Author: admin

  • The case of  “I can’t catch my breath” Essay

    This week’s topic  is :  The case of  “I can’t catch my breath”

    John, a healthy twenty-eight year old electrical engineer, was driving home from work one evening when he experienced sudden stabbing pain in his right pectoral and right lateral axillary regions. He began to feel out of breath and both his respiratory rate and heart rate increased dramatically. As luck would have it, John passed a hospital each day on his way home and was able to get himself to the hospital’s emergency room. The emergency room physician listened to John’s breathing with a stethoscope and requested blood gas analysis and a chest x-ray. John answered a few of the doctor’s questions. The doctor noted that John had no history of respiratory problems but was a heavy smoker. The case of  “I can’t catch my breath” Essay

    ORDER A PLAGIARISM-FREE PAPER HERE

    After viewing the chest radiograph, the doctor informed John that he had experienced a spontaneous pneumothorax, or what is commonly called a collapsed lung. The doctor explained that a hole had opened in John’s right lung and that this hole had allowed air to leak into the cavity surrounding the lung. Then, as a result of the lung’s own elastic nature, the lung had collapsed. The doctor said he could not be certain of the cause of thepneumothorax, but smoking cigarettes had certainly increased the likelihood of it happening. He told John he was fortunate the pneumothorax was small, which meant that relatively little air had escaped from the lung into the surrounding cavity, and it should heal on its own. He instructed John to quit smoking, avoid high altitudes, flying innon pressurized aircraft, and scuba diving. He also had John make an appointment for a re-check and another chest x-ray.

    Case Background

    Spontaneous pneumothorax occurs when a blister on the surface of the lung opens, allowing air from the lung to move into the pleural cavity. This occurs because alveolar pressure is normally greater than the pressure in the pleural cavity. As air escapes from the lung, the lung tissues will recoil, and the lung will begin to collapse. The lung will continue to collapse until the difference between the alveolar pressure and pleural pressure disappears or until the collapsing of the lung causes the opening to seal. The case of  “I can’t catch my breath” Essay

    The pneumothorax decreases the efficiency of the respiratory system, which in turn results in decreased blood oxygen concentration, increased respiratory rate, and increased heart rate. If the pneumothorax is small, the air that escapes into the pleural cavity can be reabsorbed into the lung once the opening has sealed shut. If thepneumothorax is large, a needle or chest tube may have to be inserted into the pleural cavity to draw the air out and allow for the re expansion of the lung.

    Utilizing the med terms you learned this week answer the following questions

    Why was John instructed to avoid high altitudes and flying in non pressurized aircrafts?

    That is, what are the effects of high altitudes and or decreased air pressures on the respiratory system. The case of  “I can’t catch my breath” Essay

  • Existential-humanistic therapy – Assignment 1: Practicum – Week 8 Journal Entry

    Existential-humanistic therapy – Assignment 1: Practicum – Week 8 Journal Entry

    Assignment 1: Practicum – Week 8 Journal Entry

    For 
    Part 1
    , select a client whom you observed or counseled this week (other than the client used for this week’s Discussion). Then, address the following in your Practicum Journal:

    Explain whether existential-humanistic therapy would be beneficial with this client. Include expected outcomes based on this therapeutic approach.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Explain any legal and/or ethical implications related to counseling this client. Support your approach with evidence-based literature.

    References

    Michael Price, M. (2011). 
    Searching for meaning
    . American Psychological Association. Vol. 42, No.10. P. 58

    Wheeler, K. (Ed.). (2014). 
    Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice
     (2nd ed.). New York, NY: Springer Publishing Company.

    · Chapter 10, “Humanistic-Existential and Solution-Focused Approaches to Psychotherapy” (Review pp. 369–406)

    American Psychiatric Association. (2013). 
    Diagnostic and statistical manual of mental disorders
    (5th ed.). Washington, DC: Author. Existential-humanistic therapy – Assignment 1: Practicum – Week 8 Journal Entry

     

    Note:
     You will access this text from the Walden Library databases.

    Nagy, T. F. (2011). 
    Ethics in psychotherapy
    . In Essential ethics for psychologists: A primer for understanding and mastering core issues (pp. 185–198). Washington, DC: American Psychological Association. doi:10.1037/12345-010

     

    Note:
     You will access this text from the Walden Library databases.

    Required Media

    Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). 
    Counseling and psychotherapy theories in context and practice
     [Video file]. Mill Valley, CA: Psychotherapy.net.

     

    Note:
     For this week, view Existential Therapy, Person-Centered Therapy, and Gestalt Therapy only. You will access this media from the Walden Library databases

    Laureate Education (Producer). (2012b). 
    Clinical supervision follow-up
     [Video file]. Baltimore, MD: Author.

     

    Note:
     This is a follow-up to the Thompson family media piece in Week 5. The approximate length of this media piece is 9 minutes.

     

    Accessible player

    Laureate Education (Producer). (2015d). 
    On a hamster wheel
     [Video file]. Baltimore, MD: Author.

     

    Note:
     The approximate length of this media piece is 2 minutes.

     

    Accessible player

    Bugental, J. (n.d.). 
    Existential-humanistic psychotherapy
     [Video file]. Mill Valley, CA: Psychotherapy.net.

     

    Note:
     You will access this media from the Walden Library databases. The approximate length of this media piece is 108 minutes.

    Optional Resources

    May, R. (n.d.). 
    Rollo May on existential psychotherapy
     [Video file]. Mill Valley, CA: Psychotherapy.net.

     

    Note:
    You will access this media from the Walden Library databases. The approximate length of this media piece is 61 minutes. Existential-humanistic therapy – Assignment 1: Practicum – Week 8 Journal Entry

    Steinert , T. (2016). 
    Ethics of coercive treatment and misuse of psychiatry
    . Psychiatric Services. doi:10.1176/appi.ps.201600066. Retrieved from http://ps.psychiatryonline.org/doi/10.1176/appi.ps.201600066

  • Puerto Rican Woman With Comorbid Addiction

    Puerto Rican Woman With Comorbid Addiction Assignment: Assessing and Treating Clients with Impulsivity, Compulsivity, and Addiction

    The Assignment

    Examine 
    Case Study
     
    : A Puerto Rican Woman With Comorbid Addiction
    . You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

    At each decision point stop to complete the following:

    ORDER A PLAGIARISM-FREE PAPER HERE

    · 
    Decision #1

    · Which decision did you select?

    · Why did you select this decision? Support your response with evidence and references to the Learning Resources.

    · What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

    · Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? Puerto Rican Woman With Comorbid Addiction

    · 
    Decision #2

    · Why did you select this decision? Support your response with evidence and references to the Learning Resources.

    · What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

    · Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

    · 
    Decision #3

    · Why did you select this decision? Support your response with evidence and references to the Learning Resources.

    · What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

    · Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

    Learning Resources

    Note:
     
     To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
     
    Course Materials
     
     section of your Syllabus.

    Required Readings

    Note:
     All Stahl resources can be accessed through the Walden Library using this link. This link will take you to a log-in page for the Walden Library. Once you log into the library, the Stahl website will appear.

    Stahl, S. M. (2013). 
    Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications
     (4th ed.). New York, NY: Cambridge University Press.

     

    To access the following chapters, click on the 
    Essential Psychopharmacology, 4th ed
     
    tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.

    · Chapter 14, “Impulsivity, Compulsivity, and Addiction”

    Stahl, S. M., & Grady, M. (2012). 
    Stahl’s illustrated substance use and impulsive disorder
     New York, NY: Cambridge University Press.

     

    To access the following chapter, click on the 
    Illustrated Guides
     
    tab and then the 
    Substance Use and Impulsive Disorders
     
    tab.

    · Chapter 10, “Disorders of Impulsivity and Compulsivity”

    Stahl, S. M. (2014b). 
    The prescriber’s guide
     (5th ed.). New York, NY: Cambridge University Press.

     

    To access information on the following medications, click on 
    The Prescriber’s Guide, 5th ed
     
    tab on the Stahl Online website and select the appropriate medication.

     

    Review the following medications:

    For insomnia

    For obsessive-compulsive disorder

    · Citalopram

    · clomipramine

    · escitalopram

    · fluoxetine

    · fluvoxamine

    · paroxetine

    · sertraline

    · venlafaxine

    · vilazodone

     

    For alcohol withdrawal

    · chlordiazepoxide

    · clonidine

    · clorazepate

    · diazepam

    · lorazepam

    · oxazepam

     

    For bulimia nervosa and binge eating

    · fluoxetine

    · topiramate

    · zonisamide

    For alcohol abstinence

    · acamprosate

    · disulfiram

     

    For alcohol dependence

    · nalmefene

    · naltrexone

     

    For opioid dependence

    · buprenorphine

    · naltrexone

    For nicotine addiction

    · bupropion

    · varenicline

     

    Book Excerpt:
     Substance Abuse and Mental Health Services Administration. (1999). Treatment of adolescents with substance use disorders. 
    Treatment Improvement Protocol Series, No. 32
    . Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK64350/

    · Chapter 1, “Substance Use Among Adolescents”

    · Chapter 2, “Tailoring Treatment to the Adolescent’s Problem”

    · Chapter 7, “Youths with Distinctive Treatment Needs”

    University of Michigan Health System. (2016). Childhood trauma linked to worse impulse control in adulthood, study finds. Retrieved from https://www.sciencedaily.com/releases/2016/01/160120201324.htm

    Note:
     Retrieved from Walden Library databases.

    Grant, J. E., Odlaug, B. L., & Schreiber, L. N. (2014). Pharmacological treatments in pathological gambling. 
    British Journal of Clinical Pharmacology, 77
    (2), 375–381. doi:10.1111/j.1365-2125.2012.04457.x

    Note:
     Retrieved from Walden Library databases.

    Loreck, D., Brandt, N. J., & DiPaula, B. (2016). Managing opioid abuse in older adults: Clinical considerations and challenges. 
    Journal of Gerontological Nursing, 42
    (4), 10–15. doi:10.3928/00989134-20160314-04

    Note:
     Retrieved from Walden Library databases.

    Salmon, J. M., & Forester, B. (2012). Substance abuse and co-occurring psychiatric disorders in older adults: A clinical case and review of the relevant literature. 
    Journal of Dual Diagnosis, 8
    (1), 74–84. doi:10.1080/15504263.2012.648439

    Note:
     Retrieved from Walden Library databases.

    Sanches, M., Scott-Gurnell, K., Patel, A., Caetano, S. C., Zunta-Soares, G. B., Hatch, J. P., & … Soares, J. C. (2014). Impulsivity in children and adolescents with mood disorders and unaffected offspring of bipolar parents. 
    Comprehensive Psychiatry, 55
    (6), 1337–1341. doi:10.1016/j.comppsych.2014.04.018

    Note:
    Retrieved from Walden Library databases. Puerto Rican Woman With Comorbid Addiction

    Required Media

    Laureate Education (2016c). 
    Case study: A Puerto Rican woman with comorbid addiction
     [Interactive media file]. Baltimore, MD: Author

    Note:
     This case study will serve as the foundation for this week’s Assignment.

    Note: 
     
    Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.

    Submission and Grading Information

    To submit your completed Assignment for review and grading, do the following:

    · Please save your Assignment using the naming convention “WK8Assgn+last name+first initial.(extension)” as the name.

    · Click the 
    Week 8 Assignment Rubric 
    to review the Grading Criteria for the Assignment.

    · Click the 
    Week 8 Assignment 
    link. You will also be able to “View Rubric” for grading criteria from this area.

    · Next, from the Attach File area, click on the 
    Browse My Computer
     button. Find the document you saved as “WK8Assgn+last name+first initial.(extension)” and click 
    Open
    .

    · If applicable: From the Plagiarism Tools area, click the checkbox for 
    I agree to submit my paper(s) to the Global Reference Database
    .

    · Click on the 
    Submit
     button to complete your submission.

    Grading Criteria

    To access your rubric:

    Week 8 Assignment Rubric

    Check Your Assignment Draft for Authenticity

    To check your Assignment draft for authenticity:

    Submit your Week 8 Assignment draft and review the originality report.

    Nursing Assignment by Day 7

    To submit your Assignment:

    Week 8 Assignment

    Making Connections

    Now that you have:

    · Assessed clients presenting with impulsivity, compulsivity, and addiction

    · Developed personalized plans of therapy for clients with impulsivity, compulsivity, and addiction

    · Examined factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for impulsivity, compulsivity, and addiction

    · Explored ethical and legal implications of prescribing therapy to clients with impulsivity, compulsivity, and addiction

    Next week, you will build on your assessment and treatment skills as you examine clients presenting for therapy for ADHD.

     

    The Assignment

    Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

    At each decision point stop to complete the following:

    A Puerto Rican Woman With Comorbid Addiction Decision #1

    Which decision did you select?NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment

    Why did you select this decision? Support your response with evidence and references to the Learning Resources.

    What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

    Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?NURS 6630 – Psychopharmacologic Approaches to Treatment of Psychopathology Essay Assignment

    A Puerto Rican Woman With Comorbid Addiction Decision #2

    Why did you select this decision? Support your response with evidence and references to the Learning Resources.

    What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

    Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

    A Puerto Rican Woman With Comorbid Addiction Decision #3

    Why did you select this decision? Support your response with evidence and references to the Learning Resources.

    What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

    Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

    BACKGROUND

    Mrs. Maria Perez is a 53 year old Puerto Rican female who presents to your office today due to a rather “embarrassing problem.”

    SUBJECTIVE

    Mrs. Perez admits that she has had “problems” with alcohol since her father died in her late teens. She reports that she has struggled with alcohol since her 20’s and has been involved with Alcoholics Anonymous “on and off” for the past 25 years. She states that for the past two years, she has been having more and more difficulty maintaining her sobriety since they opened the new “Rising Sun” casino near her home. Mrs. Perez states that she and a friend went to visit the new casino during their grand opening at which point she was “hooked.” She states that she gets “such a high” when she is gambling. While gambling, she “enjoys a drink or two” to help calm her during high-stakes games. She states that this often gives way to more drinking and more reckless gambling. She also reports that her cigarette smoking has increased over the past two years and she is concerned about the negative effects of the cigarette smoking on her health.

    She states that she attempts to abstain from drinking but that she gets such a “high” from the act of gambling that she needs a few drinks to “even out.” She also notices that when she drinks, she doesn’t smoke “as much” but enjoys smoking when she is playing at the slot machines. She also reports that she has gained weight from drinking so much- she currently weights 122 lbs., which represents a 7 lb. weight gain from her usual 115 lb. weight. Puerto Rican Woman With Comorbid Addiction

    Mrs. Perez is quite concerned today because she has borrowed over $50,000 from her retirement account to pay off her gambling debts. She is very concerned because her husband does not know that she has spent this much money.A Puerto Rican Woman With Comorbid Addiction

    MENTAL STATUS EXAM

    The client is a 53 year old Puerto Rican female who is alert, oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. Her speech is clear, coherent, and goal directed. Her eye contact is somewhat avoidant during the clinical interview. As you make eye contact with her, she looks away or looks down. She demonstrates no noteworthy mannerisms, gestures, or tics. Her self-reported mood is “sad.” Affect is appropriate to content of conversation & self-reported mood. She visual or auditory hallucinations, no delusional or paranoid thought processes are readily appreciated. Insight and judgment are grossly intact; however, impulse control is impaired. She is currently denying suicidal or homicidal ideation.A Puerto Rican Woman With Comorbid Addiction

    Diagnosis: Gambling disorder, alcohol use disorder

    Decision 1: Antabuse (Disulfiram) 250mg orally daily

    Decision 2: continue current dose of Antabuse and refer to counseling for ongoing gambling issues.

    Decision 3: Explore the issues that Mrs. Perez is having with her counselor and encourage her to continue attending the Gambling Anonymous meeting, and discuss smoking cessation.

    Resource: Laureate Education (2016a). Case study: A Caucasian man with hip pain [Interactive media file]. Baltimore, MD: Author

    In summary: What needs to be in the essay.

    -Introduction regarding disease state

    -High-level summary of patient case

    -Purpose of the essay statement

    1, Decision 1

    -What options were listed

    -What option did you choose?

    -Why did you select that option?

    -Why didn’t you select the other two options?

    -What was your goal of treatment

    -Was the outcome what you expected? Why?

    2, Decision 2

    -What options were listed

    -What option did you choose?

    -Why did you select that option?

    -Why didn’t you select the other two options?

    -What was your goal of treatment

    -Was the outcome what you expected? Why?

    3, Decision 3

    -What options were listed

    -What option did you choose?

    -Why did you select that option?

    -Why didn’t you select the other two options?

    What was your goal of treatment

    -Was the outcome what you expected? Why?

    -Conclusion with Ethical 
    considerations

    Resourse : Stahl, S. M. (2013). 
    Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications
     (4th ed.). New York, NY: Cambridge University Press

    SAMPLE

    Excerpt from Case Study :

    Puerto Rican Woman with Comorbid Addiction: A Case Study

    Ms. Perez is a 53-year-old Puerto Rican female who has complained that she is suffering from co-morbid addictions of alcoholism and gambling. Ms. Perez has sought treatment for alcoholism in the past but the combination of living near a casino and the availability of alcohol has caused her to relapse as well as to engage in gambling on a regular basis. Her gambling has negatively impacted her marriage and has also caused her to borrow significant sums from her retirement account. The patient is exhibiting the symptoms of depression, including a sad and lethargic demeanor.A Puerto Rican Woman With Comorbid Addiction

    Decision One

    One option for the patient is prescribing Antabuse (Disulfiram), a medication which “blocks an enzyme that is involved in metabolizing alcohol intake” and “produces very unpleasant side effects when combined with alcohol in the body” (“Antabuse,” 2017). The drug is designed to interfere with the rewards drinking alcohol produces in the patient, given that alcoholism is an addiction with both physical and mental components. Antabuse has the benefit of being specifically prescribed to treat alcohol addiction, in contrast to other medications such as Naltrexone (Vivitrol), which is prescribed for both opioid and alcohol-related addictions. Naltrexone has the disadvantage of being injected versus taken orally, and the patient has a greater sense of control over the administration of this particular drug when taken orally, which may enhance long-term compliance.A Puerto Rican Woman With Comorbid Addiction

    Another possible pharmaceutical intervention is Campral (acamprosate), a drug which is also exclusively prescribed to treat alcohol dependence. However, Campral can produce very unpleasant side effects in some patients, including drowsiness “that may impair your thinking or reactions,” according to its warning label, and users are instructed to “be careful if you drive or do anything that requires you to be awake and alert” (“Campral,” 2017). Although side effects are also reported with Antabuse, drowsiness is listed as a less common side effect (“Antabuse,” 2017). The hope is to reduce the patient’s reliance upon alcohol without causing effects that could act as a deterrent in her pursuit of sobriety Puerto Rican Woman With Comorbid Addiction

  • Social and economic costs of this health problem for society, families, and individuals

    social and economic costs of this health problem for society, families, and individuals

    What are the economic costs of this health problem for society, families, and individuals?

    What are the social costs (cost in any means such as time, human resource, social burden) associated with this health problem for society and individuals?

    Use data (statistics) from credible sources to support your discussion.

    Using APA format, create a reference list citing all the sources used in writing your paper.

    Interpret and include at least 
    one graph or table
     that relates to the content of your paper. You will discuss the graph or table as part of your narrative and include the graph or table in an Appendix at the end of your paper. Cite the source for the tables or graphs below each one and in the reference list using APA format.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Each focus paper must be written in a scholarly manner using proper APA format (6th edition).

    Each focus paper must be at least 750 words in length. The 750 words do not include the title page, reference list or appendix. social and economic costs of this health problem for society, families, and individuals

    Your paper should not consist of more than 10% of direct quotes. This means that in a 750-word paper, no more than 75 words can be directly quoted from a source. Points will be deducted from papers exceeding the 10% limit. Instead of quoting, paraphrase the information in your own words.

    Your papers must be submitted as 
    MS Office Word
     documents, using a 12-point font, double spaced and with page numbers upper right corner of each page.

    In each focus paper, you must use 
    at least three
     different credible, professional references to support your discussion.  Your references should be 
    cited in-text
     and in 
    a reference list
     using proper APA format.

    The order of your paper should be: title page, body of your paper, reference list and appendix. social and economic costs of this health problem for society, families, and individuals

  • Katharine Kolcaba’s Theory of Comfort nursing essay

    Katharine Kolcaba’s Theory of Comfort nursing essay

    Discuss 
    two different types
     of comfort interventions that can be utilized by the advanced practice nurse in the clinical setting as per Katharine Kolcaba’s Theory of Comfort. Identify 
    one
     MSN Essential that most relates to application of this theory in practice and explain your choice.

    ORDER A PLAGIARISM-FREE PAPER HERE

    **As a reminder,
     all questions must be answered to receive
     
    full credit for this discussion
    .
     
    please include your name in the title bar of the discussion. Discussion posts must be minimum of 250 words and reply posts minimum 100 words. 
    Also, make sure to use scholarly sources to support your discussion.** Katharine Kolcaba’s Theory of Comfort nursing essay

  • Crohn’s disease essay

    Crohn’s disease essay

    In your initial post, discuss the following questions about your chosen disorder:

    Concept and Etiology: How does the disease affect the ear, nose, throat, and gastrointestinal systems in particular? How does it deviate from the definition of health discussed in Module One?

    Classification: How is the disease classified?

    ORDER A PLAGIARISM-FREE PAPER HERE

    Clinical Manifestations (Symptoms and Signs): What are the symptoms and signs of the disease or disorder? Be sure you understand the difference between symptoms (subjective) and signs (objective).

    Diagnostic Tests: What are some additional diagnostic tests that can be done to illuminate the diagnosis? For example, when you injure your ankle, they take an x-ray to determine if it is broken or sprained.

    Support your answer with relevant resources. Crohn’s disease essay

  • Urinary tract infections Essay Discussion

    Urinary tract infections Essay Discussion

    Your discussion thread title should be the name of the disorder. If possible, you should choose a disorder that has not been chosen by a peer. You can complete your initial post using bullet points or a short answer.

    In your initial post, discuss the following questions about your chosen disorder:

    ORDER A PLAGIARISM-FREE PAPER HERE

    Concept and Etiology: How does the disease affect the reproductive and urinary systems in particular? How does it deviate from the definition of health discussed in Module One?

    Classification: How is the disease classified?

    Clinical Manifestations (Symptoms and Signs): What are the symptoms and signs of the disease or disorder? Be sure you understand the difference between symptoms (subjective) and signs (objective).

    Diagnostic Tests: What are some additional diagnostic tests that can be done to illuminate the diagnosis? For example, when you injure your ankle, they take an x-ray to determine if it is broken or sprained. Urinary tract infections Essay Discussion

  • Pernicious anemia essay

    Pernicious anemia essay

    Answer the following questions regarding pernicious anemia in a 2-pages Word document:

    ORDER A PLAGIARISM-FREE PAPER HERE

    What causes pernicious anemia?

    What’s the pathophysiology associated with the body’s response to this disease process?

    What are the technical terms that describe an anemia with high MCV and normal MCH? (aka. Macrocytic normochromic anemia)

    Why should a Nurse Practitioner (NP) ask the patient about paresthesia and ataxia?

    Why did the NP prescribe vitamin B12 by intramuscular injection rather than orally?

    Pernicious anemia essay

  • OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION

    OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION ASSIGNMENT

     

    OUMH1203

    ENGLISH FOR WRITTEN COMMUNICATION

    SEMESTER SEPTEMBER 2019

     

     

    SPECIFIC INSTRUCTION

     

    ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER NOW

    Answer in
    English
    .

     

    Number of words :
    2500 – 3000 words excluding
      

     

    Submit your assignment
    ONCE
    only in a
    SINGLE
    file
    .

     

    Submit your assignment

     

    Submission date :
    4 November 2019 until 17 November 2019

     

    This assignment accounts for
    60%
    of the total marks for the course.

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    ASSIGNMENT QUESTION

     

    This assignment is intended to give you practice in academic writing.  It requires you to refer to materials / articles and include relevant ideas and quotes in your essay.  You are also required to acknowledge ideas and concepts from sources to be included in your writing.

     

    TOPIC

    The education inequality does exist in Malaysia. Many rural schools in this country are so isolated that the students are not aware of scholarships and grants available to them.

    To what extent do you agree with this statement? Is there any gap between urban and rural schools?

    Discuss the issue and give suggestions on how to help the rural school students to get the information and the aspiration to further their studies and achieve their goals. OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION

    TASK

    For this assignment, you need to:

    Prepare an outline for your essay (must be submitted with the essay).

    Write an essay and discuss the following issues related to the above topic and give reasons for your suggestions / opinions.

     

    Notice:

    Write your
    own
    outline, essay, and avoid plagiarism. The content of the essay
    must
    be written based on the essay outline that you have prepared. Please refer to the sequenced and numbered outline format stated on page 27
    (3.1 Planning to Write Essays)
    of the OUMH1203 module and refer to the attached sample outline format.

     

    Support your discussion with evidence drawn from a review of current and related literature (2012 – 2019). Use the APA format for in – text citations and the reference list.

    Refer to the assignment rubrics as a guide to achieve cohesion and coherence.

     [Total: 60 marks]

     

    SAMPLE OUTLINE FORMAT

     

    Title of Essay

     

    Introduction

                Introduction to the topic

    Thesis Statement

     

    Topic Sentence 1

    Supporting Detail

    Example

    a) Sub-example (if any)

     

    Topic Sentence 2 (same structure for Topic Sentence 3 and so on)

    Supporting Detail

    Example

    a) Sub-example (if any)

     

    III.    Conclusion

    The conclusion of the essay

     

     

     

     

    ATTACHMENT

    OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION ASSIGNMENT RUBRICS

    OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION / SEPTEMBER 2019

     

    Criteria

     

    Weight

    Excellent

    Good

    Fair

    Poor

    Unsatisfactory

    Or

    No response

    Max Marks

    4

    3

    2

    1

    0

    Essay Outline

     

    2.5

     

    Correct and accurate format.

     

     

     

     

    Details are placed in a logical order and the way they are presented effectively makes the outline very interesting.

    Parts of the format are correct.

     

     

     

    Details are placed in a logical order, but the way in which they are presented sometimes makes the outline less interesting.

    The content and the organisation of ideas in the outline are weak. The format is wrong.

     

    Some details are not in a logical or expected order, and this distracts the organisation of the outline.

     

    Outline is poorly written and the format is wrong.

     

     

     

    Many details are not in a logical or expected order. The outline is unorganised.

    No proper use of outline format.

     

    10

    Introduction

    2

     

     

    The introduction very clearly states the thesis statement and previews the structure of the paper.

    The introduction clearly states the thesis statement and previews the structure of the paper.

     

    The introduction states the thesis statement, but does not adequately preview the structure of the paper.

    There is no clear introduction of the main topic or structure of the paper.

     

    Introduction presents no purpose.

     

    8

    Content:

    Discussion on the gap between urban and rural schools

    2.5

    Fully addresses all aspects of the writing assignment.

     

     

     

    Ideas are organised logically and coherently.

    Adequately addresses the writing assignment.

     

     

     

    Some ideas may not be arranged logically and coherently.

    Generally writes about the topic but with a few digressions in parts of the writing.

     

    Ideas may not be arranged logically and coherently.

    Some attempt to address the writing assignment.

     

     

     

    Organisation of ideas lacks clarity and may lead to confusion.

     

    A weak attempt at addressing the writing assignment.

     

     

    10

    Content:

    Discussion on the issue and suggestions on how to help the rural school students

    2.5

    Full and rich development of the content.

     

     

    Main points are relevant and extended satisfactorily with the support of relevant details.

    Clear and complete development of content.

     

     

    Main points are relevant and extended adequately with the support of relevant details.

     

     

     

    Development of content is adequate.

     

     

    Some main points may not be fully extended; supporting details may not be relevant or adequate.

     

    Development of content is limited, may be incomplete or unclear.

     

    Most main points are not fully extended, serious lack of supporting details.

     

     

    OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION

    Off – topic for the most part.

     

    10

    Conclusion

    2

    Conclusion skillfully reinforces thesis and gives closure to essay.

    The conclusion is recognizable and ties up almost all the loose ends.

    The conclusion is recognizable, but does not tie up several loose ends.

    Conclusion is weak.

    Conclusion is out of topic / unrecognisable.

    8

     
    Language/

    Sentence Skills

    2

    Sentence style fits the paper’s purpose. Sentences are varied, yet clearly structured and carefully focused.

     

     

    Language is excellent with hardly any error in grammar, lexical choice and punctuation.

     

    Sentences are generally clear, well structured, focused, though some may be awkward or ineffective.

     

     

     

    Language is satisfactory with some errors in grammar, lexical choice and punctuation, which do not seriously impede understanding and clarity.

     

    Sentence structures are generally correct, but sentences may be wordy or repetitive.

     

     

     

    Frequent errors in grammar, lexical choice and punctuation, which may impede understanding and clarity.

    Contains several awkward or ungrammatical sentences. Sentence structure is simple or monotonous.

     

    Very frequent errors in grammar, lexical choice and punctuation that seriously impair understanding and clarity.

    Contains many awkward sentences. Displays general inability in writing grammatical/meaningful sentences.

     

    Errors in grammar, lexical choice and punctuation are too frequent and severe, making it highly difficult to understand the message.

     

    8

    References

    1.5

    All the references are effectively used, correctly cited and correctly listed in the reference list according to APA style.

    Most of the references are effectively used, correctly cited and correctly listed in the reference list according to APA style.

    References are sometimes not effectively used, and/or correctly cited and/or correctly listed in the reference list according to APA style.

     

    References are inappropriately/unclearly incorporated.

    References are not incorporated or incorporated inappropriately.

    6

    Total

    15

    OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION

    60

  • OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION SAMPLE ESSAY

    OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION SAMPLE ESSAY

     

    FACULTY OF SCIENCE AND TECHNOLOGY

     

    BACHELOR OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT (BOHSM) (HONS)

     

    ENGLISH FOR WRITTEN COMMUNICATION

     
     

    MATRICULATION NO  :      

    IDENTITY CARD NO    :      

    BUY A PLAGIARISM-FREE PAPER HERE

    TELEPHONE NO          :      

    E-MAIL                            :     

    LEARNING CENTRE :        

     

    Table of Contents

    Question 1 : The rising levels of congestion and air pollution found in most of the world cities is due to the rapidly increasing number of private cars in use. Do you think the use of public transport can encourage people to use their car less? Discuss possible ways to encourage public to use the public transport.                 2

     

    Question 2 : Today our community is composed of people of diverse backgrounds.  Write an essay explaining how people of diverse backgrounds can get along better.                                                                           4

     

    Question 3 : Recently in the media, the Deputy Prime Minister, Tan Sri Muhyidin Yassin talked about the use of textbooks in electronic form in schools in order to prepare Malaysian students for the 21st century. Do you think Malaysia is ready to change students’ textbooks to electronic medium? State your opinions.            6

     

    Question 4 : Do you think technology is making communication easier in today’s world? Discuss.               8

     

    Question 5 : Based on your life experiences, do share what is the most memorable moment you have ever faced? Write your story.                                                                                                                                                  10

     

     

    Question 1 : The rising levels of congestion and air pollution found in most of the world cities is due to the rapidly increasing number of private cars in use. Do you think the use of public transport can encourage people to use their car less? Discuss possible ways to encourage public to use the public transport. OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION SAMPLE ESSAY

     

    It is a well known fact that air pollution and congestion is rising at an alarming level not only in Malaysia but in many countries due to globalization and not to forget the affordability of locally assembled cars at this point in time. It is now a norm for almost every working adult to own a car. It has become a necessity rather than a luxury.

    One of the ways to encourage the use of public transports is to have a system that is cheap, on time, and reliable. For most working adults, the reliability of public transport is crucial in ensuring punctuality. Reliability here means that the bus, train, shuttles are regular and on time. If one breaks down, there is always a backup plan. Government should set dedicated bus route and increase the number of bus stops in the most of communities, business centre’s, office buildings, warehouses,  and shopping malls.

    Besides bus stops and bus routes, the train system should also be efficient in timing and comfort. Having an overload in a train is definitely not wise when it comes to safety and also encourages theft. Frequent trains during peak hours will ease the congestion in a train. Security system in train stations and bus station will definitely help gain confidence of the public to use public transport more frequently.

    Another way to encourage the use of public transport would be for the government to come up with attractive monthly packages for the use of busses and trains. The packages can vary based on locations or the type of transport one uses. The government can play a role in media advertising to help the people realize, how much they save in terms of parking, toll, petrol and vehicle maintenance. A simple calculation will show that they save up to hundreds in a month. Besides educating the public on cost saving methods, it would also go well to talk about environment and how they are helping by reducing carbon emissions.

    One other crucial need in encouraging the use of public transport is definitely the need for parking space at bus stations or train stations. As much as we want people to use public transport, we have to acknowledge the fact that not every housing area has that made available to them. For people in this situation, they definitely need to be able to reach the nearest station, park and then hop on to a public transport. This could be one way to get more people to hop on to public transport mid way rather than drive all the way to work.

    To conclude, only when there is more convenience in logistic, more responsiveness in delivering service and more punctuation in schedule, the people will give up their old habit of going by their own vehicle. Though it might be tough to get people to start taking public transport, there are many ways to convince them. Education and the availability of safe and reliable method is available, it certainly helps to get more and more people to take trains and busses.

    Q1 total words : 511 words

    References

    Suruhanjaya Pengangkutan Awam Darat

    www.spad.gov.my

    Question 2 : Today our community is composed of people of diverse backgrounds.  Write an essay explaining how people of diverse backgrounds can get along better.

     

    Malaysia is a country where its population is made of people from diverse ethnic groups and religion. The people of Malaysia live in a unique situation where people every ethnicity have about their own culture, traditions, food, traditional costume and language. Most people are usually comfortable or have accepted the traditions or the language of the others. But to some who are new to certain parts of the country, this could be uncomfortable or even challenging to adapt. It is very important, to get everyone get along well with one another, whether it is at home or at work.

     

    One of the simplest way to get along well with people of different race, culture, ethnic, and religious beliefs is to treat one another without any bias, being colorblind and most importantly, equality. One can always start a relationship/friendship by talking about common ground like hobbies, movies, music, traveling, and other interests. All these topics are door openers to bigger conversations and forging relationships. This is a great way to becoming close to a person without being afraid to have insulted them. Common topics are great ways to learn about how another person thinks and their likes and dislikes. From there, it will be much easier to get into conversations that are a little bit more personal like traditions, language and customs. OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION SAMPLE ESSAY

     

    One should not be too afraid of the other person from a different background. Once a friendship is formed, one should not be afraid to ask questions. A lot can be learned by asking questions, though one should thread lightly on this. There are also other ways to gain information, like asking others in the community to understand better or even the internet. In some places, there are tourist centres/information centres that provides information on the locals from the food to eat, belief system and traditions. However, one should know exactly what they are looking for before embarking on a fact finding journey. Example, in Melaka, there are folks from the Baba Nyonya and also Peranakan clan. You do not just go and search information on Chinese folks in Melaka.

     

    In learning about one’s culture, you may come across many surprises or things that cant fathom to be true. There will be a lot of things that you find hard to belief or understand as they are way different from what you are exposed to or what you are brought up to belief in. What you just learned or understood is not something that can be easily erased, or to be denied. So its important that we come to respect what others belief in for the very purpose of forging a friendship. Its crucial to remember that as much as we find certain customs and belief of others to be surprising or unbelievable, people from other culture might feel the same of us. And they too, for the sake of friendship will refrain to argue with us about our culture. Sometimes, it is helpful to just ask them, how certain beliefs come about. Perhaps with their explanation, then it will help us understand.

     

    Malaysia, the land of many beautiful customs, religions and beliefs, has so much of diversity among its citizens. It is very important that everyone starts with the basics, which is forging a friendship among its people and to learn and understand their beliefs and customs. With respect for each other in terms of culture and customs, people will get along well and live in harmony. Much can be achieved with something as simple as respect and understanding. We might differ as person with different skin color and race, but in the end, we are all of human race.

     

    Q2 total words : 612

    References

    Countries and their cultures

    www.everyculture.com/Ja-Ma/Malaysia.html

     

     

    Question 3 : Recently in the media, the Deputy Prime Minister, Tan Sri Muhyidin Yassin talked about the use of textbooks in electronic form in schools in order to prepare Malaysian students for the 21st century. Do you think Malaysia is ready to change students’ textbooks to electronic medium? State your opinions.

     

    An electronic textbook (e-Textbook) is a digitized or also known as electronic form of textbook, which normally needs an endorsement by the national or state government when it is used in the K-12 education system. This system has been envisioned to take the place of the current paper-based textbooks in school curriculum. It is currently the preferred way and common choice of teaching and learning tool for the future. In UK, USA and Australia, schools have started pilot testing using technological devices like Apple®’s iPad and Amazon®’s Kindle® to convert the content of paper-based textbooks to e-Textbooks. As much as this seems like the way to the future learning, its introduction in Malaysian system will still be a challenge.

    The shift from paper-based textbooks to e-textbooks is something that will incur a large amount of investment and this itself is a major concern. For example, the ability to have software’s and hardwares installed to be able to work on the existing computer platforms in the respective schools. Besides that, there is also the concern of network infrastructure, and supporting equipments and the investment of installation and testing all this thing to ensure the final product is in good working condition. We need to bear in mind, the cost that would incur for maintenance, updates and the most important, the access to internet. OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION SAMPLE ESSAY

    When we talk about upgrade, its not just limited to the software, the hardware too will need upgrading as the software depends on the hardware to work. Both hardware and software have to be able to work seamlessly for students to be able to have access to their materials. This is called reliability and when there is lack of reliability, it often results in inconvenience and that means students are not being able to learn as they no longer have access to learning materials/tools. This does not just happen when there is incompatibility. It also happens when there is device failure, operating system glitch, no strong internet connection as well as power interruption. Both the teacher and student will not be able to function without access to their materials. Depending on internet services in rural areas would also be challenge due to slow internet upload/download speed because of the bandwidth consumption.

    Another important element that may cause worry among parents will the prolonged exposure to radiation and its long term effects to health. Another concern among parents would be the devices having a small screen size. There are some research that is being conducted on the effect of using ipads/kindle that causes eye fatigue. Studies also show that paper-based textbooks are easier to browse and read. A research by Nielsen and Krug shows that the reading process can be 25% – 40% slower from a screen compared to on printed page  (Robinson, 2011). Another study (Mercieca, 2004)  shows that students have reluctance to use e-textbooks as they perceive it to be difficult in reading electronic text.

    As much as e-textbooks is the future of learning both in Malaysia and other countries, there has to be more studies done and proper project planning to ensure this transition takes place smoothly and is seamless upon execution. Bear in mind, its not only the students who need to embrace the change, we need to remember that the teachers too play a big role in this and they too need to be ready and be able to handle the technology when the time comes.

    Q3 total words : 575 words

    References

    https://researchbank.rmit.edu.au/eserv/rmit:3208/n2004002718.pdf

    files.eric.ed.gov/fulltext/EJ1008864.pdf

     

     

    Question 4 : Do you think technology is making communication easier in today’s world? Discuss.

     

     

    In today’s world, technology has advanced a lot, that everywhere you go, you will not fail to see tablets and smart phones in use. With communication technology, people are connected around the world through computer, smart phones and tablets. It has made communications to be simple, easy and fast with someone on the other side of the world. The communication methods that is available right now varies from emails, instant messengers, video conferencing, group messaging and voice chats. OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION SAMPLE ESSAY

     

     

    One may ask, how has technology made communication easier? The most obvious one would be the speed and cost. The existence of Internet has brought about all possibilities as mentioned earlier. Previously, a document has to be typed on a type writer before the final version is approved (in terms of official documents). Sending the letter across required a fax service or a visit to the post office which would need us to get an envelope and buy stamps. This are all cost and delivery takes perhaps a day or two depending on the distance. With emails, it just takes a matter or seconds to have a letter emailed across.

     

    Technology has also help improve the quality of communication. Translation of a text of a foreign language, looking up meaning of words, checking appointments on calendars, converting currencies and research for information can be done with a click of a mouse. Access to information is so easy, simple and fast. Also, technology allows easy storage and retrieval of communication when needed as compared to looking up for data in a huge metal cabinet filled with folders.

     

    Advancement in technology has also made communication easier by allowing people to communicate from anywhere as long as they have connection with a network. Existence of high quality communication over phones, video conferencing has eliminated the need of face-to-face communications and this leads to a huge amount of savings in terns of traveling and most importantly it saves time. Accessibility to information is also fast now. Memo’s, updates and privileged information gets to be accessed faster now as compared to before.

     

    Another significant area where technology has made communication easier and has helped organizations a lot is in the area of customer service. Clients no longer have to que long hours or wait very long for getting questions answered or to even lodge a complaint. Most organizations has made it easy by offering online feedback forums, emails for after service/after sales or some even have live chats. Most organizations even have software’s to keep track of customer information and being able to communicate with clients fast and efficiently.

     

     

    Technology has brought much changes to the way we communicate. It has made communication much easier, faster, cheaper when one can cut down the cost of traveling for meetings, increased resource and good quality which allows quick correction if mistakes are made. To certain extent, technology has also allowed humans to be able to maintain working/personal relationships with the existence of social media, group messaging systems and video conferencing.

     

    Q4 total words : 502 words

     

    References

    http://dictionary.reference.com/browse/technology

    http://www.english-test.net/forum/ftopic90402.html

    http://science.opposingviews.com/technology-made-communication-better-1926.html OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION SAMPLE ESSAY

     

     

     

     

     

    Question 5 : Based on your life experiences, do share what is the most memorable moment you have ever faced? Write your story.

     

     

    In 2009, I had the opportunity to attend a program called MAPS National Convention organized by an NGO called Malaysian Association of Professional Speakers. It was at this event that I had the chance to see AirAsia CEO, Tony Fernandez up-close and hear him speak of his life experiences. It was this event that I had an eye opener and my life changed for the better. To date, that is my most memorable moment as it helped me become a positive person.

     

    In the talk, Tony Fernandes spoke about his life experiences. He described his life journey with his education and then his work experience. One of the job that he did that gave him the confidence later on was the fact that he did work with Virgin Records in London that is owned by Richard Branson. He came from a finance/accounting background. Back in Malaysia, he was with Warner Music for a little way before embarking the journey with AirAsia towards the end of 2001. OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION SAMPLE ESSAY

     

    When he bought over AirAsia, this airline was struggling and heavily indebted subsidiary of the Malaysian Government owned DRB-Hicom. He had to start out by mortgaging his own and used up his own personal savings in the buy over. About a year after taking over he managed to settle the debts and AirAsia started to grow and expand. About 5 years after kick starting AirAsia to new heights, he then started off the hotel chain Tune Hotels based on the no frills concept.

     

    Tony emphasizes, that what got him going was his dream. He knew that this was something that he could do though it sounded extremely crazy and impossible before he started off AirAsia. He said being able to achieve his dreams was because he had the courage to start and see it through. Determination and hard work kept it going. It was then that it struck me, that with limited resources and bleak future, one can still turn things around and make a success out of it. It’s all about whether looking at it positively or giving up because thinking its impossible.

     

    I remember, in his speech, Tony said, everyone should pursue their passion. Because when you are passionate about what you do, chances are that you will do it extremely well and achieve great success out of it. Even if you are at a spot where you are not able to pursue your dreams and passion yet, one should not give up on it. Opportunity comes out of a sudden without warning. Tony insists that one should always find ways to look at things positively no matter how tough the situation is. He lived with this belief ‘You have only one life; live out your dream!’. He was asked by someone in the audience, what happens when something goes wrong? And he answered, ‘just change what is wrong – focus on survival and keep growing’.

    Lastly, he left the audience with his powerful quote that I remind myself everyday that nothing is impossible ‘Dream the Impossible, Believe the Unbelievable, and Never take No for an Answer’. To date, its his words that has changed me to have a positive outlook in life and to dream big and to never give up.

    Q5 total words : 562 words  OUMH1203 ENGLISH FOR WRITTEN COMMUNICATION SAMPLE ESSAY