not really democratic, since if it were democratic, each person’s opinion

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would have a significant effect on government.

Reference:

Cederblom, J., & Paulsen, D. W. (2006). Critical reasoning: Understanding and criticizing arguments and theories. Thompson Wadsworth:Belmont, VA.

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Christine Mercado (/orders/chamberlain.instructure.com/courses/65138/users/140314) Wednesday

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Hello Class,

Core values that I would risk my life and freedom to defend would be individual freedom and the fight against Human Trafficking. Human Trafficking is making billions of dollars at the expense of millions of victims, the majority of them being children who are robbed of their freedom and dignity. Although some people may have not witnessed these crimes, it is still happening today. As someone who has very young siblings, this angers and worries me deeply. This has become a huge issue, because anything can happen whether it be down the street, at grocery stores, or public places.

I do believe that this issue would be appropriate for a nation going to war. Many people are aware of the horrors of Human Trafficking, yet this crime still exists. According to the United Nations, it has estimated that more than 2.4 million people are currently being exploited as victims of human trafficking.Countries have enacted international laws to stop Human Trafficking, however, these attempts have been inadequate. The United Nations have set in motion a global initiative to fight Human Trafficking, but I feel as if this issue is such a global problem that it is going to need a global solution.

References

Facione, P. A., & Gittens, C. A. (2016). Think critically (3rd ed.). Boston: Pearson.

Global report on trafficking in Persons. (2018). Retrieved August 19, 2020, from /orders/www.unodc.org/unodc/data-and-analysis/glotip.html

Santos, M. (2018). United Nations Office on Drugs and Crime. Retrieved August 19, 2020, from /orders/www.unodc.org/lpo-brazil/en/trafico-de-pessoas/ungift.html

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(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Thursday

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Christine, thank you for your post for this week and providing your thoughts on your core values and where you stand on going to war. Human trafficking is a worthy topic to discuss and it is so prevelant.

Because you have provided a response and taking a position on your core values and what you would risk your life and freedom to defend, is pretty much an argument.

Criticize the following argument.

If the government’s anti-drug policies are effective, then drug use will begin to decline. Drug use is beginning to decline. So the government’s anti-drug policies are effective.

Reference:

Cederblom, J., & Paulsen, D. W. (2006). Critical reasoning: Understanding and criticizing arguments and theories. Thompson Wadsworth:Belmont, VA.

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Elijah Wiggin (/orders/chamberlain.instructure.com/courses/65138/users/147419) Friday

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Hi Christine,

I think that this topic needs more awareness. You are right that it is making billions and it is very sad that it is. I agree with you that this is something that is appropriate for going to war and defending the victims going through traumatic events. Good post!

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Ashlyn Nichols (/orders/chamberlain.instructure.com/courses/65138/users/145323) Yesterday

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Hello Christine, I agree with your post! Human trafficking is a huge issue especially right now. It’s honestly extremely scary what our world has come to. I believe that this issue is something we should and could go to war for. Protecting one another in scary situations, and protecting those who can’t is so important. Ending this horrific act will benefit all of us all. Overall, good post & good luck with our last week. Sincerely, Ashlyn Nichols

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Aliyah Castleberry (/orders/chamberlain.instructure.com/courses/65138/users/95642) Wednesday

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Professor and Class,

There are very few things that I would risk my life and freedom to defend, but women’s equality is one thing I would die to protect. This is something that I personally feel very strongly about considering women had to fight for years to gain equality. Although things have gotten a lot better for women as we can vote and hold any job a man can, but there are still many people who still look down on women or treat them as if they are less than a man. This is something I am not okay with. There has been a huge amount of progress, but there is more that needs to be made. For example, why have we not had a woman president yet?

A nation going to war can be an appropriate response at times, but war is not always the answer. I believe that you have to do all you can to protect your family and your home, and at times that may require war. For this particular issue, I do not believe that war is the answer. If we were still at the point where women basically had no rights, then I would say that war would be a possibility.

Thank you,

Aliyah Castleberry

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References:

Facione, P. A., & Gittens, C. A. (2016). Think critically (3rd ed.). Boston: Pearson.

American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.)

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Thursday

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Aliyah, thank you for sharing your thoughts this week on your core values and when war would be necessary.

Because you have provided a response and taking a position on your core values and what you would risk your life and freedom to defend, is pretty much an argument.

Criticize the following argument:

If you should not be blamed for what your ancestors did, that neither can you take pride in their deeds. It would follow that you are not entitled to take pride in what your ancestors accomplished.

Reference:

Cederblom, J., & Paulsen, D. W. (2006). Critical reasoning: Understanding and criticizing arguments and theories. Thompson Wadsworth:Belmont, VA.

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Danin Sibert (/orders/chamberlain.instructure.com/courses/65138/users/138071) Wednesday

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What core values would you risk your life and freedom to defend?

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The textbook states that, “The freedom to exercise one’s rights is a core value in our society”(Facione & Gittens, 2016, p 262). I completely agree with this and that is why I would risk my life and freedom to protect the lives of children. Children are not able to protect themselves from this abuse and there are many different aspects of abuse that they can fall victims to. Everyday children are being sold into sex trafficking, being abused and neglected. It is sickening to think of how many children are “lost” or abused every year, never to be found again. “Childhood trauma, including abuse and neglect, is probably our nation’s single most important public health challenge, a challenge that has the potential to be largely resolved by appropriate prevention and intervention” (Kolk, 2005). Since I have a child of my own, it ushes me even more to advocate for children’s safety.

I do not think war is necessary. However, I believe to actually get a “reaction” or “response” in most situations it will have to happen. I guess what I am trying to imply is that war should be a last option and multiple different strategies should be attempted first. The circumstances would also have a big impact on whether or not a war is necessary.

Facione, P. A., & Gittens, C. A. (2016). Think critically (3rd ed.). Boston: Pearson.

Kolk, B. A. (2005). This Issue: Child Abuse & Victimization. Psychiatric Annals, 35(5), 374-378. doi:10.3928/00485713-20050501-02

Could a nation going to war be appropriate in certain circumstances – or is war never an appropriate response?

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Thursday

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Danin, thank you for sharing your thoughts this week on your core values and when war would be necessary.

Because you have provided a response and taking a position on your core values and what you would risk your life and freedom to defend, is pretty much an argument.

Criticize the following argument:

If the average couple has more than two children, the population will rise drastically. But we should prevent the population from rising drastically. So we should prevent any couple from having more than two children.

Reference:

Cederblom, J., & Paulsen, D. W. (2006). Critical reasoning: Understanding and criticizing arguments and theories. Thompson Wadsworth:Belmont, VA.

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Brian Tipton (/orders/chamberlain.instructure.com/courses/65138/users/139028) Wednesday

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Hello Professor Sheffield and class,

This to me is the hardest of the discussions. The core value that pops up immediately is equality. Equality has many meanings and represents many different genres. Equality to me means, the right to be who you are, love who you love, and for all persons to the same rights as the next. Being a gay male, trying to hide from society and my family and always feeling like I was never going to be recognized as an equal. Once I was able to be open and myself, I took it upon me to help others in the same situation and make it more public that we are all created the same with minor differences. I have never been one to look at someones sexual orientation, gender, color, nationality or preferences as wrong because they are not who what I believe. I feel it is dire that we defend our equality against those who deem them disgusting, wrong, or as being below another person. My belief is that we all put one shoe on at a time so if someone treats me good they get the same in return. I feel is it our responsibility to help protect and support our communities when in need.

Despite some indications of racial progress in American society (e.g., the Supreme Court decision in Brown vs. Board of Education of Topeka Kansas, the 2008 election of Barack Obama as President of the United States), racial economic inequality continues to be strikingly high (1 (/orders/www.pnas.org/content/114/39/10324?source=techstories.org#ref-1) ⇓ (/orders/www.pnas.org/content/114/39/10324?source=techstories.org#ref-2) –3 (/orders/www.pnas.org/content/114/39/10324?source=techstories.org#ref-3) ). For instance, a recent Pew Research analysis of the Current Population Survey (CPS) found that racial gaps in income and earnings, with White households earning more than their Black counterparts, remained largely constant or even widened between 1967 and 2015. (Kraus, Rucker, & Richeson. 2017)

I attended the Westerville peaceful protest a few months ago. It was amazing to see such an amazing amount of support for our African American people and our people of color. We as a hole will never see eye to eye on a lot of situations as long as there is racism. My grandfather once told me that there would be a disease that would unfold on the world and wipe out a lot of our population. To me that disease is hate, prejudice, and racism.

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I never want to see war break out. So many innocent people end up hurt because of it. Unfortunately, war is inevitable in some cases. I do feel we are at war already within ourselves as The Black Lives Matter Movement is pushing for their rights to be noticed, heard and protected. War does not always have to be called by the President, sometimes the citizens pull together and fight for what is right. That being said I am willing to fight for what is right and stand with those in need of help.

Facione, P. & Gittens, C. A. (2016). Thinking critically (3 Edition). Pearson Education, Inc

Kraus, M. , Rucker, J.M. , & Richeson, J. A. (September. 26, 2017). Americans Misperceive Racial Economic Quality. Retrieved August 18, 2020 from: /orders/www.pnas.org/content/114/39/10324? source=techstories.org (/orders/www.pnas.org/content/114/39/10324?source=techstories.org)

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(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Thursday

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Brian, thank you for sharing your thoughts this week on your core values and when war would be necessary.

Because you have provided a response and taking a position on your core values and what you would risk your life and freedom to defend, is pretty much an argument.

Criticize the following argument:

If the universe was created, and there was a time at which it did not exist. If there was a time at which it did not exist, and there was a time at which nothing was converted into something. But this is impossible. So the universe was not created.

Reference:

Cederblom, J., & Paulsen, D. W. (2006). Critical reasoning: Understanding and criticizing arguments and theories. Thompson Wadsworth:Belmont, VA.

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Brittany Varnes (/orders/chamberlain.instructure.com/courses/65138/users/129972) Wednesday

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Hi Professor and Class,

As a nurse, I am tasked with providing safe and quality care to patients, even to those under palliative care. My duties do not entail assisting patients to end their lives through assisted suicides. This is against medical ethics and represents unethical reasoning and ought to be criminalized. Healthcare professionals have a duty to provide care until the patient has lived to the end. Nevertheless, the law allows doctors to take part in assisted suicides, thus violating the code of ethics of healthcare professionals. As a body of professionals, healthcare providers advocate for recognition of the person’s worth. Proponents of the physician-assisted suicide quote the theory of utilitarianism as the rationale for assisted suicide.

A logical argument can be introduced about what is important between preserving life and fulfilling the preference of a few people. According to Hansen (2015), Aristotle maintains that huge errors are a culmination of small errors that are overlooked during arguments. When we let the preferences of some few people to prevail, we see it as morally plausible to assist patients to die. This has the impact of thinning the line and might be used by unscrupulous physicians to deny people their right to life over claims that they have no interest in life. The lives of such patient populations as those with dementia and children with congenital diseases would be a high risk of getting the lethal dosage. As such, there will be no exiting from the slippery slope as more people will be killed in the name of fulfilling the interests of people.

Allowing assisted suicide in place of palliative care is unnecessary. Pain does not guarantee termination of life, but rather the fear of losing autonomy and becoming a bother to others. Palliative care addresses such issues. While assisted suicide may be justified as a way of protecting the interests of other people by restricting the liberties of an individual, it undermines the value of human freedom. Rather than establishing a society that endorses assisted suicide, we should emphasize life- prolonging treatment plans to allow people to live to the end. I am, therefore, against physician- assisted suicide and would go to war to defend its criminalization.

Reference

Hansen, H. (2015). Fallacies (Stanford encyclopedia of philosophy). Stanford Encyclopedia of Philosophy. /orders/plato.stanford.edu/entries/fallacies/

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(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Thursday

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Brittany, thank you for sharing your thoughts this week ; however, the questions posed for this discussion are the following:

I look forward to your response.

What core values would you risk your life and freedom to defend? Could a nation going to war be appropriate in certain circumstances – or is war never an appropriate response?

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Jessica Woods (/orders/chamberlain.instructure.com/courses/65138/users/115159) Wednesday

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What core values would you risk your life and freedom to defend?

There are a few things that I could think of that I would consider a core value. However, there aren’t many that I’d risk my life for. When thinking of something that I’d fight tooth and nail for and even risk my life, I’d have to say that would be keeping my daughter and family safe. My family is the most important thing in my life.

Could a nation going to war be appropriate in certain circumstances – or is war never an appropriate response?

“War remains a widely accepted tool for achieving political ends, and typically a nation’s was efforts are honored by most of its citizens.” (Draper, 2016). When it comes to war the only time I believe it would be appropriate is if another country was threatening terrorism, or citizen’s safety, human rights, or freedom was in jeopardy.

Draper, K. (2016). War and individual rights: The foundations of just war theory. New York, NY: Oxford University Press.

Facione, P. A., & Gittens, C. A. (2016). Think critically (3rd ed.). Boston: Pearson.

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(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Thursday

Edited by Sonja Sheffield (/orders/chamberlain.instructure.com/courses/65138/users/97891) on Aug 20 at 10:18am

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Jessica, thank you for your post for this week and identifying your core values as well as your thoughts on the appropriateness of war.

Because you have provided a response and taking a position on your core values and what you would risk your life and freedom to defend, is pretty much an argument. Family is generally always at the top of the list for most individuals.

Criticize the following argument.

People have the right to do whatever they want to with their own bodies. Therefore, a pregnant woman has the right to have the fetus aborted if she wants to.

Reference:

Cederblom, J., & Paulsen, D. W. (2006). Critical reasoning: Understanding and criticizing arguments and theories. Thompson Wadsworth:Belmont, VA.

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Dijana Rahmanovic (/orders/chamberlain.instructure.com/courses/65138/users/64315) Wednesday

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In the words of activist, Alice Walker, “though war is old, it has not become wise” (Walker, A.). My belief is that nothing is worth going to war for because war, although historically has been used to solve our problems, does more harm than good. Coming from a war-torn country and having my first breaths of life be in a refugee camp, I would not wish a war on anyone. On important point to consider is that war is not waged by inferior people because of their passion for a issue; it is waged by superior people who know they will win and have little to risk as the outcome. If I were to be passionate enough about an issue, there are so many more peaceful and interactive routes to take before even thinking that the

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only way to solve my problem is to ruin people’s lives to get my point across. With that being said, a topic I would be passionate enough about to seek further initiative on is the rights of minority groups in the U.S.. Specifically, I would create an initiative to give funding to low-income POC communities that are overlooked and overpoliced. I would also fight the stigma around POC and Muslim men and women that keep them in a social ditch among their white peers. Change starts at home and, in my opinion, nothing else matters until domestic relations are handled.

Deductive reasoning argument: foreign affairs cannot be properly handled until domestic relations are. In the U.S., domestic relations are not being properly handled, therefore foreign affairs are not either.

References

Facione, P. A., & Gittens, C. A. (2016). Think critically (3rd ed.). Boston: Pearson.

Walker, A. (2007). Why war is never a good idea. HarperCollins Publishers.

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Thursday

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Dijuana, thank you for your post for this week and identifying your core values as well as your thoughts on the appropriateness of war. I love the quote, very apropo.

Because you have provided a response and taking a position on your core values and what you would risk your life and freedom to defend, is pretty much an argument. Family is generally always at the top of the list for most individuals.

Criticize the following argument.

All tax increases are unjustified at this time. But since user fees to get international parks are not taxes, increasing them is justified.

Reference:

Cederblom, J., & Paulsen, D. W. (2006). Critical reasoning: Understanding and criticizing arguments and theories. Thompson Wadsworth:Belmont, VA.

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Juliana Shahly (/orders/chamberlain.instructure.com/courses/65138/users/154119) Thursday

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Hello Professor and Class,

One core value I would risk my life for is equality in the medical world. I believe everyone deserves to be treated the same. I do not think it is fair that some people are favored more than other people, especially when it comes to medical treatments. We deal with inequality on a daily basis when it comes to medical treatments and procedures, especially for individuals who are of the minority population who cannot afford medications or proper health care. For example, liver transplants are one of the medical issues that come into play when it comes to inequality. Choosing who gets a liver or who does not get a liver is one of the problems we face today. McQuaid (2018) mentions that ethnic and racial minorities who have asthma have lower controller medication commitments than those of the non-minority groups. As a nurse, I will make sure that everyone gets proper medical treatments no matter what the person’s background may be.

“Ideological reasoning is the process of thinking that begins with abstractions or generalizations that express one’s core beliefs, concepts, values, or principles and proceeds to reason top-down to specific applications” (Facione & Gittens, 2016, p. 279).

Personally, I have never been one for war, but sometimes there are no other options to get the point across. I feel that it depends on the situation and weighing one’s options before going to war. For example, looking at the pros and cons of options to solve an issue before taking it to the extreme like war. When none of those options that are presented help solve an issue, then the only other option is taking it to war to make a change and get the point across.

References:

Facione, P. & Gittens, C. A. (2016). Thinking critically (3 Edition). Pearson Education, Inc.

McQuaid E. L. (2018). Barriers to medication adherence in asthma: The importance of culture and context. Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 121(1), 37–42. /orders/doi.org/10.1016/j.anai.2018.03.024 (/orders/doi.org/10.1016/j.anai.2018.03.024)

What core values would you risk your life and freedom to defend?

Could a nation going to war be appropriate in certain circumstances – or is war never an appropriate response?

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(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Thursday

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Juliana, thank you for your post for this week and identifying your core values as well as your thoughts on the appropriateness of war. Great example. What I can also think to add would be discriminatory practices against the elderly population as well.

Because you have provided a response and taking a position on your core values and what you would risk your life and freedom to defend, is pretty much an argument. Family is generally always at the top of the list for most individuals.

Criticize the following argument.

No one should get married. This is so because getting married involves promising to deliver the person for the rest of one’s life. But no one can safely predict that he or she will remain compatible with some other person for life.

Reference:

Cederblom, J., & Paulsen, D. W. (2006). Critical reasoning: Understanding and criticizing arguments and theories. Thompson Wadsworth:Belmont, CA

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Dijana Rahmanovic (/orders/chamberlain.instructure.com/courses/65138/users/64315) Friday

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Hello,

that’s a very noble issue to defend! Taking into consideration your example of liver transplants, how would you make it so all patients who are candidates for a liver are receiving equal treatment since not all of them may get a liver on time or even at all? Keeping with your belief that all patients should be treated and considered equally, would all candidates be at a neutral playing field and picked at random or perhaps for say come first serve? Or would it be based on who needs it the most? What if someone has been waiting for much longer but another person behind them needed it more? What is your opinion on age as a consideration for deciding who will receive an organ

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over who?

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Dianne Cruz (/orders/chamberlain.instructure.com/courses/65138/users/120562) Thursday

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What core values would you risk your life and freedom to defend?

One core value I would risk my life and freedom is for racial equality. Growing up in a Hispanic household, with a Mexican family, and Mexican traditions. I know first hand what it is like to not be treated the same simply because of the color of our skin and the language we speak. But I also know the Hispanic community is not the only one who at some point experiences racism. The African and Asian communities are also amongst the higher races that experience inequality. “Nearly 1 in 5 Latinos have avoided medical care due to concern of being discriminated against or treated poorly”. Discrimination can occur anywhere and many times it stops someone from seeking help because of the fear they have of being treated unequally.

Could a nation going to war be appropriate in certain circumstances – or is war never an appropriate response?

I do not believe war is an appropriate response, many of the things we would risk our lives for is to bring peace and to be able to be treated how we want to be treated. War would bring the total opposite and it would harm many innocent people.

References:

Discrimination in America: Experiences and Views. (2019, June 12). Retrieved from /orders/www.rwjf.org/en/library/research/2017/10/discrimination-in-america–experiences-and-views.html

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Thursday

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Dianne, thank you for your post for this week and identifying your core values as well as your thoughts on the appropriateness of war. Do you ever think that war has caused peace in some

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instances?

Because you have provided a response and taking a position on your core values and what you would risk your life and freedom to defend, is pretty much an argument. Family is generally always at the top of the list for most individuals.

Criticize the following argument.

People should pay taxes to support only parts of government they use. It stands to reason that people without children should be required to pay for schools.

Reference:

Cederblom, J., & Paulsen, D. W. (2006). Critical reasoning: Understanding and criticizing arguments and theories. Thompson Wadsworth:Belmont, CA

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Jessica Woods (/orders/chamberlain.instructure.com/courses/65138/users/115159) Friday

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Hello Dianne

Racial discrimination is a huge issue in this country. It is being brought to the forefront even more so now with all of the publicity being shown in the media. Not only can this be seen from strangers, but also within our own families. In the African American community, having a skin complexion that is lighter or having hair with a looser curl pattern than others could make you “superior” in the eyes of some compared to those that are the opposite. This is something that I experienced growing up as a girl with a darker complexion. I believe discrimination of any type is a learned behavior. If we teach our children and other children that this way of thinking is wrong, we can make things better for future generations.

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Noor Jaber (/orders/chamberlain.instructure.com/courses/65138/users/148276) Yesterday

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Dianne,

Racial Equality is something very important for me as well. Being a Middle Eastern Muslim woman in the United States hasn’t been too difficult for myself, but I know of many people that do. And I know others with different backgrounds, races, and religions as well that have suffered from racial inequality. it truly is a sad thing to see, especially in 2020.

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Lorika Roche (/orders/chamberlain.instructure.com/courses/65138/users/144435) Thursday

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Hello Professor and class,

One core value I would risk my life and freedom to defend is the liberation of the black community, across all of the diaspora. The African American community has suffered in the United States since slavery and continues to feel the effects till this day. Black majority countries around the world have suffered from colonialism, exploitation, and internal and external corruption. I have had the displeasure of physically seeing this happen in two countries: The United States and my native country of Haiti. In the U.S., the black community faces systemic racism and oppression, the prison industrial complex, medical racism, and even discrimination on things as trivial has the hair that grows out of our heads. Racism and oppression are so ingrained in the foundation of this country that fighting it is often seen as fighting this country itself. Haiti fought and won their freedom and was immediately punished both socially and economically. The state Haiti is in now is not due to poor governance. It is because we had to pay todays equivalent of $21 billion to France for “reparations” (Fent, A., 2010). It is because the U.S. forcefully occupied my country, forcefully re-wrote our constitution, emptied our national bank, raised import and export taxes, meddled with our elections, and deposited guns into the hands of my people to incite violence and create civilian warfare (Quigley, B., 2010). Even a free black nation still suffers the effects of colonialism and white supremacy. I would gladly die to see the liberation of all black people.

Fighting for the right to be free often leads to war. I cannot recall a single revolution for freedom that was done without war or even violence. The African American community had the civil rights movement, and while it was not a war, it was far from peaceful. It is still far from peaceful considering todays social and political economy, so I feel that the movement is not truly done. On the other hand, Haiti won their freedom through war. It was violent but it was effective, and they went on to help other countries (any country freed by Simon Bolivar) as well as buy boats of enslaved Africans so they can

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be freed. War is not always the correct course of action, but for Haiti it was, even if my country was punished for it. If oppressors are set on not changing their ways, then I believe war would be the best action for people to take.

References

Fent, A. (2010, February 2). Haiti: A History of Oppression and Resistance. Retrieved August 19, 2020, from /orders/cagj.org/2010/02/haiti/ Quigley, B. (2010, January 17). Why the US Owes Haiti Billions – The Briefest History. Retrieved August 19, 2020, from /orders/www.commondreams.org/views/2010/01/17/why-us-owes-haiti-billions- briefest-history

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Friday

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Lorika, thank you for sharing your thoughts on your core values as well as for reasons to go to war. Well written post and your ideas and facts.

Now that you have an idea of what you would die for, that is, your most cherished and deeply held values, what do those values imply about every-day life for yourself, for your community, for the world? If “liberty” is a value, for example, how does that play out for you and for others in every-day life? What is the daily manifestation of liberty?

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Marija Mozuraityte (/orders/chamberlain.instructure.com/courses/65138/users/157292) Thursday

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Hello class,

There are many core values that I have and would go to war to defend. Above all, my top priority is my freedom. In history, freedom has always been fought for and it is interesting as freedom does not come free. As stated in our textbook, (Facione 2016), “We who live in the United States are also fortunate

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because of the high value we place on freedom—including the freedom to think for ourselves.” This statement is very true as the United States freedom, liberty, and way of perceiving the things we as citizens are entitles to are far much different to other countries around the world. My family lives in Lithuania and they point out the differences between America and their country.

I believe a nation going to war is appropriate only in certain circumstances – if there is no other option and it is in the better interest in hopes for our country and its people. Much like the circumstances of gaining freedom and independence. Difference in freedom is running from something to get it or running towards something to get it, in either case it is fought for then achieved.

Reference:

Facione, P. A., & Gittens, C. A. (2016). Think critically (3rd ed.). Boston: Pearson.

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Friday

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Marija, thank you for your post for this week. Can you explain a bit more as what you mean by “certain circumstances”. What are the circumstances?

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Britney Parkerton (/orders/chamberlain.instructure.com/courses/65138/users/138709) Thursday

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What core values would you risk your life and freedom to defend?

In our book Facione (2016) states that, “Ideological reasoning begin with abstract generalizations that

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embody first principles, core values or broad generalizations that are taken to be rock solid truths” (pg. 263). When I think of a core value, with rock solid truths, that I would go to war to defend it would be the war of child trafficking. The Trafficking Victims Protection Act (2020) states, “Throughout the United States and around the world, human trafficking tears apart communities, fuels criminal activity, and threatens the national security of the United States” (Trump, 2020). This terrible crime is a fast-growing epidemic, especially due to social media making it easier for predators to meet their victims.

Trafficking is a heinous act, and no child should have to suffer from these sick individuals that participate in it. Being a mother of three and knowing how much children need nurturing and protection it makes me so sad to think of these children being taken away from their families and abused. Everyday innocent child is being forced into sexual slavery, forced marriage, child labor, and many other terrible situations . These circumstances are unethical and under no circumstances should a child, or any person, have to live through them. I would go to war to fight for these children that no longer have a voice, and at this point something more needs to be done. This is an ongoing problem that continues to get worse, and going to war to save the children may be the only option at this point!

Could a nation going to war be appropriate in certain circumstances – or is war never an appropriate response?

War is appropriate in certain circumstances. It is always important to try to approach a situation appropriately and use conflict resolution first in some cases people must stand up to fight for what they believe in or protect the people they love. When our rights or safety are in jeopardy and all conflict resolution has failed there is no choice but to go to war to protect and defend our families, communities, or nation.

Reference

Facione, P. & Gittens, C. A. (2016). Thinking Critically (3 Edition). Pearson Education, Inc.

Law and Justice. (2020, January 31). Executive Order on Combating Human Trafficking and Online Child Exploitation in the United States. Retrieved from /orders/www.whitehouse.gov/presidential- actions/executive-order-combating-human-trafficking-online-child-exploitation-united-states/ (/orders/www.whitehouse.gov/presidential-actions/executive-order-combating-human-trafficking-online-child- exploitation-united-states/)

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(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Friday

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Britney, thank you for your post for this week and sharing your thoughts on your core values as well as when it would be appropriate to go to war in your estimation.

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How can we live out our values when the values we hold are deeply opposed to the values of those we love and respect?

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Danin Sibert (/orders/chamberlain.instructure.com/courses/65138/users/138071) Friday

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Hi Britney,

Child sex trafficking is also one of the things I would risk my life for. It absolutely disgusting that these people do this to innocent children. Unfortunately, this issue has become more and more popular. “Modern-day slavery, commonly referred to as human trafficking, continues to be the fastest-growing and most lucrative global industry—ahead of the drug industry—because a human can be used, abused, sold, and exploited time and time again, unlike drugs that disappear once consumed” (Blasey, p 933, 2020). There needs to be more enforcement to stop this horrible issue so the lives of our children will be protected. Being a mother definitely pushes my passion for this subject. Good post!

Blasey, K. (2020). Kids, Not Commodities: Proposing a More Protective Interpretation of the Child Sex Trafficking Statute for Victims and Defendants. Washington and Lee Law Review, 77(2), 931- 980.

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Navjeet Mattu (/orders/chamberlain.instructure.com/courses/65138/users/72553) Thursday

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“Core beliefs are verbal representations of the central elements of schema” (Arntz, 2018). What I would

What core values would you risk your life and freedom to defend?

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risk my life and freedom to defend would be freedom of speech and equality. As we are all created in this world equally, there is no reason to treat any gender, color, or ethnicity differently. Many have given up their lives for the luxuries that we have today, so it is a very important value we all should hold. My family comes from India and we follow a religion called Sikhi. This religion went through a genocide in 1984 that India refuses to acknowledge. India today is holding a Scottish Sikh citizen in custody illegally because he is a Sikh activist who spoke about the genocide to educate those who were not aware. In United States, freedom of speech is something we are able to use, without being put in jail for it. Imagining myself not being able to discuss a genocide of my people without getting arrested for it would most definitely give me a reason to fight with all my heart.

I believe war is not always the right answer but needed in certain situations or as a last option. Nobody wants bloodshed but sometimes things have gone to the point that without war there is no way to bring change. As most wars, many historians present statements on how and what could have been done to prevent certain wars, and how some wars are seen as a complete waste of resources. One war that is seen to be successful in many ways is WW2, even through there were times it could have been prevented, it was much needed at some point and changed the world runs today. Like any war, it has negatives but the reason America stepped in seemed to be pretty noble, to stop Hitler. If it wasn’t for America, it is possible this war could have went on for a lot longer.

Reference:

Arntz, A. (2018). Modifying core beliefs. Process-based CBT: The science and core clinical competencies of cognitive behavioral therapy, 339-350.

Facione, P. A., & Gittens, C. A. (2016). Think critically (3rd ed.). Boston: Pearson.

Could a nation going to war be appropriate in certain circumstances – or is war never an appropriate response?

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Friday

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!

Navjeet, thank you for your post for this week and sharing your thoughts on your core values. I agree wholeheartedly that freedom of speech is of most importance.

Have you examined your values against possible cognitive bias? Do you believe what you believe because your in-group believes it, or are your beliefs your own?

8/23/20, 4:45 PM Page 44 of 49

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Scott O’Malley (/orders/chamberlain.instructure.com/courses/65138/users/84538) Thursday

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!

The core value I would risk my life and freedom to defend would be my freedom of speech. To live a life without being able to speak my mind and for someone else tells me what to say and what I am allowed to say would be like living in a prison. To have someone tell me I can only follow one religion and only one religion would go against my beliefs. In the world today, I feel as a lot of people’s right are being broken because of one person’s view. I don’t understand how a racist group of people such as the KKK and Neo-Nazis are able to protest without police violence but yet people protesting peacefully about police violence and they are considered to be the ones who are wrong therefore they are attacked. To follow one person’s views or a group of people is not a way to live.

War shouldn’t be the first choice but in some circumstances it is necessary to protect people. If another country is attacking and destroying your country then it is appropriate. If someone is trying to take your rights away and make you a slave then war is appropriate. War is not appropriate if it is about gaining more land or fighting for resources such as weapons or oil.

Gittens, P.F.C. A. (2015). THINK Critically. [VitalSource Bookshelf]. Retrieved from /orders/online.vitalsource.com/#/books/9780133914351/

The Free Speech Center. First Amendment lesson plan: What If There Were No First Amendment? | The Free Speech Center. /orders/www.mtsu.edu/first-amendment/page/what-if-there-were-no-first- amendment.

What core values would you risk your life and freedom to defend?

Could a nation going to war be appropriate in certain circumstances – or is war never an appropriate response?

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) Friday

!

Scott, thank you for your post for this week. and sharing what your core values are as well as

8/23/20, 4:45 PM Page 45 of 49

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the appropriateness of war. Well said.

Now that you have an idea of what you would die for, that is, your most cherished and deeply held values, what do those values imply about every-day life for yourself, for your community, for the world? If “liberty” is a value, for example, how does that play out for you and for others in every-day life? What is the daily manifestation of liberty?

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Lynne Gallagher (/orders/chamberlain.instructure.com/courses/65138/users/156890) Friday

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!

Ideology reasoning allows us to find our identity and guide our belief systems (Facione & Gittens, 2016). I would absolutely risk my life and freedom to protect my son and his freedom. My son is young and unable to defend himself or his freedom. A parent’s responsibility is to protect their children and I will risk everything I have to be able to protect my child and his rights.

I do not believe that war is ever the answer. Conflict is most definitely a part of life but war is beyond what is necessary. We cannot establish real peace if we are willing to fight those that feel differently than us. Any peace that comes would be insincere. Love and peace should always prevail and that may require us to put down our guards regardless of the outcome.

Facione, P. A., & Gittens, C. A. (2016). Think critically (3rd ed.). Boston: Pearson.

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Noor Jaber (/orders/chamberlain.instructure.com/courses/65138/users/148276) Yesterday

!

8/23/20, 4:45 PM Page 46 of 49

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Lynne,

I don’t like war either and wish we could live peacefully. I think our freedom is the most important thing for us all as well because we need to all be able to live peacefully and never in fear. We should always protect our rights.

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) 10:14am

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!

Lynne, thank you for your post for this week.I am in total agreement that as parents our children are our first priority indeed. In some instances though, if others do not agree with the one side or us, as you indicated, or conversely, we don’t agree with the other side either, if that disagreement is causing harm or look to cause harm to us, what should be done in your estimation?

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Jasmine Burgess (/orders/chamberlain.instructure.com/courses/65138/users/154614) Yesterday

!

The core value that I will risk my life and freedom to defend is equality. I feel strongly that every individual should be treated equally. According to Berger (2019), equality is two or more things that are alike in some morally relevant way and justice demands that they be treated alike. Regardless of race, ethnicity, gender, religious beliefs, or sexual preferences, everyone should be treated the same and given the same opportunities as one another. Today we see that many individuals are discriminated against because of these identifications which are total out of the individual’s control. I will risk my life and my freedom to defend every individual’s right to be treated equally and accepted in the same capacity as everyone else. I feel strongly about equality because I do not feel that a person should be denied opportunities that are granted to another individual.

In the case of equality, a nation going to war can be appropriate in certain circumstances. In situation when individuals are fighting for specific rights that are beneficial to that specific population, war is appropriate when their voices are not being heard. For example, the war that is going on today

8/23/20, 4:45 PM Page 47 of 49

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between American citizens and law enforcement. The war that is presented in this divide is appropriate to convey the message that citizens are angry with how law enforcement discriminates against and target blacks negatively. The fight that is taking place is to bring awareness of the situation and to get justice for the individuals who were unjustifiably murdered by law enforcement, and to prevent similar situations from happening in the future. War can be beneficial when it is used to bring awareness in situations that are being silenced due to inequality.

Berger, B. R. (2019). Savage Equalities. Washington Law Review, 94(2), 583–644.

Facione, P. A., & Gittens, C. A. (2016). Think critically (3rd ed.). Boston: Pearson.

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Amanda Torres (/orders/chamberlain.instructure.com/courses/65138/users/145531) 5:48am

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Hi Jasmine,

I agree with what you said about war being “beneficial when it is used to bring awareness in situations that are being silenced due to inequality.” In most cases people disagree with war because it brings harm or death to innocent people, but right now there are innocent people of color being killed by law enforcement and some don’t treat that in the same regard. If we do not condone war for reasons like lives being lost, we need to reflect on the situation at had that is happening to black Americans in our country. I agree that equality is a subject worth fighting for and risking your life towards. I hope that our country can take in the protests and riots and see it for what it is, marginalized group of people who deserve to be protected and listened to.

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Noor Jaber (/orders/chamberlain.instructure.com/courses/65138/users/148276) Yesterday

!

8/23/20, 4:45 PM Page 48 of 49

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Professor and Class,

What core values would you risk your life and freedom to defend?

The main core values that I would definitely risk my life or freedom to defend would have to first be freedom to be able to live my life the way I please, to be able to be treated equally regardless of my sexual orientation, religion, race, or gender. Hanway (2020, p. 32), states that people would put freedom as a major core value but not for the same reason as myself. Others are affected as well but differently because for them it is about being able to develop other talents and such like a hobby for example.

Would you join them in going to war for the reasons they advance, or do you disagree with their reasons? Explain why.

In my opinion, going to war is never a good thing because people die in the process. But at the same time, when you think about it, it usually occurs because of a repeated issue that has been going. War is sometimes thought of as a last and only option. I believe that everyone should be treated equally no matter what. All people are different and I think it’s a beautiful thing. I would join any nation that goes to war for the freedom of all people. Every person deserves to live peacefully and to be accepted.

References

Facione, P. & Gittens, C. A. (2016). Thinking critically (3 Edition). Pearson Education, Inc.

Hanway, D., G. (2020). Finding Common Ground: Means, Ends, and Core Values in America Today. Torch Magazine. 9, 33, pp. 29-33.

rd

(/orders/chamberlain.instructure.com/courses/65138/users/97891)Sonja Sheffield (Instructor) 10:05am

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!

Noor, thank you for your post for this week and sharing your thoughts on your core values.

Regarding your post as for going to war, yes, people always die during a war but sometimes it brings about a mutual agreement that can change lives for the better, don’t you think? And while every person does surely deserve to live peacefully, every person does not have that same mindset, do they? For example, those who continually cause trouble and strife.

8/23/20, 4:45 PM Page 49 of 49

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  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

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For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

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SMART Goals And Project Objectives

SMART Goals And Project Objectives

SMART Goals And Project Objectives

SMART Goals And Project Objectives

In this assignment, you will locate and summarize content of 2 articles on the use of SMART goals/objectives: what they are, how they are used, and why they are effective. Assignment must contain citations and references in correct APA format.

You will also select 3 peer reviewed articles that address your chosen focus area for your Capstone Project and create 3-5 goals/objectives for your Capstone Project using the SMART Goals/Objective format.

Objectives

· Summarize 2 articles discussing what SMART goals are, how they are used, and/or why they can be an effective tool.

· Select 3 peer reviewed articles addressing chosen focus area to include in the provided grid.

· Create 3-5 objectives for Capstone Project using SMART format.

Rubric

Use this rubric to guide your work on the Module 2 assignment.

NOTE: All assignments and discussion posts are expected to be completed on time.

Tasks Target Acceptable Unacceptable

1. SMART Goals Article Summary

(40 pts)

Clear and strong summary of 2 articles on use of and purpose of SMART goals. Writes 2 summaries – one summary for each article. Each summary is 1 paragraph of 3-4 well-written, original sentences. (40 pts)

General statements reflecting article summary and/or missing one article summary, missing SMART goal format.

(20 pts)

No synthesis of articles on use of and formulating SMART goals.

(0 pts)

2. Creates 3-5 SMART goals/objectives.

(20 points)

Creates 3-5 goals/objectives using SMART format including Bloom Taxonomy terms.

(20 points)

2 or less goals/objectives utilizing SMART goal format using Bloom Taxonomy terms.

(10 points)

Goals/Objectives not written in SMART goal format and/or no use of Bloom Taxonomy terms.

(0 points)

3. Cites 3 peer reviewed articles related to the chosen focus area of Capstone project (management, education, or clinical specialty)

(30 pts)

Correctly cites 3 peer reviewed articles for chosen focus area of Capstone project

(30 pts)

Cites 2 or less peer reviewed articles.

(15 pts)

No peer reviewed articles cited to support SMART goals/objectives.

(0 points)

APA format

(10 pts)

Articles and lists the APA references correctly – no errors. (10 pts) Articles and lists the APA references correctly. 1-3 errors. (6 pt.) Articles and lists the APA references correctly. 4 or more errors. (0 pts)

1. Summarize Articles on SMART Objectives Format (Type in the box below)

Summarize content of 2 articles found on SMART goals/objectives. Write your summary in proper APA format. Must include in-text citations and references for both articles. Write one paragraph for each article summary. Should have paragraphs.

TYPE IN THE BOX BELOW (Box will expand as you type in it)

2. Create 3-5 Project Objectives (Type in the grid provided below).

3. Cite 3 Peer Reviewed Articles on Chosen Focus Area for Capstone Project

Create a minimum of 3 and maximum of 5 objectives based upon Bloom’s Taxonomy (See http://mysite.cherokee.k12.ga.us/personal/drew_lawson/site/Subject%203%20Notes/1/Blooms%20Taxonomy.pdf and/or /orders/tips.uark.edu/using-blooms-taxonomy/ and you can always “google” Bloom Taxonomy for more information). These objectives reflect the changes you want to see in the behavior of the participants/audience as a result of acquiring the information that you present. Remember: Objectives must be specific, measurable, attainable, realistic, and timed (S.M.A.R.T.) and each must include a Bloom term. At a minimum, at least one objective should be “immediate” and one “long term.” Use the table below to record the Objectives and Content for your Capstone Project. (You must create at least three objectives. If you have more, insert rows in the table). Remember that your final project will need at least three references (less than five years old). See the example for how to format this grid.

Example Objectives

(3-5 Objectives)

Example Content and Citing of Peer Reviewed Articles

(Total of 3)

1. By the end of the presentation, 98% of the audience will be able to identify three ways to prevent falls in the LTC until.

(Note: this is an immediate outcome, there is a time frame, there is a % of the audience, identify is the Bloom term. This goal is measurable).

· Fall prevention

Doe, J. (2014). How to prevent falls in a long term care unit. Journal of Fall Prevention, 8(26), 23-32. Retrieved from EBSCOhost.

 

2. Within three months of the presentation, 95% of the audience will be able to recite three reasons to use a fall assessment form with any change in condition for residents.

(Note: this is a long-term goal, there is a time frame, there is a % of the audience, and “recite” is the Bloom term. This goal is measurable).

· Fall assessment forms

Smith, J. (2013). Why are fall assessment forms important? Journal of Fall Assessments, 7(4), 12-15. Retrieved from EBSCOhost.

 

3. (Write your third outcome here – it can be either immediate or long-term. Remember it must be SMART and include a Bloom term).

· Content Topic

Must have at least one reference here as three are required for this assignment – one for each outcome. Please note that for your final project, you will need three references for each outcome that you have for a minimum of nine references. If you have four outcomes, you will need a minimum of twelve references.

 

Grid provided below for assignment completion.

Complete this grid with your information. Must have a minimum of 3 and maximum of 5.

Project Objectives

(3-5 Objectives)

Content and Citing of Peer Reviewed Articles

(Cite 3 Articles)

1.  
2.

·

 

3.

·

 

4.

·

 

5.

·

 

Uploading Completed Assignment Template:

· Save this completed assignment template with your individual assignment content to your computer in a file you can easily retrieve.

· Upload the completed assignment template into Module 2: Assignment 2 of 2 area in Module 2 of the course.

JBoyd 2017

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American Cancer Society (ACS)

American Cancer Society (ACS)

Question: A

The American Cancer Society (ACS) is a nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health problem. Together with its supporters, ACS is committed to helping people stay well and get well by finding cures and by fighting back.

Critical Thinking Questions:

1. Imagine that a family friend or colleague has just been diagnosed with cancer. Explain how the American Cancer Society might provide education and support. What ACS services would you recommend and why?

2. According to statistics published by the American Cancer Society, there will be an estimated 1.5 million new cancer cases diagnosed each year over the next decade. What factors contribute to the yearly incidence and mortality rates of various cancers in Americans? What changes in policy and practice are most likely to affect these figures over time

3. Select a research program from among those funded by the American Cancer Society. Describe the program and discuss what impact the research will have on the prevention or treatment of cancer.

Discussion answered:

Topic 2 Mandatory Discussion Question by VD

The ACS provides support and education by linking people with different services that can help them through their recovery, treatments, and diagnosis.  They offer support by discussing diagnosis with patients, loved ones, and caregivers.  The ACS provides information on where to access care, educate on treatments and side effects of therapy.  They educate on how clinical trials work and assist in searching for specific studies one may be eligible to take part in.  The ACS offers education on how to manage treatment at home.  Support is offered to individuals and families to help them cope with the cancer diagnosis.  Families and caregivers are also provided with information about FMLA, tips on how to deal with loss, and palliative care.  They even arrange transportation to treatment sites (ACS, 2018).

My recommendation is the TLC: Hair Loss and Mastectomy Products service.  This is a service provided by the ACS for women who have suffered hair loss and other appearance-related side effects due to cancer treatment. They make it possible for survivors to purchase wigs, hairpieces, hats, turbans, breast forms, mastectomy bras, and mastectomy swimwear at an affordable cost (ACS, 2018). Body image problems can cause survivors to become reclusive.  These products can help in boosting survivor’s self-confidence

There are numerous contributing factors in the yearly incidence and mortality rates of various cancers in America such as a sedentary lifestyle – inactivity, smoking, drinking; Unhealthy eating habits leading to obesity, racial disparity, heredity, and lack of insurance or being inadequately insured (ACS, 2018). Changes in policy and practice that can help in changing these factors are eliminating cost sharing for screenings, tobacco cessation programs, weight loss programs/interventions will help significantly to because people will be more inclined to participate as there is no cost.  HPV vaccines and annual checkups are also equally as important in reducing mortality rates as young women will be more likely to embrace its use (ACSCAN, 2017).

Liquid biopsies: Past, Present, and Future is, a research program funded by the ACS. Scientists are investigating ways to test for cancer that’s easier on patients and provide faster results for doctors. The liquid used is the participant’s blood. The opinion is that doctors may one day be able to use a small sample of blood to screen for cancer before one starts showing symptoms.  It supports the concept of a single blood test to screen for several types of cancer.  Two types of cancer associated markers in the blood were studied to prove the presence of cancer and where it was. Though the result was not a slam dunk and far from complete it showed that the test was stronger on finding some types of cancer than others.  This research will one day allow doctors to determine if cancer is evident in someone by using one blood test.  Doctors will be able in monitor if a patient is developing resistance to treatment that was previously effective, or how a patient will respond to certain treatments.  This research will impact finding recurrence sooner and allowing for quicker treatment response (ACS, 2018).

References

American Cancer Society (ACS).  Cancer Facts & Figures 2018 (2018).  Retrieved from /orders/www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/

American Cancer Society (ACS) – Cancer Action Network (CAN).  (2017). Health Care Delivery Prevention and Early Detection.  Retrieved from /orders/www.acscan.org/policy-resources/strong-prevention-policies-will-reduce-cancer-burden

PLS RESPONSE TO THIS ABOVE

B- Discussion answered by ShB.

The American Cancer Society offers support to patients who have been diagnosed with cancer in a variety of ways (American Cancer Society, 2018). One of the most valuable resources they are able to offer is information about cancer, the treatment process, and answering any related questions that the patient and their family members may have. There is a hotline to call for this information at all times a day. Callers can also ask about rides or places to stay for treatment. Additionally, this organization offers a range of programs and services including hair loss and mastectomy products, assistance with appearance during and following treatment, and an online support community. I would recommend the hotline for patients who may experience frightening symptoms at odd hours and want to ask questions about them to assess the necessity for medical services.

A range of factors contribute to the yearly incidence and mortality rates of various cancers in Americans. In particular, an increasingly sedentary lifestyle, the consumption of unhealthy food products, exposure to radiation and other chemicals, and an ageing population contributes to these rates (Chen, 2011). To fix this issue, there needs to be regulations to reduce the exposure of the public to carcinogens. This could include clean air and water regulations. In addition, it is important to promote healthy diet and exercise in schools.

One research project that is ongoing is called “Wearable, Painless Device May Help Personalize Chemotherapy for Breast Cancer” and it is being carried out in Boston University (American Cancer Society, 2018b). This takes advantage of fiber optics that are used for cable and other utilities, but as an imaging technique to see inside of breast tumors. This is thought to contribute to information that will allow physicians to customize the doses of chemotherapy prescribed to patients to maximize treatment effects while minimizing uncomfortable and painful side effects.

References

American Cancer Society. (2018). Breast cancer research highlightsCancer.org. Retrieved 30 April 2018, from /orders/www.cancer.org/research/currently-funded-cancer-research/breast-cancer-research-highlights.html

American Cancer Society. (2018). How we’re providing supportCancer.org. Retrieved 30 April 2018, from /orders/www.cancer.org/about-us/what-we-do/providing-support.html

Chen, J. (2011). Multiple signal pathways in obesity-associated cancer. Obesity Reviews12(12), 1063-1070. http://dx.doi.org/10.1111/j.1467-789x.2011.00917.x

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