West Coast Transit Case

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West Coast Transit Case

(West Coast Transit Case)

Write a paper (1,500-1,750 words) in which you address the following based on the information provided in the “West Coast Transit Case Study” resource.

As of my last knowledge update in January 2022, I don’t have specific information about a “West Coast Transit Case.” It’s possible that there have been developments or events related to a transit case on the West Coast since then.

checking the news sources, legal databases, or official statements for the  information on the West Coast Transit Case. Legal cases and news can evolve, and staying informed with recent sources will provide you with the details and context.

 

  1. Define the three criteria for evaluating effective team/group work (as stated in the reading this week) and analyze whether the “team” assembled by Bernie Hollis and Pete Denson is effective or not.
  2. Provide a review of each of Tuckman’s five stages of group formation and identify what stage(s) are evident in the case. Explain your answer.
  3. Define Schein’s three behavioral profile roles during team entry and identify how the profiles are demonstrated in the case. Explain your answer.
  4. Was the communication among the participants in the case effective or not? Justify your answer (this is not just an opinion).
  5. The Organizational Behavior textbook describes two main types of conflict. Define them and then describe the type (s) of conflict that are evident in the case.
  6. Propose how Denson should manage the conflict in this case using one direct conflict management and one indirect conflict management approach? Explain your response.
  7. Identify one specific task leadership activity and one specific maintenance activity that should be encouraged. Identify the most significant disruptive behavior that should be discouraged.
  8. Identify the most obvious individual motivational problems experienced by Jing, Mahonney, and Tanney. How should Denson motivate each person? Be sure to provide a specific motivational suggestion for each person based on that person’s motivational needs. Ensure that at you have at least one suggestions from each of the motivational theories/techniques (content theories, process theories, and reinforcement strategies).

Use at least two academic resources as references for this assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

MUST BE LESS THAN 5% on TURN IT IN

 
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Reinforcement And Punishment

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Reinforcement And Punishment

(Reinforcement And Punishment)

I need this back Wednesday 10/18/17 by 10 am EDT New York time

Reinforcement and punishment are fundamental concepts in behaviorism. Reinforcement involves strengthening a behavior by providing a reward or positive consequence, increasing the likelihood of its repetition. Positive reinforcement adds a desirable stimulus, while negative reinforcement removes an aversive stimulus. Punishment, on the other hand, aims to decrease a behavior by introducing an aversive consequence. Positive punishment involves adding an unpleasant stimulus, while negative punishment removes a desired stimulus. Both reinforcement and punishment play crucial roles in shaping and modifying behavior, with the former encouraging desired actions and the latter discouraging unwanted behaviors.

 

Social learning theory postulates that gender development is influenced by social environment, which includes the media. An individual’s gender-related behavior is either reinforced or punished during the development period based on the existing social beliefs and standards.

The following assignment will help you examine gender development from the perspective of both boys and girls based on today’s culture and with a look toward future trends.

Using the module readings, the Argosy University online library resources, and the Internet, research social learning theory and gender development during childhood.

Applying the tenets of the social learning theory, explain the role of reinforcement and punishment in gender-related behaviors for boys and girls. Address the following:

  • Identify 3–5 examples of gender-related behaviors that are developed through reinforcement or punishment. Be sure to provide a balanced view for boys and girls, and select examples which apply to the development of both boys and girls.
  • Explain, in detail, how these behaviors have been shaped by reinforcement and punishment.
  • Describe your own experiences with reinforcement and punishment of gender-related behaviors.
  • Comment on the following:
    • Explain the role of popular culture in the development of reinforcements and punishments.
    • Describe what reinforcements and punishments might look like in the future, given current societal trends.

Support your assertions using valid research. Be sure to integrate a reflection of your personal experiences and examples throughout your paper.

Write a 2–3-page paper in Word format. Apply APA standards to the formatting of your paper and the citation of sources. Remember to include a cover page and reference page in APA format. Use the following file naming convention: LastnameFirstInitial_M2_A2.doc.

By the due date assigned, deliver your assignment to the Submissions Area.

 
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Assignment 2: Final Project: Sampling 

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Assignment 2: Final Project: Sampling 

(Assignment 2: Final Project: Sampling )

Assignment 2: Final Project: Sampling Based On The Feedback You Received On Your Submission From Last Week, Submit A Revised Draft Of Your Paper With This Additional Information:

Based on the feedback you received on your submission from last week, submit a revised draft of your paper with this additional information:

(Assignment 2: Final Project: Sampling )

  1. Five additional references that could be used for your research paper and include a 1-2 sentence description for each of the five additional references, explaining how they fit with the research topic and the research question proposed. Make sure that these references come from scholarly sources using Argosy’s library resources.
  2. A very detailed outline of what you would like to cover in the intro/lit review of your paper. Write it as an outline and think about what you want each paragraph or section to cover. Paste your references into each section where the information from that article applies to the topic. Below is an example of the outline although the references have not been pasted in yet:
    1. Introduction or Statement of the Problem (e.g. Predictors of Depression in Men)
      1. Research question (E.g. What factors predict depression in men? For example, age, marital status, family history, stressors).
      2. Why is it important/implications  (E.g. xx% of men are depressed; less likely to seek treatment; if we can identify who is at risk, may be able to direct them to treatment sooner)
      3. Revised hypothesis based on feedback from the instructor
    2. Review of the Literature (the following is an example for above topic):
      1. Brief description of depression, symptoms, and any unique symptoms for men (Cite articles from which you will obtain this information).
      2. How widespread is it? Stats on depression in general but also stats on depression in men (Cite articles from which you will obtain this information).
      3. List factors that put men at risk for depression (Cite articles).
        1. Difficulty communicating distress or sadness (Cite articles).
        2. Job/work pressures (Cite articles).
      4. Demographic characteristics (Cite articles).
        1. Relationship between age and depression (Cite articles).
        2. Relationship between marital status and depression (Cite articles).
  3. A 1-2 page description of the sample you would like to use for your study, that provides the answer to the following questions:
    1. What sampling technique would you use?
    2. Does the sample generalize to the population? Explain why or why not.
    3. What inclusion criteria would be used? What exclusion criteria would be used, if any?
    4. What ethical issues might be encountered when collecting your information from this sample?
  4. Be sure to also submit all your ten references (the five from last week and the five new ones you added) in an APA-style reference page. Be sure to also include an APA-style title page with your submission. Your paper should be at least 2-3 pages long. Make sure you write in a clear, concise, and organized manner; demonstrate ethical scholarship in accurate representation and attribution of sources; display accurate spelling, grammar, and punctuation.

(Assignment 2: Final Project: Sampling )

I would like to pay more, but I can’t, but you did a great job with my other assignment, can you please help me with this one ?

 

Sincerely,

 

Jenybe1

 
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Controlled Substance Authority With ARNP

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Controlled Substance Authority With ARNP

(Controlled Substance Authority With ARNP)

CS/SB 614 authorizes  an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.

In the context of healthcare, an Advanced Registered Nurse Practitioner (ARNP) may have controlled substance authority, granting them the legal ability to prescribe and manage medications, including controlled substances. The extent of this authority varies by jurisdiction and is often regulated by state nursing boards or medical boards. To obtain this privilege, ARNPs typically undergo additional training, demonstrate competency, and adhere to specific guidelines. Controlled substances, such as certain medications for pain management or mental health conditions, require careful monitoring and regulation to prevent misuse or abuse. The goal is to balance patient care with responsible prescribing practices.

ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:

 Presigning blank prescription forms.

 Prescribing a Schedule II for office use.

 Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.

 Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.

 Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.

 Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.

 Prescribing, dispensing, or administering a controlled substance to himself or herself.

 Prescribing, dispensing, or administering laetrile.

 Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.

 Promoting or advertising controlled substances.

After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/

Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations? 

300 words 2 references

 
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Integrative Literature Review

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Integrative Literature Review

(Integrative Literature Review)

Pathbuilder is being used for this assignment. Please be certain to complete the “Survey Acknowledgement Quiz” this week in order to submit the Integrative Literature Review. You will not be allowed to submit your Final Paper until you have completed the quiz this week.

The primary goal of this literature review is to integrate concepts from four different content domains within the larger field of psychology. The four content domains should be chosen from previous coursework in this program. In this paper, students will review the findings in the individual empirical articles, organize the research in a meaningful way, evaluate the reliability, validity, and generalizability of the research findings, and present an integrated synthesis of the research that sheds new light on the topics within and across the four domains.

The result of a successful integrative literature review may be a significant contribution to a particular body of knowledge and, consequently, to research and practice. Therefore, before writing this literature review, substantive new research must be conducted via the Internet and within the Ashford University Library for each of the four chosen domains. A minimum of six sources must be included for each of the four domains. Although content from literature reviews completed in prior courses within this program may be included, it may not constitute the total research for the individual domains addressed within this assignment. No more than four sources from previous literature reviews completed in this program may be utilized for this integrative review.

The headings listed below must be used within the paper to delineate the sections of content. These sections include the following: a clear introduction that provides a general review and organizes the research in a meaningful way; a discussion in which the evidence is presented through analysis, critique, and synthesis; and a conclusion in which the discussion is drawn together in a meaningful way, the claims of the introduction are brought to a logical closure, and new research is proposed.

Introduction

  • Provide a conceptual framework for the review.
  • Describe how the review will be organized. The questions below may be used to guide this section.
    • What are the guiding theories within the domains?
    • How are the domains connected?
    • Are there competing points of view across the domains?
    • Why is the integration of these domains important?
    • What is the history of these domains?
    • What are the related theories or findings?
  • Describe how the literature was identified, analyzed, and synthesized.
  • How and why was the literature chosen?
  • What is your claim or thesis statement?

Discussion(Integrative Literature Review)

  • Provide the analysis, critique, and synthesis for the review.

Analysis

  • Examine the main ideas and relationships presented in the literature across the four domains.
  • Integrate concepts from the four different content domains within the larger field of psychology.
  • What claim(s) can be made in the introduction?
  • What evidence supports the claim(s) made in the introduction?

Critique 

  • Evaluate the reliability, validity, and generalizability of the chosen research findings.
  • How well does the literature represent the issues across the four domains?
  • Identify the strengths and the key contributions of the literature.
  • What, if any, deficiencies exist within the literature?
  • Have the authors omitted any key points and/or arguments?
  • What, if any, inaccuracies have been identified in the literature?
  • What evidence runs contrary to the claims proposed in the introduction, and how might these be reconciled with the claims presented?
  • Explain how the APA’s Ethical Principles of Psychologists and Code of Conduct might influence the reliability and/or generalizability of the chosen findings.
  • Did the ethical issues influence the outcomes of the research?
  • Were ethical considerations different across the domains?

Synthesis

  • Integrate existing ideas with new ideas to create new knowledge and new perspectives.
  • Describe the research that has previously been done across these domains, as well as any controversies or alternate opinions that currently exist.
  • Relate the evidence presented to the major conclusions being made.
  • Construct clear and concise arguments using evidence-based psychological concepts and theories to posit new relationships and perspectives on the topics within the domains.

Conclusion(Integrative Literature Review)

  • Provide a conclusion and present potential future considerations.
  • State your final conclusion(s).
  • Synthesize the findings described in the discussion into a succinct summary.
  • What questions remain?
  • What are the possible implications of your argument for existing theories and for everyday life?
  • Are there novel theories and/or testable hypothesizes for future research?
  • What do the overarching implications of the studies show?
  • Where should the research go from this point to further the understanding of these domains and the greater study of psychology?

Attention Students: The Masters of Arts in Psychology program is utilizing the Pathbrite portfolio tool as a repository for student scholarly work in the form of signature assignments completed within the program. After receiving feedback for this Integrative Literature Review, please implement any changes recommended by the instructor, go to Pathbrite (Links to an external site.)Links to an external site. and upload the revised Integrative Literature Review to the portfolio. (Use the Pathbrite Quick-Start Guide (Links to an external site.)Links to an external site. to create an account if you do not already have one.) The upload of signature assignments will take place after completing each course. Be certain to upload revised signature assignments throughout the program as the portfolio and its contents will be used in other courses and may be used by individual students as a professional resource tool. See the Pathbrite (Links to an external site.)Links to an external site. website for information and further instructions on using this portfolio tool.

The Integrative Literature Review(Integrative Literature Review)

  • Must be 20 to 30 double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center. (Links to an external site.)Links to an external site.
  • Must include a separate title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  • Must begin with an introductory paragraph that has a succinct thesis statement.
  • Must address the topic of the paper with critical thought.
  • Must end with a conclusion that reaffirms your thesis.
  • Must use at least 24 peer-reviewed sources, including a minimum of 20 from the Ashford University Library.
  • Must document all sources in APA style as outlined in the Ashford Writing Center.
  • Must include a separate reference list that is formatted according to APA style as outlined in the Ashford Writing Center.

 

 
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Athletes and Anabolic Steroids

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Athletes and Anabolic Steroids

(Athletes and Anabolic Steroids)

I. Watch the following video on epigenetics.  https://youtu.be/kp1bZEUgqVI

In what ways is your health impacted by Genetics?

In what ways is your health impacted by environment?

How does epigenetics change how we pass information from generation to generation?

Does this information make you think differently about passing information to your children?

II. Read the following article regarding anabolic steroid below use by athletes. Then work with a partner/small group to build a five-minute presentation that answers the following questions. Presentations can be video-based, PowerPoint, skit—it’s up to you.

If working alone, create your presentation so that it can be shared with other students online.

  • Which major glands are      influenced by performance enhancing drugs?
  • Why are steroids not allowed in      professional sports? Should they be? Use at least two pieces of evidence      to back your opinion.
  • What advice would you give an      athlete who was considering using PEDs?

Athletes and Anabolic Steroids(Athletes and Anabolic Steroids)

Although it is against most laws to do so, many professional athletes and body builders use anabolic steroid drugs to improve their athletic performance and physique. Anabolic steroid drugs mimic the effects of the body’s own steroid hormones, like testosterone and its derivatives. These drugs have the potential to provide a competitive edge by increasing muscle mass, strength, and endurance, although not all users may experience these results. Moreover, use of performance-enhancing drugs (PEDs) does not come without risks. Anabolic steroid use has been linked with a wide variety of potentially negative outcomes, ranging in severity  from largely cosmetic (acne) to life threatening (heart attack). Furthermore, use of these substances can result in profound changes in mood and can increase aggressive behavior (National Institute on Drug Abuse, 2001). Baseball player Alex Rodriguez (A-Rod)  has been at the center of a media storm regarding his use of illegal PEDs. Rodriguez’s performance on the field was unparalleled while using the drugs; his success played a large role in negotiating a contract that made him the highest paid player in professional  baseball. Although Rodriguez maintains that he has not used PEDs for the several years, he received a substantial suspension in 2013 that, if upheld, will cost him more than 20 million dollars in earnings (Gaines, 2013).(Athletes and Anabolic Steroids)

III.  Search “perceptual illusions” and “optical illusions.” Choose two illusions from each category. Using the text as a guide, describe the error that causes each image to be an illusion.

IV. The Gestalt principles of organization explain how we make sense of the world.

For this activity you will need to apply the principles to the real world.

Using your phone’s camera, the internet or magazines, find (or stage) an example for each of the five principles:

  1. Figure ground
  2. Closure
  3. Similarity
  4. Proximity
  5. Continuity

Compile your pictures of each example and provide a brief statement of how it is an example of the principle.(Athletes and Anabolic Steroids)

V. Synesthesia is a rare condition where a person’s senses are linked. Watch the following video and post your answer in the discussion board. https://youtu.be/s32v0rTkey4

Do you know anybody with this condition?
How might this condition interfere with a person’s life?
If you could ask a person with Synthesis a question about their condition, what would you ask?

VI. This activity can be done either individually or with small groups.
If working in a group, assign a parenting style to each group: authoritarian, authoritative, permissive, or uninvolved.
If working alone, select one of the parenting styles above.
Discuss and record how a parent with that style would react to the situations listed:
Parenting style: ___________
For each of the following, describe how the assigned parenting style would react to that situation.
Your 7 year old takes a five dollar bill from mom’s purse.
Your 13 year old is discovered smoking cigarettes.
Your 15 year old thinks she should have a later curfew on weekends.
Your 16 year old daughter is dating a 20-year-old boy.
Your 17 year old son is caught having sex with his girlfriend in his bedroom.
Your 6 year old is in trouble at school for beating up another child.
Your 16 year old took your car out without permission.
Your 4 year old colors all over the wall.

VII. Read the following vignette taken from the OpenStax Psychology LifeSpan Development chapter:

SHOULD WOMEN WHO USE DRUGS DURING PREGNANCY BE ARRESTED AND JAILED?(Athletes and Anabolic Steroids)

As you now know, women who use drugs or alcohol during pregnancy can cause serious lifelong harm to their child. Some people have advocated mandatory screenings for women who are pregnant and have a history of drug abuse, and if the women continue using, to arrest, prosecute, and incarcerate them (Figdor & Kaeser, 1998). This policy was tried in Charleston, South Carolina, as recently as 20 years ago. The policy was called the Interagency Policy on Management of Substance Abuse During Pregnancy and had disastrous results.

The Interagency Policy applied to patients attending the obstetrics clinic at MUSC, which primarily serves patients who are indigent or on Medicaid. It did not apply to private obstetrical patients. The policy required patient education about the harmful effects of substance abuse during pregnancy. . . . [A] statement also warned patients that protection of unborn and newborn children from the harms of illegal drug abuse could involve the Charleston police, the Solicitor of the Ninth Judicial Court, and the Protective Services Division of the Department of Social Services (DSS) (Jos, Marshall, & Perlmutter, 1995, pp. 120–121).

Answer the following questions and provide feedback for other student responses.

Should legal action be taken against women who are pregnant and using drugs? Why or why not?

VIII. As many points in time, we have all decided to “sit this one out” and not make a decision one way or the other. For instance, maybe you didn’t vote in the last election. Or maybe you told the woman in the parking lot that you “didn’t really see what happened” with the man who rear-ended her.(Athletes and Anabolic Steroids)

When you decide not to decide, you are still making a choice and morally responsible for the consequences. 

In groups discuss whether or not you agree with the above. Identify a specific example and be ready to discuss your position.

Individually, identify a moral dilemma that you have had and decided not to decide. Write 1-2 paragraphs that explores the following questions: Have the consequences of that decision affected you in any way? Will that experience change how you approach a similar situation in the future?

VIIII. Psychologist Lawrence Kohlberg (1927–87) posed moral dilemmas to people of all ages to determine their stage of moral development. One of his best known moral dilemmas is the Heinz dilemma. Read the following vignette taken from the OpenStax Psychology LifeSpan Development chapter.(Athletes and Anabolic Steroids)

In Europe, a woman was near death from a special kind of cancer. There was one drug that the doctors thought might save her. It was a form of radium that a druggist in the same town had recently discovered. The drug was expensive to make, but the druggist was charging ten times what the drug cost him. He paid $200 for the radium and charged $2,000 for a small dose of the drug. The sick woman’s husband, Heinz, went to everyone he knew to borrow the money, but he could only get together about $1,000, which is half the cost. He told the druggist that his wife was dying and asked him to sell it cheaper or let him pay later. But the druggist said: “No, I discovered the drug, and I’m going to make money from it.” So Heinz got desperate and broke into the man’s store to steal the drug-for his wife. Should the husband have done that?) Kohlberg, 1969, p. 379

Was the husband right or wrong? Provide your reasoning. Be sure to respond to at least one other student’s response.

 
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Conceptual Approaches To Learning

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Conceptual Approaches to Learning

(Conceptual Approaches To Learning)

Submit a 3-4 page paper (excluding the coversheet and reference page) discussing the conceptual differences and similarities between cognitive, behavioral, and neuroscience approaches to learning.

  • Describe the four components of learning as they appear in each approach.
  • Concentrate on the different areas that each approach emphasizes or deems most important in the learning process.
  • Provide an example of real-life learning from the lens of a cognitive approach.

The paper should have a minimum of one reference in addition to the textbook.

Point Value of this Assignment: 8
This Discussion Question aligns with the following weekly outcomes: 1, 2, 3, 4
This Discussion Question aligns with the following course outcomes: 2, 4, 5

NEW Assignment Type: Please click here to review instructions on how to submit your assignment. (Links to an external site.)Links to an external site.

Grading Criteria

Content Criteria Total: 4

Content includes the analysis and differences between cognitive, behavioral, and neuroscience as it pertains to learning.

Content includes the four components of learning.

Content includes a real-life learning experience from the cognitive approach and at least one outside reference, in addition to the textbook.

Key elements of the assignment are covered.

Writing and Organization CriteriaTotal: 2

The central theme/purpose of the paper is clear.

The structure is clear, logical, and easy to follow.

The tone is appropriate to the content and assignment.

The thoughts are clear and include appropriate beginning, development, and conclusion.

Paragraph transitions are present, logical, and maintain the flow throughout the paper.

Sentences are complete, clear, and concise.

Sentences are well constructed, with consistently strong, varied sentences.

Sentence transitions are present and maintain the flow of thought.

Rules of grammar, usage, and punctuation are followed.

The paper uses words and language that are inclusive, clear, and unambiguous.

Spelling is correct.(Conceptual Approaches To Learning)

Research Criteria Total: 1

The paper includes a summary and analysis of research materials that are relevant to the assignment, e.g. scholarly journals, professional articles, legal documents, government documents, legal decisions, media clips, software, measurement instruments websites, personal communication, etc.

Professional/scholarly journals are peer reviewed and focus on the profession/application of psychology (located on Proquest, EBSCOHost, PsycNET, etc.). Non-scholarly articles include newspapers, periodicals, secular magazines, etc, and are not peer reviewed. Websites not approved include wikipedia.com and about.com.

Research focuses on the most current information (past five to ten years) except when citing seminal works (e.g. Freud, Erickson, etc.).

Paper includes the appropriate number of references required by the assignment.

When appropriate, the paper addresses ethical considerations in research.

Style Criteria Total: 1(Conceptual Approaches To Learning)

The paper is in the appropriate APA format used by the institution/program (e.g. the 6th edition).

The paper is double-spaced and in the appropriate length required by the assignment

The paper includes an APA style cover page.

The paper includes an Abstract that is formatted to support the appropriate version of APA Publication Manual (e.g. 6th edition).

The paper properly uses headings, font styles, and white space as outlined in the appropriate version of APA Publication Manual (e.g. 6th edition).

The paper includes an introductory paragraph with a succinct thesis statement.

The paper addresses the topic of the paper with critical thought.

The paper concludes with a restatement of the thesis and a conclusion paragraph.

Citations of original works within the body of the paper follow the appropriate version of APA Publication Manual (e.g. 6th edition) guidelines.

The paper includes a References Page that is completed according to the appropriate version of APA Publication Manual (e.g. 6th edition).

 
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Acute Joint Inflammation

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Unit 5 Case Study: Acute Joint Inflammation

(Acute Joint Inflammation)

Joint inflammation, also known as arthritis, is a condition characterized by the swelling, pain, and stiffness of one or more joints. It can result from various causes, including autoimmune disorders, infections, injuries, or wear-and-tear over time. Common types include rheumatoid arthritis, osteoarthritis, and gout. Symptoms often involve pain, tenderness, warmth, and limited range of motion in the affected joint. Diagnosis typically involves a combination of medical history, physical examination, and imaging tests. Treatment varies based on the underlying cause and may include medications, physical therapy, lifestyle modifications, or in severe cases, surgery. Early intervention is crucial for effective management.

assignment

Mr. Y is a 47 year old, mixed race [Asian/African ethnicity], male patient who presented to your office with severe right great toe pain.  Onset of the pain was 2 days ago.  Mr. Y denies any known trauma to his right foot or his great toe on that foot.  His right great toe is red and became so swollen in the last day that he cannot put on his shoe.

Mr. Y has a history of hypertension for which he is taking HCTZ 25mg daily, Metopralol 50 mg twice daily, and Lisinopril 10 mg daily.  He denies any other medical problems.

Results of the lab tests that were ordered:

Sed rate – 93; Glucose, random – 117 mg/dl; Hgb – 13.4 gm/dl; WBC – 8200/ccm with normal diff; Serum uric acid – 10.9 mg/dl; Serum creatinine – 1.2 mg/dl

Assignment Questions(Acute Joint Inflammation)

  1. Based on presenting symptoms and lab findings, what is most likely diagnosis that will be made for Mr. Y?
  2. What is the anticipated pharmacologic plan for managing Mr. Y’s acute pain?  Provide a justification for the plan including a citation from a peer-reviewed source.
  3. What is the anticipated pharmacologic plan for long-term management of Mr. Y’s diagnosis?  Provide a justification for the plan including a citation from a peer-reviewed source.
  4. Identify the key elements of the education plan that would be appropriate for the patient about the acute and chronic pharmacologic plans you identified above.

Instructions 

  • Prepare and submit a 3-4 page paper [total] in length (not including APA format).
  • Answer all the questions above.
  • Support your position with examples.
  • Please review the rubric to ensure that your assignment meets criteria.
  • Submit the following documents to the Submit Assignments/Assessments area:
    • Case Study: Acute Joint Inflammation
 
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Avoiding Counselor Impairment

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Discussion 2: Avoiding Counselor Impairment

(Avoiding Counselor Impairment)

PLEASE NO PLAGIARISM AND I HAVE INCLUDED AN EXAMPLE

Discussion 2: Avoiding Counselor Impairment

Burnout is a major concern for clinical mental health counseling professionals and it can lead to both professional and personal issues for counselors. It can start with counselors taking on trauma, stress, and an unrealistic belief that they alone are responsible for their clients’ wellness. There are numerous factors in a counselor’s work that might lead to burnout including: secondary stress and vicarious trauma, expanded roles and responsibilities, poor supervision, and lack of the specific tools necessary to perform the job.(Avoiding Counselor Impairment)

Counseling, by its very nature, is stressful work. This stress, if not monitored and addressed, can lead to counselor impairment. The profession acknowledges this by ethically obligating counselors to be mindful not only of their own states of mind, but their colleagues’ health as well.

For this Discussion, review the Counselor Impairment media and consider ethics related to counselor impairment. Examine signs of counselor impairment and the potential impact this may have on clients.

Post by Day 3 a brief description of the codes of ethics related to counselor impairment. Then explain at least two signs of counselor impairment. Finally, propose a scenario using one of the signs of counselor impairment you identified that elicited a negative effect on client treatment. Suggest a solution for remedying the situation and justify your solution.

Be sure to use the Learning Resources and the current literature to support your response.

Required 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.

Readings

  • Remley, T. P., Jr., & Herlihy, B. (2016). Ethical, legal, and professional issues in counseling (5th ed.). Upper Saddle River, NJ: Pearson.
    • Chapter 7, “Competence, Assessment, and Diagnosis” (pp. 154-187)
    • Chapter 8, “Malpractice and Resolving Legal and Ethical Challenges” (pp. 188-201)
    • Chapter 15, “Supervision and Consultation” (pp. 358-379)
  • By the numbers: Counselor impairment. (2005). Counseling Today, 48(4), 3.
    Retrieved from the Walden Library databases.
  • Everall, R. D., & Paulson, B. L. (2004). Burnout and secondary traumatic stress impact on ethical behaviour. Canadian Journal of Counseling, 38(1), 25–35.
    Retrieved from the Walden Library databases.
  • Lawson, G. (2007). Counselor wellness and impairment: A national survey. Journal of Humanistic Counseling, Education and Development, 46(1), 20–34.
    Retrieved from the Walden Library databases.
  • Magnuson, S., Black, L. L., & Norem, K. (2004). Supervising school counselors and interns: Resources for site supervisors. Journal of Professional Counseling, Practice, Theory, & Research, 32(2), 4–15.
    Retrieved from the Walden Library databases.
  • Wilcoxon, S. A., Norem, K., & Magnuson, S. (2005). Supervisees’ contributions to lousy supervision outcomes. Journal of Professional Counseling, Practice, Theory, & Research, 33(2), 31–49.
    Retrieved from the Walden Library databases.
  • Wilkerson, K. (2006). Impaired students: Applying the therapeutic process model to graduate training programs. Counselor Education & Supervision, 45(3), 207–217.
    Retrieved from the Walden Library databases.

Media

  • Laureate Education, Inc. (Executive Producer). (2012). Clinical mental health counseling: Counselor impairment [Video]. Baltimore, MD: Author.

    Note: The approximate length of this media piece is 4 minutes.

Optional Resources

  • Day, S. X. (2007). Health, distressed or impaired: What affects counselor wellness? Counseling Today, 50(1), 39.
    Retrieved from the Walden Library databases.
  • Lawson, G., Venart, E., Hazler, R. J., & Kottler, J. A. (2007). Toward a culture of counselor wellness. Journal of Humanistic Counseling, Education & Development, 46(1), 5–19.
    Retrieved from the Walden Library databases.
  • Neukrug, E., Milliken, T., & Walden, S. (2001). Ethical complaints made against credentialed counselors: An updated survey of state licensing boards. Counselor Education & Supervision, 41(1), 57–70.
    Retrieved from the Walden Library databases.
  • Wilcoxon, S. A., & Magnuson, S. (2002). Concurrent academic and pre-licensure supervision: When supervision is not just supervision. Clinical Supervisor, 21(2), 55–66.
    Retrieved from the Walden Library databases.
 
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Healthcare Data Standardization

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Case Study: Healthcare Data Standardization

(Healthcare Data Standardization)

Case Study

Read the following case study:

A small community hospital in the Midwest has used a homegrown information system for years. The system began in the early 1970s with a financial module. Over time, additional modules were added. A limited number of departments selected a commercial system and interfaces were used to integrate these into the overall functionality of the hospital information system. Except for physicians, most in-house clinical or care-related documentation is online. However, about 15% to 20% of this documentation is done by free text and is not effectively searchable. In addition, the screens, including the drop-down and default values, were built using terms selected by the in-house development team in consultation with clinical staff; thus there is no data dictionary or specific standard language. In the last few years, the hospital has purchased two outpatient clinics (obstetrics and mental health) and a number of local doctor practices. The clinics and doctors’ offices are now being converted to the hospital administrative systems. A few of the clinical applications that are tied directly to the administrative systems such as order entry and results reporting are also being installed.

A major change is being planned. A new chief information officer (CIO) was hired last year and she has appointed a chief medical information officer (CMIO) and a chief nursing information officer (CNIO). No other significant staff changes were made. With her team in place, one of the CIO’s first activities was to complete an inventory of all applications. Rather than continue to build, a decision was made to switch to a commercial vendor and the hospital selected a commercial system.

As a member of the clinical staff with informatics education, the CIO has requested that you develop a training and information presentation for the clinical staff that will:

· Identify two or more issues with the existing system

· Provide staff with appropriate “work-around” for using the existing system

· Provide an overview of two of the standard languages used within the new system including discipline or specialty, updating frequency, and available cross-maps

o One standard language should pertain only to nursing

o One standard language should be multidisciplinary.

· Obtain clinical staff input, using a five-question survey, of specific methods to support transition to the new system; questions should be open-ended.

 

PowerPoint Presentation

Directions:

1. Review the case study.

2. Download the provided PowerPoint template to create a presentation that includes:

· Your name on the title slide of the presentation

· Identification of two or more issues with existing system

· Identification of “work-a-round” solutions when using existing system

· Overview of standard language used only in nursing

· Overview of multidisciplinary standard language

· Set of five (5) open-ended survey questions for staff input on transitioning to the new system

· Presentation is free of spelling and grammar errors.

2. Submit the Week 10 Assignment via Blackboard by clicking on the “Week 10 Assignment” link. Include the proper file naming convention:

 
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