Questions and Topics We Can Help to Answer
Paper Instructions;

The purpose of this assignment is to familiarize students with
health reform strategies adopted by states. Students will select a
state health policy reform innovation and describe the rationale,
how it was adopted (e.g., federal waivers, passage by state
legislature), the funding structure, and (to the extent statistical data
are available) its impact. Students should summarize their findings
in a 1-2 page, single-spaced
.
Examples of state innovations include Maryland’s hospital rate
setting, Vermont’s single payer system, and Massachusetts’ health
reforms.
Assignment Rubric
Rationale/Adoption 5 points
Funding Structure 5 points
Impact on Healthcare 5 points

Questions and Topics We Can Help to Answer
Paper Instructions;

Cardiovascular Alterations
At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.
Consider the following scenario:
A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.
To Prepare
•    Review the scenario provided Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.
•    Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.
By Day 3
Post a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient.

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Paper Instructions;

Exploring the Steps of Substance Rehab.

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Paper Instructions;

Strictly on the chemicals that are included in the lethal injections what they are how they work and how much they are etc they are different in almost every state but lean more towards NY state. sources HAVE to be scholarly journals death penalty information center can also be a good source besides that stick to scholarly journals by universities and legit researches no opinions! Try to explain but BRIEFLY how the chemicals may be cruel and unusual punishment so basically how it can go against the 8th amendement but like stated before only touch on it a lot most of the paper should be about the chemicals and what's in it. Do not include the process of the procedure.

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Paper Instructions;

Discussion: Respiratory Alterations
In clinical settings, patients often present with various respiratory symptoms such as congestion, coughing, and wheezing. While identifying a symptom’s underlying illness can be challenging, it is essential because even basic symptoms such as persistent coughing can be a sign of a more severe disorder. Advanced practice nurses must be able to differentiate between moderate and severe respiratory disorders, as well as properly diagnose and prescribe treatment for their patients. For this reason, you must have an understanding of the pathophysiology of respiratory disorders.
Consider the following three scenarios:
Scenario 1:
Ms. Teel brings in her 7-month-old infant for evaluation. She is afraid that the baby might have respiratory syncytial virus (RSV) because she seems to be coughing a lot, and Ms. Teel heard that RSV is a common condition for infants. A detailed patient history reveals that the infant has been coughing consistently for several months. It’s never seemed all that bad. Ms. Teel thought it was just a normal thing, but then she read about RSV. Closer evaluation indicates that the infant coughs mostly at night; and, in fact, most nights the baby coughs to some extent. Additionally, Ms. Teel confirms that the infant seems to cough more when she cries. Physical examination reveals an apparently healthy age- and weight-appropriate, 7-month-old infant with breath sounds that are clear to auscultation. The infant’s medical history is significant only for eczema that was actually quite bad a few months back. Otherwise, the only remarkable history is an allergic reaction to amoxicillin that she experienced 3 months ago when she had an ear infection.
Scenario 2:
Kevin is a 6-year-old boy who is brought in for evaluation by his parents. The parents are concerned that he has a really deep cough that he just can’t seem to get over. The history reveals that he was in his usual state of good health until approximately 1 week ago when he developed a profound cough. His parents say that it is deep and sounds like he is barking. He coughs so hard that sometimes he actually vomits. The cough is productive for mucus, but there is no blood in it. Kevin has had a low-grade temperature but nothing really high. His parents do not have a thermometer and don’t know for sure how high it got. His past medical history is negative. He has never had childhood asthma or RSV. His mother says that they moved around a lot in his first 2 years and she is not sure that his immunizations are up to date. She does not have a current vaccination record.
Scenario 3:
Maria is a 36-year-old who presents for evaluation of a cough. She is normally a healthy young lady with no significant medical history. She takes no medications and does not smoke. She reports that she was in her usual state of good health until approximately 3 weeks ago when she developed a “really bad cold.” The cold is characterized by a profound, deep, mucus-producing cough. She denies any rhinorrhea or rhinitis—the primary problem is the cough. She develops these coughing fits that are prolonged, very deep, and productive of a lot of green sputum. She hasn’t had any fever but does have a scratchy throat. Maria has tried over-the-counter cough medicines but has not had much relief. The cough keeps her awake at night and sometimes gets so bad that she gags and dry heaves.
To Prepare
Review the three scenarios, as well as Chapter 27 and Chapter 28 in the Huether and McCance text.
Select one of the scenarios and consider the respiratory disorder and underlying alteration associated with the type of cough described.
Identify the pathophysiology of the alteration that you associated with the cough.
Select two of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the disorder.
By Day 3
Post a description of the disorder and underlying respiratory alteration associated with the type of cough in your selected scenario. Then, explain the pathophysiology of the respiratory alteration. Finally, explain how the factors you selected might impact the disorder.

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Paper Instructions;

Pheriperal Arterial Disease

Questions and Topics We Can Help to Answer
Paper Instructions;

Addressing Barriers to 
Effective Communication
From moment to moment, a nurse leader’s day involves communication—with patients, families, colleagues, supervisors, and so on.
Think of a particular day you spent working in a health care environment, and consider three or four distinct points in time. For each point of time, consider the following: With whom did you interact? Which forms of communication did you use? What issues were communicated about—did they seem to be light-hearted or sensitive? Straightforward or complicated? How would you describe the pace of the interactions and your work?
As you consider these questions, it becomes clear that communication can be quite complex, with many layers of meaning that shape the experience for everyone involved. How could this awareness help you to understand instances of ineffective communication when they arise?
To prepare:
•    Review the information in Chapter 19 of the course text, as well as the assigned articles.
•    Reflect on an incident involving ineffective communication within your organization or another health care setting. Consider this incident through the lens of the communication process outlined in Figure 19.1 of the course text (p. 439).
•    What barriers contributed to this incident? What other challenges may have influenced this situation?
•    Using the information presented in the other Learning Resources, consider what could have been done to prevent or address the ineffective communication. Why do you think the use of these strategies would have resulted in better outcome(s)?
By Day 3
Post a summary of an incident involving ineffective communication. Describe communication barriers and other challenges that contributed to the incident. Propose one or more strategies that could have been employed to promote a better outcome. Be sure to refer to elements of the communication process.

Questions and Topics We Can Help to Answer
Paper Instructions;

Investigation Procedures of Evidence Gathering and Chain of Custody

Type of forensic evidence

Biological evidence

Questions and Topics We Can Help to Answer
Paper Instructions;

Select a person from a cultural group different from your own and perform a cultural assessment by interviewing that person. Do not use a patient from your practice. Instead use a friend or colleague.

Here are some additional details that should help you complete this assignment.
Once you select a person from another cultural group, complete the cultural assessment using questions 1 through 12 provided in the section Overview, Inhabited Localities, and Topography from the chapter “The Purnell Model for Cultural Competence” of your textbook Guide to Culturally Competent Health Care.

This assessment is based on Purnell's twelve domains of culture. Your assessment should cover all twelve boxes for the assignment to be complete. Use the grading criteria in the table below as a guide for what questions should be asked. For the sake of confidentiality, please do not reveal the name of the person you interview. Only use initials.

Questions and Topics We Can Help to Answer
Paper Instructions;

Write a paper of at least 2,000 words (excluding title page, citations and abstract) describing the project management plan you would implement in a hypothetical project. 

APA style guide. 

a)    The paper should identify the major documents prepared for the project, as well as the tools and techniques you would use a project manager, and the approach to implement these techniques in your project. Include the following: Significant documents, tools and techniques, training requirements, time lines for introducing the approaches to the team members, and assumptions made by you if any.  Your discussion should be based on the case studies, our class discussion, the text, and outside research.    

b)    demonstrate how, as a project manager, you would position yourself to be successful.  The bulk of the grade will therefore be allocated to how well you have succeeded in describing this understanding.  Do not simply provide a summary of tools and techniques as your final paper.


Talk about scope
1. Fact Set - Who, What, When, Where
2.  Five, Six (or even Seven) Issues in order of impact or importance.
3.  Give Your Opinion:
What processes will you implement as the PM?
How will those processes be implemented?
State key assumptions.
4.  Lessons to take away
5. Analysis & Actions

   Questions and Topics We Can Help to Answer
Paper Instructions;

Implementing change on a nursing unit (Student must incorporate an example and a change theory)
    What are the key Leadership traits for successfully managing in the clinical environment. 
    Mentorship in Nursing
    Solving incivility in the work place, How can  a nurse manager help?
    Discuss strategies that Leaders and Managers can use to promote ethical behaviors as the norm in the workplace.
    Discuss strategies for integrating leadership roles and management functions into planned change. 
    Compare and contrast the following new and expanded roles for the changing health care arena:
    Nurse Navigators, Clinical Nurse Leaders, and Leaders in Patient-Centered Care

Questions and Topics We Can Help to Answer
Paper Instructions;

Argumentative Research Essay 

Objective
Building off the skills developed in the first four essay assignments, students present a position statement on an arguable topic and support their respective arguments using high quality research. Students must rebut a major opposing argument that is research-based. This assignment requires a wide range of cognitive skills including comprehension, analysis, synthesis, and evaluation.

The Task
Students shall write a 2000-word essay that asserts a claim; supports it with secondary sources; addresses an opposing perspective; and adheres to MLA format. The essay must be argumentative, not merely informational.

The Nature of the Beast
The thesis must be arguable. This is not merely informative. For example, you may not write about Catholicism in South America, but you may write about how Catholicism has had a positive or negative effect on contemporary South American politics. This invites an opposing viewpoint that must be addressed in your essay. Keep in mind that your topic must have the approval of the instructor. Changing your topic without approval shall result in a grade of zero. Your reader, though not an expert in any field, is both intelligent and skeptical.

Secondary Sources
You must employ a minimum of seven sources. These can range from books and academic journals to interviews. Use high quality sources. Poor sources will hinder your essay and most certainly reflect in your grade. Sources like Wikipedia, About.com, and the like shall result in a grade no higher than a D at 65%; given other factors, the grade could be lower. There must be a variety of sources. For instance, a paper that uses sources solely from the Internet is unacceptable and shall receive a grade of zero.

Format and Length
Your essay must adhere to MLA format for research essays. Nothing else is acceptable. If you are uncertain, ask me. Your essay’s outline might be like this:
1. Introduction-Context and Debate
2. Thesis and Rationale, Discussion Points
3. Theory (optional)
4. Argument
5. Transitional paragraph
6. Opposing Viewpoint
7. Response to Opposition
8. Conclusion

Certainly, there are variations and alternative approaches to the organization. This, however, is the most commonly used model. As you can tell, it will be no problem filling the 2000-word requirement.

Organization
Remember, this is a high-impact assignment. The best way to insure absolute disaster is to procrastinate until a week before it is due.

Topics
You must secure approval for your topic. If you change topics without talking to the instructor about it, your essay shall receive a grade of zero. There are a few topics that are not permitted. Though the reasons vary for each one, in most cases these topics demand a level of expertise that is not yet at hand for students of COM 102. In other cases, the topics require much more time than can be given in this course. The prohibited topics include but are not limited to:
​Abortion​​​​​​Capital Punishment​​​Laws regarding firearms​​​​Legalization of drugs​​​​The Paranormal​​​​​The legal age for drinking or driving
​The war in Iraq or Afghanistan​​    
​Animals as test subjects or consumer products  
​Sports Hall of Fame or other sports related topics
​The use of steroids or other performance enhancing drugs​
​Bully breeds and puppy mills
Sometimes, topics are so recent or so obscure that there is very little research available. In such cases, approval will not be given. Students need to be enabled to succeed, not handicapped in their efforts. ​​​

A Word of Advice
The more input I can give you, the better your essay will be. Most of the class time over the remaining weeks will be devoted to working on the essays.  Historically, people who don’t bring their material to class during these times do poorly on their essays. Bring your notes, your drafts, sources, whatever you have, and pick my brain –this is, after all, why I am here.

Certainly, I cannot make you participate. You are in charge of your progress.  If you don’t bring your work, don’t disturb others who have. If you attempt work on material for other courses during class, you will be required to leave. You are putting in a lot of hard work and long hours into this project. I hope you don’t just settle for a grade.
Requisite Elements
✓ Address a general audience
✓ 2000 words
✓ 7 sources  
✓ A variety of sources  ​​  
✓ Research-driven argumentation
✓ Research-driven opposition
✓ Strict MLA format or formatting otherwise required at the instructor’s
discretion
Research Essay Guidelines for Grading
The following guidelines apply to the evaluation of the Research Essay for both COM 101 and COM 102.
• Essays that omit critical assignment requirements (i.e. introductions for COM 101 or a counterargument for COM 102) shall receive a grade no higher than a D at 65%.
• Essays that misrepresent the content of sources shall receive a grade of F. In other words, essays that make up facts and falsely ascribe them to a source shall receive an F.
• A paper that does not include a Works Cited page shall receive a grade of F.
• A paper that does not include proper in-text citations (MLA 8th Edition) of sources shall receive a grade of F.
• A paper that uses a format other than MLA 8th Edition for for the citation of sources shall receive a grade of F.
• A paper that does not use quotations can receive a grade no higher than a D valued at 65%.
• A paper that relies upon excessive quotation to make the writer’s point can receive a grade no higher than a D valued at 65%.
• A paper handed in piecemeal over time is considered late the number of days that have elapsed from the time of collection to when the last portion of the essay is handed in.
• A paper that is emailed to me is given the grade of zero.
• Keep copies of all of our research materials; you may be asked to provide proof of your findings.
• Plagiarism at any level shall result in a grade of zero and failure of the class.

As always, the usual criteria for evaluation apply. If you are uncertain about any of the criteria, ask me for clarification.
• Asking your classmates for clarification does not count and will not be considered.
• The opinions of Writing Center staff do not in any way supersede or compromise the requirements of the assignment or my directions.